Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Apr 2020
Review Meta Analysis Comparative StudyBipolar versus monopolar hemiarthroplasty for displaced femur neck fractures: a meta-analysis study.
Hemiarthroplasty is commonly performed to treat femoral neck fractures. Still, there is a lack of consensus concerning the best component for hemiarthroplasty: unipolar and bipolar implants. Last meta-analysis on this topic is outdated, and an update of current evidences is required. The purpose of this study is to conduct a meta-analysis comparing the unipolar versus bipolar implants for hemiarthroplasty, focusing on the clinical scores, perioperative data, further complications and mortality rate. ⋯ This meta-analysis evidenced a reduction in the acetabular erosion after bipolar hemiarthroplasty compared to the unipolar implants. Any statistically significant difference concerning the other endpoints of interest was detected. Current evidence concerning this topic are controversial, and further randomized clinical trials are required.
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Eur J Orthop Surg Tr · Apr 2020
Randomized Controlled TrialSkin closure with 2-octyl cyanoacrylate and polyester mesh after primary total knee arthroplasty offers superior cosmetic outcomes and patient satisfaction compared to staples: a prospective trial.
The goals of this study were to compare patient satisfaction and wound-related complications in patients receiving 2-octyl cyanoacrylate (glue) and polyester mesh for skin closure after primary total knee arthroplasty (TKA) versus staples. ⋯ These results suggest that glue and polyester mesh closure may offer superior cosmetic outcomes to staples for skin closure in TKA.
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Eur J Orthop Surg Tr · Apr 2020
Correction to: Skin closure with 2-octyl cyanoacrylate and polyester mesh after primary total knee arthroplasty offers superior cosmetic outcomes and patient satisfaction compared to staples: a prospective trial.
The original version of this article unfortunately contained a mistake.
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Eur J Orthop Surg Tr · Apr 2020
Four years of experience as a major trauma centre results in no improvement in patient selection for whole-body CT scans following blunt trauma.
Management of major trauma patients with evidence of polytrauma involves the use of immediate whole-body CT (WBCT). Identification of patients appropriate for immediate WBCT remains challenging. Our study aimed to assess for improvement in patient selection for WBCT over time as a major trauma centre (MTC). ⋯ There was no improvement in patient selection for WBCT following trauma at our institution over a three-year period. Optimal patient selection presents an ongoing clinical challenge, with 39-47% of patients undergoing a scan demonstrating no injuries.