Source:http://linkedlifedata.com/resource/pubmed/id/17463116
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2007-4-27
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pubmed:abstractText |
Systemic emboli released during total knee replacement have been implicated as a cause of peri-operative morbidity and neurological dysfunction. We undertook a prospective, double-blind, randomised study to compare the cardiac embolic load sustained during computer-assisted and conventional, intramedullary-aligned, total knee replacement, as measured by transoesophageal echocardiography. There were 26 consecutive procedures performed by a single surgeon at a single hospital. The embolic load was scored using the modified Mayo grading system for echogenic emboli. Fourteen patients undergoing computer-assisted total knee replacement had a mean embolic score of 4.89 (3 to 7) and 12 undergoing conventional total knee replacement had a mean embolic score of 6.15 (4 to 8) on release of the tourniquet. Comparison of the groups using a two-tailed t-test confirmed a highly significant difference (p = 0.004). This study demonstrates that computer-assisted knee replacement results in the release of significantly fewer systemic emboli than the conventional procedure using intramedullary alignment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0301-620X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
89
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
481-5
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pubmed:dateRevised |
2010-11-10
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pubmed:meshHeading |
pubmed-meshheading:17463116-Aged,
pubmed-meshheading:17463116-Aged, 80 and over,
pubmed-meshheading:17463116-Arthroplasty, Replacement, Knee,
pubmed-meshheading:17463116-Double-Blind Method,
pubmed-meshheading:17463116-Echocardiography, Transesophageal,
pubmed-meshheading:17463116-Embolism,
pubmed-meshheading:17463116-Female,
pubmed-meshheading:17463116-Humans,
pubmed-meshheading:17463116-Male,
pubmed-meshheading:17463116-Middle Aged,
pubmed-meshheading:17463116-Prospective Studies,
pubmed-meshheading:17463116-Severity of Illness Index,
pubmed-meshheading:17463116-Surgery, Computer-Assisted,
pubmed-meshheading:17463116-Treatment Outcome
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pubmed:year |
2007
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pubmed:articleTitle |
Embolic phenomena during computer-assisted and conventional total knee replacement.
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pubmed:affiliation |
Department of Orthopaedics Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK. j.s.church@btinternet.com
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial
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