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European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie

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https://www.readbyqxmd.com/read/30232566/lars-versus-hamstring-tendon-autograft-in-anterior-cruciate-ligament-reconstruction-a-single-centre-single-surgeon-retrospective-study-with-8-years-of-follow-up
#1
Nicola Bianchi, Federico Sacchetti, Vanna Bottai, Marco Gesi, Alessio Carlisi, Andrea Facchini, Rodolfo Capanna, Stefano Giannotti
PURPOSE: The choice of graft type in the anterior cruciate ligament (ACL) reconstruction remains a subject of controversy. The aim of this study was to assess the outcomes in ACL reconstructions performed using a four-strand hamstring tendon graft (4SHG) or a LARS ligament comparing the effectiveness of the two grafts at a medium follow-up of 8 years. METHODS: This retrospective, single-centre, single surgeon study evaluated the clinical, functional and radiographic outcomes in 50 patients who underwent ACL reconstruction (25 4SHG and 25 LARS)...
September 19, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30232565/rifampin-and-tobramycin-combination-with-pmma-antibiotic-cement
#2
Elive F Likine, David Seligson
Rifampin is a powerful antibiotic used in the treatment of biofilm-forming bacteria with studies supporting its use in PMMA cement. However, it has not been widely accepted for its use in PMMA cement due to a perception that it is unable to solidify in a timely manner. The technique described consists of ratio of aminoglycoside and rifampin that reduces time to solidification to approximately 15-20 min.
September 19, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30229446/incidence-risk-factors-and-clinical-impact-of-postoperative-delirium-following-open-reduction-and-internal-fixation-orif-for-hip-fractures-an-analysis-of-7859-patients-from-the-acs-nsqip-hip-fracture-procedure-targeted-database
#3
Azeem Tariq Malik, Carmen E Quatman, Laura S Phieffer, Thuan V Ly, Safdar N Khan
OBJECTIVE: Delirium is one of the most common acute psychiatric disturbances taking place in patients, particularly elderly, following hip fractures. Using a validated national surgical database, we sought to define the incidence, risk factors and clinical impact associated with the occurrence of delirium following open reduction and internal fixation (ORIF) for hip fracture. METHODS: The 2016 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) Hip Fracture Targeted Procedure file-was retrieved and merged with the ACS-NSQIP 2016 file...
September 18, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30229445/type-2-retear-after-arthroscopic-single-row-double-row-and-suture-bridge-rotator-cuff-repair-a-systematic-review
#4
REVIEW
Yehia H Bedeir, Adam P Schumaier, Ghada Abu-Sheasha, Brian M Grawe
AIM/PURPOSE: To provide a systematic review of the literature on patterns of retear after single-row (SR), double-row (DR) and suture bridge (SB) techniques. METHODS: The PubMed and MEDLINE databases were searched for published articles reporting both repair technique and retear pattern. Studies in languages other than English, those reporting open rotator cuff repair as the index procedure, as well as animal and cadaveric studies and those which did not describe patterns of retear, were excluded...
September 18, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30225668/a-useful-combination-for-the-treatment-of-patellofemoral-chondral-lesions-realignment-procedure-plus-mesenchymal-stem-cell-retrospective-analysis-and-clinical-results-at-48-months-of-follow-up
#5
Roberto Buda, Matteo Baldassarri, Luca Perazzo, Diego Ghinelli, Gherardo Pagliazzi
INTRODUCTION: Osteochondral lesions of the patellofemoral joint (OLPFJ) are defects of the cartilage surface and subchondral bone, which often require surgical treatment. Reparative treatments have shown some limitations in the long-term follow-up. The one-step bone marrow-derived cells transplantation (BMDCT) achieved good to excellent results in the treatment of osteochondral lesions of the femoral condyles. The aim of this study was to report the 48-month clinical and radiological results among 28 patients with OLPFJ treated with the one-step BMDCT technique associated with the anteromedialization tibial tuberosity (AMTT)...
September 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30225667/open-versus-closed-reduction-and-k-wire-fixation-for-displaced-supracondylar-fracture-of-the-humerus-in-children
#6
Alaa A Hussein Al-Algawy, Adil Hasan Aliakbar, Ibrahim H N Witwit
Supracondylar fracture of the humerus is a common displaced type childhood fracture that is treated by two methods. To compare open and closed methods of reduction with 2 cross k-wire fixation, a retrospective comparative study of 66 paediatric patients with type III supracondylar fracture of the humerus, who were treated in two different hospitals utilizing two different protocols, was conducted. Group 1 was treated with open reduction and 2 cross k-wire fixation, and group 2 received the closed reduction and k-wire fixation protocol...
