Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Apr 2023
Total knee arthroplasty in patients with lumbar spinal fusion leads to significant changes in pelvic tilt and sacral slope.
The knee-hip-spine syndrome has been well elucidated in the literature in recent years. The aim of this study was to evaluate the effect of total knee arthroplasty (TKA) on spinopelvic sagittal alignment in patients with and without pre-TKA lumber spinal fusion. ⋯ Retrospective Cohort Study.
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Arch Orthop Trauma Surg · Apr 2023
The role of serum D-Dimer for the diagnosis of periprosthetic shoulder infection.
D-Dimer was recently identified as an additional biomarker in the diagnosis of hip and knee periprosthetic joint infection (PJI). Currently, there is only one study in literature dealing with the role of D-Dimer in the diagnosis of shoulder PJI. The purpose of this study was, therefore, to validate the sensitivity and specificity of D-Dimer in detecting shoulder PJI. ⋯ Diagnostic level II.
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Arch Orthop Trauma Surg · Apr 2023
How does systemic lupus erythematosus impact the peri-operative complication rates in primary hip arthroplasty? A national inpatient sample-based study.
With prolonged life expectancy, the number of patients with systemic lupus erythematosus (SLE) undergoing total hip arthroplasty (THA) has substantially increased over the past years. The post-operative outcome and complications in SLE are less clearly understood than other inflammatory diseases, due to limited availability of evidence within the literature. ⋯ The presence of SLE significantly lengthens hospital stay and augments healthcare-related costs in patients undergoing THA. The three main complications which may significantly affect the post-operative course of these patients include higher rates of post-operative anemia, peri-prosthetic infections, and early prosthetic dislocations.
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Arch Orthop Trauma Surg · Apr 2023
Review Meta AnalysisThe role of biopsy in diagnosing infection after hip and knee arthroplasty: a meta-analysis.
Early diagnosis of periprosthetic hip and knee infection still represents a major challenge, as no single test can achieve ideal results. Currently, multiple preoperative indicators were performed to diagnose periprosthetic joint infection (PJI) to confirm or exclude infection in the early stage. However, the diagnostic value of biopsy-related tests in diagnosing periprosthetic hip and knee infection remains unclear. ⋯ Biopsy culture does not appear to be advantageous compared to synovial fluid culture in the preoperative diagnosis of periprosthetic hip and knee infection. In contrast, combined biopsy microbial culture with histology analysis shows great potential in improving the preoperative diagnosis of PJI. The standard procedure of biopsy needs to be further explored. Further research is required to verify our results.
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Arch Orthop Trauma Surg · Apr 2023
Randomized Controlled TrialLiposomal bupivacaine nerve block provides better pain control post-total shoulder arthroplasty than continuous indwelling catheter.
Pain control is essential to successful total shoulder arthroplasty (TSA). ⋯ Level I, Prospective, Randomized.