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Clinical Orthopaedics and Related Research®

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01-11-2008 | Original Article

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Authors: Nirmal C. Tejwani, MD, Igor Immerman, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2008

Abstract

Over years of practice, many beliefs and practices become entrenched as tried and tested, and we subconsciously believe they are based on scientific evidence. We identified nine such beliefs by interviewing orthopaedic surgeons in which studies (or lack thereof) apparently do not support such practices. These are: changing the scalpel blade after the skin incision to limit contamination; bending the patient’s knee when applying a thigh tourniquet; bed rest for treatment of deep vein thrombosis; antibiotics in irrigation solution; routine use of hip precautions; routine use of antibiotics for the duration of wound drains; routine removal of hardware in children; correlation between operative time and infection; and not changing dressings on the floor before scrubbing. A survey of 186 practicing orthopaedic surgeons in academic and community settings was performed to assess their routine practice patterns. We present the results of the survey along with an in-depth literature review of these topics. Most surgeon practices are based on a combination of knowledge gained during training, reading the literature, and personal experience. The results of this survey hopefully will raise the awareness of the selected literature for common practices.

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Title: Myths and Legends in Orthopaedic Practice: Are We All Guilty?
Authors: Nirmal C. Tejwani, MD
Igor Immerman, MD
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 11/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-008-0458-2

Keynote webinar | Spotlight on medication adherence

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Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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Other articles of this Issue 11/2008

Radiographic and Navigation Measurements of TKA Limb Alignment Do Not Correlate

Management of the Deficient Patella in Revision Total Knee Arthroplasty

Men versus Women

In-hospital Complications and Mortality of Unilateral, Bilateral, and Revision TKA: Based on an estimate of 4,159,661 Discharges

Excision of Painful Bipartite Patella: Good Long-term Outcome in Young Adults

Patient-reported Outcome Correlates With Knee Function After a Single-design Mobile-bearing TKA