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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_7 | Pages 59 - 59
1 Jul 2022
Chinna S Gaden M Quah C Pickering S
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Abstract

Introduction

Failing total knee replacement management has included isotope bone scan to identify infection or loosening. BASK guidance suggests bone scans have a poor positive predictive value and are not advised. We assessed isotope bone scanning as a negative predictor to exclude loosening or infection in failing total knee replacement.

Methodology

Retrospective review of consecutive bone scans performed to investigate painful total knee replacements for a one-year period (June 2017 to June 2018). 166 bone scans performed. 33 excluded (no notes or scan for other reasons). Demographic information, age of prosthesis, clinic review date, serological markers, results of aspiration and subsequent intraoperative findings also recorded.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_1 | Pages 123 - 123
1 Jan 2013
Deakin D Gaden M Moran C
Full Access

Background

Orthopaedic surgeons are increasingly pressured to consider thromboprophylaxis for patients when little evidence exists. The aim of this study was to determine the incidence of fatal pulmonary embolism following office attendance in our outpatient fracture clinic.

Methods

Between October 2004 and September 2006 details of all new patients referred to our orthopaedic fracture clinic were prospectively entered into an audit database. Patients did not receive any form of thromboprophylaxis. Data was cross referenced with a national mortality database to identify all patients who subsequently died within 90 days of attendance in fracture clinic.