People as young as 50 can need a hip replacement – here’s everything you need to know about this common surgery | The-14
Hip replacements aren’t just for the elderly.Many people aged 50–69 need surgery due to arthritis, anatomy issues or pain, with modern implants lasting decades.
📖 'Clinical efficacy of oxidized regenerated cellulose powder in perioperative blood management in direct anterior total hip arthroplasty' - a SICOT-J article published #OpenAccess by @EDPSciences on #ScienceOpen:
🔗 https://www.scienceopen.com/document?vid=9597687b-4b70-41f3-9f46-27f44364d2d9
#OrthopaedicSurgery #TotalHipArthroplasty #BloodManagement #ORCPowder
Clinical efficacy of oxidized regenerated cellulose powder in perioperative blood management in direct anterior total hip arthroplasty
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<i>Background</i>: Perioperative blood loss remains a challenge in total hip arthroplasty (THA). Although
tranexamic acid (TXA) is widely used for hemostasis, the efficacy of oxidized regenerated
cellulose (ORC) powder as an adjunct in blood management for THA via the direct anterior
approach (DAA) remains underexplored. This study aimed to evaluate the effects of
ORC powder on perioperative blood loss, hematological parameters, and clinical outcomes
in direct anterior THA.
<i>Methods</i>: A total of 133 patients who underwent primary THA via the DAA were enrolled in the
study. The patients were divided into two groups: the ORC powder group (combination
of ORC powder and topical TXA,
<i>n</i> = 53) and the control group (topical TXA alone,
<i>n</i> = 80). The demographic and clinical information, operative time, intraoperative bleeding
volume, estimated total blood loss (eTBL), hidden blood loss (HBL), trends in hemoglobin,
hematocrit, postoperative pain scores using a numeric rating scale (NRS), and adverse
events were analyzed. Clinical outcomes were assessed using the Japanese Orthopedic
Association score.
<i>Results</i>: The ORC powder group had significantly lower eTBL (679.1 ± 230.1 mL vs. 875.8 ± 292.9
mL,
<i>p</i> < 0.0001) and HBL (424.1 ± 194.5 mL vs. 558.6 ± 264.2 mL,
<i>p</i> = 0.002). Postoperative pain scores at postoperative day 7 were lower in the ORC
powder group (1.9 ± 1.6 vs. 2.9 ± 2.2,
<i>p</i> = 0.009). The clinical outcomes were excellent, and no significant differences were
observed in complication rates between the groups.
<i>Conclusion</i>: ORC powder effectively reduced perioperative blood loss in THA via the DAA without
increasing complication rates. ORC powder has the potential to be a valuable adjunct
in optimizing blood management strategies in THA.
</p>
Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study
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<i>Introduction</i>: This study explored a minimally invasive technique for harvesting the superficial
band of the quadriceps tendon. By using a conventional graft tendon stripper, the
procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate
ligament (ACL) reconstruction. The study aimed to determine if this technique can
produce grafts of sufficient length and diameter.
<i>Methods</i>: From September to October 2023, we conducted a study using full-body Thiel-embalmed
cadavers over 18 years of age without pathology-related alterations in lower limb
anatomy. The mid-diameter of the graft was measured at its midpoint, and the peripheral
diameter was taken at the ends. The length of the triple-folded graft was measured
from end to end. A digital vernier caliper measured the length and mid-diameter, and
a graft sizer measured the peripheral diameter.
<i>Results</i>: Sixteen quadriceps tendon autografts were harvested from 16 knees of 8 cadavers
(mean age: 64.7 ± 9.9 years). The minimally invasive harvesting technique yielded
a mean graft length of 289.0 ± 10.3 mm before folding, a mean mid-diameter of 9.7 ± 0.7 mm,
a mean peripheral diameter of 8.5 ± 0.4 mm, and a mean length of 93.1 ± 4.7 mm after
triple folding. Gender-based comparisons showed no significant differences. Correlations
between graft dimensions and height were not statistically significant.
<i>Discussion</i>: The findings of this study indicate that the minimally invasive harvesting of the
superficial band of the quadriceps tendon resulted in adequate graft dimension. Gender-based
comparisons revealed no statistically significant differences in these dimensions
between males and females. Additionally, correlation analysis showed weak to moderate
correlations between graft dimensions and height, none of which were statistically
significant, indicating no meaningful relationship between height and graft dimensions.
</p>
SICOT-J enhances the educational impact of the Société Internationale de Chirurgie Orthopédique et de Traumatologie #SICOT through peer-reviewed research at the forefront of #OrthopaedicSurgery and #Traumatology.
