Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Dec 2014
Case ReportsUse of sutures as Kirschner wire and tension-band wire for olecranon fractures: a technical note.
Open reduction and internal fixation using tension-band wires for displaced olecranon fractures enables restoration of extensor function. We report on 3 elderly patients with a displaced olecranon fracture who underwent open reduction and internal fixation using sutures as the Kirschner wire and tension-band wire and achieved good outcome.
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To review outcome of early reimplantation for open total talar extrusion in 7 patients. ⋯ Early reimplantation is recommended for open total talar extrusion, as it restores (to some extent) hind foot mechanics, heel height, and bone stock for activities of daily living and future reconstructive options.
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J Orthop Surg (Hong Kong) · Dec 2014
ReviewReview article: Perioperative care in enhanced recovery for total hip and knee arthroplasty.
Enhanced recovery pathways for total hip and knee arthroplasty can reduce length of hospital stay and perioperative morbidity. 22 studies were reviewed for identification of perioperative care interventions, including preoperative (n=4), intra-operative (n=8), and postoperative (n=4) care interventions. Factors that improve outcomes included use of pre-emptive and multimodal analgesia regimens to reduce opioid consumption, identification of patients with poor nutritional status and provision of supplements preoperatively to improve wound healing and reduce length of hospital stay, use of warming systems and tranexamic acid, avoidance of drains to reduce operative blood loss and subsequent transfusion, and early ambulation with pharmacological and mechanical prophylaxis to reduce venous thromboembolism and to speed recovery.
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J Orthop Surg (Hong Kong) · Dec 2014
Randomized Controlled Trial Comparative StudyInjection of autologous blood versus corticosteroid for lateral epicondylitis: a randomised controlled study.
To compare the efficacy of autologous blood injection versus corticosteroid injection for lateral epicondylitis. ⋯ Autologous blood injection was more effective over the follow-up period than corticosteroid injection in improving pain, function, and grip strength. It is recommended as a first-line injection treatment because it is simple, cheap, and effective.
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J Orthop Surg (Hong Kong) · Dec 2014
Clavicular hook plate for grade-III acromioclavicular dislocation.
To review the outcomes of clavicular hook plate fixation for grade-III acromioclavicular (AC) dislocation in young athletes. ⋯ The clavicular hook plate for grade- III AC dislocation enables quick return to sports activities and achieves good-to-excellent functional outcome.