Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Nov 2013
Randomized Controlled TrialLess blood loss under concomitant administration of tranexamic acid and indirect factor Xa inhibitor following total knee arthroplasty: a prospective randomized controlled trial.
The objective of this prospective randomized controlled trial was to assess the efficacy and safety of simultaneous application of tranexamic acid and indirect factor Xa inhibitor following total knee arthroplasty (TKA). ⋯ The use of tranexamic acid could reduce acute blood loss significantly without any adverse effect resulted from drug interaction with concomitant use of indirect factor Xa inhibitor following TKA. Therefore, simple combination of these drugs can be recommended to reduce post-operative blood loss as well as to reduce DVT following TKA.
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Knee Surg Sports Traumatol Arthrosc · Nov 2013
The treatment of acquired patella baja with proximalize the tibial tuberosity.
Acquired patella baja may result in decreased range of motion of the knee, extensor lag, and anterior knee pain. The aim of the study was to evaluate the efficacy of tibial tubercle osteotomy with proximal displacement. ⋯ A series of patients with patella baja, treated with proximalization of the tibial tuberosity, achieved satisfactory outcomes in terms of pain relief and improved function, without major complication.
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Knee Surg Sports Traumatol Arthrosc · Nov 2013
Patient satisfaction after total knee arthroplasty is affected by their general physical well-being.
We hypothesise that patients with a worse post-operative generic physical health, and those with a subclinical improvement, will have a greater rate of dissatisfaction with their total knee arthroplasty (TKA) despite improvement in their knee function. ⋯ Despite benefitting from a significant improvement in their OKS after TKA, patients with a poor post-operative SF-12 PCS and those with a subclinical improvement in their general physical well-being are significantly less likely to be satisfied at 1 year.
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Knee Surg Sports Traumatol Arthrosc · Oct 2013
Does the severity of preoperative varus deformity influence postoperative alignment in both conventional and computer-assisted total knee arthroplasty?
The postoperative alignment was compared according to the severity of preoperative varus deformity in computer-assisted and conventional total knee arthroplasty (CAS-TKA). ⋯ III.
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Knee Surg Sports Traumatol Arthrosc · Oct 2013
Randomized Controlled Trial Comparative StudyRotation in total knee arthroplasty: no difference between patient-specific and conventional instrumentation.
It was our hypothesis that patient-specific instrumentation (PSI) can improve the accuracy of the rotational alignment in TKA based on the concept of the system and on the potential to clearly identify pre-operatively during planning the classical anatomical landmarks that serve as references to set-up the rotation both for the femur and tibia. ⋯ Prospective comparative randomized study, Level II.