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Archives of Orthopaedic and Trauma Surgery

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https://www.readbyqxmd.com/read/28721591/secondary-femur-shaft-fracture-following-treatment-with-cephalomedullary-nail-a-retrospective-single-center-experience
#1
Nikolaus W Lang, J Joestl, S Payr, P Platzer, K Sarahrudi
AIM: Secondary femur fracture subsequent to treatment of trochanteric fractures with cephalomedullary nailing (i.e., a periprosthetic fracture related to the cephalomedullary nail) is a rare but very severe complication. As such, the aim of this study was to assess the impact of revision surgery and general state of health on mortality and functional outcomes in patients suffering femur fractures following treatment with cephalomedullary nails. MATERIALS AND METHODS: Between 2000 and 2015, 3549 patients presenting with OTA/AO 31A1-3 femur fractures were admitted to our department and subsequently treated with either a Gamma(®) Nail or PFNA(®)...
July 18, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28721590/high-non-anatomic-tunnel-position-rates-in-acl-reconstruction-failure-using-both-transtibial-and-anteromedial-tunnel-drilling-techniques
#2
Vera Jaecker, Tabea Zapf, Jan-Hendrik Naendrup, Thomas Pfeiffer, Ajay C Kanakamedala, Arasch Wafaisade, Sven Shafizadeh
INTRODUCTION: Although it is well known from cadaveric and biomechanical studies that transtibial femoral tunnel (TT) positioning techniques are associated with non-anatomic tunnel positions, controversial data exist as so far no clinical differences could have been found, comparing transtibial with anteromedial techniques (AM). The purpose of the study was to analyze if graft failure following TT ACL reconstruction was more commonly associated with non-anatomic tunnel position in comparison with the AM technique...
July 18, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28710670/management-of-proximal-humeral-fractures-by-the-ilizarov-external-fixator
#3
Mohammed Anter Meselhy, Mohamed Salah Singer
INTRODUCTION: External fixation can be performed in poor bone and soft tissue conditions, and can be used in patients with poor general conditions or multiple injuries as a rapid, mini-invasive procedure. The purpose of the current study was to evaluate the effectiveness and safety of the Ilizarov external fixator in the management of proximal humeral fractures. MATERIALS AND METHODS: Between May 2011 and December 2013, 14 patients with displaced proximal humeral fractures were enrolled in the current study...
July 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28710669/current-insights-into-the-aetiology-of-adolescent-idiopathic-scoliosis
#4
Michal Latalski, A Danielewicz-Bromberek, M Fatyga, M Latalska, M Kröber, P Zwolak
Scoliosis occurs in about 0.2-0.6% of the general population. In the majority of cases the cause of this entity remains mostly unidentified. The search for the causes covers almost all aspects of its possible origin. We collected and systematised the contemporary theories and concepts concerning the aetiology of adolescent idiopathic scoliosis. Genetic and hereditary factors are commonly accepted as possible causes; however, the identification of the single gene responsible for the development of this condition seems impossible, which suggests multifactorial mechanism of its formation...
July 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28710668/comment-on-the-article-hemiarthroplasty-versus-internal-fixation-in-super-aged-patients-with-undisplaced-femoral-neck-fractures-a-5-year-follow-up-of-randomized-controlled-trial
#5
LETTER
Filip C Dolatowski, Per-Henrik Randsborg, Stein Erik Utvåg, Rune Bruhn Jakobsen
No abstract text is available yet for this article.
July 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28707133/changes-of-spinopelvic-parameters-in-different-positions
#6
Soo-An Park, Dai-Soon Kwak, Ho-Jung Cho, Dong-Uk Min
INTRODUCTION: To observe changes of spinopelvic parameters and the presence of pelvic incidence (PI) variation in different positions, and the accuracy of PI compared with CT scan. MATERIALS AND METHODS: Patients with standing whole-spine radiograph, CT scan of the pelvic bone, and MRI of the lumbar spine done within a few days were included. The pelvic [pelvic tilt (PT), sacral slope (SS), and PI] and spinal [lumbar lordosis (LL)] parameters were measured by two different observers...
July 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28707132/comparison-of-lateral-and-skyline-fluoroscopic-views-for-detection-of-prominent-screws-in-distal-radius-fractures-plating-results-of-an-ultrasonographic-study
#7
Olivier Herisson, Caroline Delaroche, Sandrine Maillot-Roy, Alain Sautet, Levon Doursounian, Adeline Cambon-Binder
INTRODUCTION: Extensor tendon rupture is a recognized complication of volar plate fixation of distal radius fractures due to screws protruding past the dorsal cortex. The aim of this study was to compare the Skyline view with traditional lateral fluoroscopic views using ultrasonography as a reference standard in the postoperative assessment. MATERIALS AND METHODS: A monocentric prospective study was conducted to identify screws penetrating the dorsal cortex after volar plating of distal radius fractures...
