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orthopaedic procedures, older adult patients, especially with co-morbidities, need a more intensive level of care than younger patients during the pre- peri- and post-operative periods. 2 – 4 Pre-operative management In the pre-operative period the
Low-dose dexamethasone during arthroplasty
What do we know about the risks?
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substantial part of the shortened hospital stay is related to improved peri-operative pain management and prevention of post-operative nausea and vomiting (PONV), resulting in faster mobilisation and discharge of patients. Meanwhile, many peri-operative
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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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a daily basis. This evolution does not stop at the gates of medicine, which has also led to major advances in intra-operative imaging. Without intra-operative imaging, modern orthopaedic trauma surgery would not be possible. Most surgical procedures
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, SA, Australia
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‘workflow’ in the same frail patient group, is predicting discharge destination which could reduce expensive hospital admission days by streamlining post-operative pathways. 13 In the era of data-driven care and personalized or ‘precision’ medicine
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vascularity of periprosthetic tissue exposes the prosthesis to the highest risk of haematogenous infection in the first years after implantation. Typically, patients present with acute onset of clinical symptoms after a painless post-operative period. 6
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orthopaedic surgeon, understanding the respective advantages and disadvantages of each imaging modality is required for optimal patient care. With regard to failed joint replacements, pre-operative assessment is critical for determining the underlying
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include the difficulty of implementation or suboptimal compliance issues due to the limited movement of the patient and the discomfort they may bring, 25 , 26 needing to be worn continuously pre-, intra- and post-operatively for 72 hours, and lack of
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structures. 2 , 9 Post-operative injury may occur from tight dressings or splints, pressure from a haematoma or compartment syndrome. 6 A classification framework for iatrogenic peripheral nerve injuries has been proposed, which can be summarized
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rehabilitation. Multiple-stage procedures, such as wide resections as in oncological surgery, inevitably predict long-standing disability. In PJI, one-stage procedures are favoured regarding the preservation of quality of life 23 and post-operative function
