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Open Orthopaedics Journal

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https://www.readbyqxmd.com/read/28660004/management-of-recent-elbow-dislocations-functional-treatment-versus-immobilization-a-prospective-study-about-60-cases
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
https://www.readbyqxmd.com/read/28567160/the-introduction-of-a-multidisciplinary-hip-fracture-pathway-to-optimise-patient-care-and-reduce-mortality-a-prospective-audit-of-161-patients
#16
Michael Shenouda, Zacharia Silk, Sarkhell Radha, Emer Bouanem, Warwick Radford
INTRODUCTION: Hip fractures are a major cause of morbidity and mortality in the elderly. A new patient pathway was introduced in our institution to facilitate rapid preoperative assessment, acute physician involvement and early surgery for patients with hip fractures. We sought to assess its impact on patient care and outcomes. MATERIALS AND METHODS: Prospective audit of 161 patients admitted with a proximal femoral fracture in the six months before (92 patients) and after (69 patients) implementation of the pathway...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28567159/humeral-tip-apex-distance-as-a-prognostic-marker-for-proximal-humeral-fractures-in-203-patients
#17
Dominik Saul, Tobias Himmelmann, Klaus Dresing
BACKGROUND: Humeral head fractures and their postoperative outcome remain a challenging problem in surgical daily routine. Predictive factors for loss of fixation are rare. OBJECTIVE: Determination of predictive factors for the failure of osteosynthesis with the loss of fixation or migration of screws in humeral head fractures. METHOD: From 1995 to 2011, 408 patients with proximal humeral fractures [mean age 66.6 years, 50.9-82.3 years] and osteosynthesis were analyzed...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28567158/plaster-of-paris-short-history-of-casting-and-injured-limb-immobilzation
#18
REVIEW
B Szostakowski, P Smitham, W S Khan
Various materials have been used since ancient times to help immobilise fractures. In this review, we discuss the history and developments of these materials as well as plaster of Paris. There has been a recent trend away from non-operative management of fractures, and skills in the use of plaster of Paris are declining. For the successful treatment of patients, it is important to appreciate how plaster works, how it should be used, and what can go wrong. In this review, we also discuss principles of applications and complications of plaster of Paris...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28567157/modified-open-suprapectoral-endobutton-tension-slide-tenodesis-technique-of-long-head-of-biceps-with-restored-tendon-tension-length
#19
Jagadish Prabhu, Mohammed Khalid Faqi, Rashad Khamis Awad, Fahad Alkhalifa
BACKGROUND: The vast majority of biceps tendon ruptures occurs at the proximal insertion and almost always involves the long head. There are several options for long head of biceps (LHB) tenodesis with advantage and disadvantages of each technique. We believe that the suprapectoral LHB tenodesis described in this article enables the restoration of the anatomic length-tension relation in a technically reproducible manner, when following the guidelines set forth in this article, and restores biceps contour and function adequately with a low risk of complications...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28567156/surgical-treatment-of-angular-pott-s-kyphosis-with-posterior-approach-pedicular-wedge-osteotomy-and-canal-widening
#20
C V Kinkpe, M Onimus, L Sarr, M M Niane, M M Traore, M Daffe, A B Gueye
BACKGROUND: It has been observed that the correction of severe posttuberculous angular kyphosis is still a challenge, mainly because of the neurologic risk. METHODS: Nine patients were reviewed after surgery (mean follow-up 18 months). There were 2 thoracic, 4 thoraco-lumbar and 3 lumbar kyphosis. The mean age at surgery was 23. Clinical results were evaluated by the Oswestry Disability Index (ODI) and by the neurologic evaluation. Preoperative, postoperative and final follow-up X-rays were assessed...
2017: Open Orthopaedics Journal
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