Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2012
Cross-cultural adaptation and validation of the Korean version of the Oxford shoulder score.
The Oxford shoulder score (OSS) is being used increasingly and has been adapted cross-culturally in some Western countries. On the other hand, there are few validated translations of the OSS in Asian countries. This study translated and adapted cross-culturally the original OSS to produce a Korean version, and assessed the validity and reliability of the Korean version of the OSS (Korean OSS). ⋯ The Korean OSS proved to be valid by demonstrating a significant correlation with the patient-based upper extremity questionnaire and clinical assessment. The application and evaluation of the instrument is feasible and understandable among patients in Korea.
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Arch Orthop Trauma Surg · Jan 2012
Randomized Controlled TrialWhich is more effective in adolescent idiopathic scoliosis surgery: batroxobin, tranexamic acid or a combination?
Adolescent idiopathic scoliosis surgery is often associated with significant blood loss and blood transfusion. In this clinical trial, the authors investigated the efficacy of reducing blood loss and allogeneic blood transfusion by using batroxobin, tranexamic acid (TXA) and the combination of the two agents. ⋯ In our study, batroxobin and TXA can markedly reduce the blood loss and the transfusion requirements equivalently. However, TXA performs better in minimizing FFP and the overall drainage than batroxobin. The combination seems to achieve best results and was more effective than either of the two drugs alone. No apparent adverse events were detected in these groups.
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Arch Orthop Trauma Surg · Jan 2012
Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation.
Fast-track surgery is the combination of optimized clinical and organizational factors aiming at reducing convalescence and perioperative morbidity including the functional recovery resulting in reduced hospitalization. As the previous nationwide studies have demonstrated substantial variations in length of stay (LOS) following standardized operations such as total hip and knee arthroplasty (THA and TKA), this nationwide study was undertaken to evaluate the implementation process of fast-track THA and TKA in Denmark. ⋯ Fast-track surgery has been successfully implemented in the orthopedic departments in Denmark through a multi-disciplinary educational and multi-institutional effort. These implementation principles may be transferred to other countries and other specialties.
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Arch Orthop Trauma Surg · Jan 2012
Comparative StudyComparison between conservative and surgical treatment in Perthes disease.
The purpose of this study was to compare the results of conservative and surgical treatment in a homogeneous group constituted by patients between 6 and 8 years of age at onset of the Perthes disease with Herring B involvement. ⋯ Non-surgical treatment with a brace is a reliable alternative to surgical treatment in Perthes disease between 6 and 8 years of age at onset with Herring B involvement. However, we could not know whether the good results were influenced by the brace or stemmed from having good prognosis of these patients.
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Arch Orthop Trauma Surg · Jan 2012
Short reconstruction nail for intertrochanteric fracture: does it really fit Asian feature?
The Trigen short reconstruction trochanteric antegrade nail (TAN) is considered most suitable for the small skeletons of Asian patients. We have evaluated the results of TAN for intertrochanteric fractures in Asian patients. ⋯ Despite the theoretically better design of TAN and the healing of most fractures and good activity at last follow-up, poor reduction and coxa vara caused by insertion of the nail could not be completely avoided, and the design of the distal part of the nail had the potential to cause femoral shaft fracture. Future improvements are necessary to enable the use of this system in Asians.