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Archives of Orthopaedic and Trauma Surgery

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https://www.readbyqxmd.com/read/29159497/correction-to-superior-biomechanical-properties-and-tying-time-with-the-modified-prusik-knot-and-wittstein-suture-loop-to-the-krackow-stitch
#1
Chih-Kai Hong, Cheng-Li Lin, Jui-Ming Yang, Chien-An Shih, Yi-Chuan Chou, Ming-Long Yeh, Chen-Hao Chiang, Wei-Ren Su
Due to an error during the production process, the legend.
November 20, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29150695/new-angle-measurement-device-to-control-the-posterior-tibial-slope-angle-in-medial-opening-wedge-high-tibial-osteotomy
#2
Hiroyasu Ogawa, Kazu Matsumoto, Haruhiko Akiyama
INTRODUCTION: Medial opening wedge high tibial osteotomy has been associated with an unintentional increase in the posterior tibial slope angle. We aimed to evaluate the effectiveness of a novel bone spreader angle rod to maintain the native posterior tibial slope angle in medial opening wedge high tibial osteotomy. MATERIALS AND METHODS: Data from 92 consecutive knees in 83 patients who underwent medial opening wedge high tibial osteotomy for knee osteoarthritis between March 2015 and June 2016 were analysed...
November 17, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29147761/single-leg-spica-provides-adequate-stability-after-open-reduction-in-developmental-dysplasia-of-the-hip
#3
Nabil Alassaf
INTRODUCTION: The late detection of developmental dysplasia of the hip (DDH) will remain a major concern in some parts of the world until effective screening programs become available. With late diagnosis comes the need for open surgical reduction. Surgery is invariably followed by a period of immobilisation in a spica cast to prevent postoperative displacement. The goal of this study is to evaluate the effect of double-leg spica as compared to single-leg spica, on the risk of displacement after unilateral open reduction of the hip...
November 16, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29143168/limited-influence-of-blunt-aortic-injuries-on-the-outcome-of-polytraumatized-patients-a-matched-pair-analysis
#4
A Omar, C Macke, M Winkelmann, E Beckmann, P Mommsen, C Schröter, C Krettek, Christian Zeckey
INTRODUCTION: Traumatic lesions of great vessels such as the aorta are life-threatening injuries. There is limited evidence about the influence of traumatic aortic injuries in multiple trauma patients in particular with regard to posttraumatic complications. The aim of this study was to evaluate the influence of blunt thoracic aortic injuries in multiple trauma patients compared to a multiple trauma cohort without this specific injury. In addition, the safety of Thoracic Endovascular Aortic Repair (TEVAR) in multiple trauma patients was analyzed...
November 15, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29143167/effectiveness-of-concurrent-procedures-during-high-tibial-osteotomy-for-medial-compartment-osteoarthritis-a-systematic-review-and-meta-analysis
#5
O-Sung Lee, Soyeon Ahn, Jin Hwan Ahn, Seow Hui Teo, Yong Seuk Lee
INTRODUCTION: The purpose of this systematic review and meta-analysis was to evaluate the efficacy of concurrent cartilage procedures during high tibial osteotomy (HTO) for medial compartment osteoarthritis (OA) by comparing the outcomes of studies that directly compared the use of HTO plus concurrent cartilage procedures versus HTO alone. MATERIALS AND METHODS: Results that are possible to be compared in more than two articles were presented as forest plots. A 95% confidence interval was calculated for each effect size, and we calculated the I (2) statistic, which presents the percentage of total variation attributable to the heterogeneity among studies...
