Safety of simultaneous versus staged bilateral opening-wedge high tibial osteotomy with locked plate and immediate weight bearing

ConclusionOn the basis of this analysis, simultaneous bilateral HTO is a reasonable treatment option. Individuals who undergo staged bilateral HTO face the risk of complications twice, in addition to two hospitalizations. Patients who undergo simultaneous bilateral HTO have a higher risk of blood transfusion.
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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ConclusionAmong veterans undergoing primary THA at a VA hospital, patients undergoing DAA THA had better perioperative outcomes than patients treated with the posterior approach despite similar demographics, American Society of Anesthesiologists score, and the DAA learning curve.
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
ConclusionAmong veterans undergoing primary THA at a VA hospital, patients undergoing DAA THA had better perioperative outcomes than patients treated with the posterior approach despite similar demographics, American Society of Anesthesiologists score, and the DAA learning curve.
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
ConclusionsThe main risk factors for PJI in each category were male gender, coagulopathy, alcohol abuse, surgical site infection (highest score) and high NNIS system surgical patient index score. Protective factors were age, female gender in TKA, osteoarthritis and blood transfusion. Optimization of modifiable risk factors for PJI should be attempted in clinical practice.Level of evidenceII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Publication date: Available online 3 April 2018Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): B. Hari Krishnan, Rahool S., Anubhav Agrawal, Anurag Kawale, Sarang KanadeAbstractPurposeTo compare and study the short-term clinical outcome in patients with or without a drain usage in primary total knee arthroplasty (TKA).MethodsA prospective cohort study in a consecutive series of 61 women and 39 men (mean age, 66 years) with primary osteoarthritis underwent unilateral TKA. In the first 50 patients a low suction pressure drain was used for six hours, and in the next 50 patients no drain was used following TKA.Resul...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
CONCLUSIONS: The incidence of early PPCs following TKA was high. For patients with relevant risk factors, positive measures should be adopted to prevent PPCs. PMID: 27069922 [PubMed - indexed for MEDLINE]
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
This study aims to evaluate the effectiveness and safety of the patients receiving simultaneous bilateral TKA (BTKA). A total of 93 consecutive patients with bilateral knee degenerative osteoarthritis from January 2008 to November 2013 were divided into two groups - one-stage group (bilateral TKA under a single anesthetic, n = 54) and two-stage group (bilateral TKA performed during two separate admissions, n = 39). The patients in the both group have a similar incidence of postoperative complications (p = 0.544). The one-stage BTKA can significantly (p 
Source: Acta Orthopaedica Belgica - Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research
CONCLUSIONS: The single-staged UKA offers the benefits of a single anesthesia administration, reduced total anesthetic time, decreased overall rehabilitation time, and absence of an increase in perioperative mortality or complications compared with the TS bilateral UKA. PMID: 26521782 [PubMed - in process]
Source: Chinese Medical Journal - Category: Journals (General) Authors: Tags: Chin Med J (Engl) Source Type: research
Abstract BACKGROUND: Morbid obesity and malnutrition are thought to be associated with more frequent perioperative complications after TKA. However, morbid obesity and malnutrition often are co-occurring conditions. Therefore it is important to understand whether morbid obesity, malnutrition, or both are independently associated with more frequent perioperative complications. In addition, assessing the magnitude of an increase in complications and whether these complications are major or minor is important for both conditions. QUESTIONS/PURPOSES: We asked: (1) Is morbid obesity independently associated with m...
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Tags: Clin Orthop Relat Res Source Type: research
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