The Journal of arthroplasty
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Randomized Controlled Trial Comparative Study Clinical Trial
Cryo/Cuff compared to epidural anesthesia after knee unicompartmental arthroplasty: a prospective, randomized and controlled study of 60 patients with a 6-week follow-up.
The aim of this prospective, randomized, and controlled study was to evaluate the efficacy of cold compressive dressings (Cryo/Cuff) and epidural anesthesia (EDA) in the postoperative management of primary unicondylar knee arthroplasty. Sixty patients (61 knees) were randomized into 3 groups. ⋯ There was no significant difference in morphine consumption between the 2 treatment groups. Based on the results of this study, Cryo/Cuff seems to be a rational, effective, risk-free, and well-tolerated alternative to EDA to reduce pain and morphine after unicondylar knee arthroplasty.
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Thirty-nine consecutive patients with unstable three and four part intertrochanteric hip fractures were treated with cemented bipolar hip arthroplasty. A standard length primary femoral component was used with a novel technique of cerclage fixation of the trochanteric bone fragments allowing retention of the femoral calcar. At one year minimum follow up, there was no loosening or subsidence of the femoral components. ⋯ One dislocation and one deep infection occurred. Unstable three and four part hip fractures can be treated with a standard femoral stem and cerclage cabling of the trochanters. The technique allows safe early weight bearing on the injured hip and had a relatively low rate of complications in our series.