The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Feb 2013
Comparative StudyDifferences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty.
Spinal anesthesia has been associated with lower postoperative rates of deep-vein thrombosis, a shorter operative time, and less blood loss when compared with general anesthesia. The purpose of the present study was to identify differences in thirty-day perioperative morbidity and mortality between anesthesia choices among patients undergoing total knee arthroplasty. ⋯ Patients undergoing total knee arthroplasty who were managed with general anesthesia had a small but significant increase in the risk of complications as compared with patients who were managed with spinal anesthesia; the difference was greatest for patients with multiple comorbidities. Surgeons who perform knee arthroplasty may consider spinal anesthesia for patients with comorbidities.
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J Bone Joint Surg Am · Feb 2013
CommentPrinciples and evidence: The optimal treatment of pertrochanteric hip fractures: Commentary on an article by Kjell Matre, MD, et al.: "TRIGEN INTERTAN intramedullary nail versus sliding hip screw. A prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of follow-up".