Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2012
Randomized Controlled Trial Comparative StudyClosed suction drainage with or without re-transfusion of filtered shed blood does not offer advantages in primary non-cemented total hip replacement using a direct anterior approach.
Wondering if the use of drains allowing re-transfusion of shed blood as opposed to closed suction drains or no drains would improve quality of care to patients undergoing simple non-cemented primary total hip replacement (THR) using a direct anterior approach, a three-arm prospective randomized study was conducted. ⋯ The possibility to re-transfuse drained blood was not an argument for using drains and, accepting more thigh swelling, we stop to use drains in simple non-cemented primary THR using the direct anterior approach.
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Arch Orthop Trauma Surg · Jan 2012
Comparative Study Clinical TrialCushion bearings versus large diameter head metal-on-metal bearings in total hip arthroplasty: a short-term metal ion study.
Metal-on-metal total hip arthroplasty (MOM THA) has the advantage of replicating the femoral head size, but the postoperative elevation of serum metal ion levels is a cause for concern. Metal-on-polycarbonate-urethane is a new cushion bearing featuring a large diameter metal head coupled with a polycarbonate-urethane liner. ⋯ These findings warrant the continued clinical study of compliant bearing options.
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Arch Orthop Trauma Surg · Jan 2012
Clinical TrialDisplaced femoral neck fractures in the young: significance of posterior comminution and raised intracapsular pressure.
Osteosynthesis in fracture neck of femur (NOF) in young is a universally acceptable procedure. Various factors affect the outcome; with AVN (avascular necrosis) and non-union primarily contributing to adverse results in such patients. To identify factors affecting outcome of displaced fracture NOF, a prospective cohort study was carried out in the setting of a tertiary care centre in developing country. ⋯ Prognosis of displaced fracture NOF is significantly associated significant with posterior comminution and intracapsular pressure difference between fractured and normal side.
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Arch Orthop Trauma Surg · Jan 2012
Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation.
Fast-track surgery is the combination of optimized clinical and organizational factors aiming at reducing convalescence and perioperative morbidity including the functional recovery resulting in reduced hospitalization. As the previous nationwide studies have demonstrated substantial variations in length of stay (LOS) following standardized operations such as total hip and knee arthroplasty (THA and TKA), this nationwide study was undertaken to evaluate the implementation process of fast-track THA and TKA in Denmark. ⋯ Fast-track surgery has been successfully implemented in the orthopedic departments in Denmark through a multi-disciplinary educational and multi-institutional effort. These implementation principles may be transferred to other countries and other specialties.
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Arch Orthop Trauma Surg · Jan 2012
Cross-cultural adaptation and validation of the Korean version of the Oxford shoulder score.
The Oxford shoulder score (OSS) is being used increasingly and has been adapted cross-culturally in some Western countries. On the other hand, there are few validated translations of the OSS in Asian countries. This study translated and adapted cross-culturally the original OSS to produce a Korean version, and assessed the validity and reliability of the Korean version of the OSS (Korean OSS). ⋯ The Korean OSS proved to be valid by demonstrating a significant correlation with the patient-based upper extremity questionnaire and clinical assessment. The application and evaluation of the instrument is feasible and understandable among patients in Korea.