Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2015
Randomized Controlled Trial Multicenter StudyTopical and intravenous tranexamic acid reduce blood loss compared to routine hemostasis in total knee arthroplasty: a multicenter, randomized, controlled trial.
Tranexamic acid (TXA) is becoming widely used in orthopedic surgery to reduce blood loss and transfusion requirements, but consensus is lacking regarding the optimal route and dose of administration. The aim of this study was to compare the efficacy and safety of topical and intravenous routes of TXA with routine hemostasis in patients undergoing primary total knee arthroplasty (TKA). ⋯ I.
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Arch Orthop Trauma Surg · Jul 2015
Multicenter StudyAcetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?
The present study was designed to examine whether oblique radiographs (Judet views) in addition to 2D and 3D CT scans improved the intra- and interobserver reliability when assessing acetabular fractures. ⋯ The moderate agreement found for the Letournel classification is to be expected given the complexity of the classification. The addition of oblique radiographs to the image sets does not seem to improve the reliability and thus its routine use for classification and decision making may be debated.