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European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie

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https://www.readbyqxmd.com/read/30413875/dupuytren-s-disease-limited-fasciectomy-night-splinting-and-hand-exercises-long-term-results
#1
Dimitrios Kitridis, Paraskevi Karamitsou, Iraklis Giannaros, Nikolaos Papadakis, Chris Sinopidis, Panagiotis Givissis
BACKGROUND: Dupuytren's contracture (DC) is a fibroproliferative disorder of palmar fascia that causes flexion contractures of one or more digits. There is currently no gold standard operative and postoperative protocol for reducing recurrence rates. We propose a combination of surgical intervention, night splinting, and home hand exercises as a treatment protocol. METHODS: Thirty patients were included in our study, diagnosed with DC Tubiana grade II-IV. Our treatment protocol was limited fasciectomy followed by a 24-week night splint application, combined with home hand exercises for eight weeks...
November 9, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30411245/early-clinical-and-radiological-outcomes-for-the-taperloc-complete-microplasty-stem
#2
Xavier Gallart, Jenaro A Fernández-Valencia, Gina Ríos, Guillem Bori, Josep Riba, Ernesto Muñoz-Mahamud, Andres Combalía
The use of short stem designs in total hip arthroplasty is not a new concept, but its popularity has increased as a bone-sparing alternative to traditional stems. This study analyzed the midterm clinical and radiological results of the Taperloc Complete Microplasty stem (Zimmer Biomet® Warsaw, IN, USA). A total of 32 patients (20 men and 12 women) were retrospectively documented and received 40 stems (eight bilateral). The median patient age was 50 years (interquartile range 43-58) at the time of surgery...
November 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30411244/postoperative-mri-findings-5-years-after-lumbar-microdiscectomy
#3
Ioannis D Gelalis, Evangelos I Papanastasiou, Daphne J Theodorou, Stavroula J Theodorou, Emilios E Pakos, Efthimios Samoladas, Dimitrios V Papadopoulos, Maria Mantzari, Anastasios V Korompilias
BACKGROUND: Lumbar microdiscectomy is a common procedure with satisfactory results; however, postoperative events like progressive adjacent level degeneration and perineural fibrosis can contribute to long-term pain. The purpose of the study was to evaluate MRI changes 5 years after lumbar microdiscectomy and assess their association with clinical parameters. MATERIALS AND METHODS: A prospective study enrolling 61 patients who underwent microdiscectomy. Changes between preoperative and postoperative MRI findings were recorded, and these findings were tested for associations with demographic, clinical and perioperative parameters...
November 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30390166/dedicated-peri-operative-pathway-improved-day-case-discharge-rate-for-anterior-cruciate-ligament-reconstructions
#4
J W G Ng, C Smith, K Ilo, S Beavis, L Terry, F Ali, J Chandrasenan
The authors proposed that a well-developed peri-operative pathway for anterior cruciate ligament (ACL) reconstructions improve day case discharge rate with high patient satisfaction. A prospective observational study was undertaken at a district general hospital in UK between August 2017 and April 2018. A dedicated multidisciplinary peri-operative pathway was developed and introduced in January 2018. All primary ACL reconstructions using hamstring grafts in adult patients were included. Primary outcome measure was day case discharge and secondary outcome measures were visual analogue score for pain (VASP), nausea and vomiting scale (NVS), patient satisfaction and 30-day readmission...
November 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30377824/effect-of-changing-femoral-head-diameter-on-bony-and-prosthetic-jumping-angles
#5
Takaaki Ohmori, Tamon Kabata, Yoshitomo Kajino, Daisuke Inoue, Tadashi Taga, Takashi Yamamoto, Tomoharu Takagi, Junya Yoshitani, Takuro Ueno, Ken Ueoka, Hiroyuki Tsuchiya
BACKGROUND: In THA, using a larger femoral head can increase the oscillation angle and jumping distance. However, there have been no reports which indicate precisely how increasing the jumping distance leads to an increase in the angle from impingement to dislocation (jumping angle). In this study, we clarified the jumping angle of various head diameters and its relationship with pelvic morphology. METHODS: Using a three-dimensional templating system, virtual THA and ROM simulations were performed in 82 patients...
