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European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie

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https://www.readbyqxmd.com/read/30003340/treatment-of-distal-radius-fractures-with-locking-plates-an-update
#1
Francois Loisel, Hugo Kielwasser, Grégoire Faivre, Thomas Rondot, Séverin Rochet, Antoine Adam, Pauline Sergent, Grégoire Leclerc, Laurent Obert, Daniel Lepage
Internal fixation with volar locking plates has revolutionized the treatment of distal radius fractures. Manufacturers have introduced plate designs that closely follow the anatomy of the distal radius. However, use of volar plates has also led to the emergence of new types of complications. While the use of monoaxial or polyaxial locking screws and of minimally invasive techniques (arthroscopy, preservation of pronator quadratus) increases the cost of the surgical procedure, it results in a tangible benefit for patients, allowing them to move their wrist almost immediately after surgery and to quickly regain their autonomy...
July 12, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29968115/the-impacts-of-internal-versus-external-fixation-for-tibial-fractures-with-simultaneous-acute-compartment-syndrome
#2
Hossein Akbari Aghdam, Erfan Sheikhbahaei, Hamidreza Hajihashemi, Davoud Kazemi, Ali Andalib
PURPOSE: High-energy tibial fractures may cause compartment syndrome, which needs fasciotomy. However, in this procedure, close fractures become an open wound and choosing the best type of fixation for this situation has been a problem. We assumed early open reduction and internal fixation (ORIF) instead of late internal fixation or external fixation, or stage-based approach is a better method. METHODS: We collected fifty-seven medical records from 2012 to 2017 stored in Alzahra and Kashani University Hospital databases...
July 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29955962/surgical-technique-about-a-new-total-and-isoelastic-wrist-implant-prosthelast-%C3%A2
#3
Santiago Salazar Botero, Yuka Igeta, Sybille Facca, Chiara Pizza, Juan José Hidalgo Diaz, Philippe A Liverneaux
This study describes a new total wrist implant (Prosthelast® ) designed to reduce the risk of distal migration of the carpal component. The Prosthelast® implant consists in a one-block radial implant replacing the metaphysis and the articular surface fixed to a radial elastic centromedullar wire and a carpal component in titanium with an articular condylar surface in polyethylene. We operated on five patients (three male patients and two female patients) and followed them up for 12 months on average. Two of the patients presented with rheumatoid arthritis of the wrist, and an ulnar osteotomy (Darrach procedure) was carried out at the same time of the arthroplasty...
June 28, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29955961/a-case-series-of-patients-change-in-mobility-following-a-hip-fracture
#4
Toby Jennison, Rathan Yarlagadda
INTRODUCTION: Hip fractures are common in the elderly population. It is currently believed that patients can expect to lose a level of mobility following a hip fracture. The aim of this study was to compare the pre- and post-treatment mobility of patients treated in our institution who had suffered a fracture neck of femur and identify the factors that could predict pre-operatively those patients who would suffer a deterioration in mobility after treatment. METHODS: Patients admitted to a large UK teaching hospital with a surgically treated neck of femur fracture were included between 2 April 2011 and 31 March 2014...
June 28, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29951745/the-effect-of-flexion-alignment-in-total-hip-arthroplasty-with-a-cementless-tapered-wedge-femoral-stem
#5
Junya Yoshitani, Tamon Kabata, Yoshitomo Kajino, Tomoharu Takagi, Takaaki Ohmori, Takuro Ueno, Ken Ueoka, Hiroyuki Tsuchiya
INTRODUCTION: The influence of stem sagittal alignment on clinical outcomes is unclear in total hip arthroplasty (THA). The purpose of this study is to assess the relationship between stem sagittal alignment and clinical and radiographic outcomes using 3D-CT. MATERIALS AND METHODS: We performed 370 consecutive primary THAs between 2009 and 2013. After exclusion, 102 hips in 89 patients using single tapered-wedge stem were included. Mean follow-up was 4.7 years...
June 27, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29951744/a-novel-technique-of-reshaping-the-post-of-a-constrained-liner-to-avoid-post-and-primary-box-mismatch-in-a-case-of-recurrent-dislocation-after-total-knee-arthroplasty
#6
Azad Shah, Su Chan Lee, Hye Sun Ahn, Alvin Ong, Kwang Am Jung
Knee dislocation after total knee arthroplasty, although rare, is a dangerous injury that can lead to neurovascular compromise and permanent disability. With the increase in number of total knee arthroplasty, more and more cases of dislocations are being reported. We describe a novel technique of reshaping the post of a constrained liner to fit into the box of a vanguard primary knee system in a patient with recurrent posterior knee dislocation after a PS TKA with a follow-up of 5 years.
