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Specialty: Orthopaedics
Procedure: Blood Transusion

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Total 19 results found since Jan 2013.

Perioperative stroke in patients undergoing elective spinal surgery: a retrospective analysis using the Japanese diagnosis procedure combination database
Conclusions: Perioperative stroke occurred in 0.22 % of patients undergoing spinal surgery. Resection of a spinal cord tumor was associated with increased risk of perioperative stroke as well as advanced age, comorbidities at admission, cervical spine surgery, surgery in a teaching hospital, and length of stay.
Source: BMC Musculoskeletal Disorders - October 2, 2015 Category: Orthopaedics Authors: Junichi OhyaHirotaka ChikudaTakeshi OichiHiromasa HoriguchiKatsushi TakeshitaSakae TanakaHideo Yasunaga Source Type: research

Reduced short-term complications and mortality following Enhanced Recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures.
Abstract Background and purpose Enhanced Recovery (ER) is a well-established multidisciplinary strategy in lower limb arthroplasty and was introduced in our department in May 2008. This retrospective study reviews short-term outcomes in a consecutive unselected series of 3,000 procedures (the "ER" group), and compares them to a numerically comparable cohort that had been operated on previously using a traditional protocol (the "Trad" group). Methods Prospectively collected data on surgical endpoints (length of stay (LOS), return to theater (RTT), re-admission, and 30- and 90-day mortality) and medical complication...
Source: Acta Orthopaedica - December 20, 2013 Category: Orthopaedics Authors: Khan SK, Malviya A, Muller SD, Carluke I, Partington PF, Emmerson KP, Reed MR Tags: Acta Orthop Source Type: research

Blood Transfusions May Have Limited Effect on Muscle Oxygenation After Total Knee Arthroplasty
Conclusion We detected a statistically significant increase in SmO2 during the course of a single unit blood transfusion compared to baseline. However, there was no evidence of a correlation between longitudinal SmO2 and SpHb measurements.
Source: HSS Journal - March 6, 2015 Category: Orthopaedics Source Type: research

General Compared with Spinal Anesthesia for Total Hip Arthroplasty
Conclusions: General anesthesia was associated with an increased rate of adverse events and mildly increased operating room times. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Source: The Journal of Bone and Joint Surgery - March 18, 2015 Category: Orthopaedics Authors: Basques, B. A., Toy, J. O., Bohl, D. D., Golinvaux, N. S., Grauer, J. N. Tags: Hip Scientific Articles Source Type: research

The Effect of Tranexamic Acid on Blood Loss after Primary Unilateral Total Knee Arthroplasty. Prospective Single-Centre Study.
CONCLUSIONS Our study confirmed the efficacy and safety of tranexamic acid administration in relation to blood loss after total knee arthroplasty. In this indication, the administration is in accordance with the literature data. KEY WORDS: tranexamic acid, total knee arthroplasty, post-operative haemorrhage, haemoglobin. PMID: 26787182 [PubMed - in process]
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 22, 2016 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Medial unicompartmental knee arthroplasty in the ACL-deficient knee
Abstract Symptomatic osteoarthritis (OA) of the knee develops often in association with anterior cruciate ligament (ACL) deficiency. Two distinct pathologies should be recognised while considering treatment options in patients with end-stage medial compartment OA and ACL deficiency. Patients with primary ACL deficiency (usually traumatic ACL rupture) can develop secondary OA (typically presenting with symptoms of instability and pain) and these patients are typically young and active. Patients with primary end stage medial compartment OA can develop secondary ACL deficiency (usually degenerate ACL rupture) and the...
Source: Journal of Orthopaedics and Traumatology - May 8, 2016 Category: Orthopaedics Source Type: research

Predictors of 30-day mortality following hip/pelvis fractures
Discussion Several preoperative patient risk factors and postoperative complications greatly increased the odds for patient mortality following 30-days after initial surgery. Orthopaedic surgeons can utilize these predictive risk factors to better improve patient care. Level of evidence Retrospective study. Level IV.
Source: Orthopaedics and Traumatology: Surgery and Research - August 3, 2016 Category: Orthopaedics Source Type: research

