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Open Orthopaedics Journal

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https://www.readbyqxmd.com/read/28839502/the-added-value-of-postoperative-axial-imaging-in-developmental-dysplasia-of-the-hip
#1
Nabil Alassaf, Joud Abuhaimed, Nouf Almahmoud, Rawan Binkhulaif
BACKGROUND: Redislocation is a dreaded complication after reduction of developmental dysplasia of the hip (DDH) in young children. While early detection facilitates urgent reoperation, delayed revisions are more complicated. Despite the weak evidence, an axial postoperative imaging tool is recommended. This study's goal is to compare the effectiveness of conventional pelvic radiography alone and axial imaging. METHODS: Data were collected retrospectively between 2012 and 2016...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28839501/the-effect-of-hand-dominance-on-functional-outcome-following-single-row-rotator-cuff-repair
#2
Michael A Kelly, Ciarán K Mc Donald, Aidan Boland, Patrick J Groarke, Ken Kaar
INTRODUCTION: Rotator cuff tears are a common cause of shoulder disability and pain. Excellent outcomes can be obtained with surgical treatment although this outcome is affected by several factors. We sought to investigate the effect of hand dominance on subjective functional outcome post rotator cuff repair. METHODS: All patients who had rotator cuff repair over a calendar year were identified and followed up at 3 years post operatively. Patients were consented for inclusion in the study and demographic data, hand dominance and functional outcome data was collected...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28839500/arthroscopic-acetabular-labral-reconstruction-with-fascia-lata-allograft-clinical-outcomes-at-minimum-one-year-follow-up
#3
Ritesh Rathi, Jacek Mazek
BACKGROUND: The integrity of the acetabular labrum is crucial to normal biomechanics of the hip joint. Disruption of the labral seal could be detrimental to the overall nutrition of the cartilage, leading to its premature degeneration. PURPOSE: The aim of this study is to determine the clinical effectiveness of arthroscopic hip labral reconstruction using fascia lata allograft. The hypothesis is that labral reconstruction would provide good clinical outcomes. METHODS: We retrospectively reviewed all 10 patients who underwent labral reconstruction with fascia lata allograft from January 2013 to October 2015...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28839499/tendon-repair-leads-to-better-long-term-clinical-outcome-than-debridement-in-massive-rotator-cuff-tears
#4
Matthias Alexander König, Volker Alexander Braunstein
INTRODUCTION: Massive tears in the rotator cuff are debilitating pathologies normally associated with loss of function and pain. Tendon reconstruction is seen as the standard treatment in order to preserve shoulder function and to inhibit cuff associated osteoarthritis. However, the effect on longer-term shoulder function and patient satisfaction is unknown. MATERIAL AND METHODS: 165 consecutive patients with massive tears were included. 57 debridement (mean age 61...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28839498/assessment-of-range-of-movement-pain-and-disability-following-a-whiplash-injury
#5
Atif A Malik, Simon Robinson, Wasim S Khan, Bernice Dillon, Martyn E Lovell
BACKGROUND: Whiplash has been suggested to cause chronic symptoms and long term disability. This study was designed to assess long term function after whiplash injury. MATERIAL & METHODS: A random sample of patients in the outpatient clinic was interviewed, questionnaire completed and clinical examination performed. Assessment was made of passive cervical range of movement and Visual Analogue Scale pain scores. One hundred and sixty-four patients were divided into four different groups including patients with no whiplash injury but long-standing neck pain (Group A), previous symptomatic whiplash injury and long-standing neck pain (Group B), previous symptomatic whiplash injury and no neck symptoms (Group C), and a control group of patients with no history of whiplash injury or neck symptoms (Group D)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28660004/management-of-recent-elbow-dislocations-functional-treatment-versus-immobilization-a-prospective-study-about-60-cases
#6
Ndeye Fatou Coulibaly, Niane Mouhamadou Moustapha, Hamadi Hadji Djoumoi, Sarr Lamine, Gueye Alioune Badara, Sane André Daniel
OBJECTIVE: To determine our therapeutic posture trough a comparison of functional treatment results versus immobilization in two different periods. INTRODUCTION: For years, the treatment of recent elbow dislocations consisted of reduction and immobilization during 21 days. Given the frequency of stiffness other methods have been tried out. METHOD: A prospective study was carried out from January 2010 to December 2014. Sixty patients averaging 28...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28660003/fracture-of-the-body-of-the-hamate-with-dorsal-dislocation-of-the-4-th-and-5-th-metacarpals-a-case-report
#7
Vasilis Athanasiou, Ilias D Iliopoulos, Konstantinos Pantazis, Andreas Panagopoulos
