Efficacy and safety of tranexamic acid in hip fracture surgery: A comparative study of 613 patients.

Background: Blood loss is a major concern in the frail elderly patient undergoing hip fracture surgery. The objective of this study was to investigate the efficacy of tranexamic acid in reducing blood loss and allogenic blood transfusions. The study also investigated the safety profile by comparing rates of thromboembolic events.

Lifting incise drapes off the skin during wound closure can cause contamination.

Incise drapes adhere well to skin and reduce bacterial migration into the wound. We took skin swabs before and after the application of incise drapes during 49 hip and knee arthroplasty procedures. Contamination was detected under incise drapes in four cases (8.

Salmonella sternoclavicular osteomyelitis in a patient with Crohn's disease.

We describe a 73-year-old man with Crohn's disease and previous sternotomies, who developed Salmonella sternoclavicular osteomyelitis subsequent to a Salmonella enteritidis sepsis and closed fracture of his clavicle. We include evidence from several cases related to sternoclavicular osteomyelitis, and Salmonella osteomyelitis. We continue by summarising the aetologies of these diseases, and risk factors that predispose to them.

Is a lateral view essential in management of hip fracture?

Introduction: Neck of femur accounts to about 86,000 cases per annum in UK. AP and lateral radiographs form an essential investigation in planning the management of these fractures. Recently it has been suggested that lateral view does not provide any additional information in majority of the cases.

Use of a Dall-Miles plate and cables for the fixation of a periprosthetic tibial fracture.

Although tibial periprosthetic fractures are uncommon, they are likely to be encountered more frequently with the increased use of total knee arthroplasty, and they present a challenging management problem. Here we present our solution to this problem, which provided a safe, effective means of fracture management, while maintaining the prosthesis.