Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Apr 2011
Comparative StudyAlendronate-associated femoral insufficiency fractures and femoral stress reactions.
To report characteristics and outcomes of 8 patients who underwent intramedullary nailing for alendronate-associated femoral insufficiency fractures. ⋯ Contralateral involvement in patients with alendronate-associated femoral insufficiency fractures is not uncommon. Early prophylactic intramedullary nailing may provide effective pain relief and prevent progression to a fracture.
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J Orthop Surg (Hong Kong) · Apr 2011
Randomized Controlled Trial Comparative StudyFixation techniques for non-union of the scaphoid.
To compare outcomes of 3 fixation modalities for scaphoid non-union. ⋯ The time to union was earliest in the Kohlman modification of vascularised muscle pedicle graft procedure, which is recommended for patients with old non-union (>1 year) or proximal pole fractures.
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To assess treatment outcomes in adults with neglected femoral neck fractures, and propose a treatment protocol based on bone quality measured by the Singh index. ⋯ Valgus osteotomy and double angle blade plate fixation, and fibular grafting and cancellous screw fixation appeared to be appropriate treatments for neglected femoral neck fractures in adults.
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J Orthop Surg (Hong Kong) · Apr 2011
Comparative StudyBlood reinfusion combined with femoral nerve block in total knee replacement for patients with increased risk of bleeding.
To compare patients with increased risk of bleeding who received combined blood reinfusion and femoral nerve block in total knee replacement (TKR) to regular patients treated routinely with respect to pain relief, blood loss, and knee function. ⋯ In TKR patients with increased risk of bleeding, blood reinfusion combined with femoral nerve block is safe and comparable to standard methods of pain control (local injection of analgesics).
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J Orthop Surg (Hong Kong) · Apr 2011
Comparative StudyRisk factors of venous thromboembolism in Indian patients with pelvic-acetabular trauma.
To determine risk factors of venous thromboembolism (VTE) in Indian patients undergoing surgery for pelvic-acetabular fractures. ⋯ Pelvic-acetabular trauma is a significant risk factor for VTE, even in Indians. Patients who have posterior injuries or are operated on in the lateral position, or via the Kocher-Langenbeck approach have a significantly higher risk of VTE.