October 30, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30377823/short-term-follow-up-of-anterior-and-posterior-both-column-fractures-of-acetabulum-managed-through-both-column-plating
#6
Sachin Sharma, Hemant Mathur, Kishan Zinzuwadia, Tanmay Jaysingani
OBJECTIVE: To evaluate the results of short-term follow-up of patients of both column acetabular fractures managed through anterior and posterior column plating. INTRODUCTION: Both column acetabular fractures are challenging articular injuries. Majority of them are treated operatively. The concept of "secondary congruence" was introduced by Letournel. Despite this, biomechanical data on secondary congruence indicate that nonoperative treatment leads to an increase in peak pressures in the supraacetabular region with the potential risk of developing posttraumatic degenerative osteoarthritis...
October 30, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30374643/current-concepts-in-the-techniques-indications-and-outcomes-of-meniscal-repairs
#7
REVIEW
Monil Karia, Youssef Ghaly, Nawfal Al-Hadithy, Simon Mordecai, Chinmay Gupte
Knee arthroscopy for meniscal tears is one of the most commonly performed orthopaedic procedures. In recent years, there has been an increasing incidence of meniscal repairs, as there are concerns that meniscectomy predisposes patients to early osteoarthritis. Indications for meniscal repair are increasing and can now be performed in older patients who are active, even if the tear is in the avascular zone. Options for meniscal tear management broadly fall into three categories: non-operative management, meniscal repair or meniscectomy...
October 29, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30374642/a-case-example-and-literature-review-of-catastrophic-wear-before-catastrophic-failure-identification-of-trunnionosis-and-metallosis-in-metal-on-polyethylene-hip-arthroplasty-prior-to-frank-failure-or-fracture
#8
Allison M Hunter, Alan Hsu, Ashish Shah, Sameer M Naranje
Though rare, there are documented failures of femoral prosthesis due to corrosion of the head-neck interface in total hip arthroplasty (THA), a phenomenon known as trunnionosis. This wear can result in metallosis, whereby metal debris scatters the surrounding soft tissues. We present on a 58-year-old female who presented with increase in hip and back pain 10 years following right THA using a metal-on-polyethylene construct with a large femoral head (44 mm). Aspiration withdrew metallic fluid, and intraoperative findings showed corrosion of the head-neck taper with surrounding metallosis and pseudocapsule formation...
October 29, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30374641/distal-radius-fluoroscopic-skyline-view-extension-supination-versus-flexion-supination
#9
Laëla El Amiri, Yuka Igeta, Chiara Pizza, Sybille Facca, Juan José Hidalgo Diaz, Liverneaux Philippe
The aim of our study was to compare the vertical fluoroscopic view of the wrist in extension and supination (ES) to the view in flexion and supination (FS) and determine which of the two views allowed the best visualization of four selected anatomical landmarks SDLR (radial styloid, dorsal radius cortex, Lister's tubercle and distal radioulnar joint). Our case series included 50 patients who had suffered a distal radius fracture and undergone an open reduction and internal fixation procedure with a volar locking plate...
October 29, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30374640/reverse-sural-artery-flap-a-reliable-alternative-for-foot-and-ankle-soft-tissue-reconstruction
#10
Anastasios Korompilias, Ioannis Gkiatas, Maria Korompilia, Dimitrios Kosmas, Ioannis Kostas-Agnantis
INTRODUCTION: Soft tissue defects of foot and ankle are challenging due to the susceptibility of the area to trauma and the complexity of the region. Several flaps have been described for wound coverage after surgical debridement at this location. The purpose of this study is to present the reverse sural flap for covering soft tissue defects at the ankle and foot. MATERIALS AND METHODS: From July 2014 to November 2017, ten patients with soft tissue defect at the ankle and foot were retrospectively reviewed...
