https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37279 p < 0.001)). Statistical analysis between groups was used to assess the outcomes of time to union, incidence of non-union, post-operative functionality, incidence of complications, progression to revision surgery, and mortality. A secondary multivariable analysis was used to assess risk factors for non-union and factors positively associated with union. Results: There were no significant differences in outcomes between groups. Union rates were 83.8% (57/68) in the periprosthetic group and 78.9% (45/57) in the non-periprosthetic group (p = 0.648). Comminution was identified as a significant risk factor for non-union (p = 0.005). Use of a submuscular technique had a significant positive association with union (p = 0.006). Conclusions: Outcomes of surgical treatment for periprosthetic and non-periprosthetic distal femur fractures are similar. There is a significant risk of non-union in locked plating of both groups.]]> Wed 16 Sep 2020 16:58:19 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39822 0.8), and only 2 studies were able to externally validate their developed model. In general, models that performed well used large patient numbers, were tested on similar demographics, and used either nonlinear input transformations or a completely nonlinear model. Conclusion: Some models do show promise; however, there remains the question of whether the reported predictive success can continue to be replicated. Furthermore, clinical applicability and interpretation of predictive tools should be considered during development.]]> Tue 26 Jul 2022 11:57:37 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25826 PubMed and SCOPUS up to September 2015. Eligibility Criteria: RCTs comparing LIA with placebo or no infiltration after primary TKA in terms of pain score and opioid consumption at 24 and 48 h, mobilisation, LOS and complications were included. Results: In total 38 RCTs were included. LIA groups had lower pain scores, opioid consumption and postoperative nausea and vomiting, higher range of motion at 24 h and shorter LOS than no injection or placebo. After subgroup analysis, intraoperative peri-articular but not intra-articular injection had lower pain score at 24 h than no injection or placebo with the pooled mean difference of pain score at rest of -0.89 [95% CI (-1.40 to -0.38); I²=92.0%]. Continuing with postoperative injection or infusion reduced 24-h pain score with the pooled mean difference at rest of -1.50 [95% CI (-1.92 to -1.08); I²=60.5%]. There was no additional benefit in terms of pain relief during activity, opioid consumption, range of movement or LOS when LIA was used as an adjunct to regional anaesthesia. Four out of 735 patients receiving LIA reported deep knee infection, three of whom had had postoperative catheter placement. Conclusion: LIA is effective for acute pain management after TKA. Intraoperative peri-articular but not intra-articular injection may be helpful in pain control up to 24 h. The use of postoperative intra-articular catheter placement is still inconclusive. The benefit of LIA as an adjunctive treatment to regional anaesthesia was not demonstrated.]]> Sat 24 Mar 2018 07:34:41 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:30722 r = −0.719, P < .01). Health care professionals must consider patients’ demographic characteristics when providing education and support regarding pain self-management for postoperative pain control.]]> Sat 24 Mar 2018 07:32:37 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51580 1 month with <7 days symptoms, chronic >1 month with >7 days symptoms) classifications. Results: DAIR success was 45% (85/189) and was highest in early PJIs defined according to the Coventry (adjusted odds ratio [aOR] = 3.9, P =.01), the International Consensus Meeting (aOR = 3.1, P =.01), and the Auckland classifications (aOR = 2.6, P =.01). Success was lower in both hematogenous (aOR = 0.4, P =.03) and chronic infections (aOR = 0.1, P =.003). Conclusion: Time since primary TKA is an important predictor of DAIR success. Success was highest in infections occurring <1 month of the primary TKA and progressively decreased as time since the primary TKA increased.]]> Mon 11 Sep 2023 14:30:45 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42156 Fri 19 Aug 2022 09:01:13 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54859 Fri 15 Mar 2024 17:15:50 AEDT ]]>