30% to 80% of patients develop deep vein thromboses (DVT) following total joint arthroplasty Rivaroxaban superior to enoxaparin in efficacy following TKA Aspirin is inexpensive, easy to administer, reasonably well tolerated, requires no blood monitoring, and has an excellent safety profile. It is efficacious and safe agent for the prevention of VTE Tranexamic acid (TXA) is useful in controlling blood…
Evidence of use of tourniquets in confliting Long duration and short duration tourniquet JBJS 2019 double blinded study concludes routine tourniquet use is “safe and effective, and concerns about the deleterious effects on function and pain may not be justified JBJS Am,2017 study : No-tourniquet group had better early knee function, lower levels of inflammatory biomarkers and higher satisfaction levels…
dd Less invasive surgical techniques Types: fixed and mobile bearing Alternative to total knee arthroplasty or osteotomy for uni compartmental disease Reserved for older (>60), lower-demand, and thin (<82 kg) patients Contraindications are younger patient, tricompartmental OA, inflammatory OA, ligamentouslaxity, pronounced deformity BMI >32 predicted failure and was associated with a reduction in survivorship Component failure/loosening, Patella impingement on femoral…
Common causes of failure of TKR include infection ,aseptic loosening & instability Instability accounts for 10% to 22% of revision procedures, which is further classified based On time, plane and position of knee Stability of TKR depends on good bony cuts and soft tissue balancing in all planes Check for extension and flexion gaps and assess for instability intra-op before…
Moderate to high-energy trauma 8% to 43% of these are open fractures and Ligament disruption seen in 43% to 80% CT scan is done to assess the articular collapse and fracture comminution Schatzker classification is commonly used Treatment is often aimed at restoring the articular congruity, coronal alignment and angular stability Open reduction and internal fixation is the traditional means…
