RESUMO
This study evaluates the effect of local infiltration analgesia with bupivacaine and adrenaline on perioperative blood loss in total hip arthroplasty. Patients who had primary total hip arthroplasty were retrospectively assigned to two groups. One group had 100 ml of bupivacaine/adrenaline solution injected into periarticular soft tissues at the end of the procedure. There were 55 patients in the infiltrated hip group and 44 patients in the not infiltrated group. Patients' hemoglobin level (Hb), hematocrit (HTC), red blood count (RBC), platelet count (PLT) and International Normalized Ratio (INR) as well as the need for blood transfusions were compared statistically between groups preoperatively and postoperatively. There were no significant differences between Hb, HTC or RBC levels as well as the rate and amount of blood transfusions on the 1st, 4th postoperative days or at patients' discharge between infiltrated and not infiltrated groups. This study does not support the hypothesis that the use of local infiltration analgesia with adrenaline may reduce perioperative blood loss in total hip arthroplasty.
Assuntos
Analgesia/métodos , Artroplastia de Quadril/efeitos adversos , Artroplastia de Quadril/métodos , Bupivacaína/administração & dosagem , Epinefrina/administração & dosagem , Idoso , Anestésicos Locais , Perda Sanguínea Cirúrgica , Índice de Massa Corporal , Feminino , Hematócrito , Hemoglobinas/análise , Humanos , Coeficiente Internacional Normatizado , Masculino , Pessoa de Meia-Idade , Manejo da Dor/métodos , Contagem de Plaquetas , Polônia , Período Pré-Operatório , Estudos RetrospectivosRESUMO
BACKGROUND: This article reports outcome in osteotomy for malunion of distal radius fractures. MATERIAL AND METHODS: We evaluated 12 patients with distal radius malunion (mean age 54), who were treated with corrective osteotomy. Wrist motion and grip strength were evaluated, along with examination of pre and post osteotomy radiographs. The indications for corrections were degree of deformity, limitation of function, pain, and the appearance of the wrist. RESULTS: The radiographic evaluation proved that the restoration of the normal anatomic relationship between the distal radius and ulna leads to significant improvement of the function of the hand, as measured by range of motion and grip strength. CONCLUSION: Osteotomy of the distal radius in cases of malunion gives favorable outcomes.