PubTransformer

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PMID- 28723749
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170728
LR  - 20170801
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Effects of sealing the intramedullary femoral canal in total knee arthroplasty: A
      randomized study.
PG  - e7388
LID - 10.1097/MD.0000000000007388 [doi]
AB  - BACKGROUND: This study investigates the clinical effects of sealing the femoral
      canal by intramedullary alignment instrumentation in total knee arthroplasty
      (TKA). METHODS: One hundred twenty consecutive patients with knee osteoarthritis,
      who underwent unilateral TKA, were enrolled in the study and equally randomized
      into 2 groups: the sealing group and the control group. In the sealing group, the
      femoral canal was sealed with autogenous bone and cement using intramedullary
      alignment instrumentation, while the femoral hole was left open for patients in
      the control group. Blood loss, hemoglobin (Hb) reduction, and other parameters
      were recorded, as well as the duration of hospital stay and complications. The
      Hospital for Special Surgery (HSS) knee score was used to assess knee function at
      the final follow-up appointment. RESULTS: The calculated blood loss, hidden blood
      loss, transfusion requirements, drainage volume, and Hb reduction measurements
      were significantly different (P < .05) between the 2 groups. There were no
      significant differences in the surgery time, intraoperative blood loss, length of
      hospital stay, HSS score or complications between the 2 groups (P > .05).
      CONCLUSIONS: Sealing the intramedullary canal with autologous bone and a cement
      plug is an effective method for reducing blood loss and decreasing blood
      transfusion requirements during TKA procedures that have increasing complication 
      rates.
FAU - Li, Xu
AU  - Li X
AD  - aDepartment of Orthopedics, The Third Hospital of Hebei Medical University bHebei
      Sport Science Institute, Shijiazhuang, Hebei Province, People's Republic of
      China.
FAU - Qi, Xiang-Bei
AU  - Qi XB
FAU - Han, Xue
AU  - Han X
FAU - Wang, Wei
AU  - Wang W
FAU - Liu, Jian-Ning
AU  - Liu JN
FAU - Guo, Ji-Chao
AU  - Guo JC
FAU - Li, Zhi-Yong
AU  - Li ZY
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Bone Cements)
SB  - AIM
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Knee/adverse effects/*methods
MH  - Blood Loss, Surgical
MH  - Blood Transfusion
MH  - *Bone Cements/adverse effects
MH  - *Bone Transplantation/adverse effects
MH  - Female
MH  - Femur/*surgery
MH  - Follow-Up Studies
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Osteoarthritis, Knee/*surgery
MH  - Postoperative Complications
MH  - Severity of Illness Index
MH  - Treatment Outcome
PMC - PMC5521889
EDAT- 2017/07/21 06:00
MHDA- 2017/07/29 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007388 [doi]
AID - 00005792-201707210-00014 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7388. doi: 10.1097/MD.0000000000007388.