Orthop Traumatol Sur
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Orthop Traumatol Sur · Oct 2019
Randomized Controlled Trial Comparative StudyComparison of oral vs. combined topical/intravenous/oral tranexamic acid in the prevention of blood loss in total knee arthroplasty: A randomised clinical trial.
Tranexamic acid (TXA) has long been used to reduce blood loss associated with total knee arthroplasty (TKA). Debate remains over the best administration route with limited data comparing regimes including, to date, no studies investigating the equivalence of oral TXA and a combined topical/intravenous (IV) regime. Therefore, the aim of this study was to compare the efficacy and safety of oral TXA to combined topical/IV/oral TXA. ⋯ II, Randomised controlled trial.
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Orthop Traumatol Sur · Oct 2019
Observational StudyEvaluation of an oral analgesia protocol for upper-limb fracture reduction in the paediatric emergency department: Prospective study of 101 patients.
Upper limb injuries are common in children. When required, closed fracture reduction can be performed in the emergency department without general anaesthesia but causes pain. The primary objective of this study was to assess an oral analgesia protocol for fracture reduction without general anaesthesia. The secondary objectives were to look for associations linking pain intensity to age, sex, and waiting time and to determine the frequency of secondary displacement requiring closed reduction or internal fixation under general anaesthesia at the 1-week follow-up visit. ⋯ II, prospective observational study.
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Orthop Traumatol Sur · Oct 2019
Impact of preoperative varus deformity on postoperative mechanical alignment and long-term results of "mechanical" aligned total knee arthroplasty.
Preoperative varus deformity may affect postoperative mechanical alignment and outcomes of total knee arthroplasty (TKA). In this study, we aimed to determine whether (1) greater degrees of preoperative varus deformity increase the incidence of varus-aligned TKAs and (2) residual varus alignment improves the long-term survival rate in TKAs with preoperative varus deformity. ⋯ III, Retrospective comparative cohort study.