Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Aug 2005
Randomized Controlled Trial Comparative StudyInvestigation of the use of drained blood reinfusion after total knee arthroplasty: a prospective randomised controlled study.
To compare the use of a blood salvage and reinfusion system with standard allogeneic blood transfusion after total knee arthroplasty--a procedure associated with significant postoperative blood loss. ⋯ Postoperative reinfusion of drained blood reduced the need for blood transfusion after total knee arthroplasty, while having an effect on postoperative haemoglobin level equivalent to standard allogeneic blood transfusion.
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J Orthop Surg (Hong Kong) · Aug 2005
Comparative Study Clinical TrialComparing 2-year outcomes of anterior cruciate ligament reconstruction using either patella-tendon or semitendinosus-tendon autografts: a non-randomised prospective study.
To compare the results of anterior cruciate ligament (ACL) reconstructions using either a patella-tendon autograft or a semitendinosus-tendon autograft. ⋯ ACL reconstruction is associated with a significantly better IKDC knee score and laxity measurement at 2-year follow-up. However, we were unable to demonstrate a significantly better long-term outcome in knee score or laxity to anterior translation with either a patella-tendon autograft or a semitendinosus-tendon autograft.
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J Orthop Surg (Hong Kong) · Aug 2005
Case ReportsBilateral spontaneous rupture of Achilles tendons: a case report.
Spontaneous bilateral rupture of Achilles tendon is rare. Rupture of the Achilles tendon has been described in patients on oral corticosteroid therapy. ⋯ This case is unusual because the patient has never taken steroids. We discuss the mechanism of injury and other probable causes.
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J Orthop Surg (Hong Kong) · Aug 2005
Comparative StudyImplications of the changing pattern of bacterial infections following total joint replacements.
To retrospectively review the causative organisms isolated from infected hip and knee replacements requiring revision. ⋯ This study found a definite increase in multiple-drug-resistant bacteria isolated from periprosthetic infections around total hip and knee prostheses.
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J Orthop Surg (Hong Kong) · Aug 2005
Case ReportsTophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report.
This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. ⋯ However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind.