Acta Orthop Belg
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Retrosternal dislocation of the clavicle is an uncommon injury which may affect the mediastinal structures in a life-threatening way. Therefore, computed tomography is mandatory. ⋯ In case of failure or old dislocation, open reduction with stabilization of the joint is required. The literature on this subject has been reviewed and an additional two cases are reported.
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Randomized Controlled Trial Clinical Trial
Perioperative analgesia by 3-in-one block in total hip arthroplasty. Prospective randomized blind study.
In a prospective randomized blind study of 182 patients undergoing total hip arthroplasty, the patients per- and postoperative need for analgesics was assessed in two groups, one receiving general anesthesia and a 3-in-one block, the other group only general anesthesia. Although we found a significant reduction in analgesics per- and postoperatively in the 3-in-one block group, the difference in analgesics was small and has no clinical relevance in the patient with a healthy cardiovascular status. We conclude that 3-in-one block in combination with light general anesthesia is not the anesthetic of choice in total hip arthroplasty using the posterior approach.
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Case Reports
Spinal cord monitoring. State of the art. Results in Harrington and C.D. instrumentation for scoliosis.
In scoliosis surgery, it is of paramount importance to obtain extensive correction of the curve without compromising the integrity of the spinal cord. Up to now, the wake-up test has been used for the intra-operative assessment of spinal cord function. ⋯ An alternative approach is the continuous recording of evoked potentials obtained from sensory stimulation. The method permits uninterrupted intra-operative monitoring of the neurological status of the cord.