Abstract：
BACKGROUND:Perioperative blood management is an important issue in the treatment of elderly patients at an increased risk of postoperative complications. Accordingly, tranexamic acid (TXA) is widely administered to reduce blood loss and transfusion requirements. In this case-control study, the effect of topical TXA on the outcomes of elderly patients with femoral neck fractures after hemiarthroplasty was evaluated. METHODS:This study enrolled elderly patients (age ≥ 70 years) who underwent cementless bipolar hemiarthroplasty for femoral neck fractures between January 2015 and January 2017. The study group comprised 72 patients who received TXA via topical administration during surgery. After propensity matching, the control group comprised 72 patients who did not receive topical TXA. The perioperative and postoperative parameters of the two groups were compared. RESULTS:The estimated blood loss, vacuum tube drainage, and total transfusion volume were significantly lower in the study group than the control (p = 0.024, 0.003, and 0.019, respectively). Despite a lack of significant intergroup differences in the lengths of ICU and hospital stays; rates of ICU admission, venous thromboembolism, delirium, and readmission; and rates of in-hospital and 1-year mortality, the incidence of postoperative medical complications was significantly lower in the study group (p = 0.003). CONCLUSION:Topical TXA administration appears to be a simple and effective option for reducing blood loss, transfusion requirements, and medical complications after hemiarthroplasty in elderly patients with femoral neck fractures.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Kwak DK,Jang CY,Kim DH,Rhyu SH,Hwang JH,Yoo JHdoi
10.1186/s12891-019-2615-zsubject
Has Abstractpub_date
2019-05-17 00:00:00pages
228issue
1issn
1471-2474pii
10.1186/s12891-019-2615-zjournal_volume
20pub_type
杂志文章abstract：BACKGROUND:The optimal anchor density in adolescent idiopathic scoliosis (AIS) surgery to achieve good curve correction remains unclear. The purpose of the study is to analyze the correlations between three-dimensional curve correction and anchor density in the pedicle screw-based posterior fusion of AIS. METHODS:One ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-019-2844-1
更新日期：2019-10-27 00:00:00
abstract：BACKGROUND:Injury incidence and prevalence in running populations have been investigated and documented in several studies. However, knowledge about injury etiology and prevention is needed. Training errors in running are modifiable risk factors and people engaged in recreational running need evidence-based running sch...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12891-016-1020-0
更新日期：2016-04-23 00:00:00
abstract：BACKGROUND:Oscarvit (OSC) is an in-house preparation consisting of calcium, magnesium, phosphorus, strontium, Vitamin D, and eggshell membrane hydrolysate containing naturally occurring glycosaminoglycans and sulfated glycoproteins. OSC has been used both in an open-label human study and in vitro in osteoblasts. METHO...
journal_title：BMC musculoskeletal disorders
pub_type： 临床试验,杂志文章
doi：10.1186/s12891-017-1860-2
更新日期：2017-11-28 00:00:00
abstract：BACKGROUND:It has previously been shown that low back pain (LBP) often presents already in the teenage years and that previous LBP predicts future LBP. It is also well documented that there is a large degree of comorbidity associated with LBP, both in adolescents and adults. The objective of this study is to gain a dee...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-7-29
更新日期：2006-03-16 00:00:00
abstract：PURPOSE:The present study aimed to compare the capabilities of preoperative usual and maximal gait speeds in predicting functional recovery in patients who have undergone total hip arthroplasty (THA). METHODS:Primary and unilateral THAs were performed in 317 patients, and the proportion of patients who achieved unassi...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-020-3093-z
更新日期：2020-02-07 00:00:00
abstract：BACKGROUND:Current treatments for the prevention of thromboembolism include heparin and low-molecular weight heparins (LMWHs). A number of studies have suggested that long term administration of these drugs may adversely affect osteoblasts and therefore, bone metabolism. Xarelto™ (Rivaroxaban) is a new anti-thrombotic ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-12-247
更新日期：2011-10-28 00:00:00
abstract：BACKGROUND:The clinical effectiveness of complementary and alternative medicines (CAMs) is widely debated because of a lack of clinical trials. The internet may provide an effective and economical approach for undertaking randomised controlled trials (RCTs) of low-risk interventions. We investigated whether the interne...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2474-9-4
更新日期：2008-01-11 00:00:00
abstract：BACKGROUND:In the rehabilitation of patients with prolonged back and neck pain, the physical impairment should be assessed. Previous research has exclusively engaged medically educated examiners, mostly physiotherapists. However, less biased evaluations of efforts at rehabilitation might be achieved by personnel standi...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-8-31
更新日期：2007-04-03 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-14-355
更新日期：2013-12-17 00:00:00
abstract：BACKGROUND:Gratifying long-term results are difficult to achieve when reconstructing osteoarthritic finger joints. Implant surgery is the most commonly used method to restore function and dexterity. However, all types of implant have disadvantages and may be a less favorable option in some cases, especially in young pa...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-020-03310-5
更新日期：2020-04-29 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-015-0529-y
更新日期：2015-03-29 00:00:00
abstract：BACKGROUND:This study evaluated the effect of early anti-tumor necrosis factor (TNF) therapy in patients with severe rheumatoid arthritis (RA) on the subsequent risk of total knee replacement (TKR) surgery. METHODS:This retrospective observational study included a hospital-based cohort of 200 patients diagnosed with s...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-017-1685-z
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Although no prospective studies have compared functional results of trochanteric osteotomy and a non-trochanteric approach, most surgeons feel that trochanteric osteotomy is outdated in simple hip arthroplasty. Reasons not to perform an osteotomy include the fear of longer rehabilitation and worse (final) fu...
