Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Mar 2016
What are the Risk Factors for Cerebrovascular Accidents After Elective Orthopaedic Surgery?
Perioperative cerebrovascular accidents (CVAs) are one of the leading causes of patient morbidity, mortality, and medical costs. However, little is known regarding the rates of these events and risk factors for CVA after elective orthopaedic surgery. ⋯ Level III, prognostic study.
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Clin. Orthop. Relat. Res. · Mar 2016
Sacral Insufficiency Fractures are Common After High-dose Radiation for Sacral Chordomas Treated With or Without Surgery.
Surgery with high-dose radiation and high-dose radiation alone for sacral chordomas have shown promising local control rates. However, we have noted frequent sacral insufficiency fractures and perceived this rate to be higher than previously reported. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Mar 2016
What Are the Risk Factors and Management Options for Infection After Reconstruction With Massive Bone Allografts?
Massive bone allografts have been used for limb salvage of bone tumor resections as an alternative to endoprosthesis, although they have different outcomes and risks. The use of massive bone allografts has been thought to be associated with a high risk for infection, and there is no general consensus on the management of this complication and final outcome. Because infection is such a devastating complication of limb salvage, at times leading to loss of a limb, recognizing the risk factors for infection and the results of treatment is important. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Mar 2016
What Factors Influence the Success of Medial Gastrocnemius Flaps in the Treatment of Infected TKAs?
Soft tissue defects after TKA are a potentially devastating complication. Medial gastrocnemius flaps occasionally are used to provide soft tissue coverage, most commonly with a periprosthetic joint infection. ⋯ Level IV, therapeutic study.