September 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30221330/similar-thromboprophylaxis-with-rivaroxaban-and-low-molecular-weight-heparin-but-fewer-hemorrhagic-complications-with-combined-intra-articular-and-intravenous-tranexamic-acid-in-total-knee-arthroplasty
#7
Panayiotis K Karampinas, Panayiotis D Megaloikonomos, Kalliopi Lampropoulou-Adamidou, Eleftherios G Papadelis, Andreas F Mavrogenis, John A Vlamis, Spyros G Pneumaticos
PURPOSE: To evaluate the efficacy of the combined intravenous and intra-articular administration of tranexamic acid (TXA) to control the collateral effects and complications of rivaroxaban (RIV) after total knee arthroplasty (TKA) and to compare thromboprophylaxis schemes with and without TXA, RIV and low molecular weight heparin (LMWH). MATERIALS AND METHODS: We prospectively studied 158 TKA patients from 2014 to 2018. The patients were randomly assigned into three groups...
September 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30219996/should-orthopedic-surgeons-consider-reducing-the-negative-effects-of-outerbridge-grade-2-patellofemoral-chondral-lesion-on-early-postoperative-recovery-during-anterior-cruciate-ligament-reconstruction
#8
Hakan Sofu, Yalkin Camurcu, Ahmet Issin, Hanifi Ucpunar, Seckin Ozcan, Serda Duman
PURPOSE: The purpose of this study was to comparatively evaluate the effectiveness of intra-articular PRP and HA injections applied as the treatment of Outerbridge grade 2 chondral lesions in patellofemoral joint during arthroscopic ACL reconstruction. METHODS: The clinical and radiographic data of 61 patients between 18 and 45 years of age were evaluated. The patients were separated into three groups. Hyaluronic acid injection was applied in 22 knees (Group 1), PRP injection was applied in 18 knees (Group 2), and 21 knees did not have any specific treatment except ACL reconstruction (Group 3)...
September 15, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30219995/study-of-human-radius-construction-systematics-evaluation-by-dxa-in-dry-bone
#9
Soledad Aguado-Henche, Pascual Morante-Martínez, Soledad Cristóbal-Aguado, Celia Clemente de Arriba
This study has been undertaken in order to describe the bone mass distribution of the dry human radius via dual x-ray absorptiometry (DXA) with a Norland XR-800 densitometer machine. A sample of 39 dry radius bones was used. Two projections were made: antero-posterior and lateral, and five regions of interest were selected. The bone densities and the bone mineral contents of the various regions of the radius in the two projections were compared using Student's t tests for paired samples, with statistically significant differences being found in all of the values, except in the proximal extremity (P Ext)...
September 15, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30196376/the-impact-of-metabolic-syndrome-on-30-day-outcomes-in-geriatric-hip-fracture-surgeries
#10
Azeem Tariq Malik, Carmen E Quatman, Laura S Phieffer, Thuan V Ly, Jessica Wiseman, Safdar N Khan
PURPOSE: Past literature has reported metabolic syndrome (MetS) to complicate postoperative care in patients undergoing various surgical procedures. We sought to analyze the impact of MetS on 30-day outcomes following hip fracture surgeries in the geriatric population. MATERIALS AND METHODS: The 2015-2016 ACS-NSQIP database was queried for patients undergoing hip fracture repair using CPT codes for total hip arthroplasty (27130), hemiarthroplasty (27125) and open reduction internal fixation (27236, 27244, 27245)...
September 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30151639/treatment-of-paediatric-unstable-displaced-distal-radius-fractures-using-kapandji-technique-a-case-series
#11
Silvia Valisena, Jorge Gabriel Gonzalez, Natalia Maria Voumard, Flurim Hamitaga, Bernhard Dimitris Ciritsis, Mario Mendoza Sagaon, Vincenzo De Rosa
BACKGROUND: The technique of intra-focal pinning described by Kapandji is seldom used in paediatric patients. We present our series of paediatric patients treated with Kapandji technique for unstable displaced distal radius fractures. METHODS: We retrospectively reviewed medical records and radiographs of a consecutive series of 56 paediatric patients who underwent closed reduction and fixation with Kapandji technique for unstable displaced metaphyseal and Salter Harris 2 distal radius fractures, from 2008 to March 2018...
August 27, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30145670/arthroscopic-extra-articular-suprapectoral-biceps-tenodesis-with-knotless-suture-anchor
#12
Pinkawas Kongmalai
Tenodesis of the long head of the biceps tendon is a frequently performed procedure during shoulder arthroscopy. Various open and arthroscopic techniques have been described with comparable outcomes and complication rates. We describe a simple, knotless, arthroscopic extra-articular biceps tenodesis technique using a 4.5-mm knotless anchor. This technique avoids the complications associated with open tenodesis surgery while still removing the diseased biceps tendon from the bicipital groove. The benefits from knotless suture anchor include no requirement of arthroscopic knot tying and no risk of the knot irritation under the coracoid and coracoacromial ligament...
