Annales chirurgiae et gynaecologiae
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Randomized Controlled Trial Comparative Study Clinical Trial
Thompson hemiarthroplasty is superior to Ullevaal screws in treating displaced femoral neck fractures in patients over 75 years. A prospective randomized study with two-year follow-up.
The Finnish orthopaedic tradition has preferred hemiarthroplasty to internal fixation in femoral neck fracture treatment, while in Sweden internal fixation has been the method of choice. We decided to study whether internal fixation would prove superior to hemiarthroplasty even in displaced femoral neck fractures in patients over 75 years old. ⋯ We conclude that displaced femoral neck fractures in patients over 75 years should be treated by arthroplasty.
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Randomized Controlled Trial Clinical Trial
Intra-articular ropivacaine injection does not alleviate pain after day-case knee arthroscopy performed under spinal anaesthesia.
To evaluate the effect of intra-articular ropivacaine injection on postoperative knee pain after day case arthroscopy. ⋯ This study failed to demonstrate a decrease in postoperative VAS scores at eight hours and later postoperatively when 20 ml of ropivacaine 0.5% were injected intra-articularly after day-case knee arthroscopy performed under spinal anaesthesia. Furthermore, there was no significant difference in the need for postoperative pain medication between the study groups.