Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Feb 2016
What Are the Functional Outcomes After Total Sacrectomy Without Spinopelvic Reconstruction?
After total sacrectomy, many types of spinopelvic reconstruction have been described with good functional results. However, complications associated with reconstruction are not uncommon and usually result in further surgical interventions. Moreover, less is known about patient function after total sacrectomy without spinopelvic reconstruction, which may be indicated when malignant or aggressive benign bone and soft tissue tumors involved the entire sacrum. ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Feb 2016
Review Meta AnalysisIs Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis.
Local infiltration analgesia and peripheral nerve blocks are common methods for pain management in patients after THA but direct head-to-head, randomized controlled trials (RCTs) have not been performed. A network meta-analysis allows indirect comparison of individual treatments relative to a common comparator; in this case placebo (or no intervention), epidural analgesia, and intrathecal morphine, yielding an estimate of comparative efficacy. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Feb 2016
Multicenter StudyWhat Factors are Associated With a Surgical Site Infection After Operative Treatment of an Elbow Fracture?
Surgical site infections are one of the more common major complications of elbow fracture surgery and can contribute to other adverse outcomes, prolonged hospital stays, and increased healthcare costs. ⋯ Level IV, prognostic study.
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Clin. Orthop. Relat. Res. · Feb 2016
A Radiation Safety Training Program Results in Reduced Radiation Exposure for Orthopaedic Residents Using the Mini C-arm.
Fluoroscopy during fracture reduction allows a physician to assess fractures and immediately treat a pediatric patient. However, concern regarding the effects of radiation exposure has led us to find ways to keep radiation exposures as low as reasonably achievable. One potentially simple way, which to our knowledge has not been explored, to decrease radiation exposure is through formal education before mini C-arm use. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Feb 2016
Multicenter Study Comparative StudyIs There a Benefit to Modularity in 'Simpler' Femoral Revisions?
Modular revision femoral components allow the surgeon to make more precise intraoperative adjustments in anteversion and sizing, which may afford lower dislocation rates and improved osseointegration, but may not offer distinct advantages when compared with less expensive monoblock revision stems. ⋯ Level III, therapeutic study.