November 15, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29134318/the-impact-of-different-peripheral-suture-techniques-on-the-biomechanical-stability-in-flexor-tendon-repair
#6
B Wieskötter, M Herbort, M Langer, M J Raschke, D Wähnert
PURPOSE: Flexor tendon repair consists of circumferential peripheral sutures in combination with core sutures to avoid fraying and reduces the exposure of suture material on tendon surface. The peripheral suture adds up to a tenfold increase of the biomechanical stability compared to the core suture alone. The purpose of our study was to determine the most favourable peripheral repair technique for tendon repair. METHODS: Seventy-two porcine flexor tendons underwent standardized tenotomy and repair using one of the following six methods (n = 12): simple-running (SR), simple-locking (SL), Halsted-mattress (HM), lin-locking (LL), Lembert-mattress (LM), and Silfverskiöld cross-stich (SCS) suture technique...
November 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29134317/the-impact-of-canal-flare-index-on-leg-length-discrepancy-after-total-hip-arthroplasty
#7
Peter Brumat, Borut Pompe, Vane Antolič, Blaž Mavčič
INTRODUCTION: The femoral stem should protrude from femur by an appropriate vertical distance to allow leg length equalization at hip arthroplasty; this distance depends on the size/shape of medullary canal and implant. The relationship between femoral morphology and achievability of leg length restoration is currently unclear. Our aim was to examine the impact of the femoral canal flare index (CFI) on the risk of leg length discrepancy (LLD) after total hip arthroplasty with different femoral stems...
November 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29128967/early-postoperative-magnetic-resonance-imaging-findings-after-arthroscopic-rotator-cuff-repair-t2-hyperintensity-of-the-capsule-can-predict-reduced-shoulder-motion
#8
Ji Na Kim, Soon Tae Kwon, Kyung Cheon Kim
INTRODUCTION: The purpose of this study was to investigate whether postoperative shoulder magnetic resonance imaging (MRI) findings correlate with postoperative shoulder range of motion (ROM) at about 4 months after arthroscopic rotator cuff repair (ARCR). MATERIALS AND METHODS: Signal-intensity changes of the capsule, pericapsular soft tissue at the axillary recess, and subcoracoid fat triangle, as well as the thickness of the capsule at the axillary recess and coracohumeral ligament were assessed on preoperative and postoperative MR images of 232 patients...
November 11, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29127515/correction-to-insertion-of-the-ascension-pyrocarbon-pip-total-joint-in-152-human-cadaver-fingers-analysis-of-implant-positions-and-malpositions
#9
Bernd Hohendorff, W Zhang, K J Burkhart, L P Müller, C Ries
In the experimental study the distal component of the Ascension PyroCarbon proximal interphalangeal total joint prosthesis was implanted 180° rotated. Figures 2-5 show the implant malpositions. The methods, results, and conclusion of the study were not affected by this.
November 10, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29127514/does-tranexamic-acid-increase-the-risk-of-thromboembolism-after-bilateral-simultaneous-total-knee-arthroplasties-in-asian-population
#10
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim, Dong-Hyuk Seo
PURPOSE: To ascertain whether tranexamic acid reduces the blood loss and transfusion rate and volumes; increase the prevalence of deep vein thrombosis (DVT); and investigate factors associated with DVT in patients undergoing primary bilateral total knee arthroplasties (TKAs) without use of chemical thromboprophylaxis. METHODS: There were 874 patients (1748 knees) in the control group who did not receive tranexamic acid and 871 patients (1742 knees) in the study group who received tranexamic acid...
November 10, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29124364/sagittal-magnetic-resonance-imaging-scan-orientation-significantly-influences-accuracy-of-femoral-posterior-condylar-offset-measurement
#11
Peter Balcarek, Ali Seif Amir Hosseini, Ulrike Streit, Tobias Franz Brodkorb, Tim Alexander Walde
BACKGROUND: In total knee arthroplasty the femoral posterior condylar offset (PCO) may serve as a potential branch for correct femoral component positioning. The technique of adjusting the sagittal magnetic resonance imaging (MRI)-scan on which it is measured has not been investigated in previous literature, but may be subject to variances due to knee joint positioning or axial localizer scan angulation. The purpose of this study was to investigate the effect of simulated femur rotation on the accuracy of PCO measurement...