June 27, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29934737/five-pointed-star-lattice-sutures-for-fixation-of-patella-transverse-fractures-a-clinical-study
#7
Xiaozheng Tang, Yayun Liu, Hongyan Wu, Feipeng Gong, Yuxu Li, Hong Zeng, Baofu Yu
INTRODUCTION: Fixation of displaced patella fractures with metal implants may be associated with implant failure, post-operative pain, and high re-operation rate. This study reports preliminary clinical results of using five-pointed star lattice sutures for the management of patella transverse fractures. METHODS: A five-pointed star lattice suture configuration was produced intraoperatively, and 25 patients with patella transverse fractures were treated with this newly designed sutures fixation...
June 22, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29931530/clinical-outcome-and-quality-of-life-of-patients-with-periprosthetic-distal-femur-fractures-and-retained-total-knee-arthroplasty-treated-with-polyaxial-locking-plates-a-single-center-experience
#8
Sebastian Lotzien, Clemens Hoberg, Martin F Hoffmann, Thomas A Schildhauer
PURPOSE: The number of total knee arthroplasties (TKA) increased rapidly. In conjunction with higher implantation rates, periprosthetic femur fractures following TKA are also gradually increasing. Purpose of this study was to evaluate polyaxial locking plate treatment of periprosthetic femoral fractures with retained total knee replacement using polyaxial locking plates in regard to quality of life, functional outcome and complications. METHODS: The Study design is a single-center retrospective cohort analysis...
June 22, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29931529/therapy-of-aseptic-nonunions-with-parathyroid-hormone
#9
I Kastirr, M Reichardt, R Andresen, S Radmer, G Schröder, T Westphal, T Mittlmeier, H C Schober
The absence of osseous consolidation of a fracture for 9 or more months with no potential to heal is defined as nonunion. Both for the patient and from a socioeconomic point of view, nonunions represent a major problem. Hypertrophic, vital nonunions are distinguished from atrophic avital ones. Risk factors for a delayed fracture healing are insufficient immobilisation, poor adaptation of the fracture surfaces or residual instability, interposition of soft tissue within the fracture gap, as well as circulation disturbances and infections...
June 21, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29926244/corrective-osteotomy-of-distal-radius-malunions-using-three-dimensional-computer-simulation-and-patient-specific-guides-to-achieve-anatomic-reduction
#10
REVIEW
Maartje Michielsen, Annemieke Van Haver, Veronique Bertrand, Matthias Vanhees, Frederik Verstreken
Malunion is a common complication of distal radius fractures, especially those treated conservatively. In clinical studies, a significant correlation between anatomic reduction and wrist function has been shown. Corrective osteotomy is the preferred treatment for symptomatic cases, notwithstanding the technical challenges. The use of computer simulation improves pre-operative understanding of the three-dimensional deformity. Patient-specific surgical guides, based on precise pre-operative planning, lead to superior perioperative accuracy and reproducibility...
June 20, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29926243/silver-coated-megaprostheses-in-the-proximal-femur-in-patients-with-sarcoma
#11
Arne Streitbuerger, Marcel P Henrichs, Gregor Hauschild, Markus Nottrott, Wiebke Guder, Jendrik Hardes
BACKGROUND: Proximal femur replacements in patients with sarcoma are associated with high rates of infection. This study is the largest one comparing infection rates with titanium versus silver-coated megaprostheses in sarcoma patients. METHODS: Infection rates were assessed in 99 patients with proximal femur sarcoma who underwent placement of a titanium (n = 35) or silver-coated (n = 64) megaprosthesis. Treatments administered for infection were also analyzed...
June 20, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29922980/why-do-we-use-arthroscopy-for-distal-radius-fractures
#12
REVIEW
Ludovic Ardouin, Alexandre Durand, André Gay, Marc Leroy
The management of distal radius fractures needs to be adapted to the increasingly complex traumas in patients with greater functional requirements. The goal remains to restore normal anatomy in order to preserve function. A pre-operative assessment using x-rays and thin-slice CT scans with three-dimensional reconstructions enables the best possible understanding of the fracture prior to surgery and planning of the pre-operative strategy. Arthroscopy is a technique that allows visualisation of the bone fragments and their displacement, as well as their reduction...
