Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2019
Randomized Controlled Trial Multicenter StudyPrevention of postoperative bleeding in hip fractures treated with prosthetic replacement: efficacy and safety of fibrin sealant and tranexamic acid. A randomised controlled clinical trial (TRANEXFER study).
We assessed the efficacy of fibrin sealant (FS) and tranexamic acid (TXA) administered topically in patients with a hip fracture treated with prosthetic replacement. ⋯ The use of TXA and FS administered topically prior to surgical closure in patients with a sub-capital femoral fracture undergoing arthroplasty did not significantly reduce either postoperative blood loss or transfusion rate, compared with a group that only received usual haemostasis.
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Arch Orthop Trauma Surg · May 2019
Meta Analysis Comparative StudyComparison of infection eradication rate of using articulating spacers containing bio-inert materials versus all-cement articulating spacers in revision of infected TKA: a systematic review and meta-analysis.
To assess the infection eradication rate when using two types of articulating spacers (prosthetic articulating spacers and all-cement articulating spacers) in two-stage revision of infected total knee arthroplasty (TKA). ⋯ Compared to all-cement articulating spacers, articulating spacers containing bio-inert materials have a similar infection control rate but a higher postoperative reinfection rate. Although the 95% CIs of reinfection rates in the two groups overlapped, our results indicate that articulating spacers containing bio-inert materials may be associated with higher reinfection rates and poorer clinical outcomes than all-cement articulating spacers.
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Arch Orthop Trauma Surg · May 2019
Comparative StudyRotator cuff repair is more painful than other arthroscopic shoulder procedures.
To evaluate the influence of the specific procedure performed and other variables on the intensity of acute postoperative pain following outpatient shoulder arthroscopy. ⋯ A higher degree of acute postoperative pain should be expected in patients undergoing arthroscopic rotator cuff tear repair compared to other arthroscopic shoulder procedures, and additional pain treatment is recommended.
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Arch Orthop Trauma Surg · May 2019
Meta Analysis Comparative StudyOpen versus arthroscopic acromioclavicular joint resection: a systematic review and meta-analysis.
The purpose of this study was to perform a meta-analysis comparing open and arthroscopic surgical techniques for distal clavicle resection. ⋯ Level 3; systematic review and meta-analysis.
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Arch Orthop Trauma Surg · May 2019
Comparative StudyThe effects of radiosynoviorthesis in pigmented villonodular synovitis of the knee.
Tenosynovial giant-cell tumor also known as pigmented villonodular synovitis (PVS) is a benign but aggressive synovial proliferative disease most often affecting the knee joint. The mainstay of therapy is surgical resection. Due to a high rate of local recurrence, radiosynoviorthesis (RSO) is used as an adjuvant method in many cases. The aim of this study was to compare local recurrence (LR) rates after surgical synovectomy with and without adjuvant RSO. ⋯ RSO is effective in PVS as also shown in some smaller reports in the literature. But surgery is still the mainstay of therapy. RSO is not a method of compensating for an insufficient surgical approach, but it may reduce the high rate of LR in patients with large and even recurrent diffuse forms of the disease.