📖 Published #OpenAccess by @EDPSciences:
🔗 https://www.scienceopen.com/collection/sicot-j
SICOT-J (Orthopedic surgery and traumatology)
<p>SICOT-J is an official journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT). It has been developed, as a peer-reviewed, open access journal to further widen the educational impact of SICOT on the orthopaedic community. It has a focus on original clinical, basic and translational research in the field of orthopaedics surgery and traumatology. Publ. by EDP Sciences</p>
Analgesia considerations in orthopaedic surgery: the role of magnesium sulfate infusions
<p xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="first" dir="auto" id="d6085155e214">Orthopaedic surgical operations are associated with significant post-operative pain,
often managed with opioids, which carry risks of adverse effects and dependency. Magnesium
sulfate, a NMDA receptor antagonist with analgesic and muscle relaxant properties,
has emerged as a potential adjunct to improve pain control and reduce opioid consumption
in orthopaedic procedures. Current evidence supports magnesium sulfate as a valuable
adjunct in orthopaedic pain management, particularly in reducing opioid consumption
and enhancing muscle relaxation. However, heterogeneity in study design, administration
protocols, and patient populations warrants cautious interpretation. Monitoring for
side effects such as hypotension and respiratory depression remains essential. Further
high-quality, standardized trials are needed to optimize dosing strategies and confirm
long-term benefits.
</p>
'Rotating-platform deep-dish total knee arthroplasty with restricted kinematic alignment: Five-year clinical and functional outcomes' - an article in SICOT-J by @EDPSciences on #ScienceOpen:
🔗 https://www.scienceopen.com/document?vid=ed601e88-077c-490c-bf68-f2b78ac3e313
#Research #Orthopaedics #OrthopaedicSurgery #Arthroplasty
Rotating-platform deep-dish total knee arthroplasty with restricted kinematic alignment: Five-year clinical and functional outcomes
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<i>Introduction</i>: Total knee arthroplasty (TKA) utilizing deep-dish tibial inserts has gained interest
due to its high congruency and enhanced stability. However, due to the advent of more
personalized alignment philosophies, the combination of a rotating-platform deep-dish
TKA design with restricted kinematic alignment (rKA) might improve patient satisfaction.
Therefore, this study evaluated the five-year clinical and functional outcomes of
rKA with a deep-dish TKA design.
<i>Methods</i>: A retrospective analysis was conducted on patients who underwent primary TKA with
a rotating-platform deep-dish design and rKA. Of 143 eligible patients, 123 completed
five-year follow-up. Clinical and radiographic assessments included the five-year
postoperative results: Knee Society Score (KSS), patient satisfaction, range of motion,
coronal limb and implant alignment, postoperative complications and implant survivorship.
Statistical analyses compared preoperative and postoperative outcomes with paired
analyses.
<i>Results</i>: Median KSS Knee and Function scores significantly improved from 70 (IQR 5) and 60
(IQR 26) preoperatively to 90 (IQR 20) and 93 (IQR 21) postoperatively (
<i>p</i> < 0.001). Postoperative coronal alignment in this study encompassed a hip-knee-ankle
angle was 178.1° ± 3.5, a Lateral Distal Femoral Angle of 89.9° ± 2.6, and a Medial
Proximal Tibial Angle of 88.6° ± 2.2. At five years, 94% of patients were either satisfied
or very satisfied. The revision-free survival rate was 98%. Periprosthetic joint infection
and arthrofibrosis were the most common complications (1.6% for both groups separately),
followed by aseptic loosening of a cementless femoral component (0.8%) and patellar
dislocation (0.8%).
<i>Discussion</i>: Rotating-platform deep-dish TKA with restricted kinematic alignment results in excellent
functional outcomes, high patient satisfaction, and low complication rates at five-year
follow-up. These findings support its viability as a surgical strategy, though long-term
studies are warranted to assess implant durability and survivorship beyond 10 years.
</p>
Examples include knee or shoulder arthroscopy, carpal tunnel release, ACL reconstruction, meniscus repair, and certain fracture fixes.
#OrthopaedicSurgery #MinimallyInvasive #OutpatientCare #PatientConvenience #DrGauravGupta
To know more, watch the video. Here is the link - https://zurl.co/Tj0O
- YouTube
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Examples include knee or shoulder arthroscopy, carpal tunnel release, ACL reconstruction, meniscus repair, and certain fracture fixes.
#OrthopaedicSurgery #DayCareProcedures #MinimallyInvasive #PatientCare #DrGauravGupta
To know more, watch the video. Here is the link - https://zurl.co/Tj0O
- YouTube
Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.
Risk factors for peri-megaprosthetic joint infections in tumor surgery: A systematic review | SICOT-J
SICOT-J, official journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT)
Risk factors for peri-megaprosthetic joint infections in tumor surgery: A systematic review | SICOT-J
SICOT-J, official journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT)
The-14
ScienceOpen
Dr Gaurav Gupta
edp sciences
