Abstract：
BACKGROUND:Fibrin sealant is frequently used in knee surgery as an adjuvant method for reducing postoperative bleeding, however, there is no consensus regarding the efficacy of fibrin sealant. HYPOTHESIS:Fibrin sealant achieves better efficacy in terms of blood loss control, transfusion rate and units in knee surgery compared with controls. METHODS:A search of the Cochrane Collaboration (2013 Issue 09), Embase (1974-2013.09), PubMed (1966-2013.09) and Chinese databases (up to 2013.09) were conducted. The Cochrane Collaboration's tool was used to assess for bias and data were analyzed by RevMan 5.29 software. RESULTS:This study included nine RCTs and four prospective comparative trials with a total of 1299 patients. Compared to the control, fibrin sealant achieved a decrease in hemoglobin reduction [MD=1.14, 95% CI (0.61-1.67)], transfusion rate [OR=0.36, 95% CI (0.25-0.51)], transfusion units [MD=0.47, 95% CI (0.24-0.71)], hospital stay [MD=2.22, 95% CI (0.56-3.88)] and the incidence of complications [OR=0.56, 95% CI (0.38-0.83)]. And it also reduced total blood loss, while there was no significant difference [MD=155.83, 95% CI (-525.02-213.15)]. CONCLUSION:Patients undergoing knee surgery would benefit from high-dose fibrin sealant with reduced transfusion rate and unit, hospital stay and complications, while they might benefit little from it in total blood loss. However, the effects of a low-dose of fibrin in knee surgery remain inconclusive.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Yang TQ,Geng XL,Ding MC,Yang MX,Zhang Qdoi
10.1016/j.otsr.2014.07.035subject
Has Abstractpub_date
2015-05-01 00:00:00pages
331-9issue
3issn
1877-0568pii
S1877-0568(14)00356-9journal_volume
101pub_type
杂志文章,meta分析,评审abstract：BACKGROUND:There is currently a debate about whether elastic stable intramedullary nails (ESIN) or external fixation (EF) is the best surgical method for treating pediatric femoral shaft fractures. We performed a meta-analysis to determine which surgical method leads to higher treatment satisfaction, lower complication...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.06.012
更新日期：2020-11-01 00:00:00
abstract：INTRODUCTION:Distal radius fractures are common injuries treated in a multitude of ways. One treatment paradigm not extensively studied is initial treatment by external fixation (EF) followed by conversion to open reduction internal fixation (ORIF). Such a paradigm may be beneficial in damage control situations, when t...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.01.013
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Management of septic non-union of the tibia requires debridement and excision of all infected bone and soft tissues. Various surgical techniques have been described to fill the bone defect. The "Induced Membrane" technique, described by A. C. Masquelet in 1986, is a two-step procedure using a PMMA cement s...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.04.013
更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:Glenoid bone grafting is often used in cases of reverse shoulder arthroplasty (RSA) with glenoid deficiency. Additionally, bony increased-offset RSA (BIO-RSA) uses a cylindrical bonegraft harvested from the humeral head and is positioned beneath the glenoid baseplate to increase lateralization. Postoperati...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.03.010
更新日期：2015-06-01 00:00:00
abstract：PURPOSE:The morphological and biomechanical features of the thoracic spine, together with its close proximity to the spinal cord, set it apart from other spinal segments. Management of thoracic spine injuries consists of achieving a reduction and an immediate and long-lasting stabilization of the spine while constantly...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.05.007
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Tranexamic acid (TXA) has long been used to reduce blood loss associated with total knee arthroplasty (TKA). Debate remains over the best administration route with limited data comparing regimes including, to date, no studies investigating the equivalence of oral TXA and a combined topical/intravenous (IV) r...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.otsr.2019.06.008
更新日期：2019-10-01 00:00:00
abstract：INTRODUCTION:The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is increasing, and treatment is becoming more necessary. In periprosthetic tibial fractures, the stem of the tibial component largely occupies the medullary canal of the proximal tibia, which limits the selection of implants. The...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.10.007
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Circumferential lumbar spinal fusion is widely used to increase fusion rate, but little data is available using fresh-frozen femoral head allograft (FFFHA) as a structural interbody graft alternative. HYPOTHESIS:Circumferential lumbar arthrodesis using FFFHA as interbody graft material could be an alternati...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2013.03.010
更新日期：2013-06-01 00:00:00
abstract：INTRODUCTION:All-inside posteromedial suture for lesions of the posterior horn of the medial meniscus in anterior cruciate ligament (ACL) repair provides effective freshening and good healing. HYPOTHESIS:The posteromedial portal provides satisfactory healing rates without increasing morbidity or complications rates. ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：:The optimal treatment of recent femoral neck fractures remains debated. The available options are internal fixation, hemiarthroplasty (HA) and total hip arthroplasty (THA). There is a consensus in favour of internal fixation in younger patients. In elderly individuals who are institutionalised and have limited physica...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2018.04.034
更新日期：2019-02-01 00:00:00
abstract：:We report a case of anterior thigh compartment syndrome (TCS), which occurred after a closed femoral fracture internal fixation using an intramedullary rod. A 20 ml ropivacaine hydrochloride single-injection femoral block had preceded general anaesthesia to conduct the surgical procedure. The compartment syndrome diag...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2009.03.014
更新日期：2009-06-01 00:00:00
abstract：INTRODUCTION:The outcomes of the Latarjet procedure for anterior shoulder instability are highly satisfactory although recurrences are possible. Surgical revision is challenging, and often requires an iliac crest bone graft as described by Eden and Hybinette. The aims of our study were to analyze the outcomes of the Ed...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.12.009
更新日期：2020-04-01 00:00:00
abstract：:Although total hip arthroplasty is now a classic procedure that is well controlled by orthopedic surgeons, some cases remain complex. Difficulties may be due to co-morbidities: obesity, skin problems, muscular problems, a history of neurological disease or associated morphological bone deformities. Obese patients must...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2012.11.008
更新日期：2013-02-01 00:00:00
