The Journal of bone and joint surgery. American volume

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• J Bone Joint Surg Am · Aug 2012

  Comment

  Local infiltration analgesia reduced postoperative morphine consumption and provided better pain relief than intrathecal morphine after total knee arthroplasty.

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• J Bone Joint Surg Am · Aug 2012

  Comment

  Intraoperative periarticular infiltration of levobupivacaine reduced morphine consumption in the first twelve hours after total hip arthroplasty.

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• J Bone Joint Surg Am · Aug 2012

  Editorial

  Pain management following total joint arthroplasty: making strides.

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• J Bone Joint Surg Am · Aug 2012

  Comment

  Epidural steroids for lumbar disc herniation: what can SPORT tell us?: Commentary on an article by Kristen Radcliff, MD, et al.: "The impact of epidural steroid injections on the outcomes of patients treated for lumbar disc herniation. A subgroup analysis of the SPORT trial".

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• J Bone Joint Surg Am · Aug 2012

  Variability in the definition and perceived causes of delayed unions and nonunions: a cross-sectional, multinational survey of orthopaedic surgeons.

  Despite the large number of fracture outcome studies, there remains variability in the definitions of fracture-healing. It is unclear how orthopaedic surgeons are diagnosing and managing delayed unions and nonunions in clinical practice. We aimed to explore the current opinions of orthopaedic surgeons with regard to defining, diagnosing, and treating delayed unions and nonunions in extremity fractures. ⋯ Surgeons use similar prognostic factors to define and assess delayed unions and nonunions, but there is a lack of consensus in the definitions of delayed union and nonunion. The need for standardization and future randomized trials was strongly endorsed.

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