Complications of THR - Rob Sneath 12/9/2000

Brief

          Gillespie          JBJS (Br)          2000

Authors

W. Gillespie, D. Murray, P.J. Gregg and D. Warwick

Title

Risks and benefits of prophylaxis against venous thromboembolism in orthopaedic surgery

Reference

J Bone Joint Surg (Br) 2000;82-B:475-9

Summary

Up to date review suggesting that the risks outweigh the benefits for moderate risk orthopaedic surgery (uncomplicated THR) but not for high risk cases

Critique

Meta-analysis subject to paper selection bias and uses retrospective data. Controversial subject and conclusion at odds with centres from the States

Brief

           Garvin               JBJS (Am)          1995

Authors

K.L. Garvin and A.D. Hanssen

Title

Infection after Total Hip Arthroplasty

Reference

J Bone Joint Surg (Am) 1995;77-A:1576-1588

Summary

Review including pathogenesis, diagnosis and treatment

Critique

Covers a massive subject going over the important areas in detail, e.g Gristina et al "race for colonisation of the biomaterial surface".