abstract：INTRODUCTION:In children treated for idiopathic equinovarus clubfoot (EVCF), the relation between morphologic defects on clinical examination and standard X-ray on the one hand and functional abnormalities on the other is difficult to objectify. The aim of the present study was to demonstrate the feasibility of combine...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.11.013
更新日期：2020-11-01 00:00:00
abstract：INTRODUCTION:Short stems are not all the same and do not meet the same objectives in terms of shape, fixation and biomechanics. The Taperloc Microplasty™ is a shortened stem. In France, no articles have been published on this subject and very few articles are available in the international literature. We therefore deci...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.06.019
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Imaging studies done to evaluate chronic ankle instability (CAI) often fail to accurately detail injuries to the anterior talo-fibular ligament (ATFL) and may, therefore, also fail to provide guidance for selecting the most appropriate surgical procedure. Arthroscopy is now an indispensable tool for accurate...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2018.09.008
更新日期：2018-12-01 00:00:00
abstract：:Management of lower limb fractures in children involves many approaches, spanning from conservative treatment to open reduction and internal fixation. A number of intermediate treatments have also been shown to be effective, notably skeletal traction. However, each of these techniques has its own advantages and disadv...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.05.016
更新日期：2011-12-01 00:00:00
abstract：:The medial approach to the hip via the adductors, as described by Ludloff or Ferguson, provides restricted visualization and incurs a risk of neurovascular lesion. We describe a minimally invasive medial hip approach providing broader exposure of extra- and intra-articular elements in a space free of neurovascular str...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.06.009
更新日期：2014-10-01 00:00:00
abstract：INTRODUCTION:Shoulder surgery has been rapidly expanding over the past 20 years and now makes up a large share of orthopedic surgery practice. Data on how this activity has changed is not available in France due to a lack of registries. The study objectives were to: (1) quantify the number of shoulder surgeries in Fran...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.04.019
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:This study aimed to compare the clinical, radiological, aesthetic and economic outcomes of extension pin block technique and extension orthosis in closed mallet fractures with more than 1/3 of articular surface involvement without subluxation (Wehbe and Schneider classification type IB and IC). MATERIALS AND M...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.102764
更新日期：2020-12-23 00:00:00
abstract：BACKGROUND:The treatment of acetabular fracture involving the quadrilateral plate is a technical challenge, and the optimal management of the fracture remains controversial. We have designed a new implant (named acetabular fracture reduction internal fixator, AFRIF) for acetabular fractures involving the quadrilateral ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.09.026
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Anterior shoulder dislocation causes injury to the inferior gleno-humeral ligament (IGHL) and capsule. Clinical manoeuvres currently used to evaluate the IGHL test for, and may induce, apprehension. We developed the hyper extension-internal rotation (HERI) test to assess the IGHL and inferior capsule without...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.10.006
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Trochanteric fractures are a major source of mortality, morbidity and functional impairment in the elderly. Morbidity is closely related to the degree of instability and comminution and is substantially influenced by the quality of reduction and internal fixation. Advanced age and associated co-morbidities a...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.08.001
更新日期：2009-11-01 00:00:00
abstract：:We report a case of conversion paralysis after cervical spine arthroplasty performed in a 45-year-old woman to treat cervico-brachial neuralgia due to a left-sided C6-C7 disc herniation. Upon awakening from the anaesthesia, she had left hemiplegia sparing the face, with normal sensory function. Magnetic resonance imag...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2015.06.001
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:The risk of damage to cutaneous sensory nerves located near portals has been evaluated for both conventional arthroscopy and extra-articular posterior ankle endoscopy. The objective of the anatomic study reported here was to assess the risk of injury to the sural nerve or lateral calcaneal nerve while using ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.10.019
更新日期：2015-02-01 00:00:00
abstract：INTRODUCTION:Total disc replacement (TDR) has existed since 1984 but is not covered by the French national healthcare system (Sécurité Sociale). The present study assessed clinical outcomes, and also pre-, peri- and postoperative treatment costs. HYPOTHESIS:Surgical management of low back pain (LBP) provides medical a...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.04.004
更新日期：2011-09-01 00:00:00
abstract：:Proximal femoral fracture in elderly subjects is a major event that is life-threatening in the medium-to-long term. Advanced age, male gender and number of comorbidities largely account for high mortality and require geriatric expertise. Protein-energy malnutrition and bone demineralization increase mortality. Mortali...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2017.04.020
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:One-stage bilateral hip replacement has the advantage of involving a single anesthesia, single hospital admission and single rehabilitation program. The theoretic drawback is increased surgical risk. Few French series have been reported, and none with comparison versus unilateral arthroplasty. We therefore c...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.02.003
更新日期：2020-05-01 00:00:00
abstract：INTRODUCTION:Properly placed tibial and femoral tunnels in anterior cruciate ligament (ACL) reconstruction are important because tunnel misplacement can cause abnormal changes in graft tension patterns, resulting in postoperative knee laxity. To overcome the inaccuracy of tunnel position in ACL reconstruction, intraope...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.otsr.2019.04.011
更新日期：2019-10-01 00:00:00
abstract：INTRODUCTION:The treatment of total hip arthroplasty (THA) infections is long and costly. However,the number of studies in the literature analysing the real cost of THA revision in relation to their etiology, including infection, is limited. The aim of this retrospective study was to determine the cost of revision of i...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.rcot.2010.02.005
更新日期：2010-04-01 00:00:00
