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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
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such as operating theatre traffic, use of light handles, pulsed lavage or number of glove changes may also be related to infection. Post-operative risk factors include transient bacteraemia related to dental procedures or other infections, wound care
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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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well-established procedure, but persistent neck and shoulder pain may arise from muscle stripping or post-operative kyphosis if the facet joint is partially resected. Although these post-operative problems may be lessened by use of tubular retractors
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-tissue trauma. 23 Simultaneous bilateral THA Simultaneous bilateral THAs have varying results in the literature when performed using conventional post-operative care routines. Otte et al 24 did a small study on 50 consecutive fast
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distraction of the triceps tendon. 1 , 2 Operative treatment, in order to restore articular congruity, has been the standard choice of care. 5 , 6 However, patients with comorbidities and elderly patients are at increased risk for postoperative
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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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
Service de Chirurgie Orthopédique, Traumatologie et Chirurgie Réparatrice des Membres, Hôpital d’Instruction des Armées Percy, France
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interventions that will lead to positive functional outcomes involves five main points, which will be discussed further. These include: understanding the disease background, pre-operative patient management, the surgical strategy, post-operative care, and the
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), post-operative rehabilitation protocols, follow up period/timings, clinical and radiological outcomes, adverse events, failure rates. Risk of bias of the studies was assessed according to the Coleman Methodology score. 3 This method was designed
