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Archives of Orthopaedic and Trauma Surgery

Ulrich J Spiegl, Brian M Devitt, Ihor Kasivskiy, Jan-Sven Jarvers, Christoph Josten, Christoph-Eckhard Heyde, Hannes M Fakler
INTRODUCTION: Surgical treatment of unstable burst fractures of the thoracolumbar spine in the elderly population is highly variable with combined posterior and anterior stabilization (CPAS) and posterior augmented stabilization with cementation of the vertebral body (hybrid) being two commonly used techniques. The aim of this study was to compare the clinical and radiographic outcomes of CPAS versus hybrid stabilization for the treatment of unstable burst fractures of the thoracolumbar spine in patients aged between 60 and 70 years...
July 14, 2018: Archives of Orthopaedic and Trauma Surgery
Gernot Schmidle, Hannes Leonhard Ebner, Andrea Sabine Klauser, Josef Fritz, Rohit Arora, Markus Gabl
INTRODUCTION: For the treatment of scaphoid non-unions (SNU), different surgical techniques, including vascularized and non-vascularized bone grafts, are applied. Besides stability, vascularity, and the biological situation at the non-union site are important for healing and the appropriate choice of treatment. We assessed the healing potential of SNUs by histological parameters and compared it to CT parameters of bone structure and fracture location. Based on the results, we developed a CT classification and a treatment algorithm to impact graft selection in SNU surgery...
July 13, 2018: Archives of Orthopaedic and Trauma Surgery
Siem A Dingemans, Ingrid J B Spijkerman, Merel F N Birnie, J Carel Goslings, Tim Schepers
BACKGROUND: The aim of the current study was to investigate the effect of a footbath in alcohol prior to preoperative disinfection on bacterial flora of the foot and ankle. METHODS: Twenty-two volunteers underwent skin preparation mimicking pre-surgical disinfection. One foot was submerged in a bag filled with 70% ethanol containing 10% IPA for 5 min after which it was painted with regular 0.5% chlorhexidine in 70% alcohol. The other foot was only painted with 0...
July 10, 2018: Archives of Orthopaedic and Trauma Surgery
Aijia Cai, I Pingel, D Lorz, J P Beier, R E Horch, A Arkudas
INTRODUCTION: Grip strength and load distribution of the hand are important parameters for evaluating hand function. The purpose of this study was to analyze and compare grip force and load distribution of dominant and nondominant hands in right-handed healthy subjects. METHODS: Gripping measurements were performed on 40 healthy right-handed subjects using a cylindrical gripping device. Two different cylinders with circumferences of 150 mm (small cylinder) and 200 mm (large cylinder), respectively, were used for the measurements...
July 10, 2018: Archives of Orthopaedic and Trauma Surgery
Horst Balling
INTRODUCTION: The implementation of 3D-navigation in the operating theater is reported to be complex, time consuming, and radiation intense. This prospective single-center cohort study was performed to objectify these assumptions by determining navigation-related learning curves in lumbar single-level posterior fusion procedures using 3D-fluoroscopy for real-time image-guided pedicle screw (PS) insertions. MATERIALS AND METHODS: From August 2011 through July 2016, a total of 320 navigated PSs were inserted during 80 lumbar single-level posterior fusion procedures by a single surgeon without any prior experience in image-guided surgery...
July 7, 2018: Archives of Orthopaedic and Trauma Surgery
Jae Hyan Kim, Seong-Il Bin, Bum-Sik Lee, Jong-Min Kim, Nam-Ki Kim, Chang-Rack Lee
INTRODUCTION: Little is known about peripheral rim instability (PRI) of adult discoid lateral meniscus (DLM). We compared PRI of the intact DLM (iDLM) to those of intact normal lateral meniscus (LM) in adult patients and also investigated whether there was any association between PRI and DLM tears. MATERIALS AND METHODS: We investigated PRI in 17 DLMs and 60 normal LMs without tears during arthroscopic surgery for medial compartmental pathologies between June 2012 and October 2015...
July 5, 2018: Archives of Orthopaedic and Trauma Surgery
Boris Sowa, Martin Bochenek, Steffen Braun, Jan Philippe Kretzer, Felix Zeifang, Thomas Bruckner, Gilles Walch, Patric Raiss
BACKGROUND: Clinical studies suggest that reaming of the subchondral bone layer to achieve good implant seating is a risk factor for glenoid loosening. This study aims to evaluate (1) the importance of the subchondral bone layer and (2) the influence of the design of the glenoid component. METHODS: Different techniques for preparation of an A1 glenoid were compared: (1) preserving the subchondral bone layer; (2) removal of the subchondral bone layer; (3) implantation of a glenoid component that does not adapt to the native anatomy...
