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). Extended total hip arthroplasty in acetabular fractures Due to the benefit of post-operative possible full mobilization, total hip arthroplasty (THA) is often proposed for acetabular fractures in the elderly population. In addition, pre-existent hip joint
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intra-operative transfusions, increased intensive care unit (ICU) admissions, higher length of stay and lower one-year survival rate. 11 This finding was negated by a recent review and systematic analysis which demonstrated that stopping clopidogrel
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post-operative event that was likely to have a negative influence on the final outcome (infection, dislocation, nerve problems, aseptic loosening of any component, disassociation of the components or glenoid screw problems). 14 They used the term
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, soft tissue compromise, peri-operative fracture, pain and reduced range of motion. 26 , 27 It may also reduce costs. IDPE is a salvage procedure usually considered for early post-operative infections within one month after the index procedure, or
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( 5 ). This has necessitated an increased effort to prevent post-operative complications by identifying and addressing pre-operative modifiable risk factors ( 5 , 6 , 7 ). There has been a significant increase in publications regarding malnutrition
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contrast, imageless systems use a more detailed registration of the bony articulating surfaces and joint kinematics recorded intra-operatively post arthrotomy to create this surgical plan. Image-dependent systems allow sufficient time to pre-operatively
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, anterior tibial and Achilles tendon sheaths, and named the technique ‘tendoscopy’. 2 Tendoscopy is usually followed by a functional post-operative treatment and has the advantages of less post-operative pain, fewer complications and being performed as
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is the age of patients undergoing TKA. More TKAs are being carried out in younger patients (< 65 years), 12 , 14 who have both higher post-operative activity levels and a longer life expectancy, calling for more stable long-term fixation methods
National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, UK
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1 . Prior to TKR surgery, the majority of patients experience difficulty kneeling on their osteoarthritic knee, 9 – 11 , 24 and post-operative improvements in kneeling ability are rarely achieved for most patients. 9 These problems with
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. This approach can be easily extended both proximally and distally, and implant removal may be performed with little operative morbidity. However, if a second posteromedial or lateral incision is planned, care must be taken not to create an island of