October 29, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30370433/autologous-platelet-rich-plasma-prp-effect-on-intervertebral-disc-restoration-an-experimental-rabbit-model
#11
Ioannis D Gelalis, Georgios Christoforou, Antonia Charchanti, Ioannis Gkiatas, Emilios Pakos, Dimitrios Papadopoulos, Avraam Ploumis, Anastasios Korompilias
PURPOSE: Platelet-rich plasma (PRP) treatment for intervertebral disc (IVD) repair and tissue engineering technologies have been the target of intense research with promising results. The purpose of this study was to investigate the effect of only one intradiscal injection of PRP in the degenerated rabbit IVD and to assess the restoration process over a 6-week follow-up period. METHODS: The L3-L4 and L4-L5 discs of 18 adult female rabbits were injured, according to an established degenerative model, with an 18-gauge needle, and classified into two groups: In the discs of group A rabbits, after needle puncture, an intradiscal injection of autologous PRP growth factors was performed, using a 27-gauge needle, and in the discs of the control group (group B), the same procedure was followed by intradiscal injection of normal saline...
October 28, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30368617/the-use-of-personalised-patient-information-leaflets-to-improve-patients-perceived-understanding-following-open-fractures
#12
Rhys Morris, Nia Catrin Jones, Ian Pallister
Open tibial fractures can have devastating long-term effects. In our centre, these patients are followed up in a multidisciplinary Orthoplastic Research Clinic. To improve patient comprehension of information, we have developed personalised information leaflets. This study determines patients' views on these. The leaflet was completed during clinic visits and its role explained. At their next appointment, patients were given anonymised feedback forms, adapted from previously published questionnaires, to complete on their views and use of the leaflet...
October 27, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30367281/propeller-perforator-flaps-in-forearm-and-hand-reconstruction
#13
Alexandru Valentin Georgescu, Ileana Rodica Matei
After a long history in flaps' surgery, the perforator flaps became the most used flaps nowadays. From the beginning, their use as free flaps diminished substantially the donor site morbidity. In the attempt to not only diminish the donor site morbidity, but also to achieve more similar reconstructions, a new concept appeared 20 years ago: local perforator flaps. The local perforator flaps offer as main advantages the absence of microsurgical sutures ("microsurgical non-microvascular flaps"), same surgical field, the sparing of muscles and main vascular pedicles, and shorter hospitalization time...
October 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30367280/a-comparative-study-of-the-neuromuscular-response-during-a-dynamic-activity-after-anterior-cruciate-ligament-reconstruction
#14
Gabriel Oliver, Federico Portabella, Jose A Hernandez
BACKGROUND: Injury to the anterior cruciate ligament (ACL) not only causes mechanical instability but also produces proprioceptive deficit with an altered neuromuscular response. After ACL reconstruction, patients in general continue to complain of a feeling of knee instability. The objective of our study was to assess patient proprioception and its evolution over time by measuring the muscle latency time during a dynamic activity. METHODS: Twenty-five patients with an ACL tear following sports injuries were included in a prospective, comparative, matched controlled study...
October 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30367279/mid-portion-achilles-tendinopathy-in-runners-with-metabolic-disorders
#15
Michele Abate, Vincenzo Salini
INTRODUCTION: Running is a very popular modality of physical activity, which may help to lose weight and normalize pathological values of blood parameters in subjects suffering from metabolic disorders. Given that both overuse and metabolic pathologies are responsible for the onset of tendon damage, aim of the present study was to evaluate whether the first group of pathogenetic factors or the latter was more responsible for mid-portion Achilles tendinopathy. METHOD: Thirty-six and 28 subjects with and without mid-portion Achilles tendinopathy, who were regular runners and started running for metabolic disorders, were enrolled, respectively...
