What is the trend in surgery for proximal humerus fractures?


Jennifer Lane considers this retrospective audit which examined current practice in the US to discover the current trends in treatment of proximal humerus fractures.

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Temporomandibular disorders: open or arthroscopic surgery?


This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.

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No good quality evidence on how to manage juvenile idiopathic arthritis with temporomandibular joint involvement


Juvenile idiopathic arthritis (JIA), also known as juvenile chronic arthritis and juvenile rheumatoid arthritis affects a range of joints. The temporomandibular joint (TMJ) can be the first and only affected joint. In the UK about 1 and 2 in every 10,000 children develop JIA each year. The prevalence of TMJ involvement in JIA patients ranges [read the full story…]

Antibiotic prophylaxis in surgery – SIGN Guideline 104


The Scottish Intercollegiate Guidelines Network  (SIGN) has just launched their updated guideline on antibiotic prophylaxis in surgery.  SIGN’s first guideline of this topic (SIGN 45)  was published in 2000 and updated in 2008.  The guideline does not aim to provide every surgical speciality with a comprehensive text on preventing  surgical site infection (SSI), but rather [read the full story…]

Recommendations for commissioning quality weight management services

Two feet on scales

This guidance has been published and should be read alongside the Commissioning Policy A05 Complex and Specialised Obesity Surgery Services of the NHS Commissioning Board April 2013. It has been sponsored by the British Obesity and Metabolic Surgery Society, and is supported by a number of relevant professional bodies, including the Association of UK Dietitians [read the full story…]

Effective diabetes service models should be commissioned to reduce diabetes admissions

Sphere full of words to do with diabetes and health care.

This document is aimed at clinical commissioning groups, health care planners, hospital senior managers, and clinical teams in primary and secondary care. It is an amalgamation of good practice examples where diabetes services have improved, with bed occupancy and costs being reduced. There is a specific focus on elderly, diabetic patients, and other similarly vulnerable [read the full story…]

Does vomer or palatal flap have less adverse effect on maxillary growth in cleft patients? – No good evidence available


Cleft lip (CL) and cleft palate (CP) are common birth defects that affect around 1 in 700 children born.  Surgery to repair the palate is thought to affect maxillary growth. The vomer flap is assumed to cause less scarring and therefore have less impact on growth. The aim of this review was to investigate the [read the full story…]

“Surgeons and commissioners used a different language when they met” according to project findings


Rational commissioning This report describes a project, led by Right Care, to involve surgeons in the commissioning decision-making process, because observations made by the Department of Health and Surgical Specialty Associations showed that there were inconsistencies in the rates of elective surgical procedures between Primary Care Trusts, and that sometimes existing surgical procedures were “classified [read the full story…]