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International Orthopaedics

Siem A Dingemans, Merel F N Birnie, Manouk Backes, Vincent M de Jong, Jan S Luitse, J Carel Goslings, Tim Schepers
The published online version contain mistake in the author list for the name of the author "J. Carel Goslings" was incorrectly presented in the HTML version.
July 16, 2018: International Orthopaedics
Zhe Li, Tie Liu, Peng Yin, Yu Wang, Shengen Liao, Shuo Zhang, Qingjun Su, Yong Hai
PURPOSE: The purpose of this study was to investigate the clinical effects of percutaneous kyphoplasty (PKP) on osteoporotic vertebral compression fractures (OVCFs) with or without intravertebral cleft (IVC). METHODS: From 2010 to 2016, 309 OVCFs patients (43 males, 266 females) treated with PKP were included in our study. All patients were divided into no intravertebral cleft (NIVC) group and intravertebral cleft (IVC) group according to pre-operative magnetic resonance imaging...
July 16, 2018: International Orthopaedics
Levon Doursounian, Julien Gaillard, Adeline Cambon-Binder, David Zbili, Alain Sautet
PURPOSE: Hemiarthroplasty (HA) for proximal humerus fracture (PHF) is associated with tuberosity complications like migration, non-union, and resorption. In order to improve the rate of consolidation of the greater tuberosity (GT), we have developed a hollow humeral head prosthesis in which the whole humeral head is inserted and used as autograft. This study is designed to evaluate the consolidation rate of the GT with this device. METHOD: Twenty-two patients at mean age of 68 were treated between 2015 and 2017 for four-part fractures, fracture-dislocations, and head-split fractures with HA including the bony humeral head...
July 11, 2018: International Orthopaedics
Gu Yifei, Shen Xiaolong, Liu Yang, Cao Peng, Yuan Wen
PURPOSE: To assess the clinical outcome of anterior correction and reconstruction for severe cervical kyphotic deformity due to neurofibromatosis type 1 (NF-1). METHODS: In this study, we reviewed a series of seven patients who underwent anterior procedures for correction of NF-1-associated cervical kyphotic deformity. After continuous preoperative skull traction, all patients received anterior corpectomy and fusion (ACCF), anterior discectomy and fusion (ACDF), or combined ACCF and ACDF for surgical correction and reconstruction...
July 9, 2018: International Orthopaedics
Xinjia Wang, Weibin An, Qiang Wu, Shanpeng Wu, Guoxin Li, Jican Zeng, Yuchun Chen, Guanfeng Yao
PURPOSE: The aim of this study was to assess the clinical efficacy and safety of Z-shape elevating-pulling reduction as compared to that of conventional skull traction in the treatment of lower cervical locked facet. METHODS: Patients with cervical locked facet (n = 63) were retrospectively enrolled from four medical centers and divided into two groups according to the pre-operative reduction method used: Z-shape elevating-pulling reduction (Z-shape elevating group; n = 20) or traditional skull traction reduction (skull traction group; n = 43)...
July 9, 2018: International Orthopaedics
Jason E Hsu, David Andrew Hulet, Chris McDonald, Anastasia Whitson, Stacy M Russ, Frederick A Matsen
PURPOSE: Scapular motion is an important component of shoulder function. This study determined the contribution of the scapula to active shoulder motion in control subjects and patients with loss of shoulder function. METHODS: The Kinect system was used to assess active scapulothoracic (ST) and humerothoracic (HT) abduction in 12 controls and in 352 patients before elective shoulder surgery. RESULTS: For the controls, ST abduction averaged 26 ± 7° or 19% of the active HT abduction (135 ± 5°)...
July 9, 2018: International Orthopaedics
Mohammed Adam, Ahmed Khalil Attia, Abduljabbar Alhammoud, Osama Aldahamsheh, Mohammed Al Ateeq Al Dosari, Ghalib Ahmed
BACKGROUND: The ideal treatment of acute anterior shoulder dislocation remains one of the topics that spark debate over the value of primary repair for the first-time anterior shoulder dislocation. The high rate of complications especially in young adults, such as recurrent instability, residual pain, and inability to return to sports, has led to the quest for an ideal management of such injuries. OBJECTIVE: In this meta-analysis, we compare between the immediate arthroscopic repair and conservative treatment of primary anterior shoulder dislocation as well as arthroscopic reconstruction of recurrent anterior shoulder dislocation...
