Hebert CK, et al., Clinical Orthopaedics and Related Research 1996; 331, pp 140-145. Twenty consecutive cases of infected total knee replacements surgically treated between 1990 and 1993 in which complete clinical and financial data were available were reviewed to...
Sulek CA, et al., Anesthesiology 1999; 91:672-6. BACKGROUND: Tourniquet deflation following total knee arthroplasty (TKA) frequently results in release of emboli into the pulmonary circulation. Small emboli may gain access to the systemic circulation via a...
Walsh E. et al., ORTHOPEDICS 2006 Dec; 29:709-13. This study analyzed tourniquets used for orthopedic surgery in our hospital to determine the frequency and type of microbial contamination. Group A tourniquets were from our main operating room, Group B tourniquets...
Odinsson A, Finsen V, J Bone Joint Surg [Br] 2006;88-B:1090-2. Over a two-year period, 265 Norwegian orthopaedic surgeons working at 71 institutions performed 63,484 operations under a tourniquet. Their replies to a questionnaire revealed that they mostly followed...
Mittal P. et al., Journal of Orthopedic Surgery and Research 2008; 9:3(1). BACKGROUND: A bloodless operative field is considered mandatory for most surgical procedures on the upper and lower extremity. This is accomplished by using either an Esmarch bandage or a...
Ahmed SMY, et al., Ann R Coll Surg Engl 2009; 91: 000–000. INTRODUCTION: Tourniquets are employed widely in orthopaedic surgery. The use of the same tourniquet on a repetitive basis without a standard protocol for cleaning may be a source of cross-infection. This...
Reynders P A Twenty-three old women was involved in a road-traffic accident. She sustained a closed mono-trauma to her left knee-distal femur (according to AO it was classified as 33-C3 fracture). Initial fixation was done with an external fixator (fig.1a&b) We...
Gavriely N, 2008. More than a third of patients undergoing TKA have a BMI greater than 30 (obese) with many of these patients having a BMI that is greater than 40 (morbidly obese). Operating on these patients present the surgeon and the OR team with special problems...
Gavriely N, April 2012 INTRODUCTION & AIMS: Mild to moderate CD after TKA is a common side-effect of an otherwise successful procedure. Despite improvement in the majority of the cases within weeks to a few months, this is a source of concern and disappointment....
Gavriely N, May 2012. Tourniquet failure (TF) occurs when blood enters a limb beneath the tourniquet. This review analyzes the causes of primary TF – when the blood flow is not occluded a-priori, and secondary TF – when arterial flow is initially stopped, but resumes...
Gavriely N, July 2012. HemaClear® (HC) is a new device used to prepare a bloodless surgical field in limb surgery. It replaces the Esmach bandage, the pneumatic tourniquet with its accessories and the stockinet. It is an elastic, sterile single-patient use product...
Gavriely N, August 2012. Carpal Tunnel Release (CTR) is one of the most common surgical procedures performed in the US. A key to a successful outcome of the procedure is good visibility. This is achieved by assuring a bloodless surgical field by applying an arterial...
Gavriely N, Kotsirakis A, August 2012. Hand and wrist procedures range in various lengths of time and are performed under bleeding-free conditions achieved by some sort of exsanguination and tourniquet. The purpose of this paper is to describe regional and local...
Gavriely ER, August 2012. Carpal Tunnel Syndrome (CTS) is the most frequent nerve compression affecting 0.3% of the population of whom 1/3rd (0.1%) requiring surgical release – Carpal Tunnel Release (CTR) each year. It is caused by crowding the median nerve in its...
Boiko M, Roffman M, The Journal of Hand Surgery (Br) 2004 April; 29 (2): 185-187. This study evaluates a new device (S-MART ) for exsanguination and occlusion of the blood flow to the arm for hand surgery. The device consists of a silicone ring wrapped within a...