November 10, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29124363/reduced-joint-awareness-in-bicruciate-retaining-total-knee-arthroplasty-compared-to-cruciate-sacrificing-total-knee-arthroplasty
#12
Florian Baumann, Werner Krutsch, Michael Worlicek, Maximilian Kerschbaum, Johannes Zellner, Paul Schmitz, Michael Nerlich, Carsten Tibesku
PURPOSE: There is rising impact of patient-reported outcome (PRO) measurement in joint arthroplasty over the past years. Bicruciate-retaining implants have shown more physiologic knee kinematics and provide superior proprioceptive capacities. The aim of this study was to evaluate if the functional properties of this new implant design lead to improved PRO results after total knee arthroplasty (TKA). METHODS: This prospective, controlled trial compares PRO of bicruciate-retaining total knee arthroplasty (BCR-TKA) to unicondylar knee arthroplasty (UKA) and standard posterior-stabilized total knee arthroplasty (PS-TKA)...
November 9, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29124362/arthroscopic-one-tunnel-transosseous-foveal-repair-for-triangular-fibrocartilage-complex-tfcc-peripheral-tear
#13
Ji Hun Park, Dongmin Kim, Jong Woong Park
PURPOSE: Arthroscopic repair of a peripheral triangular fibrocartilage complex (TFCC) tear is a promising, minimally invasive surgical technique, especially in patients with symptomatic distal radioulnar joint (DRUJ) instability. The purpose of this study was to evaluate the clinical result of arthroscopic one-tunnel transosseous foveal repair for peripheral TFCC tears. METHODS: Sixteen patients who underwent TFCC foveal repair were retrospectively evaluated. The mean follow-up period was 31...
November 9, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29116392/anchoring-and-resulting-primary-stability-of-a-kinked-compared-to-a-straight-uncemented-femoral-stem
#14
Markus Heinecke, Fabian Rathje, Frank Layher, Georg Matziolis
INTRODUCTION: The number of revision hip arthroplasties being performed is growing and implantation of a cementless stem has become established as the gold standard. For producing a primary stability, the press-fit procedure is the method of choice, but also can be achieved by multiple-point impactions. Specific femoral stems should follow the anatomical shape and provide a more extensive anchorage. The objective of this study was to evaluate the type, localization of the impaction and resulting primary stability of two different femoral revision stem designs (kinked vs...
November 7, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29103074/diagnostic-accuracy-of-synovial-fluid-blood-markers-and-microbiological-testing-in-chronic-knee-prosthetic-infections
#15
Giovanni Balato, Vincenzo Franceschini, Tiziana Ascione, Alfredo Lamberti, Fiamma Balboni, Andrea Baldini
INTRODUCTION: This retrospective study was undertaken to define cut-off values for synovial fluid (SF) leukocyte count and neutrophil percentage for differentiating aseptic failure and periprosthetic joint infection (PJI) and to evaluate the diagnostic accuracy of blood inflammatory markers, and microbiological testing according to the criteria proposed by the International Consensus Meeting (ICM) of Philadelphia. METHODS: All patients who underwent revision total knee arthroplasty from January 2010 to July 2015 were included: we identified and classified 31 PJIs and 136 aseptic joints...
November 4, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29101541/rotator-cuff-muscular-integrity-after-arthroscopic-revision-of-a-bankart-repair
#16
Johannes Buckup, Frederic Welsch, Reinhard Hoffmann, Philip P Roessler, Karl F Schüttler, Thomas Stein
INTRODUCTION: Recurrent shoulder instability after arthroscopic Bankart repair is still a common complication. For primary Bankart repair studies have shown that the rotator cuff can recover completely. The ability of muscles to regenerate after arthroscopic revision Bankart repair (ARBR) has not been studied. Does the ARBR using a three-portal method allows complete muscle integrity compared with an uninjured imaging control group (ICG)? MATERIALS AND METHODS: Twenty-two (1 female, 21 males) physically active patients (mean age at follow-up 28...
