The Journal of Bone and Joint Surgery (American), 2005
Background: Warfarin, which requires coagulation monitoring, is associated with relatively high r... more Background: Warfarin, which requires coagulation monitoring, is associated with relatively high rates of thromboem-
Friction tests between cancellous bone cubes and porous-surfaced metal plates were conducted in o... more Friction tests between cancellous bone cubes and porous-surfaced metal plates were conducted in order to determine the mechanical properties of the interface in a knee porous-surfaced metal implant. Bone specimens were obtained from fresh frozen amputated tibiae and three metal plates were chosen: titanium bead porous-surfaced, titanium fiber mesh porous-surfaced, and smooth stainless steel. Results show that the friction curve is highly nonlinear. Friction coefficients measured vary between 0.3 and 1.3. The friction coefficient of the interface is independent of the excision site of the bone cubes and of the magnitude of the rate of relative displacement at the interface. The friction coefficient appears to vary slightly with the normal contact pressure for all the metal surfaces. Both porous surfaces have statistically a higher friction coefficient than the smooth surface. This is likely due to the presence of surface asperities whereby the metal ploughs the bone surface. However, no significant differences is observed between bead and fiber mesh types.
Lower doses of warfarin are effective in the treatment of proven proximal deep vein thrombosis (D... more Lower doses of warfarin are effective in the treatment of proven proximal deep vein thrombosis (DVT), and at a substantially lower risk of bleeding complications than with standard doses. The authors compared low-dose warfarin with external pneumatic compression (EPC) boots for prophylaxis against DVT and efficacy and safety in a population of total hip replacement patients at high risk for DVT and bleeding complications. DVT developed in 12 of 72 patients on low-dose warfarin and 11 of 66 patients on EPC. Both regimens were as efficacious as traditional higher doses of warfarin used in prior studies. No major bleeding complications occurred in either group. Low-dose warfarin appears to be an effective and relatively safe form of prophylaxis against postoperative DVT, as does sequential EPC of the calf and thigh.
The Journal of Bone and Joint Surgery (American), 2005
Background: Warfarin, which requires coagulation monitoring, is associated with relatively high r... more Background: Warfarin, which requires coagulation monitoring, is associated with relatively high rates of thromboem-
Friction tests between cancellous bone cubes and porous-surfaced metal plates were conducted in o... more Friction tests between cancellous bone cubes and porous-surfaced metal plates were conducted in order to determine the mechanical properties of the interface in a knee porous-surfaced metal implant. Bone specimens were obtained from fresh frozen amputated tibiae and three metal plates were chosen: titanium bead porous-surfaced, titanium fiber mesh porous-surfaced, and smooth stainless steel. Results show that the friction curve is highly nonlinear. Friction coefficients measured vary between 0.3 and 1.3. The friction coefficient of the interface is independent of the excision site of the bone cubes and of the magnitude of the rate of relative displacement at the interface. The friction coefficient appears to vary slightly with the normal contact pressure for all the metal surfaces. Both porous surfaces have statistically a higher friction coefficient than the smooth surface. This is likely due to the presence of surface asperities whereby the metal ploughs the bone surface. However, no significant differences is observed between bead and fiber mesh types.
Lower doses of warfarin are effective in the treatment of proven proximal deep vein thrombosis (D... more Lower doses of warfarin are effective in the treatment of proven proximal deep vein thrombosis (DVT), and at a substantially lower risk of bleeding complications than with standard doses. The authors compared low-dose warfarin with external pneumatic compression (EPC) boots for prophylaxis against DVT and efficacy and safety in a population of total hip replacement patients at high risk for DVT and bleeding complications. DVT developed in 12 of 72 patients on low-dose warfarin and 11 of 66 patients on EPC. Both regimens were as efficacious as traditional higher doses of warfarin used in prior studies. No major bleeding complications occurred in either group. Low-dose warfarin appears to be an effective and relatively safe form of prophylaxis against postoperative DVT, as does sequential EPC of the calf and thigh.
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