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rates of iatrogenic injury to peripheral nerves, reflecting the nature of injury and disease in the axial skeleton and limbs, the surgical proximity to the nerves and the techniques involved in surgical reconstruction. 3 Nerve injuries may be
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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Department of Surgery, University of Jaén, Jaén, Spain
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( 60 ). RF after anterior cruciate ligament reconstruction Deviandri et al . reported twocases of ultrasound-guided genicular nerve RF for pain control following anterior cruciate ligament reconstruction (ACLR). At postoperative days 1, 3, and
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of the early 1900s, we arrived at modern acquisition systems such as computed tomography (CT) and magnetic resonance imaging (MRI) which provide the surgeon with detailed reconstructions of the patient anatomy, in combination with advances in image
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connective tissue sheath (the epitenon) ensuring vascular, lymphatic and nerve supply. 1 , 5 , 13 Tendons which bend sharply around joints, e.g. in the hand and foot, are enclosed by a tendon sheath with synovial fluid to reduce sliding friction
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Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
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reconstruction. Incorporation mirrors that of autograft, however with a more significant inflammatory phase due to the increased immunogenicity ( 38 ). Allografts, in most instances, do not contain any live cells and therefore are not osteogenic. They provide
Low-dose dexamethasone during arthroplasty
What do we know about the risks?
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Glucocorticosteroids inhibit spontaneous discharge of the peripheral nerve terminals at the area of tissue injury and prevent pain transmission at the synapses of afferent nociceptive C-fibres in the dorsal horn that are responsible for central sensitisation. Pre
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, seroma, superficial infection (13%); ilio-inguinal neuralgia (eventually requiring neuroma excision) (2%); or major complications (in 5% of graft harvests) including hernias through the bony defect, vascular damage, or even sciatic nerve injury, deep
