Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2012
Comparative StudyIs preoperative embolization a prerequisite for spinal metastases surgical management?
Preoperative embolization decreases the intraoperative risk of hemorrhage in spinal decompression surgery of hypervascular metastases such as renal cell carcinoma. There is no consensus concerning embolization in other metastases. The purpose of this study was to compare the intraoperative amount of blood loss in embolized versus non-embolized patients, seeking for differences depending on the primary tumor and the extent of surgery. ⋯ Level IV, retrospective study.
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Orthop Traumatol Sur · Sep 2012
Comparative StudyGeometrical analysis results of 42 resurfacing shoulder prostheses: A CT scan study.
Shoulder resurfacing arthroplasty was introduced in Scandinavia in the early 1980s then developed by SA Copeland. ⋯ Level IV, retrospective study.
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Orthop Traumatol Sur · Jun 2012
Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: when gloves should be changed.
Double gloving is recommended in orthopedic surgery, notably in total hip arthroplasties (THA) to prevent contamination of the surgical site. ⋯ Increasing the number of outer glove renewals, notably during certain surgical stages at risk for contamination (prosthesis reduction) or perforation (surgical incision/femoral cementing) can reduce the risk of contamination and perforation. The bacteria isolated suggest a cutaneous origin. Regularly changing gloves has resulted in a sterile state in 80% of cases. LEVEL OF EVIDENCE AND TYPE OF STUDY: Level III prospective diagnostic study.
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Orthop Traumatol Sur · Jun 2012
The reliability of a simplified Garden classification for intracapsular hip fractures.
The Garden classification is used to classify intracapsular proximal femur fractures. The reliability of this classification is poor and several authors advise a simplified classification of intracapsular hip fractures into non-displaced and displaced fractures. However, this proposed simplified classification has never been tested for its reliability. ⋯ Level IV. Diagnostic retrospective study.