Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Aug 2015
Case ReportsMini-open transthoracic approach for resection of a calcified herniated thoracic disc and repair of the dural surface with fibrin glue: a case report.
This study reports a case of severe anterior compression of the spinal cord by a calcified herniated thoracic disc at the T9/10 level in a 46-year-old woman. She underwent resection of the calcified herniated thoracic disc and the integrated dura, using a microscopically assisted mini-open transthoracic approach. ⋯ This novel procedure prevented postoperative cerebrospinal fluid leakage. The patient made an excellent recovery, without any complications.
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J Orthop Surg (Hong Kong) · Aug 2015
Intra-articular administration of tranexamic acid in total hip arthroplasty.
To evaluate the effectiveness of intraarticular tranexamic acid (TXA) in reducing blood loss and the need for blood transfusion during total hip arthroplasty (THA). ⋯ Intra-articular administration of TXA is a cost-effective and safe means to reduce blood loss and the need for blood transfusion during THA, without increasing the risk of thromboembolic events.
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J Orthop Surg (Hong Kong) · Aug 2015
Minimally invasive plate osteosynthesis for proximal humeral fractures.
To report the outcome after minimally invasive plate osteosynthesis (MIPO) through the deltoid-splitting approach for proximal humeral fractures. ⋯ MIPO for fixation of proximal humeral fractures using a locking plate is safe and effective in enabling an early return of shoulder function.
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J Orthop Surg (Hong Kong) · Aug 2015
Local infiltration analgesia versus standard analgesia in total knee arthroplasty.
To compare outcome and cost following local infiltration analgesia (LIA) versus standard analgesia in total knee arthroplasty (TKA). ⋯ Compared with standard analgesia, LIA results in greater pain relief and improvement in range of motion immediately after TKA, and lower hospital costs.
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J Orthop Surg (Hong Kong) · Aug 2015
Intra-operative fractures in cementless bipolar hemiarthroplasty.
To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. ⋯ Surgeons should be familiar with the size difference in trial and actual implants used in bipolar hemiarthroplasty in order to better estimate the extent of broaching required. In most patients with an intra-operative fracture, the one-year outcome was not compromised, despite the poorer short-term outcome.