Aims. The aim of this study was to determine the prevalence and impact of
Aims. Pneumatic
Abstract. Background. The use of
We report the effect of padding on the efficiency of the pneumatic
Aims. Many surgeons choose to perform total knee arthroplasty (TKA) surgery with the aid of a
During total knee arthroplasty (TKA), a
Aims. Tourniquets have potential adverse effects including postoperative thigh pain, likely caused by their ischaemic and possible compressive effects. The aims of this preliminary study were to determine if it is possible to directly measure intramuscular pH in human subjects over time, and to measure the intramuscular pH changes resulting from
The use of
Aim.
In modern orthopaedics surgery, the pneumatic
Aims. The aim of this study was to examine whether
Blood management protocols attempt to reduce blood loss by strategies including autologous blood donation, red cell salvage, normovolaemic haemodilution and haemostatic agents such as tranexamic acid (TXA). TXA usage in particular has become increasingly commonplace with numerous studies demonstrating a significant reduction in peri-operative blood loss and proportion of patients requiring transfusion, without increasing the risk of venous thromboembolism.
Patients were randomized between surgeon chosen pressure (control) and an automatically determined
A
Total knee replacement (TKR) is an operation
that can be performed with or without the use of a
The December 2023 Knee Roundup. 360. looks at: Obesity is associated with greater improvement in patient-reported outcomes following primary total knee arthroplasty; Does mild flexion of the femoral prosthesis in total knee arthroplasty result in better early postoperative outcomes?; Robotic or manual total knee arthroplasty: a randomized controlled trial; Patient-relevant outcomes following first revision total knee arthroplasty, by diagnosis: an analysis of implant survivorship, mortality, serious medical complications, and patient-reported outcome measures using the National Joint Registry data set; Sagittal alignment in total knee arthroplasty: are there any discrepancies between robotic-assisted and manual axis orientation?;
Over a two-year period, 265 Norwegian orthopaedic surgeons working at 71 institutions performed 63 484 operations under a
Tourniquets have been used for many years during total knee arthroplasty (TKA). With a growing demand for TKA in recent years,
In this study patients were randomized between surgeon chosen pressure (control) and an automatically determined
Background. Tourniquets are routinely used in total knee arthroplasty (TKA) with an estimated use by up to 93% of surgeons. Advantages include the ability to provide a bloodless field of view to facilitate cement application and increase the success of the procedure. Overall reduction in blood loss is another perceived advantage, however recent research has demonstrated no measurable reduction and conversely a substantial increase in complications such as deep vein thrombosis and systemic emboli. Given the significant complications of
Background. Tourniquets are routinely used in total knee arthroplasty (TKA) with an estimated use by up to 93% of surgeons. Advantages include the ability to provide a bloodless field of view to facilitate cement application and increase the success of the procedure. Overall reduction in blood loss is another perceived advantage, however recent research has demonstrated no measurable reduction and conversely a substantial increase in complications such as deep vein thrombosis and systemic emboli. Given the significant complications of
Objectives. The length of the
Background. Tourniquets and tranexamic acid (TXA) are commonly used in total knee arthroplasty (TKA), but there is not consensus on how these interventions affect blood transfusion rates and total blood loss. Few studies examine the combined use of both interventions. We compared outcome measures and transfusion rates following TKA, with and without the use of
INTRODUCTION. The efficacy and safety of the
Recent emphasis in total knee arthroplasty has been on accelerated rehabilitation and recovery. Minimally invasive and quadriceps sparing techniques have been developed to expediate return to normal function. The aim of this study was to evaluate the effect of the
Introduction. Tourniquets have been used for many years during total knee arthroplasty as a means of achieving a bloodless field for better visualization and cement-bond inter-digitation. Controversy has surrounded the necessity for a
It has stated that the application of a pre-hospital
Background:
Our aim was to determine if a
Background:
Our aim was to determine if a
We assessed the influence of the use of a
Introduction and Aims: Patellar subluxation is most troublesome and accounts for a number of complications in total knee arthroplasty. The purpose of this study is to report the incidence of need for lateral release before and after
Introduction. Total knee arthroplasty (TKA) is associated with significant blood loss, for which blood transfusion might be necessary. The role of the
Aims. The aim of this study was to compare the pain caused by the application
of a
The use of a
Pain produced by the
Aims. We hypothesized that the wide-awake local anaesthesia with no
Introduction. Intraosseous administration of low dose vancomycin has been proven to produce 6 to 20 times higher tissue concentrations compared to intravenous administration in both primary and revision knee replacement. However, these superior levels are achieved when the antibiotic given intraosseously is administered distal to a
About 81,000 total knee replacements are implanted in the United Kingdom annually. Conventionally pneumatic
Background. There are multiple documented advantages of undertaking total knee arthroplasty (TKA) without
Today the use of pneumatic
Free radicals, such as reactive oxygen species (ROS) which are released abruptly after deflation of an ischaemic
Background. Forefoot surgery is often performed under regional anaesthesia (ankle block) in awake patients, using
Introduction: The use of lower limb