August 25, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30145669/fasciotomy-for-chronic-exertional-compartment-syndrome-of-the-leg-clinical-outcome-in-a-large-retrospective-cohort
#13
J P H Tam, A G F Gibson, J R D Murray, M Hassaballa
BACKGROUND: Chronic exertional compartment syndrome (CECS) is an overuse disorder typically affecting an athletic population. CECS is a diagnosis based on history and intracompartmental pressure (ICP) testing. CECS patients can be treated surgically by fasciotomy; however, research on the relationship between ICP and patient symptoms and also between ICP and patient-reported outcome post-fasciotomy is limited. This study aims to (1) assess functional outcome and patient satisfaction post-fasciotomy and (2) identify any potential correlation between ICP and reported levels of pain...
August 25, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30143864/anterior-open-wedge-hepta-lateral-osteotomy-for-severe-post-traumatic-genu-recurvatum-a-case-report-and-review-of-the-literature
#14
REVIEW
Artit Boonrod, Kamolsak Sukhonthamarn, Punyawat Apiwatanakul
Severe post-traumatic genu recurvatum is an uncommon condition in orthopedics. The typical symptoms are pain, weakness, and instability. For severe and symptomatic genu recurvatum patient, the surgical correction should be performed to relieve symptoms and prevent progression of deformity. Many procedures were proposed to treat this condition, but there are some complications such as patella baja, secondary deformity, skin complication, and inadequate correction. Most of the procedures need an additional procedure such as tibial tuberosity transfer to correct the patellar height...
August 24, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30141028/reliable-patient-reported-outcome-measure-and-survivorship-of-uka-for-primary-spontaneous-osteonecrosis
#15
Takao Kaneko, Norihiko Kono, Takahide Sunakawa, Yuji Okuno, Hiroyasu Ikegami, Yoshiro Musha
PURPOSE: Primary Spontaneous osteonecrosis of the knee (SPONK) was a result of a subchondral insufficiency fracture based on histopathological examinations. There were few studies examining patients who underwent unicompartmental knee arthroplasty (UKA) for the treatment of primary SPONK. The aim of this study was to investigate (1) patient-reported outcome measure (PROM), (2) survivorship of revision as end point and (3) survivorship of complication as end point in patients with primary SPONK...
August 23, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30132077/a-prospective-clinical-trial-to-assess-the-accuracy-of-an-mri-based-patient-specific-acetabular-instrument-guide-in-total-hip-arthroplasty
#16
Daisuke Inoue, Tamon Kabata, Hiroaki Kimura, Hiroyuki Tsuchiya
BACKGROUND: The purpose of this study was to conduct a prospective clinical trial to investigate the accuracy of an MRI-based patient-specific acetabular instrument guide during THA. METHODS: We conducted a prospective consecutive review of 14 hips in 14 patients who underwent primary THA with a posterolateral approach between September 2016 and February 2018. All preoperative planning and postoperative evaluations were completed on CT-based templating software...
August 21, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30120536/analysis-of-risk-factors-for-perioperative-mortality-in-elderly-patients-with-intertrochanteric-fracture
#17
Fulong Zhao, Xuefei Wang, Yuechao Dou, Hailong Wang, Yakui Zhang
OBJECTIVE: To investigate risk factors for perioperative death in elderly patients with intertrochanteric fracture. METHODS: Clinical data from 1051 cases with intertrochanteric fracture from March 2005 to March 2015 were reviewed and analyzed, and causes of death during the perioperative period were statistically analyzed. Various indicators were compared by t test and χ2 test. Multivariate analysis was performed using non-conditional logistic regression analysis...
August 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30120535/advantages-of-creation-of-holes-and-removal-of-air-in-artificial-bone-for-early-bone-formation-when-used-artificial-bone-as-a-gap-filler-in-open-wedge-high-tibial-osteotomy
#18
Yasuaki Tohma, Ryohei Takeuchi, Yasuhito Tanaka
Recently, many facilities perform open wedge high tibial osteotomy (OWHTO) using artificial bone as a gap filler. However, there are many cases in which artificial bone is used without a clear purpose. We recommend a surgical technique to promote early synostosis between artificial bone and recipient bone due to mechanical support especially in the early stage after OWHTO. At our hospital, beta-tricalcium phosphate (β-TCP) with 60% porosity is used in OWHTO. Initially, a wedge-shaped block-type β-TCP, as large as possible, was inserted into the gap...
August 17, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30116937/how-to-reduce-osteopenia-in-total-knee-arthroplasty
#19
Claude Schwartz
BACKGROUND: Osteopenia of the front half of the distal femur is a well-known problem after total knee arthroplasty (TKA) with secondary issues after years, especially when must be addressed fractures or revisions for loosening. Stress shielding has been recognized as a cause in different biomechanical studies of the bone. QUESTION/PURPOSES: It was logical to look for a solution by changing the design to minimize stress shielding behind the femoral shield. PATIENTS AND METHODS: It was proved that radiological measure of bone density was reliable although not so early and accurate as densitometry...
August 16, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/30109415/various-factors-affect-erythrocyte-blood-transfusions-in-hip-fracture-patients
#20
LETTER
M Eghbal Heidari
No abstract text is available yet for this article.
August 14, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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