Showing 1 - 12 of 1141 reports matching: Arthroplasty
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Synopsis: 90 patients scheduled for total knee arthroplasty were randomized to one of three groups; one group was administered 1g of tranexamic acid intravenously; one group was administered 1g of tranexamic acid topically; one group underwent surgery without tranexamic acid administration. Calculated blood loss, the incidence of transfusion, and complications, which included venous thromboembolic events were assessed. Results demonstrated significantly Read More »
Author verified Level 2 RCT
Synopsis: 57 patients scheduled for total knee arthroplasty were randomized to be treated postoperatively with either a 48-hour intra-articular infusion of levobupivacaine or control. The purpose of this study was to assess if IA levobupivacaine was effective for reducing postoperative pain and narcotic consumption. Data showed lower Read More »
Level 2 RCT
Synopsis: 63 patients with a hip or knee prosthetic joint infection by either Staphylococcus aureus or coagulase-negative staphylococci were randomized to either 8 weeks of levofloxacin and rifampicin following debridement, or 3- and 6-months levofloxacin and rifampicin following debridement (3 months for hip infection and 6 months for knee infection). The purpose of this study was to compare infection cure rates between groups. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 140 patients scheduled for elective total knee arthroplasty were randomized to receive, in addition to a continuous femoral nerve block, either a continuous sciatic nerve block or intermittent sciatic nerve block postoperatively. The purpose of this study was to compare analgesic efficacy between the two regimens over the first 3 days postoperatively. The results demonstrated Read More »
Level 2 RCT
Synopsis: 64 patients scheduled for total hip arthroplasty were randomized to either a computer-navigated "femur first" technique or conventional free-hand technique. The purpose of this study was to compare gait speed and hip range of motion during gait at 6 months and 1-year postoperatively. Results demonstrated no Read More »
Level 2 RCT
Synopsis: 96 patients scheduled for total knee arthroplasty were randomized to multimodal postoperative analgesia including either a continuous adductor canal block or continuous intraarticular infiltration with bupivacaine. The purpose of this study was to compare pain, morphine equivalents consumption, knee range of motion, and patient satisfaction between groups over the first two postoperative days. With the exceptions Read More »
Level 2 RCT
Synopsis: 78 patients scheduled for total knee arthroplasty were randomized to be administered oral or intravenous tranexamic acid (TXA). The purpose of this study was to determine if oral TXA, which costs less, was noninferior to IV TXA. Outcomes included postoperative Read More »
Level 2 RCT
Synopsis: 207 patients scheduled for total knee arthroplasty were randomized to postoperative analgesia with either periarticular liposomal bupivacaine, periarticular bupivacaine and morphine, or intraarticular bupivacaine and morphine. Patients were assessed postoperatively for mean pain during the hospital stay, maximum pain during the hospital stay, and mean morphine equivalents taken per 24 hours. The cost of Read More »
Level 2 RCT
Synopsis: 122 patients scheduled for direct anterior total hip arthroplasty were randomized to undergo the procedure with or without the use of a postoperative drain. The purpose of this study was to determine if the use of a postoperative drain was associated with a significantly greater increase in transfusion rate, complication rate, and blood loss when compared to no drain. Results demonstrated a Read More »
Level 2 RCT
Synopsis: 230 patients undergoing simultaneous bilateral total knee arthroplasty were included in this study to determine if the use of closed suction drains following the procedure led to a significant increase in blood loss, haemoglobin drop, and transfusion rate when compared to no drainage. The results of this study indicated that were no significant differences in calculated total blood loss, postoperative hemoglobin, the rate of transfusion, or the units of blood transfused. The incidence of Read More »
Level 2 RCT
Synopsis: 200 patients scheduled for unilateral total knee arthroplasty (TKA) were randomly allocated to 4 groups to determine if there is a difference in efficacy between different administration methods of TXA. In group 1, 500 mg TXA was administered intravenously. In group 2, Read More »
Level 2 RCT
Synopsis: 111 patients eligible for primary total knee arthroplasty (TKA) were randomly allocated to receive either a posterior stablized (PS) post/cam tibial insert or a more congruent cruciate-substituting (CS) insert. This study aimed to compare the clinical outcomes during the postoperative period and radiographic and functional outcomes at a minimum 2-year follow-up between the two devices. At 2-years the Read More »
Level 2 RCT