•Journal•ISSN: 1745-3674
Acta Orthopaedica
Taylor & Francis
About: Acta Orthopaedica is an academic journal published by Taylor & Francis. The journal publishes majorly in the area(s): Arthroplasty & Medicine. It has an ISSN identifier of 1745-3674. It is also open access. Over the lifetime, 2425 publications have been published receiving 85855 citations. The journal is also known as: Acta orthopedica.
Topics: Arthroplasty, Medicine, Hip surgery, Population, Fracture fixation
Papers published on a yearly basis
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TL;DR: Local infiltration analgesia is simple, practical, safe, and effective for pain management after knee and hip surgery.
Abstract: Background We have developed a multimodal technique for the control of pain following knee and hip surgery, called "local infiltration analgesia" (LIA). It is based on systematic infiltration of a mixture of ropiva-caine, ketorolac, and adrenaline into the tissues around the surgical field to achieve satisfactory pain control with little physiological disturbance. The technique allows virtually immediate mobilization and earlier discharge from hospital. Patients and methods In this open, nonrandomized case series, we used LIA to manage postoperative pain in all 325 patients presenting to our service from Jan 1, 2005 to Dec 31,2006 for elective hip resurfacing (HRA), primary total hip replacement (THR), or primary total knee replacement arthroplasty (TKR). We recorded pain scores, mobilization times, and morphine usage for the entire group. Results Pain control was generally satisfactory (numerical rating scale pain score range 0-3). No morphine was required for postoperative pain control in two-thirds of the patients. Most patients were able to walk with assistance between 5 and 6 h after surgery and independent mobility was achieved 13-22 h after surgery. Orthostatic hypotension, nausea, and vomiting were occasionally associated with standing for the first time, but other side effects were unremarkable. 230 (71%) of the 325 patients were discharged directly home after a single overnight stay in hospital. Interpretation Local infiltration analgesia is simple, practical, safe, and effective for pain management after knee and hip surgery.
563 citations
TL;DR: It emerges from this review that aseptic loosening has a multifactorial etiology and cannot be explained by a single theory.
Abstract: Today, aseptic loosening is the most common cause of revision of major arthroplasties. Aseptic loosening accounts for more than two-thirds of hip revisions and almost one-half of knee revisions in Sweden. Several theories on the cause of aseptic loosening have been proposed. Most of these theories, however, are based on empiric observations, experimental animal models or anecdotal cases. In this review, we discuss the most common theories concerning aseptic loosening. It emerges from this review that aseptic loosening has a multifactorial etiology and cannot be explained by a single theory.
532 citations
TL;DR: 6 research centers have agreed upon standards for terminology, description and use of RSA arrangement including radiographic set-up and techniques, which will form the basis of a detailed standardization protocol under supervision of ISO and the European Standards Working Group on Joint Replacement Implants.
Abstract: There is a need for standardization of radiostereometric (RSA) investigations to facilitate comparison of outcome reported from different research groups. In this document, 6 research centers have ...
492 citations
TL;DR: Age, sex, marital status, co-morbidity, preoperative use of walking aids, pre- and postoperative hemoglobin levels, the need for blood transfusion, ASA score, and time between surgery and mobilization, were all found to influence postoperative outcome in general and LOS in particular.
Abstract: Background and purpose Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR). The aim of this prospe...
489 citations
TL;DR: The fracture pattern in a population of youths ≤ 19 years of age, who were seen at Umeå University Hospital, Sweden, is presented, finding variations in mechanisms and activities at injury with age, and over time.
Abstract: Background and purpose Fractures are most common in youth and in the elderly, with differences in incidence over time and between regions. We present the fracture pattern in a population of youths ...
426 citations