Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2014
Does measuring the range of motion of the hip and knee add to the assessment of disability in people undergoing joint replacement?
Range of motion (ROM) is a core component of some commonly used measures of disability, such as the American Knee Society Score and Harris Hip Score. However, the relationship between ROM and function is contested. The aim of this cross-sectional analysis was to investigate the relationship between pre-operative range of motion (ROM) and disability in patients undergoing hip and knee joint replacement. ⋯ III - cohort study.
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Orthop Traumatol Sur · Apr 2014
Reduced blood loss with ligation of medial circumflex pedicle during total hip arthroplasty with minimally invasive posterior approach.
A total hip arthroplasty procedure can lead to significant perioperative blood loss due to bleeding from the medial circumflex pedicle. When either the anterior or posterior approach is used, haemostasis of this pedicle, which is typically performed with electrocautery without dissection, can be inadequate. The purpose of this study was to evaluate the efficacy of a novel surgical technique in which the pedicleis is directly ligated. ⋯ In the ligation group, the pedicle was identified in front of the upper-third of the quadratus femoris and ligated. The mean postoperative blood loss in the ligation group (293.4±34.8 mL) was significantly less than in the control group (419.0±36.8 mL) (P<0.05). Pedicle ligation is a simple procedure that reduces blood loss during total hip arthroplasty.
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Orthop Traumatol Sur · Apr 2014
Management of traumatic labral tear in acetabular fractures with posterior wall component.
Posterior labral tear is frequently encountered in acetabular fractures with posterior wall component (AFPWC). However, there has been very little information in the literature on the type and management of traumatic labral tears in AFPWC. ⋯ Level IV, therapeutic case series.