BACKGROUND: Solitary fractures of the body of the hamate are rare. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination. CASE REPORT: We present a case of a 36-year-old male patient who sustained an intraarticular fracture of the body of the hamate along with dorsal dislocation of the 4(th) and 5(th) metacarpals on his right dominant hand. Through a dorsal surgical approach, he underwent ORIF of the hamate with screws and stabilization of the dislocated 4(th) and 5(th) metacarpals with KW...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28660002/does-total-wrist-arthroplasty-for-treatment-of-posttraumatic-wrist-joint-osteoarthritis-in-young-patients-always-lead-to-restriction-of-high-demand-activities-of-daily-living-case-report-and-brief-review-of-recent-literature
#8
Ingo Schmidt
BACKGROUND: Posttraumatic ulnar carpal translocation is a very rare condition that is caused either by fracture-dislocation injury or by purely ligamentous injury of the wrist. Its prognosis is poor and development of posttraumatic pancarpal wrist joint osteoarthritis is inevitable, and options for treatment are total wrist fusion or total wrist arthroplasty. METHODS: A 24-year-old male sustained a fracture-related injury in his left wrist that was accompanied with a second ligamentous distorsion-related injury 1 year later in the same wrist...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28660001/a-retrospective-study-comparing-crossed-and-lateral-wire-configurations-in-paediatric-supracondylar-fractures
#9
Murtaza K Khwaja, Wasim S Khan, Pinak Ray, Derek H Park
BACKGROUND: Supracondylar fractures are common in children and are associated with significant morbidity. The purpose of our study was to assess and compare the clinical and radiological outcome of management of supracondylar fractures by both wire configurations, along with identifying factors that predispose to complications. MATERIALS & METHODS: We retrospectively reviewed all paediatric cases admitted with a supracondylar fracture over a five year period. We reviewed case notes, theatre records and radiographs to determine the age of the patient, classification of fracture, treatment method, delay to theatre, duration of surgery, wire configuration, Baumann´s angle, radiocapitellar alignment, anterior humeral alignment and complications...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28660000/coronal-knee-alignment-40-years-after-total-meniscectomy-in-adolescents-a-prospective-cohort-study
#10
I P Pengas, W Nash, Wasim Khan, A Assiotis, J Banks, M J McNicholas
INTRODUCTION: Meniscectomies result in altered knee biomechanics and increase contact forces on the operated knee joint. METHODS: We assessed coronal knee alignment in relation to radiological osteoarthritis grading, clinical range of movement and patient reported outcome measures 40 years after total open meniscectomies in adolescence. Thirty eight knees (30 patients) that underwent total open meniscectomy were assessed on standardised weight-bearing anteroposterior radiographs for deviation from 'physiological valgus angle' in either direction (magnitude of malalignment)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603573/extra-articular-tenosynovial-chondromatosis-of-the-finger-a-case-series-study-of-three-cases-one-including-excessive-osseous-invasion
#11
Akio Sakamoto, Takahiko Naka, Eisuke Shiba, Masanori Hisaoka, Shuichi Matsuda
BACKGROUND: Synovial chondromatosis is characterized by cartilaginous metaplasia in synovial tissues. Extra-articular tenosynovial chondromatosis is considered to be an anatomical counterpart of articular synovial chondromatosis. Extra-articular tenosynovial chondromatosis occurs preferentially in the hand, although its frequency is low. RESULTS: We report three cases of extra-articular tenosynovial chondromatosis. A 65-year-old female presented with a history of symptoms over 40 years related to the dorsum of her index finger (Case 1), A 46-year-old female presented with a 6-month history of symptoms at the volar surface of her middle finger (Case 2), and a 66-year-old male presented with a 3-month history of symptoms in a dorsal ring finger...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603572/fibroblast-transplantation-results-to-the-degenerated-rabbit-lumbar-intervertebral-discs
#12
Ibrahim Halil Ural, Kerem Alptekin, Aysegul Ketenci, Seyhun Solakoglu, Hasan Alpak, Süleyman Özyalçın
BACKGROUND: Our study is an analysis of the histological and radiological changes in degenerated lumbar intervertebral discs, after transplantation of fibroblasts in rabbits. With that study we aimed to show the viability of the fibroblasts injected to the degenerated discs, and observe their potential for further studies. METHOD: The apoptosis of the cell is one of the factors at the disc degeneration process. Fibroblasts may act as mesenchymal stem cells at the tissue to which they are injected and they may replace the apoptotic cells...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603571/pes-anserinus-syndrome-caused-by-osteochondroma-in-paediatrics-a-case-series-study
#13
Akio Sakamoto, Shuichi Matsuda
INTRODUCTION: Osteochondroma is a common benign bone tumor, protruding from the underlying normal bone. Osteochondromas can cause pain depending on their location and size. The pes anserinus is located at the proximal medial side of the tibia, where the tendinous insertions of the sartorius, gracilis and semitendinosus muscles collectively attach. Pes anserinus syndrome, or anserine bursitis, is a painful condition of the pes anserinus, and is more common in adults typically with overweight females...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603570/successful-treatment-of-painful-synchondrosis-of-bipartite-patella-after-direct-trauma-by-operative-fixation-a-series-of-six-cases