July 4, 2018: Archives of Orthopaedic and Trauma Surgery
Dong-Yeong Lee, Young-Jin Park, Hyun-Jung Kim, Dae-Cheol Nam, Jin-Sung Park, Sang-Youn Song, Dong-Geun Kang
INTRODUCTION: The efficacy of arthroscopic meniscus surgery in old aged patients remains controversial. The purpose of the present study was to review published studies comparing arthroscopic meniscal surgery with conservative management to treat meniscal injuries in patients 40 years of age and older. MATERIALS AND METHODS: Several electronic databases were queried for articles published until July 2017 that evaluated outcomes of arthroscopic meniscal surgery in patients aged 40 years and older...
July 4, 2018: Archives of Orthopaedic and Trauma Surgery
Young Hak Roh, Yeo-Hon Yun, Dong Jun Kim, Muhyun Nam, Hyun Sik Gong, Goo Hyun Baek
BACKGROUND: Little information is available about prognostic factors of arthroscopic capsular repair for peripheral triangular fibrocartilage complex (TFCC) lesions. The purpose of this study was to analyze factors that affect the treatment outcomes of arthroscopic capsular repair for peripheral TFCC tears. METHODS: This study retrospectively enrolled 60 patients who were treated with arthroscopic outside-in capsular repair for peripheral TFCC tears. Functional survey, including pain numeric rating scale (NRS) on an ulnar provocation test, distal radio-ulnar joint (DRUJ) stress test, Disability of the Arm, Shoulder, and Hand (DASH) score, and satisfaction with treatment, was conducted at 12-month follow-up...
July 4, 2018: Archives of Orthopaedic and Trauma Surgery
Kensuke Fukushima, Masayuki Miyagi, Gen Inoue, Eiki Shirasawa, Katsufumi Uchiyama, Naonobu Takahira, Masashi Takaso
INTRODUCTION: The significance of the relationship between the spine and hip joints has been frequently discussed. However, the relationship between acetabular coverage and spinal sagittal alignment has not been fully elucidated as previous studies did not adequately control for factors that might affect the spinopelvic alignment. The aim of this study was to elucidate the impact of acetabular coverage on spinal sagittal alignment by comparing patient groups matched on sex, age, and the presence of hip and anterior impingement pain...
July 3, 2018: Archives of Orthopaedic and Trauma Surgery
J T K Woon, I S L Zeng, T Calliess, H Windhagen, M Ettinger, H B Waterson, A D Toms, S W Young
INTRODUCTION: Kinematic alignment (KA) in total knee arthroplasty (TKA) matches component position to the pre-arthritic anatomy of an individual patient, with the aim of improving functional outcomes. Recent randomised controlled trials (RCTs) comparing KA to traditional neutral mechanical alignment (MA) have been mixed. This collaborative study combined raw data from RCTs, aiming to compare functional outcomes between KA using patient-specific instrumentation (PSI) and MA, and whether any patient subgroups may benefit more from KA technique...
June 30, 2018: Archives of Orthopaedic and Trauma Surgery
Andreas Hupperich, G M Salzmann, P Niemeyer, M Feucht, H Eberbach, N P Südkamp, J Kühle
INTRODUCTION: The purpose of this study is to identify patient, meniscus rupture and surgical characteristics that influence the outcome and clinical healing following operative repair of bucket handle tears. METHODS: Between 02/2006 and 10/2012, a total of 38 patients (14 women, 24 men) with bucket handle tears underwent surgical meniscus repair. There were 27 isolated repairs and 11 with concomitant anterior cruciate ligament (ACL) replacement. Patients were analyzed on an average of 44...
June 29, 2018: Archives of Orthopaedic and Trauma Surgery
Maria Valencia Mora, Amaya Martínez Menduiña, Carolina Hernández Galera, Roque Pérez Expósito, Mikel Aramberri Gutiérrez
INTRODUCTION: Recurrent posterior glenohumeral instability poses a challenge for treatment. Bone block procedures have been advocated in cases where a bony defect is present. However, these techniques are not free of complications due to the proximity of neurovascular structures. The aim of this study is to measure the distance to the axillary and suprascapular nerves at the different steps of the procedure. MATERIALS AND METHODS: Ten frozen human cadavers were used...
June 28, 2018: Archives of Orthopaedic and Trauma Surgery
Satoshi Miyamura, Hiroyuki Tanaka, Kunihiro Oka, Atsuo Shigi, Shingo Abe, Hideki Yoshikawa, Tsuyoshi Murase
The partial physeal arrest of the distal radius could result in progressive deformities and functional problems of the wrist. Despite being the most preferred surgical intervention, physeal bar resection (Langenskiöld procedure) is technically demanding. This manuscript aims to illustrate the technical tricks and present an illustrative case of premature physeal arrest of the distal radius managed with a novel method for the Langenskiöld procedure, involving complete removal of the bar using a patient-specific guide in combination with an intramedullary endoscopy technique that facilitated direct observation...
