Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2010
Multicenter StudyWhat determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark.
The goal of this study was (1) to identify logistical and clinical areas of importance for length of stay (LOS) by identifying departments with short and long LOS and to evaluate their set-up; and (2) to evaluate patient satisfaction in relation to LOS. ⋯ Nationwide implementation of fast-track THA and TKA would result in a significant decrease in the needed number of hospital beds with similar or better outcome for the patients. Implementation of updated logistical and clinical features is expected to increase rehabilitation and reduce LOS with similar or improved patient satisfaction. These results support the implementation of fast-track total hip- and knee arthroplasty.
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Total femoral replacement after massive resection of bone and soft tissue sarcoma of the thigh can restore femoral integrity and allow patients to resume ambulation, albeit at a compromised level. This compromised functional capacity is superior to that achieved after hip disarticulation. Most reports of total femoral replacements are isolated case studies. Only few reported series have been identified. ⋯ Endoprosthetic femoral replacement is a reliable mean to restore mechanical and functional results after extensive resection of the femur.
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Arch Orthop Trauma Surg · Feb 2010
Free serratus anterior fascia flap for reconstruction of hand and finger defects.
Reconstruction of the dorsal surface of hand defects requires thin, pliable, well vascularized tissue with a gliding surface for the extensor tendon course. Also defects of the palmar hand and degloved fingers need non-bulky soft tissue for reconstruction. We present a retrospective analysis of nine patients with free serratus anterior fascia flaps used to cover defects of the palmar and dorsal hand and of degloved fingers. ⋯ The free serratus anterior fascia flap has good functional and cosmetic properties and there is low donor-site morbidity. It is an excellent flap for soft-tissue reconstruction combined with extensor tendon reconstruction on the dorsum of the hand. The flap is also very useful for palmar and finger defects.
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Arch Orthop Trauma Surg · Feb 2010
ReviewSimple elbow dislocations: a systematic review of the literature.
To identify if functional treatment is the best available treatment for simple elbow dislocations. ⋯ This review has included data from two trials and three observational comparative studies. Important data were missing from three observational comparative studies and the results from these studies were extracted for this review. No difference was found between surgical treatment of the collateral ligaments and plaster immobilisation of the elbow joint. Better range of movement, less pain, better functional scores, shorter disability and shorter treatment time were seen after functional treatment versus plaster immobilisation.
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Arch Orthop Trauma Surg · Feb 2010
Controlled Clinical TrialThe effects of pre-emptive analgesia with bupivacaine on acute post-laminectomy pain.
This is a prospective, non-randomized, hospital-based, case-controlled, clinical trial to assess the efficacy of perineural infiltration with bupivacaine at the related neural root for acute pain relief after lumbar laminectomy. ⋯ Our data suggests that pre-emptive analgesia via perineural infiltration of bupivacaine is a simple, and effective method for post-operative acute pain relief.