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Question 2: In patients undergoing TKA, does the routine use of ALBC lead to higher aseptic mechanical failure rates compared to cement without antibiotics?

  • Nefrologie si urologie
  • Geavlete P.

Summary of answers 37 Cemented versus Uncemented Fixation in Total Knee Arthroplasty Clinical scenario Top three questions Question 1: In total knee arthroplasty TKA in younger patients, is the survival of the implant improved with uncemented components as compared to cemented fixation?

Question 2: In patients undergoing TKA, are the clinical outcomes improved with cementless fixation versus those fixed with cement?

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Question 2: In older active patients with osteoarthritis of the knee, is the use of CR TKA implants associated with differences in implant survival as compared to PS designs? Question 2: In older active patients with osteoarthritis of the knee, is patellar resurfacing associated with differences in objective functional outcomes as compared to nonresurfacing? Question 3: In older active patients with osteoarthritis of the knee, is patellar resurfacing associated with differences in complications anterior knee pain, and complications other than anterior knee pain as compared to nonresurfacing?

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Question 4: In older active patients with osteoarthritis of the knee, is patellar resurfacing associated with differences in reoperation rates as compared to nonresurfacing? Summary of answers 40 Mechanical versus Kinematic Alignment in Total Knee Arthroplasty Clinical scenario Top three questions Question 1: In patients undergoing TKA, does kinematic alignment provide better functional outcomes than mechanical alignment? Question 2: In patients with knee degeneration treated with a total knee arthroplasty TKAdo those with greater ligament stability, compared to those with laxer ligaments, have better clinical results?

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Question 3: In patients with knee degeneration treated with a TKA, do some surgical adenom de prostata operatie, compared to others, achieve better ligament balance and knee stability? Question 2: Among patients with suspected hypersensitivity reaction, does any diagnostic method perform better than others?

Question 3: Among patients with a confirmed hypersensitivity reaction, which treatment options, compared to others, result in the best outcomes? Question 3: In patients after primary TKA, does local cryotherapy have a positive effect on early postoperative parameters compared to protocols without cryotherapy application?

Summary of answers 46 Arthrofibrosis following Total Knee Arthroplasty Top three questions Question 1: In patients undergoing total knee arthroplasty TKAdoes continuous passive motion CPMcompared to standard postoperative care, help prevent arthrofibrosis?

Available literature and quality of the evidence Question 2: In patients undergoing manipulation under anesthesia MUA for stiffness after TKA, is early manipulation better than late manipulation at restoring range of motion ROM? Question 3: In patients with arthrofibrosis following TKA, does open arthrolysis provide superior outcomes compared to arthroscopic arthrolysis? Question 2: Are functional outcomes superior in a patient who has undergone a TKA with a HF prosthesis compared to a conventional total knee prosthesis?

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Summary of answers 48 Venous Thromboembolism in Total Knee Arthroplasty Clinical scenario Top three questions Question 1: In patients undergoing TKA, are newer generation anticoagulants superior to older agents for venous thromboembolism prophylaxis? Question 2: In patients undergoing TKA, is routine postoperative screening, compared to no screening, for venous thromboembolic disease effective in preventing morbidity and mortality?

Question 3: In patients undergoing TKA, is extended duration venous thromboembolism prophylaxis more effective than short duration prophylaxis?

Urgenelenurologie

Question 2: In patients undergoing revision TKA, does a tibial tubercle osteotomy TTOcompared to quadriceps snip QSresult in improved functional outcomes and fewer complications?

Question 3: In patients undergoing revision TKA and requiring augmentation due to bone defects, transrectal prostate abscess drainage metaphyseal cones, compared to sleeves, result in better outcomes?

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Question 3: Are synovial biomarkers i. Summary of answers 52 Diagnosing the Infected Total Knee Arthroplasty Clinical scenario Top three questions Question 1: In patients with signs and symptoms of infection, what is the sensitivity and specificity of synovial fluid cytology, compared to preoperative serologic transrectal prostate abscess drainage, for diagnosis of TKA infection?

Romanian Journal of Urology

Question 2: In patients with signs and symptoms of TKA infection, what intraoperative measures can be used for identification of joint infection? Summary of answers 54 Management of the Unstable Total Knee Arthroplasty Top three questions Question 1: In patients who have undergone total knee arthroplasty TKAwhich risk factors, compared to others, predict instability?

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Question 3: In patients undergoing revision TKA for instability, which surgical techniques, compared to others, produce optimal outcomes? Summary of answers 55 Stem Choices in Revision Total Knee Arthroplasty Introduction Clinical scenario Top three questions Question 1: In patients undergoing revision TKA, how do uncemented components, compared to cemented components, perform in terms of outcomes?

Question 2: In patients undergoing revision TKA, how do hybrid components, compared to fully cemented or uncemented components, perform in terms of outcomes? Question 3: In patients undergoing revision TKA, how do cemented components, compared to uncemented components, perform in terms of outcomes?

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Clinical scenario continued.