Ten Common Orthopaedic Procedures Under Scrutiny: Does Lack of Randomized Trials Mean There is No Evidence ?
This analysis revisits a controversial BMJ umbrella review suggesting limited high-quality evidence for many common orthopaedic procedures. Ethical and methodological challenges in conducting surgical RCTs are explored, alongside the potential value of observational studies. Emphasis is placed on patient-centered decision-making and clinical nuance. With guest contributions from Dr. Bheeshma Ravi and Dr. Mark Pahuta, the discussion highlights the complexity of defining surgical value in modern orthopaedic practice.
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