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Archives of Orthopaedic and Trauma Surgery

Janosch Häberli, Kathrin Susan Bieri, Emin Aghayev, Stefan Eggli, Philipp Henle
INTRODUCTION: Dynamic intraligamentary stabilization (DIS) stabilizes the knee joint during anterior cruciate ligament (ACL) healing. After 6 months, tibial hardware removal is offered to the patients if local discomfort at the implant site is present. AIM: This study compared knee laxity and functional scores 2 years after DIS between patients with and without hardware removal. It is hypothesized that it does not affect ACL healing. MATERIALS AND METHODS: The study retrospectively analyzed prospectively collected data from 173 patients with either hardware removal (n = 47) or no additional intervention (n = 126)...
January 16, 2019: Archives of Orthopaedic and Trauma Surgery
Erik Hohmann, Kevin Tetsworth, Vaida Glatt
INTRODUCTION: The purpose of this study was to perform a meta-analysis comparing open and arthroscopic surgical techniques for distal clavicle resection. METHODS: A systematic review of Medline, Embase, Scopus, and Google Scholar identified relevant publications in the English and German literature between 1997 and 2017. All included studies were levels I-IV, describing both treatments, with a minimum of 12 month follow-up, had at least one validated outcome score and documented patient recruitment, study design, demographic details, and surgical technique...
January 14, 2019: Archives of Orthopaedic and Trauma Surgery
Christian Egloff, Lukas Huber, Markus Wurm, Geert Pagenstert
PURPOSE: To evaluate the diagnostic and clinical value of SPECT/CT compared to the standard algorithm for patients with persistent symptoms after anterior cruciate ligament reconstructions. The standard algorithm uses clinical information, conventional radiographs, MRI and CT scan, while the trial algorithm uses the same information but SPECT/CT in addition. METHODS: In a diagnostic comparative trial three experienced surgeons evaluated 23 consecutive patients with persistent symptoms after ACL reconstruction using first standard and second the trial algorithm with a time interval...
January 14, 2019: Archives of Orthopaedic and Trauma Surgery
Cong Xiao, Shaoyun Zhang, Nengji Long, Wei Yu, Yishan Jiang
INTRODUCTION: The efficacy and safety of intravenous (IV) tranexamic acid (TXA) during hip fracture surgery remain controversial. This meta-analysis aimed to assess the efficacy of IV-TXA administration during hip fracture surgery for reducing the transfusion requirement and blood loss as well as its safety regarding the risk of thrombolysis. MATERIALS AND METHODS: PubMed, EMBASE, Web of Science, and the Cochrane Library Database were systematically searched for randomized controlled trials (RCTs) that focused on the efficacy and safety of IV-TXA in patients during hip fracture surgery...
January 14, 2019: Archives of Orthopaedic and Trauma Surgery
Wolfram Weschenfelder, Reinhard Friedel, Gunther O Hofmann, Mark Lenz
INTRODUCTION: Few case reports describe the development of a hematoma under oral anticoagulation as the cause of an atraumatic carpal tunnel syndrome. CASE REPORT: A 76 years old woman presented an acute atraumatic carpal tunnel syndrome of her left hand under oral anticoagulation with rivaroxaban due to atrial fibrillation. 12 years ago, palmar plate osteosynthesis of a distal radius fracture had been performed on the affected wrist. Open decompression of the carpal canal was performed due to persistent severe pain under intense pain therapy and progressive neurological symptoms...
January 10, 2019: Archives of Orthopaedic and Trauma Surgery
Alberto Aliprandi, Marco Brioschi, Sandro Magnani, Silvana Sdao, Domenico Albano, Luca Maria Sconfienza, Filippo Randelli
INTRODUCTION: Hip magnetic resonance arthrography (MRA) is the pre-operative imaging modality of choice in patients with labral damage, with several classifications of labral tears having been reported based on MRA findings. Nevertheless, none of the available classification systems allows the surgeon to predict before surgery how a labral tear could be treated. Our purpose was to develop a new MRA-based scoring system of labral tears to predict before surgery the treatment option more suitable for labral tears...
January 10, 2019: Archives of Orthopaedic and Trauma Surgery
Radoslav Morochovič, Katarína Takáčová, Ľuboš Tomčovčík, Peter Cibur, Rastislav Burda
INTRODUCTION: The purpose of this study was to determine factors that affect the early failure of femoral neck fracture healing after internal fixation with a dynamic locking plate implant. PATIENTS AND METHODS: Retrospective analysis of all cases of femoral neck fracture (FNF) primarily treated with dynamic locking plate implant from 04/2014 to 04/2017 with a minimum of 6 month follow-up. For the purpose of the study age, sex and time from admission to surgery were retrieved from the hospital medical database...