November 3, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29094200/incidence-and-risk-factors-for-postoperative-achilles-tendon-calcifications-after-percutaneous-repair
#17
Atesch Ateschrang, Daniel Körner, Konrad Joisten, Marc-Daniel Ahrend, Steffen Schröter, Ulrich Stöckle, Stephan Riedmann
INTRODUCTION: Numerous publications are dealing with acute Achilles tendon rupture. To our knowledge, no systematic trial has been published analyzing the incidence, risk factors and the potential clinical impact of postoperative tendon calcifications (PTC) after percutaneous Achilles tendon repair. Therefore, the aim of this study was to analyze these relevant aspects. MATERIALS AND METHODS: Between March 2003 and November 2010, a total of 126 patients with an acute, complete Achilles tendon rupture were treated with a percutaneous technique according to Ma and Griffith at a single university-based trauma department...
November 1, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29086025/capsulotomy-as-a-measure-to-control-pain-and-reducing-hemarthrosis-in-arthroscopic-db-acl-reconstruction-surgery-a-prospective-randomized-control-study
#18
Pallav Mishra, Ajay, Mohd Shafi Bhat, Ankit Goyal, Deepak Joshi, Deepak Chaudhary
PURPOSE: The aim of the study was to evaluate the effect of capsulotomy as a measure of pain relief and hemarthrosis prevention in the arthroscopic double-bundle anterior cruciate ligament reconstruction. METHODS: This was a case control study conducted between April 2013 and Dec 2013, in which 64 patients were enrolled. Capsulotomy was done at the end of the procedure in 31 patients, who were compared with a control group. Pain score (VAS) and grade of hemarthrosis on post-op day 1 and post-op day 2 were compared between the two groups and patients followed up to a minimum of 24 months...
October 30, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29086024/acetabular-overcoverage-in-the-horizontal-plane-an-underdiagnosed-trigger-of-early-hip-arthritis-a-ct-scan-study-in-young-adults
#19
Màrius Valera, Natalia Ibáñez, Rogelio Sancho, Jaume Llauger, Ignasi Gich
INTRODUCTION: Acetabular overcoverage promotes hip osteoarthritis causing a pincer-type femoroacetabular impingement. Acetabular coverage in the horizontal plane is usually poorly defined in imaging studies and may be misdiagnosed. The goal of this study was to analyze the role of acetabular overcoverage measured in the frontal plane and in the horizontal plane by CT scan and to determine its relationship with other anatomic features in the onset of hip arthritis in young adults. MATERIALS AND METHODS: We compared prospectively CT scans from two groups of adults of 55 years or younger: the patient group (n = 30) consisted of subjects with diagnosis of early hip arthritis (Tönnis Grade I or II) and the control group (n = 31) consisted of subjects with healthy hips...
October 30, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29080986/use-of-the-t%C3%A3-bingen-splint-for-the-initial-management-of-severely-dysplastic-and-unstable-hips-in-newborns-with-ddh-an-alternative-to-fettweis-plaster-and-pavlik-harness
#20
Hannes Kubo, Hakan Pilge, Kristina Weimann-Stahlschmidt, Karoline Stefanovska, Bettina Westhoff, Ruediger Krauspe
AIM: Hip dysplasia is one of the most common skeletal disorders. As a late consequence 20-25% of the patients are at risk to develop secondary osteoarthritis and may require total hip replacement early in life. The treatment principles of hip dislocation are (1) concentric reposition, (2) retention, i.e., plaster in human post or Pavlik harness and (3) maturation in abduction flexion orthesis. The Tübingen splint was introduced as a further development of abduction devices for the treatment of (residual) hip dysplasia with stable hips...
October 28, 2017: Archives of Orthopaedic and Trauma Surgery
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