Readmission rate and early complications in patients undergoing total knee arthroplasty: A retrospective study.

Background: Total knee arthroplasty (TKA) can improve pain, quality of life, and functional outcomes. Although uncommon, postoperative complications are extremely consequential and thus must be carefully tracked and communicated to patients to assist their decision-making before surgery. Identification of the risk factors for complications and readmissions after TKA, taking into account common causes, temporal trends, and risk variables that can be changed or left unmodified, will benefit this process.

Evaluation of the Outcome of Osteoarthritis among Patients Undergoing Total Knee Replacement.

Background: To assess the outcome of osteoarthritis among patients undergoing total knee replacement (TKR).

Materials And Methods: One hundred and four subjects with one hundred and fifty-two cemented total knee arthroplasties have been analyzed in the current research. Functional assessment was carried out using the preoperative and postoperative Knee Injury and Osteoarthritis Outcome Score (KOOS) score and its five subscales: pain, other symptoms, function in activity of daily living (ADL), function in sport and recreation (Sport/Rec), and knee-related quality of life (QOL).

Neonatal sutureless pericardial marsupialization for isolated iatrogenic pulmonary vein stenosis.

A 12-day-old girl underwent extended end-to-end aortic arch reconstruction with proximal pulmonary autograft patch augmentation on moderately hypothermic cardiopulmonary bypass. At the end of the procedure, the right superior pulmonary vein developed a severe stenosis at the insertion site of the left atrial vent, as a consequence of multiple hemostatic sutures. We report the successful intraoperative ad hoc application of the sutureless pericardial marsupialization technique for the herewith described severe, isolated, iatrogenic pulmonary vein stenosis in a neonate.

Fast tracking after repair of congenital heart defects.

Fast tracking after repair of congenital heart defects (CHD) is a process involving the reduction of perioperative period by timely admission, early extubation after surgery, short intensive care unit (ICU) stay, early mobilisation, and faster hospital discharge. It requires a coordinated multidisciplinary team involvement. In the last 2 decades, many centres have adopted the fast tracking strategy in paediatric cardiac population, safely and successfully extubating patients in the OR with reported benefits in terms of reduced morbidity and ICU/hospital stay.

Implementation of On-table Extubation After Pediatric Cardiac Surgery in the Developing World.

In the recent years there has been increasing trend towards the practice of on-table extubation after pediatric cardiac surgery among practitioner in European and non-European countries. In this article we share our experience with on-table extubation among children after cardiac surgery in the developing world supported with the currently available literature.

Functional outcome of open distal femoral fractures managed with lateral locking plates.

Purpose: This prospective study evaluated the functional outcome and union rates of open distal femoral fractures managed with anatomic lateral locking plates.

Methods: Thirty-four patients with open distal femur fractures with mean age of 40.8 years (range 20-65 years) were included in the study.

International quality improvement initiatives.

Across the globe, the implementation of quality improvement science and collaborative learning has positively affected the care and outcomes for children born with CHD. These efforts have advanced the collective expertise and performance of inter-professional healthcare teams. In this review, we highlight selected quality improvement initiatives and strategies impacting the field of cardiovascular care and describe implications for future practice and research.

Synovial Hemangioma of the Knee Management and Excellent Outcome 2 Years after Arthroscopic Synovectomy in a 25-year-old Male with a 20-year History.

Introduction: Synovial hemangioma is a rare condition with <200 published case reports in world literature and is frequently misdiagnosed, leading to diagnostic delay of many years. This delay is even more significant if the patient comes from a rural background with a dearth of medical facilities in the area. This case had a lag of nearly 20 years from the time of onset of symptoms and the required management which is the maximum reported for any synovial hemangioma since most of them have been found and treated in adolescents.

Outcome of anatomic locking plate in extraarticular distal humeral shaft fractures.

Background: Extraarticular fractures of distal humerus are challenging injuries to treat because of complex anatomy and fracture patterns. Functional bracing may not provide adequate stability in these injuries and operative treatment with intramedullary nails or conventional plates also has the limitation of inadequate fixation in the short distal fragment. The 3.

