Outcomes of Kinematically Aligned Total Knee Arthroplasty in Indian Population-Case Series with Three Year Clinical Results.

Background: Kinematic total knee arthroplasty (KA) is emerging as an alternative for conventional mechanically aligned (MA) total knee arthroplasty (TKA) for treating patients with osteoarthritis (OA) knee. Since its introduction, concerns remain about the reproducibility and outcomes in different ethnic groups. This study was undertaken to analyse patient-reported outcomes of kinematically aligned total knee arthroplasty using Oxford Knee Score (OKS) in Indian population.

Combined Intravenous and Intraarticular Tranexamic Acid Does Not Offer Additional Benefit Compared with Intraarticular Use Alone in Bilateral TKA: A Randomized Controlled Trial.

Background: Tranexamic acid (TXA) is efficacious for reducing blood loss and transfusion use in patients who undergo bilateral TKA, and it is administered intravenously alone, intraarticularly alone, or as a combination of these. However, it is unclear whether combined intravenous (IV) and intraarticular TXA offers any additional benefit over intraarticular use alone in patients undergoing bilateral TKA.

Questions/purposes: The purposes of our study was to determine (1) whether combined IV and intraarticular TXA reduces blood loss and blood transfusion use compared with intraarticular use alone and (2) whether the frequency of adverse events is different between these routes of administration in patients who undergo simultaneous or staged bilateral TKA.

Intravenous Tranexamic Acid Reduces Postoperative Blood Loss After High Tibial Osteotomy.

Background: Medial opening wedge high tibial osteotomy (HTO) entails extensive soft tissue release that may lead to substantial perioperative bleeding. Although tranexamic acid (TXA) is a well-established blood-conserving agent in total joint arthroplasty, its potential to reduce blood loss in patients undergoing HTO has not been studied extensively.

Questions/purposes: (1) Does TXA reduce total estimated blood loss in HTO? (2) Does TXA use in HTO affect in-hospital endpoints as measured by visual analog scale (VAS) pain scores at rest the day after surgery, wound complications in the immediate postoperative period, blood transfusions, or symptomatic deep vein thrombosis?

Methods: Between January 2015 and May 2017, a single surgeon performed 156 HTOs, all of which were done using the medial opening wedge technique.

Proximal humerus fracture dislocation leading to axillary artery injury in an young adult: Case report of an unusual presentation.

Proximal humerus fractures constitute five percent of all fracture cases. Though rare, severely comminuted proximal humerus fractures can cause injury to neurovascular structure. Majority of these injuries reported in literature were in elderly age group from low velocity injury owing to loss of elasticity of vessel wall.

A rare combination of sagittal plane fracture of talar body with medial malleolus fracture: Case report and review of literature.

Fractures of talus are relatively uncommon injuries with majority of them involving the neck region. Talar body fracture in sagittal plane in combination with medial malleolus fracture is very rare with few cases being reported in the literature earlier. We report such an unusual combination in an adolescent, which was treated with open reduction and internal fixation with screws for both talus and medial malleolus.