Zeitschrift für Orthopädie und ihre Grenzgebiete
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Z Orthop Ihre Grenzgeb · Jul 2000
[Mannheim concept of preoperative autologous blood donation and perioperative autologous blood transfusion in hip endoprosthesis surgery].
To investigate the efficiency of preoperative autologous deposit and intra- and postoperative cell salvage (CS) to reduce homologous transfusion in hip arthroplasty and revision hip arthroplasty. ⋯ Preoperative deposit reduces homologous transfusion requirements considerably in hip surgery. Under the conditions studied CS should be employed in hip arthroplasty in addition to preoperative deposit if the preoperative hemoglobin concentration falls below 12 g/dl. In revision arthroplasty, 4 or more autologous units should be predeposited and CS should be used regularly.
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Z Orthop Ihre Grenzgeb · Jul 2000
[Hip joint operation in routine management--complications and their effect on indications-specific symptoms].
The study was conducted in co-operation with a German sickness fund to identify determinants of disease-specific health outcomes after hip surgery in routine health care. ⋯ Patients with postoperative complications obtain lower scores on the Lequesne Index (higher burden of disease) before hip surgery. Their postoperative progress is slower in the short term (-5.6 pts. vs. -8.2 pts) and in the medium term (-6.7 pts. vs. -9.5 pts). Complications after hip surgery have a lasting negative effect on disease-specific health outcomes.
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Z Orthop Ihre Grenzgeb · Jul 2000
[Surgical peri- and postoperative plexus anesthesia in subacromial decompression of the shoulder].
The aim of the present investigation was to check the peri- and postoperative plexus anesthesia on early functional outcome and postoperative analgetic consumption during subacromialen decompression until the date of discharge. ⋯ The investigation shows that peri- and postoperative plexus anesthesia has no positive influence on the early functional outcome after subacromial decompression of the shoulder.