1-Mar-08 0:00 AM  CST

Management of Falls After Total Knee Arthroplasty


Orthopedics, Vol 31, No.3, March 2008

Author: Richard J. Kearns,MD, Mark R. Brinker,MD and Daniel P. O'Connor, PhD

Click here to read the entire published article by Dr Brinker


This study evaluated 78 patients who fell after total knee arthroplasty. Eight patients (10.3%) had soft-tissue injuries that led to a poor clinical course (deep infection, unplanned return to the operating room, temporary or permanent resection arthroplasty, or knee arthrodesis).
 
Factors related to a poor clinical course included copious bleeding from the surgical wound immediately after falling, falling within 8 weeks of arthroplasty, and rupturing the parapatellar surgical wound and quadriceps repair. Patients who fall and have bleeding from their surgical wound should receive emergency surgical irrigation and debridement. A treatment protocol for patients who fall after total knee arthroplasty is presented.

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Source: Orthopedics, Vol 31, No.3, March 2008  

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