January 8, 2019: Archives of Orthopaedic and Trauma Surgery
Bernhard Springer, Ulrich Bechler, Andi Kolodny, Kilian Rueckl, Friedrich Boettner
BACKGROUND: Increased age, obesity, and American Society of Anesthesiologists (ASA) Physical Status class III and IV have been reported as predictors for mortality and perioperative complications. High-volume institutions rely on central referral services as first contact point for patients. The current study reports on a simple four-step questionnaire to identify patients with ASA-physical status class III and IV to improve referral processes and optimize perioperative work ups. MATERIALS AND METHODS: Seven hundred and seventy-five patients who called the physician referral service (PRS) at the author's institution and subsequently underwent surgery were enrolled in this study...
January 7, 2019: Archives of Orthopaedic and Trauma Surgery
Ziyang Sun, Wei Wang, Cunyi Fan
INTRODUCTION: Tobacco use is a worldwide public health problem, and has been found to be a predisposing factor for adverse functional outcomes and increased postoperative complication rates after various orthopedic operations. The purpose of this study was to determine the potential impact of tobacco use on open arthrolysis for post-traumatic elbow stiffness. MATERIALS AND METHODS: A database search identified 145 patients with open arthrolysis performed for post-traumatic elbow stiffness; these were divided into three groups: current tobacco users (37), former users (28), and nonusers (80)...
January 4, 2019: Archives of Orthopaedic and Trauma Surgery
Shi-Zhou Zhao, Bang-Ping Qian, Yong Qiu, Mu Qiao, Zhuo-Jie Liu, Ji-Chen Huang
INTRODUCTION: To investigate the relationship between the spinal sagittal alignment and arc of pelvic motion from standing to sitting in ankylosing spondylitis (AS) patients with thoracolumbar kyphosis following pedicle subtraction osteotomy (PSO). MATERIALS AND METHODS: AS patients who underwent PSO for thoracolumbar kyphosis from January 2016 to July 2018 were recruited. EOS standing and sitting images were obtained pre- and postoperatively. Radiographic parameters were measured on the sagittal radiographs, including lumbar lordosis, thoracic kyphosis, pelvic incidence, pelvic tilt, sacral slope, sagittal vertical axis (SVA), spinosacral angle, anterior pelvic plane angle (APPA) and knee flexion angle...
January 4, 2019: Archives of Orthopaedic and Trauma Surgery
Elias Polykandriotis, Foued Besrour, Andreas Arkudas, Florian Ruppe, Katharina Zetzmann, Lars Braeuer, Raymund E Horch
BACKGROUND: There is a consensus that after a flexor tendon repair an aggressive rehabilitation protocol with early active motion can improve functional outcome, provided that the combination of material and suturing technique can meet the higher biomechanic demands. Bearing this in mind we evaluated a polytetrafluoroethylene (PTFE) suture (SERAMON® , Serag-Wiessner) as a possible material for flexor tendon repair. MATERIALS AND METHODS: 40 flexor tendons were harvested from fresh cadaveric upper extremities...
January 4, 2019: Archives of Orthopaedic and Trauma Surgery
Cynthia Hourscht, Mohammad K Abdelnasser, Sufian S Ahmad, Lukas Kraler, Marius J Keel, Klaus A Siebenrock, Frank M Klenke
The author would like to correct the errors in the publication of the original article. The corrected details are given below for your reading.
December 19, 2018: Archives of Orthopaedic and Trauma Surgery
Thomas Neubauer, St Grechenig, H Clement, L Leitner, M Plecko, A Auffarth
BACKGROUND: Dynamic hip screw (DHS) osteosynthesis represents one of the most frequently performed fixation methods in orthopedic practice. The purpose of this study was to determine the potential risk of vascular damage by DHS side-plate screws (PS) and plunging instruments for individual femoral vessels and screw positions. METHODS: In ten hemipelvic/leg specimens mounted with a large femur distractor, a DHS system with a four-hole side-plate was inserted. PS were inserted in 3 consecutive courses with different inclinations in the frontal plane of 0° (group 1), - 30° posterior (group 2) and + 30° anterior (group 3) in relation to the side-plate's surface, resulting in 120 PS positions...
December 18, 2018: Archives of Orthopaedic and Trauma Surgery
Emilio Calvo, Maria Dolores Torres, Diana Morcillo, Victorino Leal
AIM: To evaluate the influence of the specific procedure performed and other variables on the intensity of acute postoperative pain following outpatient shoulder arthroscopy. METHODS: One hundred patients undergoing outpatient shoulder arthroscopy under single-shot interscalene block plus general anaesthesia were prospectively studied. Acetaminophen with ibuprofen was prescribed for postoperative pain control and tramadol HCl as rescue medication. Patients scored pain intensity at 2, 6, and 24 h postoperatively...
