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compression plate acting as a bridge plate. Generally, the post-operative protocol following ORIF includes a posterior splint for two weeks to prevent ankle equinus and to allow for soft-tissue healing, followed by a removable boot and non-weight-bearing for
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iii) Total hip arthroplasty THA ostensibly allows superior post-operative rehabilitation, 6 better hip functional outcome scores 1 , 3 , 14 , 25 and superior quality of life. 39 The National Institute for Health and Care Excellence
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starting 6 h after surgery. Aspirin is not recommended post-operatively as monotherapy for hip fracture surgery. 4 The British Orthopaedic Association, in the Blue Book of Guidelines on the care of patients with fragility fractures states: “Almost ten
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Introduction Dealing with structures that are usually localized deep inside the surrounding soft tissue, trauma and orthopaedic surgery represent a challenge for intra-operative visualization and orientation to the surgeon. In addition to in
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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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NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK
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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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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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this elderly population. 6 – 17 The goal of this literature review is to give an overview of current indications, treatment strategies, surgical pitfalls, post-operative management and results to be expected. Fig. 1 Full-length X-ray of a 93
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the immediate care phase. Diabetes mellitus Diabetes is an important comorbidity as an independent risk factor for cardiac complications, heart failure, renal failure, infections and overall mortality. To adequately reduce the peri- and post-operative
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> 1.5 is generally associated with an increased risk of post-operative bleeding complications. 21 - 23 The BOA recommends that the INR should be corrected to 1.5 or lower pre-operatively. 24 A primary concern with discontinuation and
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procedures in the trauma and elective setting. Driving is a complex task involving visual, motor, and cognitive skills acting in tandem ( 17 ). This may be affected by the use of opioid medications in the post-operative recovery period as demonstrated by an
