Journal of orthopaedic surgery and research
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Randomized Controlled Trial
Influence of tourniquet use in primary total knee arthroplasty with drainage: a prospective randomised controlled trial.
We aimed to compare the effect of tourniquet use or lack of it on recovery following uncomplicated primary total knee arthroplasty (TKA). ⋯ Our study suggests that a non-tourniquet TKA would lead to early rehabilitation without increasing side effects.
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Reconstruction of chronic lower extremity wounds remains challenging. These wounds are mainly associated with diabetes mellitus, infections, and osteomyelitis. Although several reconstructive techniques are available, the peroneal artery perforator flap has unique advantages. ⋯ The peroneal artery perforator flap is a reliable option for reconstruction of chronic lower extremity wounds.
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Randomized Controlled Trial Comparative Study
A randomized controlled trial on the effects of collagen sponge and topical tranexamic acid in posterior spinal fusion surgeries.
This is a randomized controlled trial research to assess the hemostatic efficacy of gelatin sponge, collagen sponge, and topical use of tranexamic acid (TXA) on postoperative blood loss in posterior spinal fusion surgeries. ⋯ In this study, collagen and topical use of TXA have both proven to be effective and safe for patients undergoing posterior spinal fusion surgeries, while TXA has exhibited better efficacy. The total amount of perioperative blood loss reduced significantly without increasing incidence of related complications.