Orthostatic retractor placement reduces operating time and post-operative inflammatory response during the learning curve of anterior approach THA
| Autor: | Gert-Jan Opsomer, Cigdem Sarac, Frans-Jozef Vandeputte |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.diagnostic_test biology business.industry Inflammatory response 030229 sport sciences Article Retractor 03 medical and health sciences Orthostatic vital signs 0302 clinical medicine Learning curve Anesthesia Erythrocyte sedimentation rate biology.protein Medicine Orthopedics and Sports Medicine Creatine kinase Anterior approach business Lead (electronics) |
| Zdroj: | J Orthop |
| ISSN: | 0972-978X |
| Popis: | INTRODUCTION: Handheld retractor placement (HHRP) is prone to repetitive repositioning. This could lead to muscle damage especially during a procedure with a steep learning curve. In an attempt to minimize retractor repositioning during the learning curve of direct anterior approach (DAA) total hip arthroplasty (THA), we used a table mounted orthostatic retractor placement (ORP) device. PURPOSE: To investigate whether ORP would reduce the extent of muscle damage, OR-time and post-operative inflammatory response. MATERIALS AND METHODS: 29 Patients were operated by 2 surgeons who randomly used HHRP or ORP during their learning curve of DAA THA. There were 14 patients in a control group who were operated by an experienced surgeon. Blood levels of Creatine Kinase (CK), C-Reactive Protein (CRP), Hemoglobin (Hb), Lactate Dehydrogenase (LDH) and Erythrocyte Sedimentation Rate (ESR) were measured at 1 h pre- and 24 and 48 h post-operatively. RESULTS: The mean OR-time was 67 and 50 min in the HHRP and ORP cohort, respectively (p |
| Databáze: | OpenAIRE |
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