Letter to the Editor on “Indications for MARS-MRI in Patients Treated With Articular Surface Replacement XL Total Hip Arthroplasty”

Abstract

3. "What was outcome if synovium was removed in both groups of patients with RA?" The synovium in the rheumatoid arthritis patients showed a greater tendency of bleeding, which was controlled by a thorough hemostasis with electrocautery. As stated before, the synovium resection was performed only until a proper visualization was obtained. 4. "Author reported 2 cases of patellar injury in group B managed conservatively. Was any difference in postoperative rehabilitation of these patients and was any brace given for it. As we delay range of motion exercises and start protective weight bearing in patients with patellar tendon injury. Outcome of these patients at final followup was same as with others?" In both cases of partial patellar tendon injury that occurred intraoperatively, the lesion was less than one-third of the tendon's width, therefore we decided not change the postoperative protocol. The results at follow-up did not show differences between the injured knee and the contralateral knee. 5. "Lastly we want to know approximate value of intra operative B.P. kept by anesthetist. As in most cases anesthetist will lower down B.P. for arthroplasty do decrease the blood loss. Did anaesthestist reduce B.P. while whole procedure or selectively." The anesthesiologist used hypotensive technique for all patients during the entire surgical procedure, meaning a diastolic pressure between 65 and 70 mm Hg and a systolic blood pressure not more than 100 mm Hg, with a tendency to lower the heart rate.