Abstract:
PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred twenty-nine patients with a traumatic femoral neck fracture that underwent HHA at our level-I trauma centre between 2005 and 2009 were prospectively randomized to a high-vacuum drainage or an ABT device. In this single-institution analysis, the number of RBC units as well as the amount of retransfused shed blood were recorded and compared according to study groups. Additionally, the significance of confounding factors for allogenic blood demand such as age, gender, pre-operative Hb level, surgical approach, type of prosthesis and amount of intra-operative RBC units were evaluated using multivariate analysis. RESULTS:One hundred thirty-five patients were randomized in the high-vacuum group while 94 patients received an ABT device. Intention to treat analysis revealed no significant difference in post-operative RBC demand (ABT: 0.87 RBC, high-vacuum drainage: 1.01 RBC; P = 0.374). However, patients that actually received retransfusion (N = 35) had a reduced post-operative RBC demand (0.49 RBC units, P = 0.014). CONCLUSION:While only one third of trauma patients treated with an ABT device during HHA actually receive retransfusion, retransfused patients seem to significantly benefit from this treatment as reflected by a reduced pos-toperative RBC demand.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Starlinger J,Schmidt R,Machold Wdoi
10.1007/s00264-016-3143-1subject
Has Abstractpub_date
2016-12-01 00:00:00pages
2575-2579issue
12eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3143-1journal_volume
40pub_type
杂志文章,随机对照试验abstract:PURPOSE:Controversy still surrounds the optimal treatment for patients with displaced intra-articular calcaneal fractures (DIACF). An up-to-date meta-analysis was performed to evaluate clinical effectiveness of surgical treatment for DIACF compared with nonsurgical treatment. METHODS:We systematically searched four el...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-012-1563-0
更新日期:2012-08-01 00:00:00
abstract::We performed a clinical and radiographic review of 15 patients (19 limbs) with longitudinal deficiency of the tibia treated between 1981 and 2001. Ten limbs with Kalamchi type I deficiencies were managed by through-knee amputation. Five type II deficiencies were treated by foot ablation and tibiofibular synostosis, ei...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0490-5
更新日期:2003-01-01 00:00:00
abstract::We applied four published classifications for assessment of heterotopic ossification after total hip arthroplasty (Arcq, Brooker, DeLee and Della Valle [1, 2, 5, 6]. The average incidence of heterotopic ossification varied from 19.8% to 27.7%. The inter-observer reliability of the various classifications was determine...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0603-9
更新日期:2005-06-01 00:00:00
abstract:PURPOSE:Our aim was to elucidate the pooled outcome of the CementLess Spotorno (CLS) system in total hip arthroplasty (THA). METHODS:We compared the outcome of clinical inventor studies, independent clinical studies, and worldwide register data. The main endpoints for analysis were revision rates. RESULTS:Twenty clin...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1867-8
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3174-7
更新日期:2016-10-01 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:PURPOSE:The purpose of this study was to examine the effect of subperiosteal injection of chondroinductive growth factors on the histological and biomechanical outcome of autologous osteoperiosteal grafts. METHODS:Thirty six standardised osteochondral defects were created in the trochlear groove of 18 Göttinger Minipi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1827-3
更新日期:2013-06-01 00:00:00
abstract::Joint thickness was assessed using three-dimensional modelling techniques before and after the Bombelli intertrochanteric valgus-extension osteotomy. Before operation, the average thickness of the entire hemispherical surface was 2.3 mm, which was significantly thinner than that of the controls. After operation, 11 of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00185229
更新日期:1995-01-01 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::Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-4116-3
更新日期:2019-01-01 00:00:00
abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0320-2
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:Extracorporeal shockwave therapy (ESWT) has become a common practice for treating knee osteoarthritis (OA). However, the effectiveness and safety of this treatment are still questionable. This meta-analysis is aimed at determining the degree of pain reduction and functional outcome after ESWT for knee OA. METH...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04489-x
更新日期:2020-05-01 00:00:00
abstract::A prospective randomised trial of treatment of ruptured ankle ligaments was carried out at our institute. Two hundred patients were randomly assigned to 4 treatment groups. The results at 1 and 2 years after injury showed that functional treatment with a newly designed brace appeared to be the method of choice. This g...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00192302
更新日期:1991-01-01 00:00:00
abstract::Between February 1996 and July 2000 eight patients (ages 35-74 years) with nine severely impacted humeral head fractures were operated on with the aim of preserving the humeral heads. Patients were treated surgically with open reduction, autologous bone grafting, and internal fixation with a screw-wiring technique. Th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100298
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage p...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1463-8
更新日期:2012-06-01 00:00:00
abstract::We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0227-3
更新日期:2007-08-01 00:00:00
abstract::In a randomised clinical trial in 50 patients with symptomatic osteoarthritis of the medial compartment of the knee, the clinical results of high tibial osteotomy (HTO) according to the open wedge osteotomy (OWO) and closed wedge osteotomy (CWO) were compared. In both groups locked plate fixation was used. Clinical an...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-009-0861-7
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Surgical management of humeral fractures associated with radial nerve palsy remains controversial. Some advocate surgical treatment in emergency while others recommend nonoperative treatment. PURPOSE:The aim of the study was to assess nerve recovery in a series of patients treated with open reduction and in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2745-3
更新日期:2015-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3817-y
更新日期:2018-08-01 00:00:00
abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1645-z
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:Restoring a neutral mechanical axis in total knee arthroplasty (TKA) (within ±3° of varus/valgus) is associated with superior functional outcome and reduced early implant failure. Using conventional alignment jigs results in malalignment in >20 % of cases. In this study, we investigated the reduction of outlier...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2529-1
更新日期:2015-03-01 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:PURPOSES:Post arthroplasty gait analysis has up till now been performed on subjects walking slowly on flat ground rather than challenging them at faster speeds or walking uphill. We therefore asked: (1) Is there a measurable difference in the performance of hip resurfacing arthroplasty (HRA) and total hip arthroplasty ...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-013-1819-3
更新日期:2013-05-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3558-3
更新日期:2018-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3412-7
更新日期:2017-07-01 00:00:00
abstract::The purpose of this study was to evaluate the effects of partial and full weightbearing after cementless total hip arthroplasty over a two year follow-up period. Fifty-nine women and 41 men (average age 61 years) received an uncemented Spotorno stem and were randomised into a full and a partial weightbearing group. No...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00264-010-1089-2
更新日期:2011-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0865-3
更新日期:2010-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2391-1
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:Deformation of the talus in idiopathic congenital clubfeet is a known problem after treatment. However evidence on types of talus deformation and clinical relevance is rare. The aims of this study were first to define different types of talus deformation, and second, to evaluate the impact of these types on lon...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3301-5
更新日期:2017-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04633-7
更新日期:2020-09-01 00:00:00