No abstract

Substituting to LB from a standard wound infiltrate during primary THA, in addition to our standard multimodal pain management protocol, resulted in significantly lower postoperative opioid consumption and decreased length of stay.

The quadriceps tendon (QT) is an autograft option for primary and revision anterior cruciate ligament (ACL) reconstruction. Techniques for predicting the appropriate graft size are limited. The purpose of this study was to evaluate the morphologic features of the QT in cadaveric specimens and compare the findings to recent MRI studies.

The current literature suggests that tranexamic acid may be used to reduce postoperative blood loss in addition to reducing the risk of requiring blood transfusions following the surgical repair of hip fractures. Furthermore, it may have the potential to improve patient outcomes and decrease the overall costs of caring for this patient population. CONCLUSIONS CONCLUSIONS Further studies are needed to truly gauge the effect of tranexamic acid on long-term patient outcomes and hospital costs.

CONTEXT CONTEXT Symptomatic bone marrow lesions on MRI in patients with knee osteoarthritis are strongly associated with progressive deterioration of the joint and an increased risk of progression requiring joint replacement surgery. This study evaluates the efficacy of knee arthroscopy with adjunctive subchondroplasty (i.e. cartilage stabilization) to improve self-rated visual analog scale (VAS) pain scores, rate of conversion to arthroplasty, and patient satisfaction levels. METHODS METHODS A retrospective chart review and phone survey was performed on 12 patients who had undergone knee arthroscopy with adjunctive subchondroplasty for knee pain associated with chronic subchondral bone marrow lesions on MRI. Follow-up for the 12 patients was 36 months on average (range of 12 to 51 months), self-reported paired preoperative and postoperative VAS scores were analyzed in addition to rate of conversion to arthroplasty and patient satisfaction. RESULTS RESULTS The results demonstrated statistically significant reductions in mean preoperative VAS scores versus six-week postoperative VAS scores from 7.58 to 1.83 (p < 0.001) in addition to significant reductions in mean preoperative VAS scores to final postoperative VAS scores from 7.58 to 1.60 (p < 0.001). There was no statistically significant association (p > 0.05) with patients' demographic and clinical data (e.g., age, height, weight, BMI, length of symptoms) and rate of revision to total arthroplasty after receiving the arthroscopic subchondroplasty procedure. Out of the 12 patients, two (16.7%) patients went on to conversion to total knee arthroplasty. CONCLUSIONS CONCLUSIONS In this series, knee arthroscopy with adjunctive subchondroplasty for the treatment of osteoarthritis with symptomatic bone marrow lesions was associated with clinically significant improvements in VAS pain scores. Furthermore, patients who underwent subchondroplasty had a low rate (16.7%) of conversion to total knee arthroplasty at 36-month follow-up.

Diese Zahlen sind nur bedingt zu verwerten, da geburtshilfliche Notf/ille, wie NS-Vorfall, blutende Placenta praevia, vorzeitige Placenta-L6sung eine Entbindung in PDA verbieten.Werden die Patientinnen mit Noteingriffen nicht erfa6t, so ergeben sich vergleichbare Zahlen bez/iglich der Azidose-Rate.F/Jr die leichte Azidose eine Rate von 8,3% bei Vollnarkose gegeniiber 8,4% bei PDA. Fiir die schwere Azidose eine Rate von 3,1% bei ITN gegenfiber 2,6% bei PDA.Bei der Auswertung der Vitalitfitsbeurteilung nach Apgar fanden wir nach 1 Minute bei 16,9% der Kinder der PDA-Gruppe und bei 41,9% der Kinder der ITN-Gruppe Werte < 7.Nach 5 Minuten zeigten 7% gegenfiber 17% der Kinder Werte < 7. Auch hier sind die entsprechend bereinigten Daten natfirlich ftir die Gruppe der Sectiones bei Vollnarkose niedriger.Dennoch ergeben sich nach Ausschlu6 der Notfallpatientinnen folgende Zahlen: Nach 1 Minute weisen 29,3 % der Kinder der Vollnarkose-Gruppe gegeniiber 16,9% der Kinder der PDA-Gruppe eine Apgar-Punktzahl < 7 auf, nach 5 Minuten noch 10,5% gegenfiber 7%.Wir'halten deshalb die kontinuierliche Katheter-PDA, auch f/ir die Sectio caesarea, ffir eine ausgezeichnete Methode der Analgesie und empfehlen sic allen Frauen, bei denen kein Notfall vorliegt. Die Akzeptanz dieser Methode ist dementsprechend hoch, zumal die Patientinnen ein -wenn auch ver/indertes -Geburtserlebnis haben, da sie ihr Kind sofort nach Entwicklung sehen und h6ren k6nnen. In diesem Zusammenhang sind wit in den letzten Jahren dazu fibergegangen, zunehmend mehr V/iter im Operationssaal zuzulassen und haben damit bisher beste Erfahrungen gemacht. Zur postpartalen Infektion von Sectiopatientinnen mit perioperativer Biuttransfusion

Tranexamic acid (TXA) is a commonly used drug that has many uses within multiple medical fields. Within orthopedics, TXA has been used heavily because of the benefits it confers for reducing perioperative bleeding and preventing reductions in hemoglobin/ hematocrit. However, despite these advantages, no set indications for the use of TXA have been defined. The authors performed a literature review assessing current literature for TXA use in knee arthroscopy, shoulder arthroscopy, and hip arthroscopy. Articles were searched in Google Scholar using a combination of keywords including, "tranexamic acid," "arthroscopy," "arthroplasty," "hip," "knee," and "shoulder." The authors reviewed 17 articles that were current and relevant to the use of TXA in arthroscopic procedures based on a focus-grouped discussion. The use of TXA for arthroscopic procedures is growing in both clinical orthopaedic practice and the literature. Although numerous benefits have been noted in knee arthroscopy and shoulder arthroscopy, a paucity of literature on TXA effects in hip arthroscopy still exists, and the topic warrants exploration.