ANZ journal of surgery
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ANZ journal of surgery · Apr 2015
Thirteen-year outcomes in the Anatomique Benoist Girard II hip prosthesis.
The Stryker Anatomique Benoist Girard (ABG) hip implant system was a commonly used cementless prosthesis in the early 2000s, which fell from favour after several studies emerged implicating the prosthesis in high rates of revision. This retrospective, single-surgeon clinical study examines the fracture rate, revision rate and reasons for revision in 500 consecutive ABG II primary total conventional hip replacements. ⋯ Our results were consistent with the literature in that the ABG II system has good medium-term results but is prone to periprosthetic fractures, especially in the early post-operative period. When used as a primary total hip arthroplasty, the ABG II system has an 8-year revision rate of 5.6% compared with the 4.9% of all primary total hip arthroplasties.
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ANZ journal of surgery · Apr 2015
Changing patterns of injury associated with low-energy falls in the elderly: a 10-year analysis at an Australian Major Trauma Centre.
The rate of hospitalization in elderly patients because of falls is increasing. The objective of this study was to investigate long-term trends in injury profiles of low-energy falls and to identify injuries associated with need for in-patient rehabilitation. ⋯ In elderly patients with low-energy falls, a significant decrease in hip fractures was associated with a rise in severe head injuries over the past decade.
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ANZ journal of surgery · Apr 2015
Long-term outcome of portomesenteric vein invasion and prognostic factors in pancreas head adenocarcinoma.
The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. ⋯ 34.8% of patients who underwent PV-SMV resection had no pathologic invasion. And PV-SMV resection did not increase the rate of severe complications and mortality. Furthermore, the prognosis for patients with pathologic PV-SMV invasion may be nearly the same as patients with no invasion. So, PV-SMV resection with reconstruction should be considered in pancreatic head cancer patients with suspected PV-SMV invasion.