July 7, 2018: International Orthopaedics
Zhan-Kui Jin, Ying Yang, Cui-Xiang Xu, Bo Yang, Mikko J Lammi, Yan-Hai Chang, Ming Ling, Xiong Guo, Xiao-Qing Wang
PURPOSE: Kashin-Beck disease (KBD) is an endemic osteoarthropathy, and the severe knee pain and functional limitations were seriously affecting the quality of life in patients with end-stage KBD. We retrospectively evaluated the clinical outcomes and the quality of life in KBD patients with total knee arthroplasty (TKA). METHODS: A total of 22 subjects (25 knees) suffered KBD with severe knee pain and underwent primary TKA. Knee pain was measured by visual analogue scale (VAS), and the knee function was evaluated by Knee Society Clinical Rating System Score (KSS)...
July 3, 2018: International Orthopaedics
Evgeniy Nikolaevich Goncharov, Oleg Aleksandrovich Koval, Eduard Nikolaevich Bezuglov, Nikolay Gavriilovich Goncharov
BACKGROUND: The anterolateral ligament (ALL) was discovered in 1879. For over 130 years, this anatomical structure did not enjoy much attention, but the situation started to change when a number of researchers described its contribution to the rotational stability of the knee joint. PURPOSE OF THE STUDY: To estimate the occurrence of the ALL and describe the aspects of its anatomy that should be factored into the outcome of stabilizing surgeries of the knee joint...
July 3, 2018: International Orthopaedics
Nattapol Tammachote, Supakit Kanitnate
PURPOSE: The purpose of this study was to systematically compare blood loss between the electric cautery and scalpel used in primary total knee arthroplasty (TKA). METHODS: We performed a double-blind trial randomizing osteoarthritic knee patients undergoing unilateral TKA done by either using scalpel (group S) or cautery (group C). Primary outcomes were total blood loss calculated from maximum haemoglobin drop and blood loss collected in drain. Secondary outcomes were systemic inflammatory response (serum C-reactive protein), wound complications, and functional outcomes assessed over three months...
July 3, 2018: International Orthopaedics
Adrien Jacquot, Marc-Olivier Gauci, Jean Chaoui, Mohammed Baba, Pierric Deransart, Pascal Boileau, Daniel Mole, Gilles Walch
PURPOSE: Glenoid loosening after total shoulder arthroplasty (TSA) is influenced by the position of the glenoid component. 3D planning software and patient-specific guides seem to improve positioning accuracy, but their respective individual application and role are yet to be defined. The aim of this study was to evaluate the accuracy of freehand implantation after 3D pre-operative planning and to compare its accuracy to that of a targeting guide. METHOD: Seventeen patients scheduled for TSA for primary glenohumeral arthritis were enrolled in this prospective study...
July 2, 2018: International Orthopaedics
Yuji Tomori, Takuya Sawaizumi, Mitsuhiko Nanno, Shinro Takai
PURPOSE: This study was performed to elucidate the cause of proximal ulnar stump pain by comparing the clinical results and radiographic changes among three treatment groups involving different Sauvé-Kapandji procedures. METHODS: Thirty-seven patients (38 wrists) with distal radioulnar joint disorders followed up for ≥ six months post-operatively were investigated. Patients were treated by one of three Sauvé-Kapandji procedures. In group A (13 wrists), the original Sauvé-Kapandji procedure was performed...
June 29, 2018: International Orthopaedics
Yanmao Wang, Runhua Zhou, Wanrun Zhong, Chengfang Hu, Shengdi Lu, Yimin Chai
PURPOSE: Previous studies have shown that serum uric acid levels and inflammation are associated with bone mineral density. Gout, a disease characterized by hyperuricemia and inflammation, contributes to the risk of osteoporotic fractures. However, this association is controversial. Therefore, this study investigated whether gout in older people (age > 55 years) is associated with osteoporotic fracture risk. METHODS: This population-based, cross-sectional study included 2674 participants (147 cases of gout and 388 fractures)...
