Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Dec 2014
ReviewReview article: Perioperative care in enhanced recovery for total hip and knee arthroplasty.
Enhanced recovery pathways for total hip and knee arthroplasty can reduce length of hospital stay and perioperative morbidity. 22 studies were reviewed for identification of perioperative care interventions, including preoperative (n=4), intra-operative (n=8), and postoperative (n=4) care interventions. Factors that improve outcomes included use of pre-emptive and multimodal analgesia regimens to reduce opioid consumption, identification of patients with poor nutritional status and provision of supplements preoperatively to improve wound healing and reduce length of hospital stay, use of warming systems and tranexamic acid, avoidance of drains to reduce operative blood loss and subsequent transfusion, and early ambulation with pharmacological and mechanical prophylaxis to reduce venous thromboembolism and to speed recovery.
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J Orthop Surg (Hong Kong) · Dec 2014
Randomized Controlled Trial Comparative StudyInjection of autologous blood versus corticosteroid for lateral epicondylitis: a randomised controlled study.
To compare the efficacy of autologous blood injection versus corticosteroid injection for lateral epicondylitis. ⋯ Autologous blood injection was more effective over the follow-up period than corticosteroid injection in improving pain, function, and grip strength. It is recommended as a first-line injection treatment because it is simple, cheap, and effective.
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J Orthop Surg (Hong Kong) · Dec 2014
Case ReportsUse of sutures as Kirschner wire and tension-band wire for olecranon fractures: a technical note.
Open reduction and internal fixation using tension-band wires for displaced olecranon fractures enables restoration of extensor function. We report on 3 elderly patients with a displaced olecranon fracture who underwent open reduction and internal fixation using sutures as the Kirschner wire and tension-band wire and achieved good outcome.
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J Orthop Surg (Hong Kong) · Dec 2014
Hospital mortality after arthroplasty using a cemented stem for displaced femoral neck fractures.
To review hospital mortality after hemiarthroplasty or total hip arthroplasty (THA) using a cemented stem for displaced femoral neck fractures. ⋯ Hemiarthroplasty or THA using a cemented stem resulted in low hospital mortality in our hospital dedicated to the treatment of geriatric hip fractures. Hospital mortality was higher in patients with ASA grade 3 or higher.