Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2022
Regional anesthesia does not decrease inpatient or outpatient opioid demand in distal femur fracture surgery.
Regional anesthesia (RA) is sometimes used to decrease pain and opioid consumption in distal femur fractures. However, the real-world impact of RA on inpatient opioid consumption and outpatient opioid demand is not well known. The hypothesis of this study is that RA would be associated with decreased inpatient opioid consumption and outpatient opioid demand. ⋯ Level III, retrospective, therapeutic cohort study.
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Arch Orthop Trauma Surg · Aug 2022
Mid and lower thoracic kyphosis changes during adulthood: the influence of age, sex and thoracic coronal curvature.
There is conflicting data on how thoracic kyphosis changes throughout adulthood. We evaluated mid and lower thoracic kyphosis (MTK) in various age groups and the influence of age, sex and coronal curve (CC) on MTK. ⋯ MTK increases with advancing age during adulthood in both genders; CC, but not sex, was an independent predictor of MTK.
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Arch Orthop Trauma Surg · Aug 2022
Comparison of postoperative knee flexion and patient satisfaction between newly and conventionally designed medial pivot total knee arthroplasty: a 5-year follow-up matched cohort study.
The medial pivot total knee arthroplasty (TKA) has good patients' satisfaction; however, there is likely the restriction of postoperative knee flexion. The 2nd generation medial pivot TKA prosthesis was designed to improve postoperative knee flexion. This study aimed to compare the clinical outcomes and patient satisfaction between the 2nd generation and 1st generation medial pivot TKA prostheses. ⋯ Compared to the 1st generation, the 2nd generation medial pivot prosthesis provides greater postoperative knee flexion and patient satisfaction.
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Arch Orthop Trauma Surg · Aug 2022
Case ReportsLUCL reconstruction of the elbow: clinical midterm results based on the underlying pathogenesis.
Traumatic and atraumatic insufficiency of the lateral ulnar collateral ligament (LUCL) can cause posterolateral rotatory instability (PLRI) of the elbow. The influence of the underlying pathogenesis on functional outcomes remains unknown so far. The objective of this study was to determine the impact of the initial pathogenesis of PLRI on clinical outcomes after LUCL reconstruction using an ipsilateral triceps tendon autograft. ⋯ Therapeutic study, LEVEL III.
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Arch Orthop Trauma Surg · Aug 2022
Perioperative blood transfusions in hip and knee arthroplasty: a retrospective assessment of combined risk factors.
Accurate identification of patients at risk of blood transfusion can reduce complications and improve institutional resource allocation. Probabilistic models are used to detect risk factors and formulate patient blood management strategies. Whether these predictors vary among institutions is unclear. We aimed to identify risk factors among our patients who underwent total hip (THA) or knee (TKA) arthroplasty, and combine these predictors to improve our model. ⋯ Level 3, retrospective cohort study.