Abstract:
:Orthopedists have expressed concerns regarding the utility for and applicability to their practices of guidelines from the American College of Chest Physicians (ACCP) for thromboprophylaxis in the settings of total hip and total knee arthroplasty (THA and TKA, respectively). These concerns include the acceptance by the ACCP of venographically assessed asymptomatic deep venous thrombosis as a meaningful clinical trial endpoint and a potential underestimation by the ACCP of the true risk of major bleeding and wound complication in unselected patient populations outside carefully controlled clinical trials. Because symptomatic pulmonary embolism is rare after THA and TKA, the American Academy of Orthopaedic Surgeons has developed a clinical practice guideline focused on preventing this complication while minimizing the risk of bleeding due to pharmacologic prophylaxis. These guidelines are reviewed here.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Lachiewicz PFdoi
10.3928/01477447-20091103-52subject
Has Abstractpub_date
2009-12-01 00:00:00pages
74-8issue
12 Suppleissn
0147-7447issn
1938-2367journal_volume
32pub_type
杂志文章,实务指引相关文献
ORTHOPEDICS文献大全abstract::The blood loss that accompanies total knee arthroplasty (TKA) can be substantial. Many patients need perioperative blood transfusions. To avoid anemia and transfusion-related complications, the amount of blood loss and need for blood transfusions must be reduced. If standard jig instruments are used, an opening of the...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100526-08
更新日期:2010-07-13 00:00:00
abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140825-92
更新日期:2014-09-01 00:00:00
abstract::Soft-tissue chondromas are rare and benign soft-tissue tumors. Over 95% occur in the hands and feet. They are seen in both sexes equally and mainly occur in patients aged 30-60 years. If excised fully, they do not reoccur, and no cases in the literature have reported malignant transformations. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20070301-13
更新日期:2007-03-01 00:00:00
abstract::A carbon fiber stackable cage system is presented to promote the reconstruction of the anterior column after vertebrectomy or corpectomy in tumor and trauma surgery. Modularity, immediate stability, early fusion of the graft, radiolucency, and no risk of disease transmission are the main advantages of this system. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Dynamization of fracture fixation constructs provides early rigidity for primary bone healing and late motion for secondary healing. A review of laboratory, animal, and clinical studies investigating the impact, and optimal timing, of dynamization is limited by lack of standardization across studies. However, in anima...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20200213-08
更新日期:2020-05-01 00:00:00
abstract::The five kinds of prosthetic materials: powders of cobalt alloy, stainless steel, alumina ceramic, HDP plastic and bone cement, were injected to the knee joints of 16 rats for each material. Two controls were used, one with saline solution and the other untreated. Some of the rats were sacrificed at one week, being le...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::This study determined the relationship of various pelvic landmarks to the pelvic plane in the lateral position. Five whole-body cadavers were used in this study. All navigation data were collected using the OrthoPilot navigation system (B. Braun Aesculap, Tuttlingen, Germany) to register all landmarks. The pelvic plan...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-51
更新日期:2009-10-01 00:00:00
abstract::In a prospective double blind study, 26 patients were evaluated for postoperative pain relief with use of epidural morphine. The variable in this study was the addition of paravertebral bupivacaine used in 14 patients. The addition of the bupivacaine did not have a statistically significant effect on lowering the anal...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:1986-12-01 00:00:00
abstract::Little is known about the impact of operative time, as an independent and interval variable, on general health perioperative outcomes following anterior cervical diskectomy and fusion. Therefore, patients undergoing a 1-level anterior cervical diskectomy and fusion were identified in the American College of Surgeons N...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180424-02
更新日期:2018-07-01 00:00:00
abstract::The purpose of this retrospective cohort study was to evaluate whether there is an increased rate of short-term medical complications following short vs long cephalomedullary nails for the treatment of intertrochanteric hip fractures. A total of 899 patients treated surgically with cephalomedullary nails from January ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180711-03
更新日期:2018-09-01 00:00:00
abstract::Orthopedic patients are often instructed on how much weight to bear on an injured or postoperative extremity. Although specific weight-bearing instructions are given to a majority of lower-extremity orthopedic patients, the ability of patients to comply with these instructions is questioned in the medical literature. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-14
更新日期:2012-01-16 00:00:00
abstract::Instability is one of the most common causes of failure of total knee arthroplasty (TKA). The presentation can vary from pain to frank dislocation with the etiologies just as varied. Instability after TKA can be classified by where the instability occurs in the knee's arc of motion as well as the chronicity of the pro...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110714-46
更新日期:2011-09-09 00:00:00
abstract::We report a rare case of femoral nerve palsy secondary to hematoma compression of the iliacus. The patient presented with pain 2 days after performing a double kick in karate. The femoral nerve symptoms (numbness and weakness) did not begin until 3 to 4 days after the initial trauma. Magnetic resonance imaging (MRI) c...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080201-37
更新日期:2008-02-01 00:00:00
abstract::Aseptic loosening is a common cause of long-term failure of cemented femoral components in hip arthroplasty. Initiation of aseptic loosening has been associated with suboptimal cement mantle thickness and uniformity with the resultant progressive development of detrimental cement mantle defects. Long-term success is h...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-08-01 00:00:00
