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International Orthopaedics

Florian Hess, Ralph Zettl, Daniel Smolen, Christoph Knoth
PURPOSE: Scapular fractures after reverse shoulder arthroplasty (RSA) are often associated with substantial shoulder impairment. Patient outcomes following either conservative or operative treatment have not been favourable, and consensus is lacking on the best treatment approach. We describe a technique for anatomic reconstruction of fractured lateral and basal acromion in patients at higher risk for diminished function or those for which conservative treatment has already failed. METHODS: Of the 95 patients who underwent RSA at our institution between December 2013 and December 2016, three had post-operative acromion fractures (type II)...
December 8, 2017: International Orthopaedics
Matthias Krause, Leif Menzdorf, Achim Preiss, Karl-Heinz Frosch
No abstract text is available yet for this article.
December 7, 2017: International Orthopaedics
Yasser Abed, Khaled Nour, Yasser Roshdy Kandil, Abed El-Negery
BACKGROUND: Long standing nonunion of the lateral humeral condyle (LHC) usually results in elbow pain and instability with progressive cubitus valgus and tardy ulnar neuritis. Surgical treatment of long standing nonunion is still a controversial issue due to the reported complications, such as stiffness, loss of elbow motion, and avascular necrosis of the LHC fragment. In this study, we reported the outcomes of treatment of cubitus valgus deformity in long standing nonunion of the LHC in children treated with combined triple management (fixation of the nonunion site, dome corrective osteotomy, and anterior transposition of ulnar nerve) through a modified para-triceptal approach...
December 6, 2017: International Orthopaedics
Ayumi Matsunaga, Shunsuke Akiho, Koichi Kinoshita, Masatoshi Naito, Takuaki Yamamoto
PURPOSE: Curved periacetabular osteotomy (CPO) has been developed for the treatment of acetabular dysplasia. While several studies have reported its good clinical results, the complications of CPO include delayed union and nonunion of the superior pubic ramus. The purpose of this study is to investigate the prevalence of delayed union of the pubis one year after CPO, and to determine the risk factors for this complication. METHODS: The study examined 113 hips that underwent CPO between 2008 and 2012...
December 5, 2017: International Orthopaedics
Hwan Jin Kim, Jung Youn Kim, Young Moon Kee, Yong Girl Rhee
PURPOSE: To evaluate the clinical and radiographic outcomes of patients with total elbow arthroplasty (TEA) and soft tissue reconstruction. METHODS: We investigated six patients who underwent TEA and soft tissue reconstruction (two elbows with 1-stage surgery and four elbows with 2-stage surgery). The mean patient age at the time of the surgical procedure was 43.2 years; the mean follow-up duration was 88.2 months. RESULTS: The mean pain visual analogue scale (VAS) during motion was improved from 6...
December 5, 2017: International Orthopaedics
Ziyu Li, Wendan Cheng, Liangye Sun, Yunfeng Yao, Qiliang Cao, Shuming Ye, Lei Qi, Shenglin Xu, Xiaosan Wu, Juehua Jing
PURPOSE: Whether minimally invasive total knee arthroplasty (MIS-TKA) could offer better and faster recovery without the deviation of post-operative prosthesis position and limb alignment is still controversial. This prospective and randomized study was conducted to compare the clinical and radiological outcomes between patients who underwent the mini-subvastus approach of MIS-TKA and those who underwent the medial parapatellar approach of traditional TKA. METHODS: Fifty patients, including 50 knees, who required TKA due to osteoarthritis were randomized to the mini-subvastus group (group I) or the medial parapatellar group (group II)...
December 4, 2017: International Orthopaedics
Sung Hyun Lee, Se Jin Kim, Seng Hwan Kook, Jeong Woo Kim
PURPOSE: This study aimed to evaluate the clinical outcomes and persistent infection rate of two-stage revision of infected shoulder arthroplasty. METHODS: We enrolled 12 patients who developed an infection after undergoing shoulder arthroplasty between January 2009 and January 2014. They underwent a two-stage revision with PROSTALAC implantation and shoulder re-implantation in the first- and second-stage surgery, respectively. The mean follow-up period was 40.88 months (range, 36-52 months)...
December 2, 2017: International Orthopaedics
Karol Szyluk, Andrzej Jasiński, Pawel Niemiec, Michal Mielnik, Bogdan Koczy
PURPOSE: The aim of this study was to evaluate five-year prevalence of recurrent shoulder dislocation in the entire Polish population. METHODS: The study involved the entire Polish population between 01 January 2010 and 31 December 2014. Demographic data were retrieved from the Central Statistical Office of Poland. Data on the number of shoulder joint dislocations were retrieved from the database of the National Health Fund. RESULTS: We identified 32,253 Polish residents with shoulder instability...
December 2, 2017: International Orthopaedics
Justinas Stucinskas, Tomas Kalvaitis, Alfredas Smailys, Otto Robertsson, Sarunas Tarasevicius
PURPOSE: Recently, there has been increasing interest in the use of dual mobility systems in the treatment of hip instability. The aim of this study was to investigate the re-revision rate of dual mobility cup compared to different surgical concepts when used for first-time hip revisions due to recurrent dislocations. METHODS: The data were derived from the Lithuanian Arthroplasty Register. For survival analysis, we used both re-revision for all reasons and for dislocations as an end-point...
