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Factors that impact expectations before total knee arthroplasty.
TLDR
It is suggested that high, possibly unrealistic, expectations of TKA are common and should be moderated to maintain patient satisfaction and the effect of patient attributes on expectations is examined. Expand
Modular taper junction corrosion and failure: how to approach a recalled total hip arthroplasty implant.
TLDR
Recently, two different modular stem systems from a single manufacturer were voluntarily recalled due to concerns of failure of the modular taper junction, and it is reviewed to evaluate whether this is a manufacturer-specific defect or indicative of a broader trend. Expand
Modern treatment of infected total knee arthroplasty with a 2-stage reimplantation protocol.
TLDR
The results support previous studies that demonstrated the effectiveness of a 2-stage reimplantation protocol with a standard 1:8 minimal bactericidal titer for treating infections after TKA, including MDR organisms. Expand
The increased utilization of operating room time in patients with increased BMI during primary total hip arthroplasty.
TLDR
Obese patients spend more time in the OR during THA, reflecting the burden obesity poses to surgeons and hospitals, and significant differences were found between normal weight patients and all 3 obesity groups in total room and surgery times. Expand
Recent advances in venous thromboembolic prophylaxis during and after total hip replacement.
TLDR
Antithromboembolic prophylaxis and the combined use of predonated autologous blood5, an expeditious operation, and early mobilization appear to have lowered the rate of fatal pulmonary embolism even further. Expand
Meta-analysis of thromboembolic prophylaxis after total knee arthroplasty.
TLDR
Prophylaxis for thromboembolic disease in TKA may have to include a combination of some of the above regimes to incorporate their advantages, and warfarin and pneumatic compression were significantly better than aspirin in preventing asymptomatic PE. Expand
Venous haemodynamics after total knee arthroplasty: evaluation of active dorsal to plantar flexion and several mechanical compression devices.
TLDR
The enhancement of peak venous velocity occurred primarily in the deep venous system below the level of the saphenofemoral junction, and all the devices augmented venous volume, the greatest effect being seen with those incorporating calf compression. Expand
Analgesia after total knee replacement: local infiltration versus epidural combined with a femoral nerve blockade: a prospective, randomised pragmatic trial.
TLDR
If PCEA+femoral nerve blockade is not readily available, local infiltration provides similar length of stay and similar pain scores at rest following TKR and the choice between these two analgesic pathways should not be made on the basis of time to discharge after surgery. Expand
Duloxetine and Subacute Pain after Knee Arthroplasty when Added to a Multimodal Analgesic Regimen: A Randomized, Placebo-controlled, Triple-blinded Trial
TLDR
Duloxetine does not reduce subacute pain with ambulation when included as a part of a multimodal analgesic regimen for knee arthroplasty, and there was no difference in other side effects or in anxiety and depression scores. Expand
Venous thromboembolic disease after total hip and knee arthroplasty.
TLDR
Equivalent results have been achieved in reducing symptomatic deep venous thrombosis, pulmonary embolisms, and deaths with less aggressive, less expensive prophylaxis protocols that still meet the requirements of recently enacted federal programs that monitor deep venOUS thromBosis. Expand
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