Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Sep 2012
Does carpal tunnel release provide long-term relief in patients with hemodialysis-associated carpal tunnel syndrome?
Carpal tunnel syndrome (CTS) is a common complication in patients receiving long-term hemodialysis. In the short-term however, these patients are less likely to have pain relief and restoration of function after carpal tunnel release. However, it is unclear whether patients who have release for hemodialysis-associated CTS have differing persisting relief of symptoms compared with patients with idiopathic CTS. ⋯ Patients with hemodialysis-associated CTS seem to remain impaired, unlike patients with idiopathic CTS, but the majority of them might have much improved CTS-related symptoms at 2 years after carpal tunnel release.
-
Clin. Orthop. Relat. Res. · Sep 2012
Randomized Controlled Trial Comparative StudyMost effective regimen of tranexamic acid in knee arthroplasty: a prospective randomized controlled study in 240 patients.
The antifibrinolytic tranexamic acid reduces surgical blood loss, but studies have not identified an optimal regimen. ⋯ Single-dose tranexamic acid did not give effective results. The two-dose regimen of POIO was the least amount necessary for effective results. When compared against the control, this regimen produced reduction of drain loss and total blood loss, whereas the IOPO regimen did not. The three-dose regimen of POIOPO produced maximum effective reduction of drain loss and total blood loss.
-
Clin. Orthop. Relat. Res. · Sep 2012
High survival of dome pelvic osteotomy in patients with early osteoarthritis from hip dysplasia.
The Chiari osteotomy reportedly has a 60% to 91% survival rate at a minimum 20 years followup. The dome pelvic osteotomy (DPO) has the advantage of allowing a larger weightbearing surface, and congruity in the sagittal plane presumably would reduce the joint contact stress and perhaps increase longevity. ⋯ DPO is a reasonable treatment option for patients with DDH and prearthritis or early osteoarthritis, with high survival at greater than 25 years.
-
Clin. Orthop. Relat. Res. · Sep 2012
Biography Historical ArticleBiographical sketch: Georg Clemens Perthes, MD (1869-1927).
This biographical sketch on Georg Perthes corresponds to the historic text, The Classic: On Juvenile Arthritis Deformans (1910), available at DOI 10.1007/s11999-012-2433-1.
-
Clin. Orthop. Relat. Res. · Sep 2012
Editorial Historical ArticleLegg-Calvé-Perthes disease: where do we stand after 100 years? Editorial comment.