Review article: Venous thromboembolism after total joint replacement

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Surgical debridement with prostheses retention for the treatment of acute periprosthetic infections following total knee arthroplasty

Free Paper Presentation Session 6 – Adult Joint Reconstruction: no. 6.3INTRODUCTION: Periprosthetic infection after total knee arthroplasty (TKA) is difficult to treat. Surgical debridement with retention of prostheses is one of the valid methods ...postprin

Why do Hong Kong patients need total hip arthroplasty? An analysis of 512 hips from 1998 to 2010

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Perioperative antithrombotic management in joint replacement surgeries

Objectives To determine optimal perioperative antithrombotic management for patients with cardiac diseases undergoing joint replacement surgeries. Data sources MEDLINE and PubMed database search up to January 2013. Study selection Those dealing with perioperative antithrombotic management of patients undergoing orthopaedic operations, especially joint replacement, and also those undergoing general surgery. Various combinations of the following key words were used in our search: 'antiplatelet', 'antithrombotic', 'anticoagulant', 'coronary stent', 'perioperative', 'venous thromboembolism', 'cardiovascular', 'surgery', 'orthopaedic', 'knee replacement', 'hip replacement', 'joint replacement', and 'arthroplasty'. Data extraction Literature review, original articles, and best practice guidelines. Data synthesis Patients should be stratified according to their risk of developing arterial thromboembolism in order to decide the most appropriate perioperative antiplatelet or anticoagulant regimen for them. After recent coronary stenting, including bare-metal stents implanted within 6 weeks and drug-eluting stents implanted within 6 months, surgery should be deferred. For venous thromboembolism prophylaxis in patients already on aspirin, the dosage should be adjusted as necessary or additional low-molecular-weight heparin administered. Conclusion The perioperative management of patients with cardiac diseases in receipt of antithrombotic agents is based upon a delicate balance between the perceived risk of arterial thromboembolism and the perceived risk of perioperative bleeding. One must exercise good judgement in deciding the most appropriate perioperative antithrombotic regimen. Venous thromboembolism is also a common problem after joint replacement surgeries. For patients already on aspirin, optimal venous thromboembolism prophylaxis is still being debated.published_or_final_versio

Subcapsular hematoma after ureteroscopy and laser lithotripsy

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Case series of Jehovah's witnesses having Total Knee Arthroplasty in Hong Kong

Electronic Poster Presentations: P48INTRODUCTION: Total knee arthroplasty (TKA) is challenging in Jehovah’s Witnesses (JW), as they do not accept transfusions. We report our experiences with a series of TKAs in JW in our ...postprin

Genesis II - Just another total knee replacement?

Free Paper Presentation Session 6 – Adult Joint Reconstruction: no. 6.7INTRODUCTION: Primary total knee replacement is a successful procedure for end stage osteoarthritis of knees. Genesis II (Smith & Nephew) is a posterior stabilised prosthesis allowing high flexion. The instrumentation and prosthesis were introduced in Hong Kong since 2011. This study aims to assess the clinical and radiological outcomes of ...postprin

Mild component malalignment may not affect the postoperative range of motion in posterior-stabilised total knee arthroplasty

Free Paper Presentation Session 6 – Adult Joint Reconstruction: no. 6.11INTRODUCTION: The optimal lower limb alignment and component positions in achieving a high flexion angle in posterior-stabilised total knee arthroplasty (TKA) were not well understood. We analysed pre- and post-operative clinical and radiological parameters in patients received TKA for knee ...postprin

The surveillance of surgical site infection after primary total knee replacement from 1993 to 2013

Free Paper Presentation Session 6 – Adult Joint Reconstruction: no. 6.1INTRODUCTION: Surgical site infection (SSI) is still the most common complication after primary total knee replacement. The surveillance of SSI after total joint replacement helps to audit the infection rate, identifies risk factors, provides trend of bacteriology. This study aims at reporting the 20-year SSI after primary total knee ...postprin

Do diabetic patients have an increased risk of deep surgical infection after total knee replacement?

Free Paper Presentation Session 6 – Adult Joint Reconstruction: no. 6.4INTRODUCTION: Diabetes mellitus has been linked to an increase risk of surgical site infection (SSI). Deep SSI after total knee replacement (TKR) is the most devastating complication, which often requires repeated operations and prolongs hospital stay. This study aimed at evaluating the effect of diabetes mellitus on rate of deep SSI after primary ...postprin