Does the Surgical Approach and Technique Influence the Inflammatory Markers Post TKR? A Study of 100 Osteoarthritic Knees

Description

This VTT transcript contains a presentation by Nilin Shah discussing a study on the impact of surgical approach and technique on inflammatory markers post-primary total knee replacement (TKR). The study compares the medial parapatellar approach with tourniquet versus the subvastus approach without tourniquet, revealing that the latter may reduce acute postoperative inflammation significantly. The data includes measurements of interleukin 6, CRP, ESR, AST, and LDH at various intervals after surgery, indicating trends that favor the subvastus approach. Shah emphasizes that managing perioperative pain is a multi-factorial challenge and presents evidence linking inflammatory markers to postoperative pain. The latter sections introduce a follow-up presentation by Nikhil Khadabadi on distal femoral replacement versus internal fixation for distal femoral fractures, highlighting the controversial treatment and outcomes associated with elderly patients undergoing these procedures.

DOI: 10.1302/3114-221939

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