Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2016
Meta AnalysisDedicated Perioperative Hip Fracture Comanagement Programs are Cost-effective in High-volume Centers: An Economic Analysis.
Osteoporotic hip fractures are common injuries typically occurring in patients who are older and medically frail. Studies have suggested that creation of a multidisciplinary team including orthopaedic surgeons, internal medicine physicians, social workers, and specialized physical therapists, to comanage these patients can decrease complication rates, improve time to surgery, and reduce hospital length of stay; however, they have yet to achieve widespread implementation, partly owing to concerns regarding resource requirements necessary for a comanagement program. ⋯ Level 1, Economic and Decision Analysis.
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Clin. Orthop. Relat. Res. · Jan 2016
Randomized Controlled TrialDoes Tourniquet Use in TKA Affect Recovery of Lower Extremity Strength and Function? A Randomized Trial.
Tourniquet use during total knee arthroplasty (TKA) improves visibility and reduces intraoperative blood loss. However, tourniquet use may also have a negative impact on early recovery of muscle strength and lower extremity function after TKA. ⋯ Level I, therapeutic study.
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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.