New Minute-Commentary Video
See what JBJS Deputy Editor for Social Media Chad Krueger, MD thinks about the just-published Level-I trial comparing nonoperative treatment to volar locking plate fixation among 140 elderly patients with dorsally displaced distal radial fractures.
Tags: distal radial fracture, JBJS, volar plating
Follow us on Twitter
My TweetsLast chance to save: JBJS Journal of Orthopaedics for Physician Assistants
In celebration of PA Week, you can now purchase a one-year subscription to JBJS JOPA for $99.
Buy today: https://store.jbjs.org/jopa-complete
Use code JOPAFall at checkout.
Do you know the answer to the JBJS Clinical Classroom Challenge of the Week?
Check your answer: http://ow.ly/VeSb50wIALo
Next up in our Elite Reviewer profile series is Dr. Jeffery Stambough of @TriHealth Orthopedic and Sports Institute: https://orthobuzz.jbjs.org/2019/10/10/elite-reviewer-spotlight-jefferey-stambough/
A randomized control trial investigating the benefit of prolonged antibiotics after spinal surgery with closed-suction drains.
.
In the most recent issue of The Journal, Urquhart et al. present their investigation of prolonged antibiotics in posterior spinal surgery in which closed-suction drains are used.
.
552 patients undergoing posterior spinal surgery were enrolled and randomized to receive 24 or 72 hours of post-operative intravenous antibiotics. All patients received closed-suction drains at the end of surgery. The primary outcome investigated was the rate of surgical site infection (deep or organ or space) within 1 year of the surgical procedure.
.
At the conclusion of the study, infections occurred in 17 patients (6.0%) in the 24-hour group and in 14 patients (5.2%) in the 72-hour group (p = 0.714). Interestingly, patients in the 72-hour antibiotic group had a median hospital stay that was 1 day longer (p < 0.001) than the 24-hour group.
.
These findings suggest no added benefit of prolonged post-operative antibiotics in posterior spinal fusion even when a closed-suction drain is in place. Furthermore, prolonged antibiotics may increase hospital stay.
.
This article can be found on jbjs.org in the October 2nd issue of The Journal.
.
.
#jbjs #orthopedics #orthosurgery #orthopedicsurgery #surgery #medicine #spine #spinesurgery #antibiotics #orthopedicresidency #orthoresidency #residency #medicalschool #medschool #medicaleducation #evidencebasedmedicine
Today's Elite Reviewer profile features Dr. Donald Anderson of @uiowa: https://orthobuzz.jbjs.org/2019/10/08/elite-reviewer-spotlight-donald-anderson/
In celebration of PA Week, you can now purchase a one-year subscription to JBJS JOPA for $99.
To learn more about what's included, and to purchase today visit https://store.jbjs.org/jopa-complete. Use code JOPAFall at checkout.
Recent Comments