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Orthopaedics & Traumatology, Surgery & Research: OTSR

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https://www.readbyqxmd.com/read/28428037/conservative-treatment-of-displaced-distal-radius-fractures-leads-to-acceptable-functional-outcomes-however-at-the-expense-of-40-subsequent-surgeries
#1
Marjolein A M Mulders, Percy V van Eerten, J Carel Goslings, Niels W L Schep
BACKGROUND: Although secondary displacement following closed reduction and plaster immobilisation is high, several guidelines still recommend non-operative treatment for displaced distal radius fractures with an adequate closed reduction. PURPOSE: The purpose of this study was to evaluate functional outcomes, measured with the Disability of the Arm, Shoulder and Hand (DASH) questionnaire, in non-operative treated patients with displaced distal radius fractures with an adequate closed reduction confirmed on radiograph...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428036/giantcell-tumor-of-tendon-sheath-open-surgery-or-arthroscopic-synovectomy-a-systematic-review-of-the-literature
#2
REVIEW
Thibaut Noailles, Kevin Brulefert, Sylvain Briand, Pierre Marie Longis, Kevin Andrieu, Antoine Chalopin, François Gouin
PURPOSE: Giantcell tumor of tendon sheath(GCTTS)formelyknowned as pigmented villonodular synovitis (PVNS) is a benign, locally aggressive, proliferative disorder of the synovium involving a joint, bursa, or tendon sheath. Treatment ofGCTTSinvolves early surgical resection to limit articular destruction and the risk of recurrence. Synovectomy remains the treatment of choice forGCTTSbut without clear consensus to make an open or arthroscopic synovectomy andno certainty on the responsibility of surgery in the evolution towards the degenerative osteoarthritis...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428035/evaluation-of-the-external-fixator-truelok-hexapod-system-for-tibial-deformity-correction-in-children
#3
Sébastien Pesenti, Christopher A Iobst, Franck Launay
BACKGROUND: Tibial deformities are common in paediatric orthopaedic practice. Correcting multiplanar tibial deformities associated with lower limb length discrepancycan be challenging. Hexapod external fixation with gradual correction has been proven effective in this situation. OBJECTIVE: To assess clinical and radiological outcomes of gradual tibial deformity correction using the external fixator TL-HEX(TM)(Orthofix) in children. HYPOTHESIS: TL-HEX™ is effective in correcting tibial deformities in children...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428034/near-anatomical-correction-using-a-ct-guided-technique-of-a-forearm-malunion-in-a-15-year-old-girl-a-case-report-including-surgical-technique
#4
Ralph M Jeuken, Roel P Hendrickx, Martijn G Schotanus, Edwin J Jansen
BACKGROUND: In this case report we describe a left-arm both-bone forearm fracture in a 15-year old girl who fell off of a swing. Conservative treatment with an above-elbow cast failed,resulting in a malunion with functional impairment. The pro- and supination were 90/0/10, respectively. The patient complained of difficulties performing daily activities. For this pediatric case a corrective osteotomy was proposed using a CT-guided technique aiming for maximum anatomical and functional outcome...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428033/a-critical-analysis-of-limb-symmetry-indices-of-hop-tests-in-athletes-after-anterior-cruciate-ligament-reconstruction-a-case-control-study
#5
Alli Gokeler, Wouter Welling, Anne Benjaminse, Koen Lemmink, Romain Seil, Stefano Zaffagnini
BACKGROUND: Hop tests are frequently used to determine return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR). Given that bilateral deficits are present after ACLR, this may result in a falsely high limb symmetry index (LSI), since LSI is calculated as a ratio between the values of the limbs. HYPOTHESIS: Athletes after ACLR would achieve LSI > 90% for the hop test. Secondly, athletes after ACLR demonstrate decreased jump distance on the single hop for distance (SLH) and triple leg hop for distance (TLH) and decreased number of hops for the side hop (SH) for both involved and uninvolved limbs compared to normative data of sex, age and type of sports matched healthy athletes...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28428032/does-semi-automatic-bone-fragment-segmentation-improve-the-reproducibility-of-the-letournel-acetabular-fracture-classification
#6
M Boudissa, B Orfeuvre, M Chabanas, J Tonetti
BACKGROUND: The Letournel classification of acetabular fracture shows poor reproducibility in inexperienced observers, despite the introduction of 3D imaging. We therefore developed a method of semi-automatic segmentation based on CT data. The present prospective study aimed to assess: 1) whether semi-automatic bone-fragment segmentation increased the rate of correct classification; 2) if so, in which fracture types; and 3) feasibility using the open-source itksnap 3.0 software package without incurring extra cost for users...
