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Open Orthopaedics Journal

Gerasimos Petridis, Martin Nolde
Background: Sequential bilateral total hip arthroplasty (THA) has the potential advantages of a single operative intervention with a single hospital stay, alongside reduced costs and total rehabilitation times. Its use has been limited, however, by a theoretical increase in perioperative complications. Objective: The purpose of this study was to assess functional outcomes and complications in patients undergoing sequential bilateral THA performed using anterior minimally invasive surgery (AMIS)...
2017: Open Orthopaedics Journal
Robert W Jordan, Alistair Dr Jones
Background: Radial head fractures are common elbow injuries in adults and are frequently associated with additional soft tissue and bone injuries. Methods: A literature search was performed and the authors' personal experiences are reported. Results: Mason type I fractures are treated non-operatively with splinting and early mobilisation. The management of Mason type II injuries is less clear with evidence supporting both non-operative treatment and internal fixation...
2017: Open Orthopaedics Journal
Alistair D R Jones, Robert W Jordan
Background: The elbow is the second most commonly dislocated joint in adults and up to 20% of dislocations are associated with a fracture. These injuries can be categorised into groups according to their mechanism and the structures injured. Methods: This review includes a literature search of the current evidence and personal experiences of the authors in managing these injuries. Results: All injuries are initially managed with closed reduction of the ulno-humeral joint and splinting before clinical examination and radiological evaluation...
2017: Open Orthopaedics Journal
Christopher E Hill, Stephen Cooke
Background: Paediatric elbow injuries account for a large proportion of childrens' fractures. Knowledge of common injuries is essential to understanding their assessment and correct management. Methods: A selective literature search was performed and personal surgical experiences are reported. Results: We have described the assessment and management of the five most common paediatric elbow injuries: supracondylar humeral fractures; lateral condyle fractures; medial epicondyle fractures; radial head and neck fractures; radial head subluxation...
2017: Open Orthopaedics Journal
Andrew J Grazette, Alex Aquilina
Background: Simple elbow dislocations are a commonly seen joint dislocation involving a sequential disruption of the soft tissue stabilisers without a significant associated fracture. Methods: A selective literature search was performed and personal surgical experiences are reported. Results: The majority of these injuries can be treated with expedient closed reduction, with the intact bony congruency of the elbow joint conferring early stability...
2017: Open Orthopaedics Journal
James C Beazley, Thomas M Lawrence, Steven J Drew, Chetan S Modi
Background: Rupture of the distal biceps and triceps tendons are relatively uncommon injuries typically occurring in middle-aged males as a result of eccentric loading of the tendon. Methods: A literature search was performed and the authors' personal experiences reported. Results: This review discusses the diagnosis, indications and guidelines for management of these injuries and provides a description of the authors' preferred operative techniques...
2017: Open Orthopaedics Journal
James C Beazley, Njalalle Baraza, Robert Jordan, Chetan S Modi
Background: Distal humerus fractures constitute 2% of all fractures in the adult population. Although historically, these injuries have been treated non-operatively, advances in implant design and surgical technique have led to improved outcomes following operative fixation. Methods: A literature search was performed and the authors' personal experiences are reported. Results: This review has discussed the anatomy, classifications, treatment options and surgical techniques in relation to the management of distal humeral fractures...
2017: Open Orthopaedics Journal
Alexander L Aquilina, Andrew J Grazette
Background: The elbow is a complex synovial hinge joint comprising of three articulations. Satisfactory function and stability are provided by bony and soft tissue stabilising structures. Injuries around the elbow joint are common. Methods: A literature search was performed and the authors' personal experiences reported. Results: The article discusses the osseous and ligamentous anatomy around the elbow joint and their relevance when assessing and managing elbow injuries...
2017: Open Orthopaedics Journal
Chetan S Modi
No abstract text is available yet for this article.
2017: Open Orthopaedics Journal
Janie Barry, Marc-Olivier Kiss, Vincent Massé, Martin Lavigne, Jihad Matta, Pascal-Andre Vendittoli
Background: In recent decades, the popularity of modular necks in total hip arthroplasty (THA) has increased since modular necks offer the potential to restore the patient's native anatomy, and thus improve stability. Unfortunately, modular necks are associated with higher complication rates, including implant fracture and modular junction corrosion with adverse local tissue reaction to metal debris. Objective: The objective of this study was to determine the impact of modular neck material on titanium (Ti), chrome (Cr), and cobalt (Co) metal ion levels in patients who underwent a THA with Ti femoral stem, Ti or CrCo modular neck, and ceramic-on-ceramic (CoC) bearing...
2017: Open Orthopaedics Journal
Mikhail Salzmann, Peter Fennema, Roland Becker, Hagen Hommel
Background: There is an ongoing debate whether patients with constitutional varus should be restored to neutral mechanical alignment following total knee arthroplasty (TKA). Objective: The aim of this retrospective cohort study is to determine whether mild unintentional postoperative varus alignment (3°-6°) influences TKA outcome in patients with and without preoperative varus alignment due to medial osteoarthritis of the knee. Methods: We analyzed 172 consecutive TKA cases between April 2011 and May 2014...