June 19, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29922979/complication-rates-by-surgeon-type-after-open-treatment-of-distal-radius-fractures
#13
Jeremy Truntzer, Kevin Mertz, Sara Eppler, Kevin Li, Michael Gardner, Robin Kamal
BACKGROUND: In distal radius fracture repair, complications often lead to reoperation and increased cost. We examined the trends and complications in open reduction internal fixation of distal radius fractures across hand specialist and non-hand specialist surgeons. METHODS: We examined claims data from the Humana administrative claims database between 2007 and 2016. International Classification of Disease, 9th Edition and Current Procedural Terminology codes were searched related to distal radius fractures repaired by open reduction internal fixation...
June 19, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29915954/impact-of-patient-position-on-coronal-cobb-angle-measurement-in-non-ambulatory-myelodysplastic-patients
#14
Norman Ramirez, Jorge Padilla, Sigfredo Villarin, Francisco Irizarry, Ivan Iriarte, Jeffrey Sawyer
OBJECTIVE: The purpose of this study was to assess the impact of patient position on the magnitude of the coronal Cobb angle measurements in relation to the change of position using plain radiograph on non-ambulatory children with myelodysplasia. Whole-spine radiographs with the patient sitting generally are preferred for the diagnosis and monitoring of progression of scoliosis in neuromuscular patients. Supine, supine traction, and sitting push-up positions have been used as substitutes, although there is no general consensus validating if these positions correlate with the sitting position...
June 18, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29915953/two-stage-approach-to-total-knee-arthroplasty-using-colistin-loaded-articulating-cement-spacer-for-vancomycin-resistant-pseudomonas-aeruginosa-infection-in-an-arthritic-knee
#15
REVIEW
Moon Jong Chang, Min Kyu Song, Jae Hoon Shin, Chan Yoon, Chong Bum Chang, Seung-Baik Kang
BACKGROUND: A two-stage approach to total knee arthroplasty (TKA) using an antibiotic-impregnated articulating cement spacer is an option for an infected arthritic knee. Vancomycin combined with broad-spectrum antibiotics can be used to make an antibiotic-impregnated articulating cement spacer. Causative organisms are sometimes not confirmed before surgery. Joint infections of multidrug-resistant organisms are increasing. Therefore, routine combinations of antibiotics may not be effective...
June 18, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29948400/diagnostic-parameters-in-periprosthetic-infections-the-current-state-of-the-literature
#16
REVIEW
G Mattiassich, R Ortmaier, F Rittenschober, J Hochreiter
Despite progress in recent years, a definitive diagnosis of PPI is not yet possible. Due to new diagnostic possibilities and the further development of already existing diagnostic tools, a more accurate diagnostic clarification of uncertain cases should be possible. The following article includes an overview of common existing diagnostic tools and instruments, which will likely gain importance in the future.
June 15, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29948399/intramedullary-nails-in-the-treatment-of-the-distal-radius-fractures
#17
Dominique Persoons
The distal radius fracture is a common injury in old persons. Its treatment remains a critical challenge because of number of cases, the final cost of the procedure, the level of X-ray irradiation, and the demand of technique of fixation in osteoporotic bone. The entire closed procedure requires a strict percutaneous nailing. This offers advantages in terms of postoperative pain, per-operative irradiation, and cost. The main problem was so far the ability to insure a stable reduction in time. This point is discussed with the introduction of the "Nail-o-Flex® " nail...
June 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29869724/treatment-of-the-distal-radius-fractures-with-percutaneous-pinning-evolution-to-the-hk2-system
#18
Emmanuel J Camus, Luc Van Overstraeten
Displaced fractures of the distal radius often require reduction and fixation to improve outcome in active patients. The volar locking plate gained ground over pinning, which was the first surgical solution described. But pinning methods have since evolved with fewer complications. The authors present a clinical study of distal radius fracture fixation using the HK2 technique, where subchondral pins are connected to intra-focal pins. The results are satisfactory with a lower complication rate compared to other pinning methods...
June 5, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29869273/is-the-external-fixator-yet-useful-for-treating-fractures-of-the-distal-radius
#19
REVIEW
Michel Rongières
No abstract text is available yet for this article.
June 4, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29869272/reliability-of-current-classification-systems-for-subtrochanteric-femoral-fractures-methodological-issue-to-avoid-misinterpretation
#20
LETTER
Siamak Sabour, Elham Bazmi, Hadis Barati
No abstract text is available yet for this article.
June 4, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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