The Effect of Tranexamic Acid and Tourniquet Use on Tibial Cement Penetration in Primary Total Knee Arthroplasties

Background: In this study, our aim was to compare the effects of tourniquet and tranexamic acid (TXA) use on tibial cement penetration in primary total knee arthroplasty (TKA) using radiograph images. In addition, we also aimed at investigating the effects of age, gender, body mass index (BMI), and bone mineral density on cement penetration. Methods: One hundred seventy patients who underwent TKA for primary osteoarthritis were retrospectively evaluated. TXA was administered to patients in group 1 (n = 96), and tourniquet application was used in patients in group 2 (n = 74). Tibial cement penetration was evaluated radiologically on a total of 4 zones: 2 anteroposterior and 2 lateral zones. In addition, age, gender, BMI, and bone mineral density were recorded in each group. Results: The mean cement penetration in the total study population was 2.34 ± 0.24 mm, with a mean of 2.33 ± 0.25 mm in the TXA group and a mean of 2.35 ± 0.24 mm in the tourniquet group (P = .453). A negative correlation was detected between BMI and anteroposterior 1 values in the total and TXA groups (P = .022 and P = .029). In the evaluation of the differences between genders, significantly higher penetration values were observed only in the females in the tourniquet group (P = .024). Conclusions: The use of TXA instead of a tourniquet does not reduce the depth of cement penetration in TKA. The clinical implications of individual-induced penetration differences may be significant for future implant survival. © 2020 The Author

Long-term photometry of IC 348 with the Young Exoplanet Transit Initiative network

We present long-term photometric observations of the young open cluster IC 348 with a baseline time-scale of 2.4 yr. Our study was conducted with several telescopes from the Young Exoplanet Transit Initiative (YETI) network in the Bessel R band to find periodic variability of young stars. We identified 87 stars in IC 348 to be periodically variable; 33 of them were unreported before. Additionally, we detected 61 periodic non-members of which 41 are new discoveries. Our wide field of view was the key to those numerous newly found variable stars. The distribution of rotation periods in IC 348 has always been of special interest. We investigate it further with our newly detected periods but we cannot find a statistically significant bimodality. We also report the detection of a close eclipsing binary in IC 348 composed of a low-mass stellar component (M ≳ 0.09 M⊙) and a K0 pre-main-sequence star (M ≈ 2.7 M⊙). Furthermore, we discovered three detached binaries among the background stars in our field of view and confirmed the period of a fourth one

Does preemptive gabapentin modulate cytokine response in total knee arthroplasty? A placebo controlled study

Gabapentin, as a structural analogue of γ-aminobutyric acid, has been investigated to provide pain relief in the early postoperative period following various surgical interventions

Does remifentanil attenuate renal ischemia-reperfusion injury better than dexmedetomidine in rat kidney?

Ischemia-reperfusion (I/R) injury is a common cause of patient morbidity and mortality in the perioperative period. Patients undergoing long-lasting, abdominal, and urogenital surgeries with risk factors such as advanced age, peripheral artery disease, diabetes mellitus, renovascular disease, and congestive heart failure are candidates for acute kidney injury (AKI) due to impaired renal perfusion and decreased functional renal reserve. Pharmacological agents with multiple functions and anti-oxidative and anti-inflammation properties may be promising preventative strategies for AKI. Recently, dexmedetomidine (dex) has been postulated to have renoprotective effects