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W Norman Scott

Publications and source records attributed to W Norman Scott.

5 recordsLinked to original sources
PubMed2003

The role of debridement: through small portals.

Arthroscopic debridement represents one option for treatment of the patient with degenerative arthritis of the knee. Numerous procedures, including joint lavage, removal of loose bodies, partial meniscectomy, and techniques to stimulate cartilage repair may be included under this topic. Understanding surgical indications and clinical results requires differentiation of these individual components where possible. Furthermore, it is important to note that degenerative changes present along a spectrum of involvement. However, despite patient heterogeneity, selective application of conservative debridement, partial meniscectomy and removal of mechanical irritants will result in improved midterm follow-up results in approximately two thirds of patients. Patient expectations are crucial, and the temporizing nature of the procedure must be understood.

Arthroscopy↗
PubMed2003

Routine patellar resurfacing: a viable option.

The literature on routine patellar resurfacing documents that the rate of anterior knee pain after TKA is the same whether the patella is resurfaced or unresurfaced. The complication rate is different in these groups. In patients in whom the native patella is left, the rate of reoperation is approximately 10%. However, when correct surgical technique is used, the rate of patellar complications after routine resurfacing is negligible. Although design modifications have helped reduce patellar complications, the surgeon is the most important variable. As long as good technique is used, routine patellar resurfacing has been proven to produce the best results in TKA.

Arthroplasty, Replacement, Knee↗
PubMed2002

Blood management in revision total knee arthroplasty.

Much attention has been focused on blood management issues in orthopaedic surgery in recent years, but blood management in patients having revision total knee arthroplasty is not well-established. Hematologic values and transfusion records of 100 patients (52 women, 48 men; mean age, 65 years) who had aseptic revision total knee arthroplasty at the authors' institution were evaluated retrospectively. Two- or three-component revisions comprised 66% of the procedures, and 58 patients participated in a preoperative autologous donation program. The mean preoperative hemoglobin level was 12.1 g/dL in the women and 14.1 g/dL in the men, but the men experienced a greater decrease in hemoglobin level (mean largest decrease, 4.2 g/dL versus 3.1 g/dL), possibly caused by the higher allogeneic transfusion rate in women (19.2%) versus men (4.2%). Patient age did not influence hemoglobin level or transfusion rates. Patients who participated in a preoperative autologous donation program had significantly higher hemoglobin levels before donation (14.4 g/dL versus 13.3 g/dL for patients who did not participate in a program) but comparable hemoglobin levels after predonation (12.9 g/dL). Patients with preoperative hemoglobin levels less than 13 g/dL were significantly more likely to have a transfusion. Symptom-based transfusion strategies and blood management approaches such as epoetin alfa that elevate preoperative hemoglobin level therefore may be beneficial in patients having revision total knee arthroplasty.

Adult↗
PubMed2002

A fencepost solution.

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Arthroplasty, Replacement, Knee↗