2017: Open Orthopaedics Journal
Edie Benedito Caetano, Yuri da Cunha Nakamichi, Renato Alves de Andrade, Maico Minoru Sawada, Mauricio Tadeu Nakasone, Luiz Angelo Vieira, Rodrigo Guerra Sabongi
Introduction: This paper reports anatomical study of nature, incidence, innervation and clinical implications of Flexor Pollicis Brevis muscle (FPB). Material and Methods: The anatomical dissection of 60 limbs from 30 cadavers were performed in the Department of Anatomy of Medical School of Catholic University of São Paulo. Results: The superficial head of FPB has been innervated by the median nerve in 70% and in 30% it had double innervation...
2017: Open Orthopaedics Journal
Wajdi Bouaziz, Mohamed Ali Rebai, Mohamed Ali Rekik, Nabil Krid, Zoubaier Ellouz, Hassib Keskes
Background: Unlike most of animal species, human beings lack the enzymatic process for the conversion of glucose to ascorbic acid (vitaminC), and therefore getting the vitamin from food sources is essential. The association of the various signs caused by a deficiency of vitamin C is called scurvy or Barlow's disease, an easily treatable disease but can be fatal. It is rare in the developed countries and even economically underdeveloped societies in which the basic diet is already rich in ascorbate...
2017: Open Orthopaedics Journal
Akio Sakamoto, Takeshi Okamoto, Shuichi Matsuda
Background: A ganglion is a common benign cystic lesion, containing gelatinous material. Ganglia are most commonly asymptomatic, except for a lump, but symptoms depend on the location. A dorsal foot ganglion is typically painful. On the dorsal foot, the dorsalis pedis artery and the medial branch of the deep peroneal nerve are located under the fascia. Objective: Five female patients of average age 45.8 ± 20 years (range, 12 to 60 years) with a painful ganglion in the dorsal foot were analyzed...
2017: Open Orthopaedics Journal
Saif Ul Islam, Alexander William Glover, Mohammad Waseem
Background: Management of distal humerus fractures remains a challenge for trauma surgeons and advancements in treatment options continue to be made to achieve the best results for patients presenting with these complex fractures. Our aim in this article is to provide the surgeons with a detailed review of current literature to help them make an evidence based decision when faced with managing such complex injuries in their surgical practice. Methods: This is a comprehensive review of the current literature that details various aspects of distal distal humerus fractures such as classification, surgical anatomy, surgical approaches, treatment options, choices of devices, outcomes and complications...
2017: Open Orthopaedics Journal
Akib Majed Khan, Quen Oat Tang, Dominic Spicer
Background: Distal femoral fractures account for 3-6% of adult femoral fractures and 0.4% of all fractures and are associated with significant morbidity and mortality rates. As countries develop inter-hospital trauma networks and adapt healthcare policy for an aging population there is growing importance for research within this field. Methods: Hospital coding and registry records at the central London Major Trauma Center identified 219 patients with distal femoral shaft fractures that occurred between December 2010 and January 2016...
2017: Open Orthopaedics Journal
Ryosuke Miyamoto, Atsushi Yamamoto, Hitoshi Shitara, Tsuyoshi Ichinose, Daisuke Shimoyama, Tsuyoshi Sasaki, Noritaka Hamano, Tsutomu Kobayashi, Toshihisa Osawa, Kenji Takagishi
Purpose: We aimed to assess functional outcomes and postoperative recurrence rate associated with the remplissage procedure used for bone augmentation with Bankart repair in patients with Hill-Sachs lesions after shoulder dislocation. Methods: Preoperative computed tomography was performed to check for bony Bankart lesions,calculate the bone defect rate, and estimate the risk for re-dislocation. Functional and clinical scores were assessed preoperatively and at three months, six months, and one year postoperatively...
2017: Open Orthopaedics Journal
Goris Nazari, Niyati Shah, Joy C MacDermid, Linda Woodhouse
Background: Research has suggested that persistent sensory and motor impairments predominate the symptoms experienced by patients with carpal tunnel syndrome (CTS); with intermittent pain symptoms, being less predominant. Objective: The study aims to determine the relative contribution of sensory, motor and pain impairments as contributors to patient-report or performance-based hand function. Methods: Fifty participants with a diagnosis of CTS confirmed by a hand surgeon and electrodiagnosis were evaluated on a single occasion...
2017: Open Orthopaedics Journal
Jonathan Brian Yates, Muhammad Naghman Choudhry, Mohammad Waseem
Background: Defects to the articular surface of the humeral head have been known to be associated with shoulder dislocation since the 19th century. It wasn't until 1934 that the first description of the ubiquitous compression fracture of the posterolateral humeral head that occurs with traumatic anterior instability appeared. From 1940, this defect became referred to as a Hill-Sachs lesion after the investigators who reported the condition. The significance of, and therefore treatment of, these and other such bony defects around the shoulder joint has been hotly debated...
2017: Open Orthopaedics Journal
Hagen Hommel, Daniel Kunze, Peggy Hommel, Peter Fennema
Background: There is ongoing debate about how to obtain correct rotational alignment in total knee arthroplasty (TKA). Two commonly used techniques are the measured resection (MR) and the gap balancing (GB) technique. Objective: The objective of the present study was to analyze which of these two techniques confers a clinical advantage up to 10 years postoperatively. Methods: Two hundred patients were randomized to either MR or GB. The primary outcome was the Knee Society Knee Score (KS) 10 years postoperatively...
2017: Open Orthopaedics Journal
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