Coagulation Profile as a Risk Factor for 30-Day Morbidity and Mortality Following Posterior Lumbar Fusion
Study Design. A retrospective cohort study. Objective. The aim of this study was to identify associations between abnormal coagulation profile and postoperative morbidity and mortality in patients undergoing posterior lumbar fusion (PLF). Summary of Background Data. The literature suggests that abnormal coagulation profile is associated with postoperative complications, notably the need for blood transfusion. However, there is little research that directly addresses the influence of coagulation profile on postoperative complications following PLF. Methods. The American College of Surgeons National Surgical Quality Impro...
Source: Spine - June 15, 2017 Category: Orthopaedics Tags: Surgery Source Type: research

Short-term Medical Complications Following Short Versus Long Cephalomedullary Nails.
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 1, 2005, to September 1, 2014, were included. Patients who received short nails (n=334) were older and had a higher incidence of coronary artery disease and diabetes mellitus compared with patients who received long nails (n=565). The incidences of 30-day medical complications, including myoc...
Source: Orthopedics - July 16, 2018 Category: Orthopaedics Authors: Liu J, Frisch NB, Mehran N, Qatu M, Guthrie ST Tags: Orthopedics Source Type: research

Unicompartmental knee replacement – An underrated alternative of total knee replacement: A matched comparative study analysing their benefits and risks in local population
ConclusionBecause of less operative risk and faster rehabilitation, this study suggested that unicompartmental knee replacement is more cost effective and might be a better choice for patients with unicompartmental arthritis in local population.中文摘要簡介膝關節置換術的需求跟隨全世界人口老齡化不斷增加。儘管單室膝關節置換術有較少並發症，即中風﹑心肌梗死﹑血栓栓塞﹑輸血和死亡率，它僅佔所有膝關節置換術的 3一8％，這項研究的目標是比較在香港人口的單室膝關節置換術與全膝關節置換術，通過評估的好處和風險...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - October 16, 2018 Category: Orthopaedics Source Type: research

Mortality and Morbidity of Surgical Management of Geriatric Ankle Fractures.
DISCUSSION: After controlling for comorbidities (ie, the ASA class), no increased risk is observed for the 30-day mortality or complication rate between geriatric ankle fracture in the 65 to 79 years old and the 80 to 99 years old age groups. LEVEL OF EVIDENCE: Prognostic level III, retrospective study. PMID: 32769723 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - August 13, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Trends in Comorbidities and Complications Among Patients Undergoing Inpatient Spine Surgery
Study Design. Retrospective database study. Objective. We sought to identify trends in demographics, comorbidities, and postoperative complications among patients undergoing ACDF and PLF. Summary of Background Data. As demand for anterior cervical discectomy and fusion (ACDF) and posterior lumbar fusion (PLF) surgery continues to increase, it is important to understand changes in the healthcare system and patient populations undergoing these procedures. Methods. We identified 220,520 ACDF and 151,547 PLF surgeries (2006–2016; Premier Healthcare database). Annual proportions or medians were calculated for patie...
Source: Spine - August 28, 2020 Category: Orthopaedics Tags: SURGERY Source Type: research

Postoperative Complications in Patients With Hereditary Hemochromatosis Undergoing Total Joint Arthroplasty: A Matched Cohort Analysis
This study addresses a paucity in the current literature concerning the complication profile in HH patients with destructive joint arthropathy undergoing joint arthroplasty surgery.PMID:34932508 | DOI:10.5435/JAAOS-D-21-00105
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2021 Category: Orthopaedics Authors: Amil R Agarwal Kevin Y Wang Amy L Xu Matthew J Best Varun Puvanesarajah Umasuthan Srikumaran Gregory J Golladay Savya C Thakkar Source Type: research

Comparison of Extramedullary and Intramedullary Implants for Stable Intertrochanteric Fractures: Have We Swung the Pendulum Too Far the Other Way?
DISCUSSION: Our study found that extramedullary implants were associated with lower transfusions rates, lower readmissions, and better patient disposition. We recommend surgeons to consider extramedullary implants when treating stable IT fractures, especially if the patient is anemic or at high risk for hospital readmission.LEVEL OF EVIDENCE: Level III. Retrospective cohort study.PMID:35196299 | DOI:10.5435/JAAOS-D-21-00657
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 23, 2022 Category: Orthopaedics Authors: Aria Darius Darbandi Ghulam H Saadat Ahmed Siddiqi Bennet A Butler Source Type: research

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