June 28, 2018: International Orthopaedics
JianHui Shi, Wei Lv, Yan Wang, Ben Ma, Wei Cui, ZhenZhong Liu, KeCheng Han
PURPOSE: Medial closing-wedge distal femoral osteotomy (MCWDFO) was used to treat valgus knee malalignment combined with lateral compartment disease. The clinical outcome of the osteotomy depends on the accurate correction of valgus malalignment. The aim of this study was to evaluate the accuracy of a MCWDFO assisted by three-dimensional (3D)-printed cutting guides and locking guides. PATIENTS AND METHODS: Thirty-three consecutive patients (33 knees) were operated on using the same MCWDFO...
June 27, 2018: International Orthopaedics
Jung Youn Kim, Yong Girl Rhee
PURPOSE: During shoulder surgery in the beach-chair position, head fixation can sometimes cause rare complications. The authors share their experience in treating ocular injury due to improper head fixation during surgery in the beach-chair position. METHODS: The study investigated consecutively 6075 patients who underwent shoulder surgery in the beach-chair position between March 2007 and March 2016, those patients who saw an ophthalmologist with a complaint of post-operative ocular discomfort...
June 26, 2018: International Orthopaedics
Paul Schmitz, Stephan Lüdeck, Florian Baumann, Rainer Kretschmer, Michael Nerlich, Maximilian Kerschbaum
PURPOSE: Pelvic ring fractures, occurring in elderly patients are a challenging problem. Little known is about the patient-related outcome after these injuries. The primary objective of this study is to evaluate the quality of life after pelvic ring injuries in patients aged over 60 years. METHODS: Patients (≥ 60 years) with pelvic ring fractures treated in our trauma department between 2004 and 2014 were included. Next to patient data, injury-related details as well as treatment details were assessed...
June 26, 2018: International Orthopaedics
Marc O' Reilly, Khalid Mohamed, Dearbhail Foy, Eoin Sheehan
INTRODUCTION: Enhanced recovery programmes for hip and knee arthroplasty surgery have been shown to decrease length of stay and improve patient outcomes in the elective setting. There are limited studies looking at pre-operative patient education alone and its role, however, more recent studies have demonstrated that it can help reduce length of stay and health care costs. The elective orthopaedic unit at Tullamore Hospital was the first unit in the Irish public health system to have a joint school, pre-operative, educational session, and the aim of this study was to assess our patient understanding of this session to ensure a sustained, high level of patient care, quality assurance and educational standards...
June 23, 2018: International Orthopaedics
Philippe Hernigou, Gildasio Daltro, Jacques Hernigou
There is an error in the original publication for the photos of the Guest Editors were not included.
June 23, 2018: International Orthopaedics
Dmitry Y Borzunov, Alexander L Shastov
INTRODUCTION: Ilizarov bone transport for large bone defect is challenging and may end in distraction osteogenesis failure. MATERIAL AND METHODS: Ten forearm and seven tibial defect cases with failed regeneration due to ischaemia during bone transport were studied retrospectively. Mean forearm and tibial defects were 5.5 ± 0.8 and 7.6 ± 1 cm respectively, or 22.3 ± 3.6 and 20 ± 2.3% as compared with healthy segments. Most patients had numerous previous operations (2...
June 23, 2018: International Orthopaedics
Liang-Tseng Kuo, Chi-Lung Chen, Pei-An Yu, Wei-Hsiu Hsu, Ching-Chi Chi, Jae-Chul Yoo
PURPOSE: To investigate whether epinephrine in irrigation fluid improves visual clarity in arthroscopic shoulder surgery. METHODS: We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) that compared the surgical outcomes of patients who did and did not receive epinephrine during arthroscopic shoulder surgery. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, and Embase for relevant RCTs. We used the Cochrane Collaboration's tool to assess the risk of bias and adopted random-effects model meta-analysis to combine data...
June 22, 2018: International Orthopaedics
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