Abstract：
:We conducted a prospective, randomised study on primary total knee replacements to evaluate the effects of tourniquet use on total calculated blood loss using Gross formula, post-operative measured blood loss, operating time, need for blood transfusion, post-operative pain, analgesia requirement and knee flexion. Forty patients were operated on with the use of an arterial tourniquet with pressure of 350 mmHg (group A), and 40 patients without the use of a tourniquet (group B). Total calculated blood loss was significantly increased ( P=0.0165) without the use of a tourniquet. There was no significant difference in measured blood loss or operating time. The median units of blood given were similar in both groups. In spite of autologous transfusions 14% of patients received additional homologous transfusions. At 6 h post-operatively pain was significantly less ( P=0.0458) in group B but was similar at 24 and 48 h. There was no significant difference in analgesia requirement. The mean change in total flexion in group B was significantly better ( P<0.001) at 5 days than in group A, but knee flexion was similar at 10 days and 3 months. Knee arthroplasty operations without the use of a tourniquet cause a greater blood loss but have only small benefits in the early post-operative period.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Vandenbussche E,Duranthon LD,Couturier M,Pidhorz L,Augereau Bdoi
10.1007/s00264-002-0360-6keywords:
subject
Has Abstractpub_date
2002-01-01 00:00:00pages
306-9issue
5eissn
0341-2695issn
1432-5195journal_volume
26pub_type
临床试验,杂志文章,随机对照试验abstract：:Lower lumbar spinal fusion was carried out in 72 patients by a technique which involved screw fixation of the facet joints. Stability was achieved and mobilisation was allowed immediately. Radiographs after operation showed bony fusion in 94.5%. Pain was diminished and 76% of the patients would undergo the same treatm...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182698
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:This prospective randomized trial is to determine the effectiveness of treating lumbar facet syndrome with oral diclofenac, methylprednisolone facet joint injection or both. METHODS:We enrolled lumbar facet syndrome patients treated at Srinagarind Hospital. Enrolled patients were randomly assigned to receive 1...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-016-3154-y
更新日期：2016-06-01 00:00:00
abstract：INTRODUCTION:There is no evidence that anatomically correct anterior cruciate ligament reconstruction (ACLR) offers lower rate of degenerative changes development or that it would lead to a better outcome. The significance and understanding of the abnormal anterior tibial translation (ATT) in ACLR patients is yet to be...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3386-x
更新日期：2017-04-01 00:00:00
abstract：PURPOSE:The aim of the present study was to compare the clinical outcomes of mobile-bearing unicompartmental knee arthroplasty (MB-UKA) and open-wedge high tibial osteotomy (OWHTO) for advanced isolated medial osteoarthritis (OA). METHODS:Patients with advanced medial compartment OA (Ahlbäck grade ≥ II) who underwent ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3880-4
更新日期：2018-10-01 00:00:00
abstract：PURPOSE:The study compared the impact of the Kirschner wires versus Herbert screw fixation on the rate of union, time to union, correction of deformity, and clinical outcome in adults with unstable scaphoid waist fracture nonunions without avascular necrosis. METHODS:We prospectively randomized 122 patients to undergo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04730-7
更新日期：2020-11-01 00:00:00
abstract：:In vitro and in vivo studies have demonstrated the possibility that cancellous bone could be used as a carrier of antibiotics for local delivery. However, the release of antibiotics from the loaded cancellous bone is too rapid and uncertain. We hypothesised that demineralisation of cancellous bone would increase the a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0384-y
更新日期：2003-01-01 00:00:00
abstract：INTRODUCTION:Dual-mobility cups (DMC) are gaining popularity mainly for their reduced rate of dislocation following total hip arthroplasty (THA). Currently, indication for DMC use extends beyond patients with high risk of dislocation or revision THA cases. Many authors reported DMC outcomes in primary THA for all aetio...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-020-04791-8
更新日期：2020-09-19 00:00:00
abstract：:Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabula...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0422-9
更新日期：2003-01-01 00:00:00
abstract：:Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267752
更新日期：1986-06-01 00:00:00
abstract：:In 16 patients with ulnar wrist pain, we performed primary arthroscopic or open repair of the peripheral rim tears of the triangular fibrocartilage complex (TFCC) (14 ulnar, 4 volar, and 3 radial tears). The wrist function was assessed before and 1 year after the repair using the Mayo-modified wrist score. The average...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100285
更新日期：2001-01-01 00:00:00
abstract：:The objective of this study was to select factors related to the prognosis and curative effect for posterolateral fusion (PLF) of lumbar low-grade isthmic spondylolisthesis (LGIS). Of 125 patients who accepted PLF treatment, 119 obtained solid union in this prospective study. Statistical analysis was used to evaluate ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0627-7
更新日期：2009-10-01 00:00:00
