Orthop Traumatol Sur
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Orthop Traumatol Sur · Feb 2015
Randomized Controlled TrialBleeding reduction after topical application of tranexamic acid together with Betadine solution in total knee arthroplasty. A randomised controlled study.
Topical application of tranexamic acid to the knee joint before closure in total knee arthroplasty reduces postoperative bleeding without increase in complication. However, it is unknown the effectiveness of topic TXA performed with other topical medications, like povidone-iodine solution. ⋯ I - I: high-powered prospective randomized trial.
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Orthop Traumatol Sur · Feb 2015
The keyhole technique for arthroscopic tenodesis of the long head of the biceps tendon. In vivo prospective study with a radio-opaque marker.
In some clinical situations such as when the Long Head of the Biceps (LHB) is unstable or with an "hourglass biceps", treatment is required. Tenodesis is an alternative to tenotomy to prevent the Popeye sign. Although sutures, anchors or interference screws may be used, they all have complications and drawbacks. Moreover, the number of failures is underestimated because it only considers the visible deformities of the arm. MRI provides more accurate assessment, but is more expensive. We hypothesized that Froimson's "keyhole technique" which has been described in open surgery could be performed arthroscopically with similar clinical outcomes to conventional techniques and without the complications or drawbacks. We also propose an objective and less expensive assessment of treatment failure. ⋯ IV.
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Orthop Traumatol Sur · Feb 2015
Prognostic factors for the recurrence of myxoid liposarcoma: 20 cases with up to 8 years follow-up.
Myxoid liposarcomas (MLS) are the second most common type of liposarcoma. Although some MRI findings are distinctively characteristics of MLS, the diagnosis can be tricky in tumors with a large portion of round cells (RC). Known predictors of an unfavorable outcome include age, tumor size, high RC content and positive resection margins. The goal of this retrospective study was to define prognostic factors for recurrence, with special emphasis on the percentage of RCs and medical care provided in a non-specialized center. ⋯ Prognostic factors for the recurrence of myxoid liposarcomas have been identified. MRI analysis is not definitive and must be supplemented by a biopsy.
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Orthop Traumatol Sur · Feb 2015
Case ReportsCleidocranial dysplasia with bilateral posterior glenohumeral dislocation: a case-report.
A 31-year-old man experienced bilateral posterior glenohumeral dislocation during seizures. He had cleidocranial dysplasia with complete absence of both clavicles. ⋯ We found no previous reports of bilateral posterior glenohumeral dislocation in patients with cleidocranial dysplasia. The objective of this work was to look for an association between clavicular aplasia and posterior glenohumeral dislocation.
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This retrospective study assessed the functional results of open Latarjet operation for recurrence of instability after arthroscopic Bankart repair in a consecutive series of patients. ⋯ Level IV, retrospective case series.