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It is not recommended to perform synthetic cartilage implant insertion in people with first metatarsophalangeal joint osteoarthritis (hallux rigidus), only with special arrangements for clinical ...
NICE
NICE
For people with advanced disease for whom arthrodesis is indicated, evidence on the safety of synthetic cartilage implant insertion for first metatarsophalangeal joint osteoarthritis (hallux rigidus) shows no major safety concerns in the short term. But evidence on efficacy is limited in quantity and quality. Therefore, for these people, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Clinicians wanting to do synthetic ...
ver más ... 2022It is not recommended the use of neuromuscular electrical stimulation in the treatment of urinary incontinence, only with special arrangements for clinical governance, consent, and audit or research.
NICE
NICE
The procedure uses non-implanted electrodes connected to an external neuromuscular electrical stimulator device to stimulate muscles and nerves, to make the pelvic floor muscles contract. The device is typically used in sessions. The number and frequency of advised sessions varies, but the treatment period is typically 6 to 12 weeks. Evidence on the safety of transcutaneous electrical neuromuscular stimulation for urinary incontinence raises no major safety concerns. Evidence on its efficacy is ...
ver más ... 2022The use of mesh external aortic root is recommended to prevent aortic root expansion and aortic dissection in people with Marfan syndrome, nevertheless, evidence on long-term outcomes is limited.
NICE
NICE
These are evidence-based recommendations on personalized external aortic root support with mesh to prevent aortic root expansion and aortic dissection in people with Marfan syndrome. This involves opening the chest through the breastbone and wrapping mesh around the outside of the aorta closest to the heart. Some doctors recommend this technique when the aortic diameter is 45 mm or more. One of the positive points of the technique is that since the aortic valve is left intact, there is no need ...
ver más ... 2022Do not use vitamin B12 injections, offer hyperbaric oxygen to treat fatigue or fampridine to treat mobility problems in people with multiple sclerosis. Do not offer omega‑3, omega‑6 fatty acid ...
NICE
NICE
Multiple sclerosis (MS) is an acquired chronic immune-mediated inflammatory condition of the central nervous system, affecting both the brain and spinal cord. It affects approximately 130,000 people in the UK. It is the most common cause of serious physical disability in adults of working age. People with MS typically develop symptoms in their late 20s, experiencing visual and sensory disturbances, limb weakness, gait problems, and bladder and bowel symptoms. They may initially have partial ...
ver más ... 2022It is not recommended the use of focal resurfacing implants is recommended to treat articular cartilage damage in the knee in patients who cannot undergo arthroplasty or biological treatment, only ...
NICE
NICE
La evidencia sobre la eficacia de los implantes de revestimiento focal para tratar el daño del cartílago articular en la rodilla es limitada en calidad y cantidad. La evidencia a corto plazo no muestra problemas de seguridad importantes, pero la evidencia a largo plazo sobre la seguridad es limitada en calidad y cantidad. Por lo tanto, este procedimiento solo debe usarse con arreglos especiales para el manejo clínico, consentimiento y auditoría o investigación. Los médicos que deseen ...
ver más ... 2022