July 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28707131/posterior-locked-lateral-compression-injury-of-the-pelvis-in-geriatric-patients-an-infrequent-and-specific-variant-of-the-fragility-fracture-of-pelvis
#8
Se-Won Lee, Weon-Yoo Kim, Sung-Jun Koh, Young-Yul Kim
INTRODUCTION: Posterior locked lateral compression injury (PLLCI) of the pelvic ring is an infrequent variant of lateral compression injury, a condition described in only eight reported cases since 2000. Lateral compression injury usually results from high-energy trauma and is characterized by locking between the medially translated fractured ilium and the anterior border of the sacrum, regardless of whether the fractured ilium involves the sacroiliac joint. However, in our experience, lateral compression injury can also result from low-energy trauma as a manifestation of pelvic fragility fracture...
July 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28702700/clinical-and-radiological-outcomes-after-reverse-shoulder-arthroplasty-with-less-medialized-endoprosthesis-after-mean-follow-up-time-of-45%C3%A2-months
#9
Justinas Jonušas, Rūta Banytė, Sigitas Ryliškis
INTRODUCTION: The purpose of this study was to evaluate outcomes after reverse shoulder arthroplasty for the treatment of complex three- and four-fragment proximal humeral fractures after mean follow-up time of 45 months and to compare our results with the results published by other authors. MATERIALS AND METHODS: Retrospectively we have analyzed 27 consecutive patients after total arthroplasty with less medialized reverse shoulder prosthesis used for the treatment of complex proximal humeral fracture...
July 12, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28698940/radiological-outcome-of-postoperative-sagittal-balance-on-standing-radiographs-in-comparison-to-intraoperative-radiographs-in-prone-position-when-performing-lumbar-spinal-fusion
#10
Felix Greimel, Stefanie Wolkerstorfer, Jan-Frederik Spörrer, Florian Zeman, Patrick Hoffstetter, Joachim Grifka, Achim Benditz
PURPOSE: Aim of this study is to show the outcome of postoperatively measured lumbar lordosis in upright position in comparison to the intraoperatively estimated lumbar lordosis in prone position, as the lumbar lordosis is one of the most important factors for the clinical outcome after spinal fusion. MATERIALS AND METHODS: Eighty-two patients, receiving lumbar fusion were included in this retrospective study. Intraoperative radiographs were scanned. Then radiographs of the whole spine pre- and postoperatively, as well as 1 year after surgery were measured by a spine surgeon and a radiologist...
July 11, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28689273/locking-attachment-plate-fixation-around-a-well-fixed-stem-in-periprosthetic-femoral-shaft-fractures
#11
Min Bom Kim, Jae-Woo Cho, Young Ho Lee, Won-Yong Shon, Jung Wee Park, Jinil Kim, Jong-Keon Oh
INTRODUCTION: Periprosthetic fractures are difficult to manage. Plating technique has been considered a reliable form of management of periprosthetic fractures with a well-fixed stem, but a dependable and stable method of plate fixation to the bone is lacking. This study reports the clinical results using a locking attachment plate (LAP) instead of cable fixation to fix locking plates to a periprosthetic femoral shaft fracture. MATERIALS AND METHODS: Nineteen patients with periprosthetic femoral shaft fractures around well-fixed stemmed implants were studied between August 2012 and December 2014...
July 8, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28674738/three-single-loops-enhance-the-biomechanical-behavior-of-the-transtibial-pull-out-technique-for-posterior-meniscal-root-repair
#12
Lawrence Camarda, Giuseppe Pitarresi, Michele Lauria, Federico Fazzari, Michele D'Arienzo
PURPOSE: To investigate the effect of applying an additional suture to enhance the biomechanical behavior of the suture-meniscus construct used during the transtibial pull-out repair technique. METHODS: A total of 20 fresh-frozen porcine tibiae with intact medial menisci were used. In one half of all specimens (N = 10), two non-absorbable sutures were passed directly over the meniscal root from the tibia side of the meniscus to the femoral side (2SS). In other ten specimens, three sutures were passed over the meniscal root (3SS)...
July 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28674737/systematic-review-of-the-outcome-of-total-hip-arthroplasty-in-patients-with-sequelae-of-legg-calv%C3%A3-perthes-disease
#13
Sammy A Hanna, Khaled M Sarraf, Manoj Ramachandran, Pramod Achan
BACKGROUND: Total hip arthroplasty (THA) in patients with sequelae of Legg-Calvé-Perthes disease (LCP) is technically demanding because of the disease related deformities occuring in the proximal femur and/or the multiplanar deformities secondary to corrective osteotomies in childhood. Little is known about the long-term outcome of the procedure in this challenging group of patients. METHODS: We carried out a systematic review of the literature to determine the functional outcome, complications and revision rate of THA in patients with sequelae of LCP disease...
