The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Mar 1999
Thromboembolic prophylaxis with use of aspirin, exercise, and graded elastic stockings or intermittent compression devices in patients managed with total hip arthroplasty.
Prophylaxis against pulmonary embolism as a complication of total hip arthroplasty remains controversial. Our experience suggests that an inexpensive protocol of prophylaxis that includes aspirin and exercise is effective. ⋯ This inexpensive method of prophylaxis against thromboembolic disease after total hip arthroplasty, which was based primarily on the use of aspirin as the pharmacological agent and the performance of intraoperative and postoperative exercises, produced good clinical results.
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J Bone Joint Surg Am · Mar 1999
An outcome study of chronic patellofemoral pain syndrome. Seven-year follow-up of patients in a randomized, controlled trial.
We determined prospectively the long-term outcomes of nonoperative treatment of chronic patellofemoral pain syndrome. ⋯ The seven-year overall outcome was good in approximately two-thirds of the patients. However, the remaining patients still had symptoms or objective signs of a patellofemoral abnormality.
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J Bone Joint Surg Am · Mar 1999
Comparative StudyRadiographic evaluation of the position of implants in the medial malleolus in relation to the ankle joint space: anteroposterior compared with mortise radiographs.
Displaced transverse fractures of the medial malleolus are commonly treated with open reduction and internal fixation with two screws or wires. A mortise radiograph is often used to verify the position of the implants relative to the joint space. However, because the medial and lateral talomalleolar spaces are normally not parallel, the mortise projection (which is colinear with the lateral space) does not provide an accurate radiograph of the medial joint space. ⋯ These findings demonstrate that the mortise projection provides an oblique radiograph of the medial joint space that can inaccurately reflect the true position of fixation implants in the medial malleolus. Because an anteroposterior radiograph is made with the articular surface of the medial malleolus tangential to the beam, it provides a more accurate representation of implants in the medial malleolus.