Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jul 2013
Randomized Controlled Trial Comparative StudyPeriarticular injection in knee arthroplasty improves quadriceps function.
The postoperative analgesic potential of periarticular anesthetic infiltration (PAI) after TKA is unclear as are the complications of continuous femoral nerve block on quadriceps function. ⋯ Level I, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2013
Multicenter StudyReason for revision TKA predicts clinical outcome: prospective evaluation of 150 consecutive patients with 2-years followup.
There is limited knowledge regarding the relationship between the reason for revising a TKA and the clinical outcome in terms of satisfaction, pain, and function with time. ⋯ Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2013
Scheduled analgesic regimen improves rehabilitation after hip fracture surgery.
Postoperative pain often is the limiting factor in the rehabilitation of patients after hip fracture surgery. ⋯ Level II, therapeutic study. See the guidelines for authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jun 2013
Meta Analysis Comparative StudyIs cervical disc arthroplasty superior to fusion for treatment of symptomatic cervical disc disease? A meta-analysis.
As the current standard treatment for symptomatic cervical disc disease, anterior cervical decompression and fusion may result in progressive degeneration or disease of the adjacent segments. Cervical disc arthroplasty was theoretically designed to be an ideal substitute for fusion by preserving motion at the operative level and delaying adjacent level degeneration. However, it remains unclear whether arthroplasty achieves that aim. ⋯ For treating symptomatic cervical disc disease, cervical disc arthroplasty appears to provide better function, a lower incidence of reoperation related to index surgery at 1 to 5 years, and lower major complication rates compared with fusion. However, cervical disc arthroplasty did not reduce the reoperation rate attributable to adjacent segment degeneration than fusion. Further, it is unclear whether these differences in subsequent surgery including arthroplasty revisions will persist beyond 5 years.