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TKA patients and 13 THA patients Demonstrate the feasibility of utilizing wearable sensors coupled with machine learning (ML) to predict downstream outcomes of TJA in the early postoperative period. Recovery prediction ML algorithms were used to
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post-operative anaemia and the pathogenesis of medical complications is needed to improve post-operative outcomes further and reduce re-admissions in elderly THA patients. 18 Unfortunately, although pre-operative identification of patients at high
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Commonly assessed outcomes in orthopaedic and trauma surgery include: (1) mortality; (2) post-operative medical complications (e.g. deep vein thrombosis, pulmonary embolism, cardiovascular and gastrointestinal complications, anaemia, delirium); (3
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association between postoperative instability and poor outcomes is controversial. Charafeddine et al, 20 Herno et al, 21 Epstein 15 and more recently Martin et al 22 concluded that postoperative instability was not always associated with
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Department of Hematology, Enze Hospital, Taizhou Enze Medical Center (Group), Taizhou, Zhejiang, China
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delayed postoperative bathing groups (OR: 0.25; 95% CI: 0.09–0.73, P = 0.01; Fig. 5 ); for the other wound complications, no significant difference was found. Figure 5 Forest plot of comparison: earlier bathing versus delayed bathing; outcome
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infections, dislocations and instability. 18 – 20 However, the clinical and functional outcomes of morbidly obese patients following primary THA remain unclear. Some studies have reported no significant difference in post-operative outcomes between obese
Institut du mouvement et de l’appareil locomoteur, Marseille, France
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outcomes with higher postoperative KOOS scores (12 months: P = 0.001; 24 months: P = 0.01; 36 months: P = 0.02) and reduced pain perception as demonstrated by the VAS (visual analogue scale) scores (6 months: P = 0.009; 12 months: P < 0.001; 24
Department of Bone And Joint Diseases, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China
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Department of Bone And Joint Diseases, Luoyang Orthopedic Hospital of Henan Province. Orthopedic Hospital of Henan Province, Luoyang, China
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management in TKA. These findings may suggest a new strategy for pain management in the early postoperative period of TKA. However, given the low or very low quality of the studies analyzed for outcomes, there is a need for more high-quality RCTs exploring
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Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
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the final post-operative follow-up, both groups had significantly improved in all three functional outcome scores, but there was no longer a significant difference between the two groups. Importantly, the authors did not differentiate outcomes between
Low-dose dexamethasone during arthroplasty
What do we know about the risks?
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dexamethasone, and lacked an adequate follow-up and sample size in this respect. The primary outcome of the included studies varied from functional outcome, 20 post-operative analgesia or morphine consumption 13 , 15 , 17 and length of stay 7
