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To develop recommendations, based on best evidence and experience, on pain management in patients undertaking total knee or hip replacement.Nominal group methodology was followed. A group of experts was selected (five orthopedics, one anesthesiologist), who defined the scope, users, topics, preliminary recommendations, and three systematic reviews: efficacy and safety of pre-surgical analgesia regarding...
To analyze the efficacy and safety of preventive analgesia in patients undergoing hip or knee arthroplasty due to osteoarthritis.A systematic literature review was performed, using a defined a sensitive strategy on Medline, Embase and Cochrane Library up to May 2013. The inclusion criteria were: patients undergoing knee and/or hip arthroplasty, adults with moderate or severe pain (≥4 on a Visual Analog...
Venous thromboembolism events (VTEs) prophylaxis after elective hip or knee replacement surgery is a subject of controversy. Three sets of guidelines (National Institute for Health and Clinical Excellence (NICE), American College of Chest Physicians (ACCP) and American Academy of Orthopaedic Surgeons (AAOS)) on this topic have recently been updated.The guidelines have points in common: prophylaxis...
To analyze the factors that affect the survivorship of subjects treated by hemiarthroplasty after a femoral neck fracture.This is a retrospective study of 1196 consecutive subcapital fractures in 1166 patients treated with a Thompson hemiarthroplasty between 1989 and 2001 for a femoral neck fracture. A clinical follow-up was made of a random sample of 220 fractures. Of these, 210 cases were followed...
To assess the quality of life in persons with a congenital short femur.This was a cross-sectional study. The study population was 92 patients diagnosed since 1969 with congenital short femur. Inclusion criteria were: patients should be over 15 years of age and possess a known address or telephone number. Quality of life was determined from May to October 2003 by means of telephone interviews, carried...
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