journal_title：BMC musculoskeletal disorders
pub_type： 临床试验,杂志文章
doi：10.1186/1471-2474-12-138
更新日期：2011-06-26 00:00:00
abstract：BACKGROUND:Different substances are combined to compensate for each other's drawbacks and create an appropriate biomaterial. A novel Polyvinyl alcohol (PVA)/chitosan (CS) porous hydrogel was designed and applied to the treatment of osteochondral defects. METHODS:Hydrogels of various PVA/CS ratios were tested for physi...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-019-2644-7
更新日期：2019-05-29 00:00:00
abstract：BACKGROUND:Osteoradionecrosis (ORN) is a complication that occurs after radiotherapy for head or neck malignancies. ORN of the spine is rare, with only few cases affecting the cervical spine reported to date. To our knowledge, no case of lumbar ORN has been reported. We report a rare case of ORN in the lumbar spine tha...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,评审
doi：10.1186/s12891-019-3024-z
更新日期：2020-01-04 00:00:00
abstract：BACKGROUND:Herein, we evaluated, retrospectively, the effect of posterior capsular repair upon postoperative hip dislocation subsequent to total hip arthroplasty (THA) incorporating a posterolateral approach. METHODS:A total of 181 patients undergoing 204 primary non-complicated THA surgical procedures in the period f...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-9-29
更新日期：2008-02-29 00:00:00
abstract：BACKGROUND:Individuals with diabetes have been found previously to be at increased risk of non-traumatic fracture. However, it is unclear if these individuals are being identified and treated for osteoporosis. METHODS:7753 Canadians over 50 years of age were followed prospectively for 10 years. 606/7753 (7.8%) of had ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2474-15-201
更新日期：2014-06-11 00:00:00
abstract：BACKGROUND:One in three women and one in five men are expected to experience a minimal-trauma-fracture after the age of 50-years, which increases the risk of subsequent fracture. Importantly, timely diagnosis and optimal treatment in the form of a fracture liaison service (FLS), has been shown to reduce this risk of a ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,多中心研究
doi：10.1186/s12891-020-3161-4
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-019-2429-z
更新日期：2019-01-31 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
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更新日期：2011-04-21 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-018-2120-9
更新日期：2018-06-09 00:00:00
abstract：BACKGROUND:Fractures of the hand and wrist are one of the most common injuries seen in adults. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire has been developed as a patient-reported assessment of pain and disability to evaluate the outcome after hand and wrist injuries. Patient reported outcomes (...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-018-2114-7
更新日期：2018-06-30 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2474-9-153
更新日期：2008-11-18 00:00:00
abstract：BACKGROUND:Red flags are signs and symptoms that are possible indicators of serious spinal pathology. There is limited evidence or guidance on how red flags should be used in practice. Due to the lack of robust evidence for many red flags their use has been questioned. The aim was to conduct a systematic review specifi...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,评审
doi：10.1186/s12891-019-2949-6
更新日期：2019-12-13 00:00:00
abstract：BACKGROUND:Reassurance from physicians is commonly recommended in guidelines for the management of low back pain (LBP), but the process of reassurance and its impact on patients is poorly researched. We aimed to develop a valid and reliable measure of the process of reassurance during LBP consultations. METHODS:Items ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-016-1144-2
更新日期：2016-07-12 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-017-1607-0
更新日期：2017-06-07 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-10-166
更新日期：2009-12-29 00:00:00
abstract：BACKGROUND:Open reduction and internal fixation is often used for the treatment of distal radius fracture. Opening the pronator quadratus muscle during the process of open reduction and internal fixation is necessary to achieve sufficient exposure. Therefore, knowledge on how to suture the pronator quadratus muscle wil...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-020-03450-8
更新日期：2020-07-11 00:00:00
abstract：BACKGROUND:Three dimensional (3D) markerless asymmetry analysis was developed to assess and monitor the scoliotic curve. While the developed surface topography (ST) indices demonstrated a strong correlation with the Cobb angle and its change over time, it was reported that the method requires an expert for monitoring t...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-018-2303-4
更新日期：2018-10-24 00:00:00
