The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Robert A. Siston - One of the best experts on this subject based on the ideXlab platform.
-
the reamer irrigator aspirator reduces Femoral Canal pressure in simulated tka
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
-
The Reamer/Irrigator/Aspirator reduces Femoral Canal pressure in simulated TKA
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
Cornel C. Van Gorp - One of the best experts on this subject based on the ideXlab platform.
-
the reamer irrigator aspirator reduces Femoral Canal pressure in simulated tka
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
-
The Reamer/Irrigator/Aspirator reduces Femoral Canal pressure in simulated TKA
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
Stanley J. Kmiec - One of the best experts on this subject based on the ideXlab platform.
-
the reamer irrigator aspirator reduces Femoral Canal pressure in simulated tka
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
-
The Reamer/Irrigator/Aspirator reduces Femoral Canal pressure in simulated TKA
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
James V. Falk - One of the best experts on this subject based on the ideXlab platform.
-
the reamer irrigator aspirator reduces Femoral Canal pressure in simulated tka
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
-
The Reamer/Irrigator/Aspirator reduces Femoral Canal pressure in simulated TKA
Clinical Orthopaedics and Related Research, 2009Co-Authors: Cornel C. Van Gorp, James V. Falk, Stanley J. Kmiec, Robert A. SistonAbstract:Inserting the Femoral intramedullary alignment rod during total knee arthroplasty (TKA) can generate high intramedullary pressure, which increases the risk of intraoperative complications caused by fat embolism. Despite modifications to the surgical procedure, the best method to prevent this increase in pressure remains unknown. The reamer/irrigator/aspirator is a surgical instrument designed for use during Femoral Canal entry to increase the Canal size and remove intramedullary fat and may prevent this pressure increase. We posed two hypotheses: (1) using the reamer/irrigator/aspirator system will result in lower maximum Femoral intramedullary pressure than using only conventional instrumentation during the initial steps of a TKA; and (2) using the reamer/irrigator/aspirator system in the initial steps of TKA will result in a mean maximum intramedullary pressure less than 200 mm Hg. We simulated a TKA on 14 cadaveric femurs to compare the Femoral intramedullary pressure using both methods. Considerable decreases in Femoral intramedullary pressure of 86% proximally and 87% distally were obtained by using the reamer/irrigator/aspirator system. The mean maximum pressure using the reamer/irrigator/aspirator system was less than 200 mm Hg. Additional clinical studies are needed to confirm any reduction in complications using the reamer/irrigator/aspirator system.
Li Zhiyong - One of the best experts on this subject based on the ideXlab platform.
-
Effects of sealing the intramedullary Femoral Canal in total knee arthroplasty: A randomized study.
Medicine, 2017Co-Authors: Xue Han, Wei Wang, Jianning Liu, Jichao Guo, Li ZhiyongAbstract: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). 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.
