Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2005
[Assessment of quality of life of patients after hemiarthroplasty for proximal femoral fractures].
The quality of life of patients was assessed with the SF-36 Health Survey following hemiarthroplasty for hip fractures. ⋯ Health related quality of life significantly decreases following hemiarthroplasty in elderly patients with hip fractures. Nonetheless, arthroplasty procedures enable these patients to maintain basic activities of daily living.
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Acta Orthop Traumato · Jan 2005
Randomized Controlled Trial[The effect of neostigmine and atropine combination on postoperative nausea and vomiting after arthroscopic surgery].
Postoperative nausea and vomiting prolong the time spent in postanesthesia recovery units. In this study, we investigated the effect of neostigmine and atropine combination, used to avoid residual curarization, on nausea and vomiting. ⋯ In patients undergoing arthroscopic surgery, it is safe to use neostigmine and atropine combination before extubation to avoid residual neuromuscular blockade associated with the use of non-depolarizing myorelaxants.
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Acta Orthop Traumato · Jan 2005
[Transforaminal epidural steroid injection under computed tomography guidance in relieving lumbosacral radicular pain].
We analyzed the efficacy of transforaminal epidural steroid injections under computed tomography (CT) in relieving lumbosacral radicular pain due to spinal stenosis. ⋯ Selective transforaminal epidural steroid and analgesic injection under CT guidance is a safe and reliable conservative method to relieve lumbosacral radicular pain due to spinal stenosis.
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Acta Orthop Traumato · Jan 2005
[Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty].
There is no consensus as to whether internal fixation or hemiarthroplasty is more appropriate for the treatment of intertrochanteric femur fractures in elderly patients. While the latter offers early mobilization, internal fixation preserves the hip joint and avoids long-term complications associated with the prosthesis. This retrospective study aimed to compare the early results of these treatment modalities. ⋯ Short-term results suggest that hemiarthroplasty is not an advantageous alternative to internal fixation; moreover, its postoperative survival is shorter and mortality rate is higher. Osteosynthesis seems to be the first choice in the treatment of elderly patients with intertrochanteric femur fractures.