Perioperative Outcomes of Patients Who Were Not Candidates for Additional Nonsteroidal Anti-inflammatory Drugs in a Multimodal Pain Control Regimen for Total Knee Arthroplasty.

Backgroud: Postoperative pain following total knee arthroplasty (TKA) may hamper patients from a rapid recovery and increase perioperative blood loss and stress on the cardiovascular system. Therefore, our objective was to assess perioperative outcomes after TKA in patients who were not candidates for the additional nonsteroidal anti-inflammatory drugs (NSAIDs) in a multimodal pain control regimen.

Methods: Propensity score matching for age, sex, body mass index, American Society of Anesthesiologists class, and preoperative hemoglobin level was conducted on patients undergoing unilateral TKA, and thereby 52 patients remained in each group.

Locking plate fixation of proximal humeral fracture: minimally invasive vs. standard delto-pectoral approach.

Objective: To evaluate the results of surgery of proximal humeral fractures using the MIPO technique and to compare that with the results of surgery using the traditional approach.

Material And Method: All PHILOS-plate osteosynthesis operations for two and three part proximal humeral fractures conducted at Chiang Mai University Hospital between January 2010 and December 2011 were evaluated retrospectively. Operative time, blood loss, mean fracture union time, and rate of axillary nerve injury were recorded for each patient.