Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled Trial Comparative StudyIntraarticular analgesia versus epidural plus femoral nerve block after TKA: a randomized, double-blind trial.
Pain management after TKA remains challenging and the efficacy of continuously infused intraarticular anesthetics remains a controversial topic. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled Trial Comparative StudySingle-injection or continuous femoral nerve block for total knee arthroplasty?
The ideal local anesthetic regime for femoral nerve block that balances analgesia with mobility after total knee arthroplasty (TKA) remains undefined. ⋯ Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled TrialDoes limb preconditioning reduce pain after total knee arthroplasty? A randomized, double-blind study.
Total knee arthroplasty (TKA) can be associated with considerable postoperative pain. Ischemic preconditioning of tissue before inducing procedure-related underperfusion may reduce the postoperative inflammatory response, which further may reduce associated pain. ⋯ Given the ease of this intervention, ischemic preconditioning may be considered as part of a multimodal analgesic strategy. However, more study into the impact of different preconditioning strategies, elucidation of mechanisms, safety profiles, and cost-effectiveness of this maneuver is needed.
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Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled Trial Comparative StudyDeltoid-split or deltopectoral approaches for the treatment of displaced proximal humeral fractures?
Proximal humeral fractures are mainly associated with osteoporosis and are becoming more common with the aging of our society. The best surgical approach for internal fixation of displaced proximal humeral fractures is still being debated. ⋯ Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · May 2014
Randomized Controlled Trial Comparative StudyIs L2 paravertebral block comparable to lumbar plexus block for postoperative analgesia after total hip arthroplasty?
Continuous lumbar plexus block (LPB) is a well-accepted technique for regional analgesia after THA. However, many patients experience considerable quadriceps motor weakness with this technique, thus impairing their ability to achieve their physical therapy goals. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.