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  • Book
    Matthew P. Abdel, Craig J. Della Valle, editors.
    Summary: Covering both acute post-operative and chronic complications following total hip arthroplasty (THA), this comprehensive clinical guide provides diagnostic and management strategies and techniques for orthopedic surgeons at every level. Utilizing a case-based approach, each condition is discussed in terms of its epidemiology, risk factors, and preventative measures, with a brief literature review providing evidence for the diagnosis and treatment each author selects. The first section covers acute post-operative complications, discussing peripheral nerve and vascular injuries, periprosthetic fractures and infections as well as thromboembolic events. The second section covers chronic complications including the more common complications such as recurrent dislocation and infection as well as rarer complications such as pelvic discontinuity. Aimed at the most efficient management of these often complicated conditions, Complications after Primary Total Hip Arthroplasty is a practical resource for orthopedic surgeons, residents and fellows working with patients having undergone hip replacement surgery.
    Digital Access Springer 2017
  • Article
    Feduska NJ, Belzer FO, Stieper KW, Duca RM, Mitchell JW, Vincenti F, Cochrum KC, Salvatierra O.
    Am J Surg. 1978 Mar;135(3):356-61.
    Between August 1967 and January 1977, 699 cadaver kidneys were preserved and transplanted in our hospital after continuous perfusion with cryoprecipitated plasma. Overall graft survival of primary transplants was 55 +/- 2 per cent at one year and 41 +/- 2 per cent at four years. The results with ninety-six second transplants were similar. The number of HLA antigens shared and the duration of preservation did not influence graft survival. Patient survival among 426 cadaver graft recipients since September 1972, when lower dose immunosuppression was started, was 91 +/- 1 per cent at one year and 84 +/- 2 per cent at four years, significantly better than survival before then. Survival of fifty-two recipients of cadaver retransplants since September 1972 was 86 +/- 5 per cent at one year and 86 +/- 5 per cent at four years, which was better than before. The incidence of posttransplantation dialysis was 30 per cent and did not correlate with the length of preservation. Primary wound infections, primary ureteral extravasation, and vascular complications each occurred with an incidence of 1.1 per cent or less in patients treated with lower dose immunosuppression. Only four kidneys were lost because of complications, and in no instance was the need for transplant nephrectomy directly related to the method of preservation. Perfusion preservation with cryoprecipitated plasma gives excellent results compared with alternative methods.
    Digital Access Access Options