Perioperative Blood Management Strategies for Total Knee Arthroplasty
Total knee arthroplasty (TKA) often causes a significant amount of blood loss with an accompanying decline in hemoglobin and may increase the frequency of allogeneic blood transfusion rates. Unfortunately, allogeneic blood transfusions have associated risks including postoperative confusion, infection, cardiac arrhythmia, fluid overload, increased length of hospital stay, and increased mortality. Other than reducing the need for blood transfusions, reducing perioperative blood loss in TKA may also minimize intra‐articular hemorrhage, limb swelling, and postoperative pain, and increase the range of motion during the early...
Source: Orthopaedic Surgery - February 9, 2018 Category: Orthopaedics Authors: Qiang Lu, Hao Peng, Guan ‐jin Zhou, Dong Yin Tags: REVIEW ARTICLE Source Type: research
Diagnosis of Compressed Nerve Root in Lumbar Disc Herniation Patients by Surface Electromyography
ConclusionsThe logistic regression model developed in this study showed high diagnostic accuracy in detecting the compressed nerve root (L5 and S1) in these patients with LDH. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - February 9, 2018 Category: Orthopaedics Authors: Wei Li, Yan ‐cheng Liu, Chen‐fan Zheng, Jun Miao, Hui Chen, Hai‐ying Quan, Song‐hua Yan, Kuan Zhang Tags: BASIC RESEARCH Source Type: research
Issue Information
(Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - February 1, 2018 Category: Orthopaedics Tags: ISSUE INFORMATION Source Type: research
Detecting the Presence of Bacterial DNA and RNA by Polymerase Chain Reaction to Diagnose Suspected Periprosthetic Joint Infection after Antibiotic Therapy
Orthopaedic Surgery,Volume 10, Issue 1, Page 40-46, February 2018. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - January 30, 2018 Category: Orthopaedics Source Type: research
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Orthopaedic Surgery,Volume 10, Issue 1, Page 40-46, February 2018. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - January 30, 2018 Category: Orthopaedics Source Type: research
En Bloc Resection with the Assistance of Video ‐Assisted Thoracoscopy for Left Lower Lung Cancer Invading Thoracic Vertebrae and Rib: A Case Report
Lung cancer invading the spine was previously considered unresectable and fatal and, consequently, there are few reports focusing on tumors located in the lower lung lobe and invading the spine. With the development of spinal instrumentation and surgical techniques, and wider acceptance of spondylectomy by surgeons, radical surgical resection has become feasible. Here, we present a case of a male patient with a left lower lung cancer invading thoracic vertebrae who underwent complete resection with sagittal en bloc hemivertebrectomy with video‐assisted thoracoscopy. A 60‐year‐old man complained of left chest pain for...
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Yun Liang, Peng Liu, Xiao ‐gang Zhou, Xi‐lei Li, Hong Lin, Nong Chen, Di Ge, Jian Dong Tags: CASE REPORT Source Type: research
Influence of Postoperative Hypertension on the Development of Spinal Epidural Hematoma
Spinal epidural hematoma (SEH) is a rare postoperative complication but can result in catastrophic neurological deficits requiring immediate surgical evacuation of the hematoma. Knowing the risk factors for postoperative SEH can help surgeons stratify patients. Therefore, to identify possible risk factors for postoperative SEH, we reviewed 6 clinical cases and examined the relation between postoperative hypertension and the risk of developing SEH. A retrospective review was conducted of 1282 consecutive patients who underwent spinal surgery at a single institution between 2010 and 2015. Of this cohort, 6 patients developed...
