Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Aug 2024
Randomized Controlled Trial Comparative StudyPerioperative bleeding control in total hip arthroplasty: hemostatic powder vs. tranexamic acid-a prospective randomized controlled trial.
Perioperative bleeding in total hip arthroplasty (THA) can lead to various problems, so effective management of blood loss is needed. This prospective, single-blind, randomized controlled trial aimed to compare the efficacy of topical administration of SURGICEL® (a hemostatic agent of oxidized regenerated cellulose) powder (SP) and tranexamic acid (TXA) in controlling perioperative bleeding during THA. ⋯ Therapeutic Level I.
-
Arch Orthop Trauma Surg · Aug 2024
Review Meta Analysis Comparative StudyStem revision vs. internal fixation in vancouver B2/B3 periprosthetic hip fractures: systematic review and metanalysis.
Vancouver B2 and B3 periprosthetic fractures (PFF) are associated with stem instability and often require a demanding stem implant revision (SR) or internal fixation (ORIF). This latter surgery is increasingly performed in the last few years instead of SR, but it is unclear which is the best treatment to manage PFF patients. The aim of this study is the compare the outcomes of B2/B3 PFF managed by either ORIF or SR, by performing a systematic review and meta-analysis of current literature. ⋯ ORIF and SR were both suitable and effective options in PFF patients, being associated to similar complications rates. Our results show that ORIF performance in PFF patients is associated to significantly less in blood loss, surgical time and in-hospital stay. These advantages are particularly appealing in patients with multiple comorbidities.
-
Arch Orthop Trauma Surg · Aug 2024
ReviewSuction drain usage has no benefit following revision total hip and knee arthroplasty.
The use of drains after primary total joint arthroplasty (TJA) has shown little benefit. Few studies have investigated drain usage after revision TJA. The purpose of this study was to determine whether utilizing suction drains is beneficial for patients undergoing revision arthroplasty. ⋯ Level III, systematic review and meta-analysis.
-
Arch Orthop Trauma Surg · Aug 2024
Intra- and inter-operator reliability of three-dimensional preoperative planning in total knee arthroplasty.
To characterize the intra- and inter-operator reliability of a CT-based 3D preoperative planning software. ⋯ This study showed high intra- and inter-operator reliability for implant size selection and, in most of the degrees-of-freedom, also for implant placements. Further research is needed to evaluate the benefit of developing more precise means of describing the objectives of the surgical planning as well as to evaluate the possibility and relevance of adding features in the planning software to assist the operators.
-
Arch Orthop Trauma Surg · Aug 2024
The optimal measurement method considering reliability and validity in the anterior knee laxity of anterior cruciate ligament tears.
To seek an optimal measurement method with high reliability and high validity for evaluation of the anterior knee laxity on stress radiographs and comparing the translation values to those of KT-2000 arthrometer. ⋯ Case Series, Level IV.