RBO with no consensus

The discovery of vaccination was made due to the obseraving a single conduct for the treatment of pathologies in ur area has always been a dream of some authors and heads f service, which has fortunately never been reached. We have some examples of conduct for the treatment of ertain pathologies, which due to the clarity of exposition and eliability of the authors, persisted for years and delayed the evelopment of their study. The shoulder pathology was restricted to periarthritis nd treatment by infiltrations for years until Neer, in 1982, eveloped the impact theory and explained the mechanicalegenerative joint process; the genius of prof. Henry Dejour elayed for decades the development of the patellofemoral isease study, disregarding in his remarkable a la carte menu or the treatment of patellofemoral instability, the medial atellofemoral ligament. Hundreds of orthopedists delighted ith the clarity of the French master’s ideas treated the instaility of the patellofemoral joint without considering the joint igaments. The treatment of a tibial fracture is a conservative ne, except when there is fibular integrity, as declared by armiento; we cannot even comment on this statement today. There was a period when evidence-based Medicine became ery popular, which gave great impetus to meta-analyses to he point of making them level 1 for scientific publications. This means that a double-blind randomized study with dequate follow-up, carried out by a group of surgeons and linicians involved with patients and responsible for the ssessed therapeutic option and who analyzed the result of his option, has the same value as a study carried out by ureaucrats in a room, who selected and analyzed published tudies on a subject with which they had no involvement. hese studies produce such evidence, on which our conducts hould be based. Once again, fortunately time and practice have shown that edicine should be based on experience. A new attempt to simplify the complex therapeutic activity ow appears in the so-called consensuses that some instituions have suggested. We have some current examples: Moseley JB published in 2002 a study at the prestigious New England Journal of Medicine, in which he performed arthroscopies in some patients and pretended to perform them in others, who were patients with osteoarthritis of the knee, and declared that performing or not arthroscopic treatment in the knee with arthrosis yielded the same result.