Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2016
Multicenter Study Comparative StudyEarly Lessons From a Worldwide, Multicenter, Followup Study of the Recalled Articular Surface Replacement Hip System.
Adverse local tissue reactions (ALTRs) around hip arthroplasties are an important reason for failure of metal-on-metal (MoM) hip implants. Little is known about capsular dehiscence patterns as ALTRs decompress from the hip into the surrounding tissue planes; these patterns may also influence the onset and severity of patient symptoms. ⋯ Level II, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2016
Randomized Controlled Trial Comparative StudyThe Chitranjan Ranawat Award: Running Subcuticular Closure Enables the Most Robust Perfusion After TKA: A Randomized Clinical Trial.
Maintaining robust perfusion is an important physiologic parameter in wound healing. The effect of different closure techniques on wound perfusion after total knee arthroplasty (TKA) has not been established previously and may have implications for wound healing. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2016
Randomized Controlled Trial Comparative StudyThe John Insall Award: No Functional Benefit After Unicompartmental Knee Arthroplasty Performed With Patient-specific Instrumentation: A Randomized Trial.
Component alignment can influence implant longevity as well as perhaps pain and function after unicompartmental knee arthroplasty (UKA), but correct alignment is not consistently achieved. To increase the likelihood that good alignment will be achieved during surgery, smart tools such as robotics or patient-specific instrumentation (PSI) have been introduced. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2016
Multicenter StudyFactors Associated With Reoperation After Fixation of Displaced Olecranon Fractures.
Surgery for fixation of olecranon fractures is associated with reoperation, mostly for implant removal. A study of a large cohort of patients treated by many different surgeons allows us to determine if specific techniques or implants are associated with a higher rate of reoperation. ⋯ Level III, prognostic study.