abstract::This article describes the case of a 77-year-old man with a recurrent posterior shoulder dislocation, treated with humeral hemiarthroplasty and reconstruction of a large posteroinferior glenoid defect with a bone block created from humeral head autograft. On examination, the patient's left arm was held in internal rot...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120123-19
更新日期:2012-02-17 00:00:00
abstract::Crowdfunding for medical expenses is growing in popularity. Through several websites, patients create public campaign profiles to which donors can contribute. Research on medical crowdfunding is limited, and there have been no studies of crowdfunding in orthopedics. Active medical crowdfunding campaigns for orthopedic...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20171114-04
更新日期:2018-01-01 00:00:00
abstract::A combination of external and internal fixation techniques for a fibular lengthening procedure using the Ilizarov method is described. The technique is minimally invasive, allows precise deformity correction, enables early weight bearing, and minimizes the time that the patient wears the external fixator. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::Incorrect bone tunnel position, particularly on the femoral side, is a frequent cause of failed anterior cruciate ligament reconstruction. Several studies have reported that drilling the femoral tunnel through the anteromedial portal allows a more anatomical placement on the lateral femoral condyle and higher knee sta...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-14
更新日期:2012-08-01 00:00:00
abstract::Heterotopic ossification is a known complication of traumatic injuries. To minimize iatrogenic complications during excision, an understanding of anatomic relationships is essential. Current imaging modalities, such as computed tomography and plain radiographs, are limited to providing a 2-dimensional representation o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130327-06
更新日期:2013-04-01 00:00:00
abstract::Bone grafts are used for reconstructing bone defects caused by implant-associated complications, trauma, and tumors. Surgery with bone allografts is complex and time consuming; therefore, it is prone to a higher infection rate (2.0%-2.5%). In the case of site infection, systemically administered antibiotics cannot rea...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140728-50
更新日期:2014-08-01 00:00:00
abstract::A once annealed highly cross-linked polyethylene (HXLPE) was introduced in 1998. Concerns regarding its long-term performance and oxidative resistance exist because of the presence of retained free radicals. The authors studied 48 patients with 50 hip implants having an average age of 62 years. They were followed for ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160414-03
更新日期:2016-05-01 00:00:00
abstract::Knee pain is one of the most frequent complaints evaluated by orthopedic surgeons. It encompasses a broad range of pathology and can present in a variety of ways. Most of this pain can be attributed to essential structures of the knee, including the menisci, cruciate or collateral ligaments, and articular cartilage. H...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20151218-06
更新日期:2016-01-01 00:00:00
abstract::As nonfatal firearm-related injuries continue to increase, calculating the financial cost these injuries have on an urban trauma center may help justify funding for intervention programs. The impact these injuries have on orthopedic resident education may lead to changes in the training of some urban-based programs. T...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151228-02
更新日期:2016-01-01 00:00:00
abstract::High-pressure water injection injuries of the hand are uncommon, and there is limited literature to guide their treatment. The ideal management of these injuries, whether nonoperative with close observation or early surgical debridement, remains unknown. The authors retrospectively identified a cohort of patients with...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180123-04
更新日期:2018-03-01 00:00:00
abstract::Pediatric supracondylar humerus fractures are common and often require surgical intervention by an orthopedic surgeon, who may or may not have pediatric subspecialty training. This study used a large national database to assess for potential differences in perioperative outcomes for pediatric supracondylar humerus fra...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20201210-03
更新日期:2020-12-14 00:00:00
abstract::It is uncommon for femoral neck fractures to occur after proximal femoral hardware removal because age, osteoporosis, and technical error are often noted as the causes for this type of fracture. However, excessive alcohol consumption and failure to comply with protected weight bearing for 6 weeks increases the risk of...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-34
更新日期:2012-01-16 00:00:00
abstract::Under certain clinical conditions, posterior stabilization of the cervical spine, supplemented with polymethylmethacrylate (PMMA), is an accepted method of achieving stability. A technique is described in which "cement forms" are used to limit the spread of PMMA and to allow bone graft placement in the lateral paraspi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract::Posterior short-segment instrumentation for thoracolumbar burst fracture is known for a high implant failure rate because of the lack of anterior support. Anterior body augmentation by transpedicular bone grafting has been developed as an alternative to overcome this failure. However, the efficacy of transpedicular bo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090527-11
更新日期:2009-07-01 00:00:00
abstract::Prolonging thromboprophylaxis after hospital discharge following surgery reduces the incidence of venographic and symptomatic venous thromboembolism (VTE), although the effects on post-thrombotic syndrome are not yet clear. Oral anticoagulants and low-molecular-weight heparins (LMWHs) may be used for extended outpatie...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 00:00:00
abstract::Sacrectomy is intended to resect aggressive local and life-threatening disease. Reconstruction can be difficult. This article reports on the use of sacrectomy for tumor and tumor-like conditions. Procedures included 9 partial, 7 subtotal, 7 hemi-, and 4 total sacrectomies. Of 22 patients with primary malignant disease...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00