Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2015
Randomized Controlled Trial Comparative StudyDo timing of injection and status of the suction drain effect postoperative pain scores after intra-articular bupivacaine injection in arthroscopic ACL reconstruction?
The aim of this study was to determine if the timing of intra-articular local anesthetic injection and the status of the suction drain affect variable pain scores after ACL reconstruction. ⋯ Intra-articular bupivacaine injection at different stages of the operation yielded variable VAS scores in the postoperative period. Closing the drain after intra-articular injection resulted in an early onset analgesic effect without shortening the duration.
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Acta Orthop Traumato · Jan 2015
Validity and reliability of the Turkish "Patient-Rated Wrist Evaluation" questionnaire.
The Patient-Rated Wrist Evaluation (PRWE) scale is a self-administered outcome questionnaire used to determine level of pain and disability in wrist problems. The scale includes pain (PRWE-P) and function (PRWE-F) subscales, the latter consisting of specific function (PRWE-SF) and usual (PRWE-UF) function. This study aimed to evaluate the validity and reliability of the Turkish versionof the PRWE scale. ⋯ The PRWE-T was found to be valid and reliable. It is therefore suggested for use in evaluating patient-based pain and disability levels in routine clinical practice.
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Acta Orthop Traumato · Jan 2015
Randomized Controlled TrialEffects of intra-articular levobupivacaine, fentanyl-levobupivacaine and tramadol-levobupivacaine for postoperative pain in arthroscopic knee surgery.
The aim of this study was to compare the postoperative analgesic efficacy of intra-articularly injected levobupivacaine, levobupivacaine-fentanyl, and levobupivacaine-tramadol combinations. ⋯ The results indicated that levobupivacaine combined with either fentanyl or tramadol decreased rescue analgesic requirements when compared to levobupivacaine alone.
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Acta Orthop Traumato · Jan 2015
Results of midshaft clavicle fractures treated with expandable, elastic and locking intramedullary nails.
The aim of the study was to present the results of osteosynthesis with elastic expandable intramedullary nail for clavicle fractures. ⋯ Expandable elastic locking intramedullary nail appears to provide minimal complication and high success rate for the surgical treatment of non-comminuted displaced clavicle shaft fractures. Additional studies with large series are necessary for further investigation.
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Acta Orthop Traumato · Jan 2015
Early surgery is feasible in patients with hip fractures who are on clopidogrel therapy.
Timing of surgery in hip fracture patients using antiplatelet agents is a controversial issue. Clopidogrel is an antiplatelet drug widely used in the treatment of many diseases. In this study, we aimed to investigate the outcomes of early surgery in hip fracture patients using clopidogrel. ⋯ Surgery should not be postponed in hip fracture patients using clopidogrel.