Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Aug 2013
Withholding clopidogrel for 3 to 6 versus 7 days or more before surgery in hip fracture patients.
PURPOSE. To compare morbidity and mortality after hip fracture surgery in patients withholding clopidogrel for 3 to 6 days versus ≥7 days or more. METHODS. ⋯ The main cause of death was cardiovascular. CONCLUSION. Withholding clopidogrel for <7 days before surgery conferred no increased risk in hip fracture patients.
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To report 18 patients who underwent tibiotalocalcaneal arthrodesis using a retrograde intramedullary nail or cannulated screws. ⋯ Tibiotalocalcaneal arthrodesis improved the pain score and quality of life, despite a high risk of complications.
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To estimate the prevalence of insomnia in patients with chronic back pain, and to correlate insomnia with severity of back pain and disability. ⋯ 47% of patients with chronic back pain had insomnia. The ODI was more reliable than the NRS for back pain to detect insomnia. Back pain should be treated early to avoid serious health problems associated with insomnia.
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J Orthop Surg (Hong Kong) · Apr 2013
Safe zone for retractor placement to the lumbar spine via the transpsoas approach.
To measure anatomic variations of the lumbar plexus within the psoas in relation to the L2/3, L3/4, and L4/5 disc spaces and to delineate a safe zone to avoid nerve injury during retractor placement via the transpsoas approach. ⋯ The lumbar plexus area corresponding to the anterior half of the intervertebral disc was the safe zone. Procedures to the lumbar spine via the transpsoas approach should be performed within the safe zone to avoid nerve injury.