The Journal of arthroplasty
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The incidence of periprosthetic supracondylar femoral fractures is 0.3% to 2.5% after primary total knee arthroplasty. ⋯ Distal femoral arthroplasty is a successful procedure. Complication rates are not insignificant, which is expected with the complexity of this clinical scenario.
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Periacetabular osteotomy (PAO) reorients the acetabular cartilage through a complex series of pelvic osteotomies, which risks significant blood loss often necessitating blood transfusion. Therefore, it is important to identify effective strategies to manage blood loss and decrease morbidity after PAO. The purpose of this study was to determine the association of epsilon-aminocaproic acid (EACA), an antifibrinolytic agent, with blood loss from PAO. ⋯ EACA administration was not associated with a statistically significant reduction in blood loss or allogeneic transfusion in patients undergoing PAO.
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Randomized Controlled Trial Comparative Study
Periarticular Injection After Total Knee Arthroplasty Using Liposomal Bupivacaine vs a Modified Ranawat Suspension: A Prospective, Randomized Study.
The purpose of this study is to compare liposomal bupivacaine to a modified (Ranawat) local injection for total knee arthroplasty (TKA). ⋯ Liposomal bupivacaine as a periarticular injection after TKA demonstrated similar pain levels, narcotic usage, and range of motion compared to a modified Ranawat suspension but improved walking distance.
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Comparative Study
How Much Do Adverse Event Rates Differ Between Primary and Revision Total Joint Arthroplasty?
It is not known which adverse events occur more commonly following revision than following primary total joint arthroplasty. ⋯ Public reporting of adverse events should be interpreted in the context of the differences between primary and revision procedures, and reimbursement systems should reflect the greater amount of postoperative care that patients undergoing revision procedures require.