Extubation in the operating room after cardiac surgery in children: a prospective observational study with multidisciplinary coordinated approach.

Objective: This prospective observational study was undertaken to determine the feasibility of extubation of children in the operating room after cardiac surgery.

Design: A prospective observational study compared with historic controls.

Setting: A single tertiary care referral hospital.

Thrombocytopenia in children with vivax malaria: a study from north India.

Objectives: To study incidence, severity and clinical significance of thrombocytopenia and to study recovery pattern of platelet counts in children with vivax malaria.

Methods: This was a retrospective hospital based descriptive case series. Cases of confirmed vivax malaria were studied and their Total Platelet Counts (TPC) evaluated daily till recovery and again after 1 wk on follow up visit.

Utility of intra-operative capnogram to detect branch pulmonary artery obstruction following total correction of tetralogy of Fallot.

Branch pulmonary artery obstruction is one of the prime reasons for re-operation in patients who have undergone repair for tetralogy of Fallot. Branch pulmonary artery obstruction may develop over a period of time due to dilation of right ventricular outflow tract or it may be caused by residual stenosis after inadequate repair. This may lead to differential lung perfusion causing morbidity.

Influence of colloid infusion on coagulation during off-pump coronary artery bypass grafting.

This study was conducted to determine the influence of colloid infusion on coagulation in patients undergoing off-pump coronary artery bypass grafting (OP-CABG). Thirty patients undergoing elective OP-CABG received medium molecular weight hydroxyethyl starch group I (MMW-HES 200/0.5), low molecular weight hydroxyethyl starch group II (LMW-HES 130/0.

Intra-operative trans-esophageal echocardiography in congenital heart disease.

Intra-operative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for repair of congenital heart disease. In several studies,TEE has been shown to provide additional intra-cardiac anatomic information. Its ability to be used intra- operatively before and after cardiac repair makes it a unique tool.

Anatomic repair for congenitally corrected transposition of the great arteries.

Objective: Anatomic repair is being actively evaluated as the preferred option for congenitally corrected transposition of the great arteries. We present our 13-year experience with this approach.

Methods: Between May 1994 and September 2007, 68 patients with congenitally corrected transposition of the great arteries underwent anatomic repair.

The efficacy of aprotinin in arterial switch operations in infants.

Background: In the present study we assessed whether aprotinin at a total dose (40,000 kallikrein inhibitor units (KIU)/kg) is effective in reducing postoperative blood loss and blood product requirement after arterial switch operations in infants.

Methods: A prospective, double-blind, randomized study, evaluated 50 infants who underwent arterial switch operations for transposition of great arteries. Patients were randomized into a placebo group, 25 patients who received normal saline and a treatment group, 25 patients who received 20,000 KIU/kg of aprotinin after induction of anesthesia, followed by 20,000 KIU/kg of aprotinin added to pump prime.

Influence of isoflurane on ischaemic heart disease in patients with coronary steal prone anatomy.

It is postulated that patients with ischaemic heart disease (IHD) and coronary steal prone anatomy (CSPA) may develop myocardial ischaemia under isoflurane anaesthesia. This study was conducted in 50 patients undergoing coronary artery bypass grafting. Among these 10 patients (20%) had CSPA, as evidenced by coronary angiography.

Ultra low dose aprotinin decreases blood loss and transfusion requirements in high risk two valve replacement surgery.

The efficacy of ultra-low-dose-aprotinin (ULDA) in 'high-risk' two valve replacement surgery, was evaluated in this prospective, randomized, double-blind study. Forty adult high-risk patients undergoing elective two valve replacement surgery, were included. The patients were divided into 2 groups of 20 each.

Total anomalous pulmonary venous connection with intact interatrial septum.

The presence of an interatrial communication is considered an integral part of the diagnosis of total anomalous pulmonary venous connection and is believed to be essential for survival. We report a 9-month-old infant with obstructed supracardiac total anomalous pulmonary venous connection without an interatrial communication.