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Efficacy of Different Doses of Intra-Articular Tranexamic Acid for Reducing Blood Loss and Lower Limb Swelling After Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial.
Orthop Surg
December 2024
Department of Orthopaedics Surgery, West China Hospital, Sichuan University, Chengdu, China.
Objective: Both blood loss and lower extremity swelling after total knee arthroplasty (TKA) can affect a patient's postoperative recovery. The aim of this trial was to investigate whether different doses of intra-articular tranexamic acid (TXA) can reduce blood loss and postoperative lower limb swelling.
Methods: In a prospective, randomized-controlled trial, a total of 225 patients were randomly assigned to three groups from September 2020 through January 2021: intra-articular injections of 3 g, 1 g of TXA, or placebo (saline solution).
Venolymphatic malformation (VLM) manifestation in the knee: An uncommon encounter.
Radiol Case Rep
February 2025
Department of Psychiatry, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India, 442001.
An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation.
View Article and Find Full Text PDFA Prospective Study on the Suprapatellar Approach for Tibial Shaft Fractures: Insights Into Functional and Radiological Outcomes.
Cureus
November 2024
Orthopedics and Traumatology, KIMS - Saveera Hospital, Anantapur, IND.
Background: Tibial shaft fractures are among the most common long bone injuries and often can be challenging to manage surgically. While infrapatellar (IP) intramedullary nailing (IMN) has been a widely accepted treatment, its limitations have led to the emergence of alternative approaches, such as suprapatellar nailing (SPN) in a semi-extended knee position.
Aim: To evaluate the clinical, radiological, and functional outcomes of tibial shaft fractures treated with an SPN approach in a semi-extended knee position.
Symptoms and joint degeneration correlate with the temperature of osteoarthritic knees: an infrared thermography analysis.
Int Orthop
November 2024
Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Purpose: This study aim was to analyze the joint temperature of patients affected by bilateral knee osteoarthritis (OA) using infrared thermography to investigate whether thermographic imaging patterns are influenced by the severity of symptoms and joint degeneration.
Methods: Sixty-sixpatients ranging from 43 to 78 years old (63.3 ± 8.
Delayed Diagnosis of Quadriceps Tendon Rupture.
Cureus
October 2024
Physical Medicine and Rehabilitation, University of Virginia School of Medicine, Charlottesville, USA.
Article Synopsis
- Quadriceps tendon (QT) injuries typically cause pain, difficulty extending the knee, and a noticeable defect above the kneecap, often occurring from falls or eccentric contractions.
- Delayed diagnosis and repair of QT injuries can lead to worse recovery outcomes, including weakness and limited knee motion.
- A case study highlights the importance of interdisciplinary care, as PM&R helped identify a QT rupture six weeks post-injury, leading to timely surgery after an initial misdiagnosis.
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