October 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30367278/a-new-method-for-measurement-of-the-size-of-subacromial-spurs-of-the-shoulder-by-cassette-tilt-view
#16
Bancha Chernchujit, Chanont Kanokvaleewong, Prashant Parate, Krit Boontanapibul, Alisara Arirachakaran, Jatupon Kongtharvonskul
OBJECTIVE: Subacromial impingement syndrome is one of the most common causes of pain in the shoulder. To this date, there is no specific radiographic view that can be used to evaluate the size of a subacromial spur. This study aims to examine a cassette tilt view can be used to evaluate the size of a subacromial spur. METHODS: A cross-sectional study was conducted between the time period of January 1, 2016, and December 31, 2016. Forty-three consecutive patients that had planned treatment of arthroscopic subacromial decompression (SAD) participated in this study...
October 26, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30361988/risk-factors-associated-with-acl-registry-compliance-can-we-predict-who-will-follow-up
#17
Yehia H Bedeir, Kimberly A Hasselfeld, Henry A Kuechly, Christopher J Utz, Barton R Branam, Angelo J Colosimo, Brian M Grawe
PURPOSE: The purpose of this study was to determine patient factors that influence patient compliance to fill out anterior cruciate ligament reconstruction (ACLR) registry forms. METHODS: Patients prospectively enrolled in the ACLR registry at a single institution were retrospectively reviewed. Patients who were followed up for at least 6 months were included. Patients who did not fill out initial registry forms were excluded. Patients were asked to fill out forms preoperatively and at 6, 12 and 24 months postoperatively...
October 25, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30361987/pseudoaneurysm-following-ankle-arthroscopy-a-systematic-review-of-case-series
#18
Kaissar Yammine, Nadim Kheir, Jimmy Daher, Joseph Naoum, Chahine Assi
BACKGROUND/OBJECTIVE: Pseudoaneurysms (PA) are rare complications following ankle arthroscopy (AA). Delay in diagnosis is reported to be frequent and could lead to serious complications. Evidence synthesis on the clinical context of such complication lacks in the literature. METHODS: A systematic review is conducted to locate all relevant papers. In total, 23 case reports were included in the review. Data of 23 patients with a mean of 40.9 ± 10.3 years were extracted and analyzed...
October 25, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30350020/intraoperative-kinematic-analysis-of-posterior-stabilized-total-knee-arthroplasty-with-asymmetric-helical-post-cam-design
#19
Takatoshi Morooka, Makiko Okuno, Daisuke Seino, Takuya Iseki, Shigeo Fukunishi, Syoji Kobashi, Shinichi Yoshiya
PURPOSE: To investigate intraoperative kinematics during passive flexion using a surgical navigation system for knees undergoing posterior stabilized (PS) total knee arthroplasty (TKA) with an asymmetric helical post-cam design using navigation system. METHODS: In total, 45 knees with both pre- and postoperative kinematic data available were included in the study. Intraoperative kinematic measurements were performed during the course of surgery using the software incorporated in the navigation system...
October 22, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30350019/clostridium-difficile-infection-in-the-usa-incidence-and-associated-factors-in-revision-total-knee-arthroplasty-patients
#20
Chukwuweike U Gwam, Nicole E George, Jennifer I Etcheson, John M Tarazi, Ga-Ram Han, Korie M E Griffith, Michael A Mont, Ronald E Delanois
INTRODUCTION: Revision total knee arthroplasty (TKA) procedures performed secondary to periprosthetic joint infection (PJI) are associated with significant morbidity and mortality. These poor outcomes may be further complicated by postoperative infection requiring antibiotics. However, antibiotic overuse may suppress patients' bacterial flora, leading to Clostridium difficile infection (CDI). Therefore, we aimed to study the: (1) incidence; (2) costs; and (3) risk factors associated with CDI in revision TKA patients...
October 22, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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