Archives of orthopaedic and trauma surgery
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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.
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Arch Orthop Trauma Surg · Aug 2024
ReviewPatella is rarely resurfaced during primary total knee arthroplasty in clinical trials conducted in Greece: a systematic review.
The aim of the present study was to report the approach of Greek surgeons regarding patellar management and provide the outcomes and the rate of the need for secondary patella resurfacing. ⋯ IV.
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Arch Orthop Trauma Surg · Aug 2024
Meta AnalysisRisk of surgical site infection after hip hemiarthroplasty of femoral neck fractures: a systematic review and meta-analysis.
Surgical site infection (SSI) is a major complication following hemiarthroplasty surgery for displaced neck of femur fractures. Our aim is to systematically analyse relevant peer-reviewed studies for recent clinical information on the quantitative risk of surgical site infection (SSI) after hemiarthroplasty (HA) of hip fracture patients and on the factors which influence the SSI rates. ⋯ The results of this study demonstrate a substantial SSI risk and a high variability of the infection rates following hemiarthroplasty for hip fracture patients. A standardization of infection criteria and an extended follow-up period are advisable and should be considered in guidelines aimed at improving the standard of care for these patients.
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Arch Orthop Trauma Surg · Aug 2024
ReviewManagement of paediatric fifth metacarpal neck fractures: a systematic review.
Fifth metacarpal neck fractures (FMCNFs) are common among paediatric patients. Complications include reduced metacarpophalangeal (MCP) range of motion and grip strength, which impede the hand's functional abilities. Various management options are available, but indications are not standardised. This systematic review aims to assimilate all available evidence on the management of paediatric FMCNFs to determine appropriate treatment pathways. ⋯ This review suggests paediatric FMCNFs can be safely managed with immobilisation alone when there is an absence of rotational deformity and an angulation of < 30°. In the case of a higher fracture angulation or rotational deformity, fracture reduction and surgical fixation is an appropriate method of management.
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Arch Orthop Trauma Surg · Aug 2024
Randomized Controlled Trial Comparative StudyTendon graft through the coracoid tunnel versus under the coracoid for coracoclavicular/acromioclavicular reconstruction shows no difference in radiographic or patient-reported outcomes.
The purpose of this prospective study was to report the outcomes of two different methods in CC and AC reconstruction for the treatment of AC separation using a tendon graft and knot-hiding titanium clavicular implant. ⋯ This clinical trial was registered on Clinicaltrials.gov.