#14
Sarkhell Radha, Michael Shenouda, Sujith Konan, Jonathon Lavelle, Samuel Church
INTRODUCTION: The patella is the largest sesamoid bone in the body and may have one (77%) or multiple (23%) ossification centres. Patellar and patellofemoral joint abnormalities are a common cause of anterior knee pain but symptomatic bipartite patella is an uncommon problem. CASE SERIES: We report a series of six cases of painful synchondrosis in bipartite patellae, all in keen athletes following a direct blow to the anterior aspect of the knee. A complete rupture of the synchondrosis with evidence of retropatellar chondral separation was seen on MRI scan in all cases...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603569/pediatric-acl-injuries-a-review-of-current-concepts
#15
Vikas Trivedi, Panna Mishra, Deepankar Verma
BACKGROUND: The number of anterior cruciate ligament (ACL) injuries reported in skeletally immature athletes has increased over the past 2 decades. The reasons for this increased rate include the growing number of children and adolescents participating in competitive sports vigorous sports training at an earlier age and greater rate of diagnosis because of increased awareness and greater use of advanced medical imaging. There is a growing need for a consensus and evidence based approach for management of these injuries to frame a dedicated age specific treatment strategy...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603568/current-concepts-in-radial-club-hand
#16
Takehiko Takagi, Atsuhito Seki, Shinichiro Takayama, Masahiko Watanabe
Radial club hand is a complex congenital abnormality of the radial or pre-axial border of the upper extremity. It has a wide range of phenotypes from hypoplasia of the thumb to complete absence of the radius and the first ray. Centralization with tendon transfer is a popular method for maintaining the correct position of radial club hand. On the other hand, various corrections were devised, e.g. radialization after distraction to emphasize the fact that the head of the ulna is positioned under the radial carpal bones and is no longer placed in a slot in the center of the carpus, microvascular epiphysis transfer, gradual correction using Ilizarov method, for Bayne Type III or Type IV...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603567/current-concepts-in-paediatric-femoral-shaft-fractures
#17
Rakesh John, Siddhartha Sharma, Gopinathan Nirmal Raj, Jujhar Singh, Varsha C, Arjun Rhh, Ankit Khurana
Pediatric femoral shaft fractures account for less than 2% of all fractures in children. However, these are the most common pediatric fractures necessitating hospitalization and are associated with prolonged hospital stay, prolonged immobilization and impose a significant burden on the healthcare system as well as caregivers. In this paper, the authors present a comprehensive review of epidemiology, aetiology, classification and managemement options of pediatric femoral shaft fractures.
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603566/current-concepts-in-pediatric-cervical-spine-trauma
#18
Kunal Shah, Agnivesh Tikoo, Manish K Kothari, Abhay Nene
BACKGROUND: Pediatric spinal trauma is rare and challenging entity. Although cervical spine is commonly affected, it is often missed on routine imaging investigations. Therefore better understanding of growing spine and its patho-physiology is crucial. METHODS: Articles related to pediatric cervical trauma were searched on Pubmed and other online research data banks. We have summarized unique anatomy of pediatric spine, investigations followed by common injury patterns, their diagnostic challenges and management...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28603565/current-concepts-congenital-scoliosis
#19
Agnivesh Tikoo, Manish K Kothari, Kunal Shah, Abhay Nene
BACKGROUND: Congenital scoliosis is one of the 'difficult to treat' scenarios which a spine surgeon has to face. Multiple factors including the age of child at presentation, no definite pattern of deformity and associated anomalies hinder the execution of the ideal treatment plan. All patients of congenital scoliosis need to be investigated in detail. X rays and MRI of spine is usually ordered first. Screening investigations to rule out VACTERL (Visceral, Anorectal, Cardiac, Tracheo-esophageal fistula, Renal and Lung) abnormalities are required...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28567161/serial-femoral-fractures-in-an-amputation-stump-a-case-report
#20
M Nannaparaju, K Annavaram, R Anwar, W S Khan, J Hambidge
We report a case of an above-knee amputee who underwent dynamic hip screw fixation for a proximal femoral fracture and then open reduction and internal fixation a few years later for a further femoral fracture in the same stump. The patient had a good outcome. We aim to discuss the challenges in decision making, surgical technique and potential complications for the patient.
2017: Open Orthopaedics Journal
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