Orthopaedic surgery
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Orthopaedic surgery · Feb 2020
Comparative StudyA Comparative Study of Intramedullary Nail Strengthened with Auxiliary Locking Plate or Steel Wire in the Treatment of Unstable Trochanteric Fracture of Femur.
To compare the clinical outcomes of unstable femoral trochanteric fracture treated by proximal femoral intramedullary nail enhanced with lateral locking plate versus cerclage steel wire. ⋯ The cerclage wire has benefits of saving time and operation costs; however, the locking plate has the advantages of improving fracture reduction quality, shortening time to full weight bearing and fracture healing, and improving hip function recovery due to the lateral additional fixations to proximal femoral intramedullary nail for unstable trochanteric fractures.
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Orthopaedic surgery · Feb 2020
Observational StudyJoint Awareness after Unicompartmental Knee Arthroplasty Evaluated with the Forgotten Joint Score.
To investigate the temporal relationship of medial unicompartmental knee arthroplasty (UKA) and forgotten joint score (FJS), and to analysis the predictive factors associated with FJS after medial UKA. ⋯ Patients can expect marked improvement in the natural feel of the prosthesis during the first year after UKA, slight continued improvement at 2 and 3 years. Furthermore, we identified three preoperative patient-related factors (age, BMI, and duration of onset before surgery) that may predict the FJS after medial UKA, which can be used to guide surgical decision making.
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Orthopaedic surgery · Feb 2020
Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations.
To investigate the outcomes of total knee arthroplasty (TKA) in patients with a prior femoral or tibial fracture, and identify the risk factors for surgical site complications and reoperations. ⋯ TKA for post-fracture osteoarthritis significantly relieved pain and improved function, but the incidence of surgical site complications and reoperations was high. Preoperative patella baja was a risk factor for surgical site complications and reoperations.
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Orthopaedic surgery · Feb 2020
Correlation Analysis of C-terminal telopeptide of collagen type II and Interleukin-1β for Early Diagnosis of Knee Osteoarthritis.
To analyze the correlation between the Kellgren-Lawrence (K-L) score of knee osteoarthritis (KOA) patients with different degrees and their urine concentration of C-terminal telopeptide of collagen type II (CTX-II) and interleukin-1β (IL-1β), and to further evaluate the diagnostic value of CTX-II and IL-1β during the pathological process by producing an experimental osteoarthritis (OA) model in rabbits. ⋯ CTX-II and IL-1β, which were significantly increased during the process of KOA, can be used as biomolecular markers to provide guidelines for early diagnosis and treatment of KOA.
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Orthopaedic surgery · Feb 2020
Meta AnalysisInfluence of Ketorolac Supplementation on Pain Control for Knee Arthroscopy: A Meta-Analysis of Randomized Controlled Trials.
The efficacy of ketorolac supplementation on pain control for knee arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the impact of ketorolac supplementation on pain intensity after knee arthroscopy. ⋯ Ketorolac supplementation is effective to produce pain relief for knee arthroscopy.