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Tetsuro Ohba, Shigeto Ebata, Hirotaka Haro Tags: BRIEF REPORT Source Type: research
Association of Insulin ‐like Growth Factor‐1, Bone Mass and Inflammation to Low‐energy Distal Radius Fractures and Fracture Healing in Elderly Women Attending Emergency Care
ConclusionsIn elderly women with low‐energy distal radius fractures, an association between IGF1 and lowest measures of BMD was found, indicating that low IGF1 could be an indirect risk factor for fractures. Fracture healing was associated with initial leukocytosis and a lower thrombocyte count, suggesting that inflammation and thrombocytes are important components in fracture healing. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Simona I Chisalita, Lee Ti Chong, Maciej Wajda, Lars Adolfsson, Mischa Woisetschl äger, Anna Spångeus Tags: CLINICAL ARTICLE Source Type: research
A Novel Approach for Reconstruction of Finger Neurocutaneous Defect: A Sensory Reverse Dorsal Digital Artery Flap from the Neighboring Digit
ConclusionThe sensory reverse dorsal digital artery flap from the neighboring digit, based on the dorsal branch of the digital artery, is an effective and additional option for finger neurocutaneous defect reconstruction when use of the local and regional flaps is not feasible. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Shi ‐ming Feng, Qing‐qing Sun, Jian Cheng, Ai‐guo Wang Tags: CLINICAL ARTICLE Source Type: research
A New Intraoperative Syndesmosis Instability Classification System: Utility and Medium ‐term Results in Closed Displaced Ankle Fractures
ConclusionThe syndesmosis instability classification system provides a rational and efficient basis for managing syndesmosis instability. Our results from application of the algorithm justify its further evaluation in the treatment of patients with closed displaced Weber B and C ankle fractures. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Hai ‐bin Qiu, Jun Jiang, Daniel Porter Tags: CLINICAL ARTICLE Source Type: research
Total Hip Arthroplasty in Hemophilia Patients: A Mid ‐term to Long‐term Follow‐up
ConclusionsWith modern techniques and hematological management, THA in patients with hemophilia leads to significant improvement in joint function with a relatively low incidence of complications. Increased blood loss and substitution therapy have no obvious negative influences on the mid‐term to long‐term results of THA. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Guo ‐liang Wu, Ji‐liang Zhai, Bin Feng, Yan‐yan Bian, Chi Xu, Xi‐sheng Weng Tags: CLINICAL ARTICLE Source Type: research
Effect of Intra ‐wound Vancomycin for Spinal Surgery: A Systematic Review and Meta‐analysis
Intra‐site prophylactic vancomycin in spine surgery is an effective method of decreasing the incidence of postsurgical wound infection. However, there are differences in the prophylactic programs used for various spinal surgeries. Thus, this systematic review and meta‐analysis aimed to evaluate the effectiveness of using intra‐wound vancomycin during spinal surgery and to explore the effects of dose‐dependence and the method of administration in a subgroup analysis. A total of 628 citations or studies were searched in PubMed, Ovid, Web of Science, and Google Scholar that were published before August 2016 with the t...
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Lun ‐li Xie, Jun Zhu, Mao‐sheng Yang, Chang‐yuan Yang, Shun‐hong Luo, Yu Xie, Dan Pu Tags: REVIEW ARTICLE Source Type: research
Outcomes of Short Fusion versus Long Fusion for Adult Degenerative Scoliosis: A Systematic Review and Meta ‐analysis
The objective of this study was to evaluate differences in clinical and radiographic outcomes between short (<3 levels) and long (≥3 levels) fusions in the setting of degenerative lumbar scoliosis. A literature search was performed from six electronic databases. The key terms of “degenerative scoliosis” OR “lumbar scoliosis” AND “fusion” were combined and used as MeSH subheadings. From relevant studies identified, demographic data, complication rates, Oswestry Disability Index (ODI), and radiographic parameters were extracted and the data was pooled and analyzed. Long fusion was associated with comparable ...
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Kevin Phan, Joshua Xu, Monish M Maharaj, Julian Li, Jun S Kim, John Di Capua, Sulaiman Somani, Kimberly ‐Anne Tan, Ralph J Mobbs, Samuel K Cho Tags: REVIEW ARTICLE Source Type: research
Antibiotic ‐loaded Bone Cement as Prophylaxis in Total Joint Replacement
One of its most serious complications associated with arthroplasty is the development of infections. Although its prevalence is only between 0.5% and 3%, in some cases it can lead to death. Therefore, an important challenge in joint surgery is the prevention of infections when an arthroplasty is performed. The use of antibiotic‐loaded cements could be a suitable tool due to numerous advantages. The main advantage of the use of antibiotic loading into bone cement derives directly from antibiotic release in the effect site, allowing achievement of high concentrations at the site of action, and minimal or no systemic toxici...
Source: Orthopaedic Surgery - November 27, 2017 Category: Orthopaedics Authors: Javier Mart ínez‐Moreno, Virginia Merino, Amparo Nácher, José Luis Rodrigo, Mónica Climente, Matilde Merino‐Sanjuán Tags: REVIEW ARTICLE Source Type: research
Accumulated Spinal Axial Biomechanical Loading Induces Degeneration in Intervertebral Disc of Mice Lumbar Spine
ConclusionAccumulated spinal axial loading provided by a custom‐made hot plate accelerated mice lumbar disc and especially endplate degeneration. However, this method requires further development to establish a lumbar disc degeneration model. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 1, 2017 Category: Orthopaedics Authors: Yang ‐jun Lao, Tao‐tao Xu, Hong‐ting Jin, Hong‐feng Ruan, Ji‐tao Wang, Li Zhou, Ping‐er Wang, Jian Wang, Jun Ying, Yuan‐bin Zhang, Cheng Luo, Fang‐da Fu, Pei‐jian Tong, Lu‐wei Xiao, Cheng‐liang Wu Tags: BASIC RESEARCH Source Type: research