December 17, 2018: Archives of Orthopaedic and Trauma Surgery
Jan Bartoníček, Stefan Rammelt, Štěpán Kašper, Jozef Malík, Michal Tuček
INTRODUCTION: Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there is still a lack of information about the epidemiology and the extent of all associated injuries. The aim of study is to describe MF pathoanatomy on the basis of radiographs, CT scans and intraoperative findings. MATERIALS AND METHODS: The study comprised 54 adult patients. MF was defined as an ankle fracture-dislocation with a fracture of the fibula in its proximal quarter...
December 14, 2018: Archives of Orthopaedic and Trauma Surgery
Steffan Tabori-Jensen, Torben B Hansen, Maiken Stilling
INTRODUCTION: Dislocation is a serious and common complication and a great concern with the use of total hip arthroplasty (THA) when treating displaced femoral neck fracture (FNF). Dual-mobility (DM) THA might reduce the dislocation risk. We aim to report the dislocation and revision rate of primary DM THA in patients with displaced FNF. MATERIALS AND METHODS: Between 2005 and 2015, 966 consecutive patients (676 women) at mean age 80.5 years (range 42-104) with displaced FNF were operated with DM articulation THA by posterolateral approach (PLA)...
December 13, 2018: Archives of Orthopaedic and Trauma Surgery
Patrick Strube, Michael Putzier, Jan Siewe, Sven Oliver Eicker, Marc Dreimann, Timo Zippelius
INTRODUCTION: Surgical treatment methods for degenerative spondylolisthesis (decompression versus decompression and fusion) have been critically debated. The medical care situation is almost unknown for either treatment. Therefore, the aim of the present study was to provide information regarding the use of parameters for decision-making and the employment of surgical techniques. MATERIALS AND METHODS: A web-based survey was performed among members of the German-Spine-Society (DWG)...
December 12, 2018: Archives of Orthopaedic and Trauma Surgery
Arnold J Suda, Christian T Schamberger, Tim Viergutz
INTRODUCTION: In distal radius fractures with metaphyseal comminution, bone grafting or the use of a bone substitute may be necessary. Harvesting autologous iliac crest bone graft for other orthopedic procedures has complications. The aim of this study was to evaluate the complication rate after harvesting a small amount of bone as used for the treatment of radius fractures. PATIENTS AND METHODS: Patients treated in a single level I trauma center with surgical treatment for distal radius fracture with iliac crest bone graft between January 2008 and December 2012 were included in this retrospective study...
December 12, 2018: Archives of Orthopaedic and Trauma Surgery
Hans Roland Dürr, Carl Ferdinand Capellen, Alexander Klein, Andrea Baur-Melnyk, Christof Birkenmaier, Volkmar Jansson, Reinhold Tiling
INTRODUCTION: Tenosynovial giant-cell tumor also known as pigmented villonodular synovitis (PVS) is a benign but aggressive synovial proliferative disease most often affecting the knee joint. The mainstay of therapy is surgical resection. Due to a high rate of local recurrence, radiosynoviorthesis (RSO) is used as an adjuvant method in many cases. The aim of this study was to compare local recurrence (LR) rates after surgical synovectomy with and without adjuvant RSO. MATERIALS AND METHODS: From 1996 to 2014, 37 surgical interventions were performed in 32 patients with diffuse pigmented villonodular synovitis of the knee...
December 11, 2018: Archives of Orthopaedic and Trauma Surgery
Marcos Jordan, Xavier Aguilera, José Carlos González, Pablo Castillón, Mónica Salomó, José Antonio Hernández, Leonardo Ruiz, José Maria Mora, Pilar Camacho-Carrasco, Salvi Prat-Fabregat, Alba Bosch, Ainhoa Rodriguez-Arias, María José Martínez-Zapata
INTRODUCTION: We assessed the efficacy of fibrin sealant (FS) and tranexamic acid (TXA) administered topically in patients with a hip fracture treated with prosthetic replacement. MATERIALS AND METHODS: Parallel, multicentre, open label, randomised, clinical trial. We compared three interventions to reduce blood loss: (1) 10 ml of FS, (2) 1 g of topical TXA, both administered at the end of the surgery, and (3) usual haemostasis (control group). The main outcome was blood loss collected in drains...
December 11, 2018: Archives of Orthopaedic and Trauma Surgery
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