December 2, 2017: International Orthopaedics
Adeline Cambon-Binder, Pascal Jehanno, Laurent Tribout, Philippe Valenti, Anne-Laure Simon, Brice Ilharreborde, Keyvan Mazda
PURPOSE: The management of pulseless supracondylar fractures remains controversial. The aims of this study were to: (1) analyse functional and vascular outcomes of conservative treatment for cases with absent pulse before reduction, whether patients showed limb ischaemia or not; and (2) identify factors associated with vascular complications. METHODS: Twenty-seven children with absent pulses on presentation were treated consecutively between 1999 and 2009. The brachial artery was surgically explored in cases of persistent signs of ischaemia after reduction...
November 30, 2017: International Orthopaedics
Marie Rousset, Marjolaine Walle, Ludivine Cambou, Mounira Mansour, Antoine Samba, Bruno Pereira, Ismat Ghanem, Federico Canavese
PURPOSE: Chronic infection (CO) and infected non-union of the long bones are relatively rare conditions in paediatric patients. Large bone defects secondary to these conditions can be managed with the induced membrane technique. The technique requires grafting of the bone void, although it is not yet established what bone substitute is the best option. The aim of this work was to evaluate the outcome and efficacy of treatment in children with CO and infected non-union of the long bones using the induced membrane technique and bone (BG) versus beta-tricalcium phosphate (BTP) grafting...
November 28, 2017: International Orthopaedics
Saeid Safiri, Erfan Ayubi, Kamyar Mansori
No abstract text is available yet for this article.
November 27, 2017: International Orthopaedics
Hongjiang Ruan, Yi Zhu, Shen Liu, Qinglin Kang
PURPOSE: Several humeral lengthening or simultaneous deformity corrections through one osteotomy using various external fixators were reported, while literature regarding correction of shortening and proximal varus deformity is scarce. This retrospective clinical study evaluated the results of preforming an acute correction and delayed lengthening in young adults through two osteotomies using monorail external fixator. METHODS: We report seven patients with various pathologies who underwent humeral proximal deformity correction and lengthening between 2009 and 2015...
November 27, 2017: International Orthopaedics
Shuang G Yan, Patrick Weber, Arnd Steinbrück, Xingyi Hua, Volkmar Jansson, Florian Schmidutz
PURPOSE: Short-stem hip arthroplasty (SHA) was designed to preserve bone stock and provide an improved load transfer. To gain more evidence regarding the load transfer, this review analysed the periprosthetic bone remodelling of SHA in comparison to standard hip arthroplasty (THA). METHODS: PubMed and ScienceDirect were screened to extract dual-energy X-ray absorptiometry (DXA) studies evaluating the periprosthetic bone remodelling of SHA and two proven THA designs...
November 27, 2017: International Orthopaedics
Zuyun Yan, Rui Fang, Tang Liu
No abstract text is available yet for this article.
November 24, 2017: International Orthopaedics
Clarisa Simón-Pérez, Julian Alía-Ortega, Belen García-Medrano, Jose Ignacio Rodríguez-Mateos, Maria Brotat-Rodríguez, Hector Aguado-Hernandez, Miguel Angel Martín-Ferrero
AIM OF THE STUDY: The purpose of this study was to determine the recurrence rate, possible adverse reactions and factors influencing recurrence and progression of Dupuytren's disease (DD) treated with Collagenase from Clostridium histolyticum (CCH). METHOD: This was a prospective study of 71 patients with DD treated with CCH from 2011 to February 2013, with a minimum follow-up period of four years. Clinical, functional, patient satisfaction, drug safety and factors influencing recurrence and disease progression were evaluated...
November 23, 2017: International Orthopaedics
Wei Wu, Wei He, Qiu-Shi Wei, Zhen-Qiu Chen, Da-Wei Gao, Peng Chen, Qing-Wen Zhang, Bin Fang, Lei-Lei Chen, Bao-Ling Li
PURPOSE: The purpose of this study was to investigate the collapse progression in different morphologies of the necrotic-viable interface in osteonecrosis of the femoral head (ONFH). METHODS: A total of 168 patients (202 hips) with Association Research Circulation Osseous (ARCO) stage II ONFH were included. Ending with the collapse of the femoral head, all patients received conservative treatment but without surgical intervention and were followed for three to 91 months...
November 22, 2017: International Orthopaedics
Hang Li, Lei Yang
No abstract text is available yet for this article.
November 22, 2017: International Orthopaedics
C Jiménez-Garrido, J M Gómez-Palomo, I Rodríguez-Delourme, F J Durán-Garrido, E Nuño-Álvarez, E Montañez-Heredia
There is an error in the name of one of the author in the original publication. The correct name is I Rodríguez-Delourme and not Delourne.
November 22, 2017: International Orthopaedics
Paolo Mazzola
No abstract text is available yet for this article.
November 21, 2017: International Orthopaedics
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