Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Jan 2016
Randomized Controlled TrialDoes Tourniquet Use in TKA Affect Recovery of Lower Extremity Strength and Function? A Randomized Trial.
Tourniquet use during total knee arthroplasty (TKA) improves visibility and reduces intraoperative blood loss. However, tourniquet use may also have a negative impact on early recovery of muscle strength and lower extremity function after TKA. ⋯ Level I, therapeutic study.
-
Clin. Orthop. Relat. Res. · Jan 2016
Short-term Risk of Revision THA in the Medicare Population Has Not Improved With Time.
Advances in surgical technique, implant design, and clinical care pathways have resulted in higher expectations for improved clinical outcomes after primary THA; however, despite these advances, it is unclear whether the risk of revision THA actually has decreased with time. Understanding trends in short- and mid-term risks of revision will be helpful in directing clinical, research, and policy efforts to improve THA outcomes. ⋯ Level III, therapeutic study.
-
Clin. Orthop. Relat. Res. · Jan 2016
Multicenter Study Comparative StudyEarly Lessons From a Worldwide, Multicenter, Followup Study of the Recalled Articular Surface Replacement Hip System.
Adverse local tissue reactions (ALTRs) around hip arthroplasties are an important reason for failure of metal-on-metal (MoM) hip implants. Little is known about capsular dehiscence patterns as ALTRs decompress from the hip into the surrounding tissue planes; these patterns may also influence the onset and severity of patient symptoms. ⋯ Level II, therapeutic study.
-
Clin. Orthop. Relat. Res. · Jan 2016
Randomized Controlled Trial Comparative StudyThe Chitranjan Ranawat Award: Running Subcuticular Closure Enables the Most Robust Perfusion After TKA: A Randomized Clinical Trial.
Maintaining robust perfusion is an important physiologic parameter in wound healing. The effect of different closure techniques on wound perfusion after total knee arthroplasty (TKA) has not been established previously and may have implications for wound healing. ⋯ Level I, therapeutic study.
-
Clin. Orthop. Relat. Res. · Jan 2016
Multicenter StudyFactors Associated With Reoperation After Fixation of Displaced Olecranon Fractures.
Surgery for fixation of olecranon fractures is associated with reoperation, mostly for implant removal. A study of a large cohort of patients treated by many different surgeons allows us to determine if specific techniques or implants are associated with a higher rate of reoperation. ⋯ Level III, prognostic study.