Is there a place for rotating-hinge arthroplasty in knee revision surgery for aseptic loosening?

We reviewed the results of 78 revision total knee arthroplasties using a rotating-hinge device, performed from 1993 through 2002. The average follow-up was 7.83 years.

Survival curve and factors related to drainage during the first 24 h after total knee arthroplasty.

Routine use of drains in total knee arthroplasty (TKA) is controversial. The aim of this study is to define the hourly risk of bleeding in the first 24 h following TKA using a survival study, to detect factors that might modify this risk, and establish a predictive model. In a retrospective study including 112 knees, patients with a coagulation disorder, platelet disease, or anticoagulation treatment were excluded.

Stress fracture of the femoral neck as a complication of total knee arthroplasty.

Stress fracture of the hip is a rare complication of total knee arthroplasty that occurs most often in patients in whom a significant deformity of the knee has been corrected, particularly those with poor mobility before surgery. We report 4 cases of ipsilateral fracture of the femoral neck after total knee arthroplasty.

Pharmacoeconomic analysis of bemiparin and enoxaparin as prophylaxis for venous thromboembolism in total knee replacement surgery.

Introduction: Low molecular weight heparins are effective and have a good tolerability profile as first-line prophylaxis for venous thromboembolism (VTE) in major orthopaedic surgery. However, pharmacological inequivalence within the class could lead to differences in cost-effectiveness ratios.

Objective: To quantify the potential economic impact of subcutaneous bemiparin sodium 3500 IU/day compared with enoxaparin sodium 40 mg/day as prophylaxis for VTE in patients undergoing total knee replacement (TKR) surgery, considering both in-hospital and post-discharge outcomes and costs during 6 weeks of postoperative follow-up.