THA and TKA in patients with cardiovascular disease: What makes the risk of perioperative bleeding?

Džupa, Valér; Motovska, Zuzana; Widimský, Petr; Waldauf, Petr; Ondrakova, M; Bartoška, Radek; Ježek, Michal; Lena, Tania; Popelka, O; Krbec, Martin

doi:10.4149/bll_2016_122

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…It is necessary to consider the overall biological condition, perioperative risk and systemic reserves of the patient. Time of surgery and blood loss are signifi cant factors carrying the risks of deterioration of physical and cognitive functions, especially in elderly patients over 70 years (18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

Isolated acetabular revision with modular trabecular titanium implants using tap-out tap-in technique of femoral cemented monoblock reinsertion

Chandoga¹,

Randarova²,

Debnar³

et al. 2022

BLL

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OBJECTIVES: To evaluate the role of isolated acetabular revision with modular trabecular titanium implants using simple extraction and reinsertion of femoral monoblock cemented stem (tap-out tap-in technique). BACKROUND: In the past years, we face the burden of revising hip arthroplasties in predominantly elderly population. METHODS: Single institution retrospective analysis of 17 hips in 16 patients with previous cemented total hip arthroplasty implanted between 1988 and 2007. These patients underwent isolated acetabular revision between 2010 and 2018 using modular acetabular Delta Trabecular Titanium (TT) system (Limacorporate S.p.a, Udine, Italy) with impaction bone grafting and reverse reamed allografts. Non-modular polished cemented stems (Poldi-Čech monoblock) were reinserted without additional cementing. RESULTS: Out of the total cohort (17 hips), 14 hips showed no signs of loosening or graft resorption as well as no femoral loosening during the median follow-up period of 5.1 (2 to 8.5 years). In one patient, fracture of cranial acetabular module occurred 4 months after the revision, one patient sustained two hip dislocations, and one patient developed deep infection resulting in permanent implant removal. CONCLUSION: Isolated acetabular revision using modular trabecular titanium implant with reinsertion of the original non-modular monoblock cemented femoral stem is a safe and effective technique in adequately selected patients (Tab. 3, Fig. 4, Ref. 30). Text in PDF www.elis.sk KEY WORDS: in-cement revision, tap-out tap-in, isolated acetabular revision, femoral cemented monoblock.

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Section: Discussionmentioning

confidence: 99%

Isolated acetabular revision with modular trabecular titanium implants using tap-out tap-in technique of femoral cemented monoblock reinsertion

Chandoga¹,

Randarova²,

Debnar³

et al. 2022

BLL

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“…We also recorded all implant-related complications within 3 years after surgery. X-ray analysis and evaluation of nonspecific complications [15,16] were not part of this study.…”

Section: Methodsmentioning

confidence: 99%

Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses

et al. 2021

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Background Aim of this study was to compare functional results within 36 months following primary total knee arthroplasty (TKA) using a conventional prosthesis Multigen Plus CR and a new Physica KR implant. Our hypothesis was that the use of the Kinematics-Retaining design of an TKA implant leads to a significantly greater improvement in the active range of motion and better functional results (KSS 1, KSS 2 and WOMAC score) than the conventional CR implant at short-term follow-up. Materials and methods We retrospectively analysed data of 234 patients who underwent primary TKA at our hospital from April 2010 to August 2015 with the CR type of implant and from July 2014 to August 2015 with the KR implant due to advanced knee arthrosis of IIIrd and IVth grade of Kellgren-Lawrence classification, with no major ligamentous instability. Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, Knee Society Scores 1 (KSS 1) and 2 (KSS 2) and flexion (AROM) were recorded preoperatively and at 6, 12 and 36 months after surgery. Results Our study showed a statistically significant difference in functional results at three years with better KSS 1 score, a tendency to higher values in the KSS 2 score, as well as a statistically significant overall improvement in AROM in favour of the new KR design over the conventional CR implant with a post-hoc power analysis of 83.8%. We found that there was no statistically significant difference between groups when comparing WOMAC score and complications at short-term follow-up. Conclusions Our study provided more favourable clinical results for using Kinematics-Retaining implant in primary TKA. Further studies should focus on radiological and functional outcomes from mid- to long-term follow-up.

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Mid-Term Results of Proxima Ultra-Short Anatomical Stem: Analysis of 130 Cases

Melišík

Hrubina

Heřt³

et al. 2021

ACHOT

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THA and TKA in patients with cardiovascular disease: What makes the risk of perioperative bleeding?

Cited by 3 publications

References 12 publications

Isolated acetabular revision with modular trabecular titanium implants using tap-out tap-in technique of femoral cemented monoblock reinsertion

Isolated acetabular revision with modular trabecular titanium implants using tap-out tap-in technique of femoral cemented monoblock reinsertion

Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses

Mid-Term Results of Proxima Ultra-Short Anatomical Stem: Analysis of 130 Cases

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