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exchange. Isolated polyethylene exchange (IPE) with retention of well-fixed components is an attractive option because of shorter operating time, less blood loss, preservation of bone stock and faster rehabilitation. 9 The most common type of revision
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surgery, tourniquet time, peri-operative blood loss, post-operative pain, days to regain an active straight leg raise and range of movement (ROM) at one week and one year. In addition, data regarding complications such as the incidence of lateral release
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Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
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Osteotomie Komitee der Deutschen Knie Gesellschaft (DKG), Munich, Germany
AO Research Institute Davos, Davos, Switzerland
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Application of drainages is controversially discussed. Li et al. conducted a prospective, randomized controlled trial on the effect of drainage application on postoperative pain, blood loss and occurrence of complications following HTO ( 20 ). The osteotomy
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Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland
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Applied and Translational Research Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Facoltà di Scienze Biomediche, Università della Svizzera Italiana, Lugano, Switzerland
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, surgery time, discharge time, blood loss, follow-up, complications, reinterventions, mortality, and functional outcome. Fig. 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart of the study selection process
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
Clinique Orthopédique Duval, Laval, Quebec, Canada
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
Clinique Orthopédique Duval, Laval, Quebec, Canada
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kinematic alignment (rKA) principles since it decreases the need for soft tissues release and further bleeding ( 41 , 42 ). Although the efficiency of navigation to decrease blood loss has not been proven in the general population, the authors consider that
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criteria for discharge on the day of surgery (DOS): 4 < 500 mL intraoperative blood loss; back in patient ward before 3 pm; received instruction from physiatrist and is safely mobilized; no clinical symptoms of anaemia (paleness, dizziness during
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-patellar skin allows for distal propping, and when maintaining the maximal length of the femur, the lever arm is maximal ( 6 ). Small studies show promising results with lower blood loss and fewer postoperative complications ( 7 , 8 ). GSA is therefore of
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optimal prophylactic regimen. 35 , 36 Surgical risk factors Surgical risk factors include previous surgery to the area, surgical approach, pre-operative skin preparation, tourniquet use, total surgical time, blood loss, surgical and anaesthetic
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, frequently OA may be limited to the medial compartment, thus allowing to perform UKR which carries advantages of shorter operative time and quicker recovery, reduced pain and blood loss compared to TKR ( 17 , 18 ). The aim of the current study is to report
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overall infections, in particular of MRSA. 32 Surgeons should consider additional antibiotic administration if the surgery time is twice the length of the half-life of the antibiotic, or whenever the blood loss exceeds 2000 mL and fluid resuscitation