Compare the effect of posterior surgical approach (PA) vs direct anterior (DAA) on speed recovery from pain and dysfunction intrathecal oxytocin analgesia after total hip arthroplasty (THA). Nested cohort within a randomized, controlled, double-blind trial. Hospital. Individuals aged 31 to 80 years undergoing In this secondary analysis randomized controlled trial, association between number daily steps was assessed, whether modified by receipt oxytocin. Data were collected accelerometers...

Objectives: To compare the efficacy of distal interlocking during intramedullary nailing using a freehand technique versus an electromagnetic field real-time system (EFRTS). Design: A prospective, randomized controlled trial. Setting: Level I academic trauma center. Patients/Participants: Patients older than 18 years who sustained femoral or tibial shaft fracture amenable to antegrade were prospectively enrolled between August 2010 and November 2011. Exclusion criteria included injuries...

Introduction: A synovial cell count greater than 50,000/mm3 is the threshold most commonly used to diagnose septic arthritis. This lab value may be nonspecific in setting of crystalline arthropathy. The purpose this study was evaluate accuracy diagnosing arthritis using a cut-off Methods: retrospective review joint aspirations performed between July 1st, 2013 and June 30th, 2016. Synovial fluid samples were evaluated for count, crystals, Gram stain, culture. sensitivity, specificity,...

Improvements in materials, components, and surgical techniques cementless total hip arthroplasty are resulting improved femoral stem fixation through bony ongrowth or ingrowth. While is one reason for the current excellent survivorship, indications removal such as infection, implant fracture, osteolysis remain. A commonly used technique fully ingrown stems an extended trochanteric osteotomy which can result comminuted fractures of proximal femur during requiring additional fixation....

Recovery from surgery is quicker in the postpartum period, and this may reflect oxytocin action spinal cord. We hypothesized that intrathecal injection of would speed recovery pain disability after major surgery. Ninety-eight individuals undergoing elective total hip arthroplasty were randomized to receive either (100 μg) or saline. Participants completed diaries assessing opioid use daily weekly, they wore an accelerometer beginning 2 weeks before until 8 after. Groups compared using...

Iliosacral screw removal is occasionally necessary during index or revision pelvic ring surgery. This procedure can necessitate a two-step process: followed by retained washer removal. On attempted of the screw-washer complex, will not uncommonly dissociate itself from screw. Its retrieval be challenging, add unnecessary operative time, and result in larger incisions increased soft tissue disruptions. article introduces simple technique for when removing exchanging iliosacral screws....

Total knee arthroplasty is a successful surgery for the majority of patients with osteoarthrosis knee. Approximately 5% undergoing total experience loss motion or arthrofibrosis. Manipulation under anesthesia (MUA) generally indicated who do not achieve >90° flexion by 6-12 weeks postoperatively. Complications from MUA are rare but can be devastating. We describe novel technique no reported major complications in our review 78 patients. The average improved 80.0 (±3.8) before manipulation to...

<b>Objective</b> Topical application of subatmospheric pressure (TASAP) promotes faster wound healing, but tissue effects are not entirely understood. This study investigated microvascular TASAP in striated muscle with the <i>hypothesis</i> being that elicits arteriolar vasodilation and decreases interstitial accumulation protein. <b>Methods</b> Rat cremasteric microcirculation was directly examined two experiments utilizing a novel technique. First, applied to cremaster three experimental...

The Paprosky classification system of acetabular defects is complex and its reliability has been questioned. purpose this study was to evaluate the effectiveness different radiologic imaging modalities in classifying revision total hip arthroplasty (THA) their value at levels training.Bone 8 THAs were classified by 2 fellowship-trained adult reconstruction surgeons. A timed presentation with representative images for each case (X-ray, two-dimensional computed tomography [CT]...

Abstract Total knee arthroplasty (TKA) in patients with peripheral vascular disease has sparsely been studied. This study examined patient and radiographic factors that could affect reoperation free survival these patients. We retrospectively reviewed TKA procedures performed nonpalpable pulses on physical examination between January 1, 2004, December 31, 2013. Ninety-two cases met inclusion criteria. Preoperative ankle-brachial index (ABI), date of surgery, sex, age, body mass (BMI),...

Effective communication is vital for patient safety, yet failures are common, often due to outdated methods. This study aimed assess whether in-ear devices improve in orthopedic surgery simulations compared traditional loud voice Fifteen participants underwent using both wireless and standard communication. Results showed significant improvements with correctly identifying phrases (78.6% vs 44%), effectiveness (7.9/10 4.9/10), clarity (8/10 4/10), all

Case: This report describes a case of prolonged neurologic deficit primarily the nonoperative lower extremity in patient with sickle cell disease (SCD) who received spinal anesthesia during revision total hip arthroplasty (THA). The initially showed bilateral deficits localized to L5/S1 nerve root, eventual persistence symptoms for &gt;1 year. Conclusions: an unusual complication after THA and anesthesia. highlights rare occurrence root injury emphasizes importance close perioperative...

Wound closure method in total hip and knee arthroplasty is a controversial topic with no differences clinical outcomes between surgical staples (SS) subcutaneous sutures Dermabond (SCD). When clinically appropriate, providers should focus more on what the patient may prefer. This study aimed to collect data preference SS SCD analyze based gender previous histories.Patients were surveyed their wound preferences prior surgery. The handout given collected demographics. Risk ratios risk...