Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2011
Randomized Controlled Trial Comparative StudyThe comparison of the effects of intraoperative bleeding control and postoperative drain clamping methods on the postoperative blood loss and the need for transfusion following total knee arthroplasty.
We aimed to determine and compare the effects of intraoperative bleeding control and two hours postoperative drain clamping method on postoperative wound drainage and the need for donor blood transfusion following total knee arthroplasty (TKA). ⋯ The two hour drain clamping method without intraoperative bleeding control does not seem to affect the amount of blood loss and the need for transfusion when compared to intraoperative bleeding control in total knee arthroplasty patients. Hovewer, it is a simple and feasible method and can be used to decrease the operation time.
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Acta Orthop Traumato · Jan 2011
Comparative StudyFixed-angle volar plates in corrective osteotomies of malunions of dorsally angulated distal radius fractures.
The aim of the study was to evaluate the radiological and functional outcomes of corrective osteotomy of malunited, dorsally tilted distal radius fractures, using fixed-angle volar plates. ⋯ Fixed-angle volar plates provide a stable fixation after corrective osteotomies of the distal radius and might be a safer alternative to conventional fixation methods.
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Acta Orthop Traumato · Jan 2011
Randomized Controlled TrialSpinal anesthesia and combined sciatic nerve/lumbar plexus block techniques in lower extremity orthopedic surgery.
In lower extremity orthopedic surgeries, central and peripheral regional anesthesia techniques can be used along with general anesthesia, mainly in elderly patients with accompanying maladies. This study investigates the efficiency of spinal anesthesia and combined sciatic nerve/lumbar plexus block techniques in lower extremity orthopedic surgery in terms of patient-surgeon satisfaction. ⋯ Both standard anesthesia and combined sciatic/lumbar plexus nerve block were effective in lower extremity orthopedic surgeries. Although surgery preparation time was longer in the CSLPB group, patient-surgeon satisfaction was similar in both groups.
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Acta Orthop Traumato · Jan 2011
Comparative StudyLower extremity soft tissue reconstruction with free flap based on subscapular artery.
The purpose of our study was to evaluate the results of the reconstruction of the lower extremity defects with free flaps based on the subscapular artery. ⋯ The subscapular vascular system based flaps have an optimal vascularity once they are prepared with adequate pedicles, causing minimal donor site morbidity. These flaps are a safe and effective alternative in lower extremity reconstruction. On the other hand, in the absence of appropriate recipient vessels, single or combined cross-leg free flaps may provide successful repair.
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Acta Orthop Traumato · Jan 2011
Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw.
The aim of this study was to assess the outcome of coracoclavicular screw fixation in displaced distal clavicular fractures. ⋯ Coracoclavicular screw fixation in the treatment of distal clavicular fractures is a reliable, simple and cost effective technique.