June 28, 2018: Archives of Orthopaedic and Trauma Surgery
Jung-Taek Kim, Jusung Lee, Young-Kyun Lee, Yong-Chan Ha, Ye-Yeon Won, Kunwoo Lee, Vikas Khanduja, Kyung-Hoi Koo
BACKGROUNDS: Impingement is a risk factor for instability and prosthetic failure following total hip arthroplasty (THA). If the periacetabular osteophytes are not removed at surgery, impingement could occur between the osteophytes and the femoral stem following THA. However, excessive removal of the osteophytes could lead to bleeding from the bone. The aim of our study, therefore, was to locate the site of the impingement and to determine the width of tolerable osteophytes, which does not induce impingement during activities of daily living (ADL), using a three-dimensional simulation...
June 23, 2018: Archives of Orthopaedic and Trauma Surgery
Sarah Ettinger, Michael Schwarze, Daiwei Yao, Max Ettinger, Leif Claassen, Christina Stukenborg-Colsman, Hajo Thermann, Christian Plaass
BACKGROUND: With ankle arthritis often affecting young patients, joint-sparing treatments instead of total joint replacement should be considered. Only a few implants were specially developed for supramalleolar osteotomies (SMOT). This study was performed to analyse the stability of different implants and their appropriateness for SMOT. METHODS: Twenty-five bone models (Sawbone Europe, Malmö, Sweden) were used for biomechanical testing. SMOT were performed as a uniplanar osteotomy, leaving 5 mm of lateral bone intact with a standardized gap of 8 mm...
June 22, 2018: Archives of Orthopaedic and Trauma Surgery
Chaturong Pornrattanamaneewong, Pakpoom Ruangsomboon, Keerati Chareancholvanich, Vajara Wilairatana, Rapeepat Narkbunnam
INTRODUCTION: To compare the efficacy and safety of modified Robert Jones bandage (MRJB) and non-compressive dressing (NCD) on reducing invisible blood loss (IBL) after total knee arthroplasty (TKA). MATERIALS AND METHODS: Eighty patients who underwent unilateral TKA were randomly assigned into two groups: MRJB and NCD groups. Pre- and post-operative hematocrit levels, amount of drained blood and transfused blood were measured and calculated into IBL. Pain score, amount of morphine usage, range of motion (ROM) at discharge, blood transfusion rate, and complications were also recorded and compared between both groups...
June 22, 2018: Archives of Orthopaedic and Trauma Surgery
Tim Ramczykowski, Christiane Kruppa, Thomas Armin Schildhauer, Marcel Dudda
BACKGROUND: The role of illicit drug abuse in total joint arthroplasty is largely unknown and is likely underestimated. Patients with drug addictions often suffer from septic osteoarthritis or a necrosis of the femoral head. Purpose of the study was to evaluate the operative management and clinical outcome of total hip replacement in patients with a history of intravenous drug abuse. METHODS: This retrospective study included 15 patients with a history of intravenous drug abuse who underwent total hip arthroplasty...
June 19, 2018: Archives of Orthopaedic and Trauma Surgery
Stephan Uschok, Sebastian Herrmann, Stephan Pauly, Carsten Perka, Stefan Greiner
INTRODUCTION: Reverse shoulder arthroplasty shifts the rotational center of the shoulder joint caudally and medially to restore shoulder function in a rotator cuff deficient shoulder. Despite promising results in early- and mid-term follow-up, long-term loss in shoulder function has been described in the literature. A lack of exercise in elderly patients may be one reason for this loss in function. This study examines the functional benefits of physical therapy in the mid-term to long-term follow-up regarding the subjective and objective shoulder function...
June 19, 2018: Archives of Orthopaedic and Trauma Surgery
Yanhong Han, Weiyi Yang, Jianke Pan, Lingfeng Zeng, Guihong Liang, Jiongtong Lin, Minghui Luo, Da Guo, Jun Liu
BACKGROUND: The knotless barbed sutures (KBS) are an innovative type of suture that can accelerate the placement of sutures and eliminate knot tying. Whether the KBS are safe and efficient in total joint arthroplasty (TJA) remains controversial. Therefore, we conducted a meta-analysis to evaluate its efficacy and safety. METHODS: Randomized-controlled trials (RCTs) were identified from the PubMed, Embase, and Cochrane Library databases up to October 2017. The Cochrane risk of bias tool was used to assess methodological quality...
June 16, 2018: Archives of Orthopaedic and Trauma Surgery
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