July 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28674736/the-impact-of-hepatitis-c-virus-infection-on-90-day-outcomes-following-major-orthopaedic-surgery-a-propensity-matched-analysis
#14
Ritam Chowdhury, Muhammad Ali Chaudhary, Daniel J Sturgeon, Wei Jiang, Allan L Yau, Tracey P Koehlmoos, Adil H Haider, Andrew J Schoenfeld
INTRODUCTION: The impact of hepatitis C virus (HCV) infection on outcomes following major orthopaedic interventions, such as joint arthroplasty or spine surgery, has not been effectively studied in the past. Most prior studies are impaired by small samples, limited surveillance for adverse events, or the potential for selection bias to confound results. In this context, we sought to evaluate the impact of HCV infection on 90-day outcomes following joint arthroplasty or spine surgery using propensity-matched techniques...
July 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28667397/delayed-union-of-humeral-shaft-fractures-comparison-of-autograft-with-and-without-platelet-rich-plasma-treatment-a-randomized-single-blinded-clinical-trial
#15
Carlos Acosta-Olivo, Abiel Garza-Borjon, Mario Simental-Mendia, Felix Vilchez-Cavazos, Yadira Tamez-Mata, Victor Peña-Martinez
INTRODUCTION: Despite an adequate orthopedic treatment with functional bracing, some patients develop a delayed union in humeral shaft fractures. The objective of the present study was to determine the bone consolidation time among patients with delayed union of diaphyseal humeral fractures who were managed with locking compression plate (LCP) fixation combined with an iliac crest autograft using platelet-rich plasma (PRP) as a co-adjuvant. MATERIALS AND METHODS: This study was a controlled, randomized, experimental, longitudinal, comparative, prospective, blind clinical trial...
June 30, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28667396/biomechanics-and-indications-for-application-of-the-method-of-bdsf-answer-to-manuscript-draft-number-aots-d-17-00378-letter-to-the-editor-concerning-femoral-neck-fracture-osteosynthesis-by-the-biplane-double-supported-screw-fixation-method-bdsf-reduces-the
#16
LETTER
https://www.readbyqxmd.com/read/28660477/correlation-of-serum-metal-ion-levels-with-pathological-changes-of-armd-in-failed-metal-on-metal-hip-resurfacing-arthroplasties
#17
George Grammatopoulos, Mitsuru Munemoto, Athanasios Pollalis, Nicholas A Athanasou
BACKGROUND: Metal-on-metal-hip-resurfacing arthroplasties (MoMHRAs) have been associated with an increased failure rates due to an adverse-response-to-metal-debris (ARMD) associated with a spectrum of pathological features. Serum levels of cobalt (Co) and chromium (Cr) are used to assess MoMHRAs, with regard to ARMD, but it is not certain whether ion levels correlate with pathological changes in periprosthetic tissues. METHODS: Serum Co and Cr levels were correlated with histological findings in 38 revised MoMHRAs (29 pseudotumour cases and 9 non-pseudotumour cases revised for pain)...
June 28, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28653130/reduction-and-ring-fixation-of-instable-c1-fractures-with-monoaxial-pedicle-screws
#18
Rainer Gumpert, Thomas Poglitsch, Renate Krassnig, Rudolf Pranzl, Paul Puchwein
INTRODUCTION: Ring fixation of C1 can be performed using pedicle screws and a rod in case of unstable Jefferson or lateral mass fractures of C1. MATERIALS AND METHODS: In a case series of three patients, we stabilized C1 fractures surgically using a modified technique of C1 ring fixation by using monoaxial instead of polyaxial screws. Functional outcome and pain was recorded postoperatively. RESULTS: In this very small case series, we observed good results concerning pain and functional outcome...
June 26, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28639075/does-clavicular-shortening-after-nonoperative-treatment-of-midshaft-fractures-affect-shoulder-function-a-systematic-review
#19
Sarah Woltz, Alysia Sengab, Pieta Krijnen, Inger B Schipper
INTRODUCTION: Clavicular shortening due to non-anatomical healing of displaced clavicular fractures is believed to have a negative effect on shoulder function after recovery. The evidence for this, however, is equivocal. This review aimed to systematically evaluate the available literature to determine whether the current beliefs about clavicular shortening can be substantiated. MATERIALS AND METHODS: This systematic review was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement...
June 21, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28639076/conservative-treatment-for-lumbar-compartment-syndrome-shows-efficacy-over-2-year-follow-up-a-case-report-and-literature-review
#20
Haruhisa Kanaya, Makoto Enokida, Shinji Tanishima, Ikuta Hayashi, Atsushi Tanida, Hideki Nagashima
BACKGROUND: Since in all studies of conservative treatment of lumbar compartment syndrome the follow-up duration was less than 6 months, it is difficult to draw firm conclusions. PURPOSE: To report a patient with lumbar paraspinal compartment syndrome who was treated conservatively over a follow-up period of 2 years. STUDY DESIGN: This is a case report of a 23-year-old male college student with lumbar paraspinal compartment syndrome who was treated conservatively...
June 20, 2017: Archives of Orthopaedic and Trauma Surgery
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