abstract：:We measured cytokine secretion patterns in peripheral blood and granulation tissue by flow cytometry in 16 human immunodeficiency virus (HIV) positive and 26 HIV negative patients with spinal tuberculosis. Anti-retroviral therapy was not prescribed. There were no significant differences in the postoperative morbidity ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000125
更新日期：2000-01-01 00:00:00
abstract：:Joint arthroplasty registries show an increased rate of aseptic loosening in uncemented acetabular components as compared to cemented acetabular components. Since loosening is associated with particulate wear debris, we postulated that uncemented acetabular components demonstrate a higher polyethylene wear rate than c...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-012-1738-8
更新日期：2013-01-01 00:00:00
abstract：:The objective of this study was to confirm the presence and frequency of a bifurcation of the popliteus tendon. The popliteus tendon has received attention due to its important function as a knee stabiliser. Several anatomical variants have recently been reported, one of them being a bifurcated tendon. However, the ac...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0685-x
更新日期：2009-12-01 00:00:00
abstract：:After division of the tendo achilles in rats heterotopic bone forms in the muscle and in the tendon stumps. Tenotomy was performed in 26 male rats. Thirteen received Verapamil (36 mm/Kg) for six days per week for five months, and the remainder were not given this drug. The onset of heterotopic ossification was monitor...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182655
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS:We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group includ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4150-1
更新日期：2019-01-01 00:00:00
abstract：:The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without re...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0674-2
更新日期：2005-10-01 00:00:00
abstract：:Traumatic thumb defects significantly affect the function and appearance of the hand; thus, thumb reconstruction is very important in clinical practice. In our report, three reconstruction strategies of toe-to-thumb transplantation, based on the amputation level of the thumb, were used for immediate thumb reconstructi...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1044-2
更新日期：2011-04-01 00:00:00
abstract：:In this prospective case series we evaluated the effectiveness and safety of using an anterior approach to paediatric supracondylar humerus fractures. We gathered data on 46 children that had a displaced supracondylar fracture of the humerus. All the patients had sustained a Gartland type III extension fracture that c...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0668-y
更新日期：2009-10-01 00:00:00
abstract：:To measure the strength of the juxta-articular trabecular bone in knee replacement, an osteopenetrometer was developed. The principle of its function is tha a needle penetrates the bony tissue and during this penetration the pressure on and the displacement of the needle is registered. The instrument was tested on cad...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00271079
更新日期：1981-01-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1394-4
更新日期：2012-04-01 00:00:00
abstract：PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-04284-9
更新日期：2019-12-01 00:00:00
abstract：PURPOSE:Prosthetic joint infections (PJI) are a serious and challenging complication after total joint arthroplasty. According to the literature, most PJI are monomicrobial infections caused by gram-positive cocci. The number of polymicrobial PJI might be underrepresented in the literature and only limited data are ava...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2871-y
更新日期：2016-07-01 00:00:00
abstract：:To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050276
更新日期：1998-01-01 00:00:00
abstract：PURPOSE:In order to test the validity of the selected surgical technique as a way to manage persistent synovitis of the knee joint, as well as to slow down the cartilage and bone destruction, we studied the dynamics of biomarkers of inflammatory conditions, and bone and cartilage destruction after total arthroscopic sy...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3634-8
更新日期：2017-11-01 00:00:00
abstract：:Reports in the literature have suggested a high incidence of congenital deformities, including congenital talipes equinovarus (CTEV), in many Pacific Islands. This study performed a retrospective analysis of cases of CTEV in an isolated region of Papua New Guinea over a 2-year period. Data was collected on the inciden...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0511-x
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:The myofibroblast, a contractile fibroblastic cell expressing α-smooth muscle actin (α-SMA), has been reported to play a role in ligament healing. The aim of this study was to evaluate the feasibility of transplanting culture-derived myofibroblasts in injured rabbit medial collateral ligaments (MCL) and in inta...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1519-4
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析
doi：10.1007/s00264-016-3220-5
更新日期：2016-12-01 00:00:00
abstract：:We describe a hemiarthroplasty of the shoulder with an acrylic Judet hip prosthesis, inserted after the excision of a giant cell tumour of the head of the humerus, which functioned well for 39 years. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:The subtle diagnosis of widening of the mortice requires special radiographs which also make possible the recognition and extent of shortening of the fibula. With the help of a special compression/distraction device, a lengthening osteotomy can be carried out more easily then by conventional means. a reconstructive le...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266071
更新日期：1981-01-01 00:00:00
