High-volume local infiltration analgesia combined with intravenous or local ketorolac+morphine compared with epidural analgesia after total knee arthroplasty.

Background: Recently, high-volume local infiltration analgesia (LIA) in total knee arthroplasty (TKA) has been introduced, but dosage, timing, and effects of adjuvants are still debated.

Methods: We randomized 102 patients undergoing TKA to receive either epidural analgesia (EDA group) or LIA (ropivacaine 150 mg and epinephrine 0.5 mg) combined with ketorolac 30 mg and morphine 5 mg given either locally (LIA group) or i.

Physiotherapy: an overestimated factor in after-treatment of fractures in the distal radius?

Supervision by physiotherapists, starting 4-6 weeks after cast removal, was compared with self-training in 110 patients treated for Colles' fracture. The patients guided by physiotherapists were all satisfied with the treatment, but no functional advantages could be discerned when compared with self-training.

Do we underestimate the predictive value of the ulnar styloid affection in Colles fractures?

Various radiographic factors have been suggested as predictively important when dealing with an unstable distal radius fracture. Accordingly, many classification systems have been established in order to give an accurate description of a fracture and to grade the seriousness of the injury. In this paper, we use the classification of Colles fractures introduced by Frykman to investigate the predictive value of a concomitant fracture of the ulnar styloid.