Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

  • TJA should not be delayed for trials of physical therapy, anti-inflammatory drug use, bracing, intra-articular steroid injections, or hyaluronic acid injections.

  • For patients with obesity, proceed to TJA without delay, regardless of BMI.

  • For patients with poorly controlled diabetes, recommend delaying TJA to improve glycemic control, but don't define poor control or specific HbA1c requirements.

  • For smokers, recommend delaying TJA for a trial of smoking reduction or cessation.


https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/acr.25175


Episoder(385)

102. DOAC and hematuria  plus a listener question

102. DOAC and hematuria plus a listener question

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101. 3A- Aspirin, Asthma, AntiPlatelet

101. 3A- Aspirin, Asthma, AntiPlatelet

https://www.nejm.org/doi/full/10.1056/NEJMoa1813959 even when we dont know where the stroke is coming from- aspirin is still king all these years later https://www.thelancet.com/journals/lancet/artic...

13 Aug 201921min

100. 3H episode= Hakuna Matata, HIV, and HPV

100. 3H episode= Hakuna Matata, HIV, and HPV

https://www.cdc.gov/mmwr/volumes/68/wr/mm6825a2.htm we are not testing people for HIV even though guidelines https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/human-im...

2 Aug 201925min

Got 99 (episodes) and an IMPORTANT Article Before It's Done

Got 99 (episodes) and an IMPORTANT Article Before It's Done

https://www.ncbi.nlm.nih.gov/pubmed/30608562 A1C level low is not good and high is not good cause both seem to wind up have you the pt. in the hospital for hypoglycemia- the low point of the U curve ...

24 Jul 201918min

98. A New Drug, Sugar Legacy, Statin in the Elderly

98. A New Drug, Sugar Legacy, Statin in the Elderly

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31942-1/fulltext If you are over 70 or 75 and primary prevention then likely no benefit in statins and secondary benefit is very sm...

12 Jul 201922min

97. Old Women Walking, Energy Drinks, and Antibiotics

97. Old Women Walking, Energy Drinks, and Antibiotics

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27 Jun 201925min

96. Sprinting to Induction of Clopidogrel

96. Sprinting to Induction of Clopidogrel

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14 Jun 201926min

94. New Afib Guidelines, New standard for SK, and Foley cath + UTI

94. New Afib Guidelines, New standard for SK, and Foley cath + UTI

afib- new guidelines! https://www.google.com/search?q=2019+American+Heart+Association%2C+American+College+of+Cardiology+and+the+American+Rhythm+Society+focused+update+from+their+2014+guidelines+for+...

21 Mai 201925min

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