Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2012
Randomized Controlled Trial Comparative StudyEfficacy of tranexamic acid on blood loss after primary cementless total hip replacement with rivaroxaban thromboprophylaxis: A case-control study in 70 patients.
Perioperative blood loss is a frequent cause of complications in total hip replacement (THR). The present prospective study assessed the efficacy of tranexamic acid (Exacyl(®)) in reducing blood loss in primary THR associated to rivaroxaban (Xarelto(®)) thromboprophylaxis. ⋯ Level III prospective case-control study.
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Orthop Traumatol Sur · Sep 2012
Comparative StudyTranexamic acid reduces blood loss and financial cost in primary total hip and knee replacement surgery.
Blood conservation strategies have been developed to diminish blood transfusion requirements in patients undergoing hip or knee replacement surgery. Tranexamic acid (TA) is an inexpensive antifibrinolytic agent that is little used in orthopaedic surgery due to the absence of standardised optimal administration regimens. ⋯ IV. Retrospective case-control.
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Orthop Traumatol Sur · Sep 2012
Comparative StudyAdvantage and limitations of a minimally-invasive approach and early weight bearing in the treatment of tibial shaft fractures with locking plates.
Intramedullary nailing is a common method of treating tibial shaft fractures. However, precise control of reduction at the proximal and distal quarters is difficult to achieve. The purpose of this study was to assess the results of plating using locking screws and the feasibility of a minimally-invasive approach. ⋯ Level I university regional hospital Cohort study.
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Orthop Traumatol Sur · Sep 2012
Comparative StudyValue of a skin island flap as a postoperative predictor of vascularized fibula graft viability in extensive diaphyseal bone defect reconstruction.
To evaluate the feasibility and reliability of free vascularized fibular graft with skin island flap for reconstruction of large diaphyseal bone defect. ⋯ Level IV. Retrospective study.
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Orthop Traumatol Sur · Sep 2012
Comparative StudyExtension-block pinning for fracture-dislocation of the proximal interphalangeal joint.
Dorsal fracture-dislocation of the proximal interphalangeal joint is an unstable fracture that associates the anterior marginal fracture of the second phalangeal base and the dorsal dislocation of the proximal interphalangeal joint under the influence of the median band traction of the extensor apparatus. Stiffness and residual pain are frequent sequelae. Treatment involves choosing between the various methods with the objective of providing stable reduction allowing early mobilization. ⋯ Level IV retrospective study.