April 17, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28416462/clinical-assessment-of-115-cases-of-hindfoot-fusion-with-two-different-types-of-graft-allograft-dbm-bone-marrow-aspirate-versus-autograft-dbm
#7
Mathias Tricot, Paul-André Deleu, Christine Detrembleur, Thibaut Leemrijse
INTRODUCTION: Nonunion is a common complication (15%) of hindfoot and ankle arthrodesis. Autograft can improve the fusion rate because of its osteoconductive, osteoinductive and osteogenic properties. However, autograft harvesting is a source of morbidity. One alternative is to combine allograft with demineralized bone matrix (DBM) and iliac bone marrow aspirate (BMA). This combination graft has similar biological properties to healthy bone. When used alone, allograft has osteoconductive and sometimes structural properties...
April 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28416461/detection-of-penetration-of-the-dorsal-cortex-by-epiphyseal-screwsof-distal-radius-volar-plates-anatomical-study-comparing-ultrasoundandfluoroscopy
#8
Vernet Paul, Durry Anastasia, Nicolau Xavier, D'Ambrosio Adrien, Collinet Arnaud, Salazar Botero Santiago, Liverneaux Philippe, Hidalgo Diaz Juan José
Osteosynthesis of the distal radius by a volar plate can be complicated by lesions of extensor tendons by screws penetrating the dorsal cortex. The fluoroscopic skyline view enables to confirm the length of the screws. To avoid its risk of irradiation, some authors have recommended to use ultrasound instead. The goal of this study was to demonstrate that the detection rate of screws penetrating the dorsal cortex was at least as good using ultrasound compared to fluoroscopic skyline. A volar plate in which one screw penetrated the dorsal cortex was implanted in 10 cadaveric wrists...
April 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28389308/comments-on-effect-of-warming-bupivacaine-0-5-on-ultrasound-guided-axillary-plexus-block-randomized-prospective-double-blind-study-by-trabelsi-w-gabsia-ab-lebbi-a-sammoud-w-labb%C3%A3-ne-i-kchelfi-s-ferjani-m-published-in-orthoptraumatolsurg-res-2016-103-1-71-75
#9
LETTER
https://www.readbyqxmd.com/read/28385549/reply-to-the-letter-by-j-l-heemskerk-et-al
#10
LETTER
Aurélien Courvoisier
No abstract text is available yet for this article.
April 3, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28385548/reply-to-the-letter-by-g-jp-smits
#11
LETTER
Trabelsi Walid
No abstract text is available yet for this article.
April 3, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28373141/spine-hip-relations-add-understandings-to-the-pathophysiology-of-femoro-acetabular-impingement-a-systematic-review
#12
REVIEW
C Rivière, A Hardijzer, J-Y Lazennec, P Beaulé, S Muirhead-Allwood, J Cobb
Relationship between hip pathoanatomy and symptomatic FAI has been reported to be weak. This is explained by the reciprocal interaction between proximal femur and acetabular anatomies, but potentially also by the individual spine-hip relations (SHR). The key-answer for a complete understanding of the pathophysiology of FAI might lie in the comprehension of the SHRs, which have not yet been fully addressed. Therefore we conducted a systematic review to answer the subsequent questions: Is there any evidence of a relationship between FAI and (1) sagittal pelvic kinematics, (2) pelvic incidence, and (3) types of SHRs? A systematic review of the existing literature utilizing PubMed and Google search engines was performed in December 2016...
April 1, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28373140/acute-quadriceps-tendon-rupture-repaired-by-suture-anchors-outcomes-at-7-years-follow-up-in-25-cases
#13
P Brossard, G Le Roux, B Vasse
INTRODUCTION: Acute quadriceps tendon rupture is rare. The gold-standard repair technique is transosseous patellar suture. Biomechanical studies have validated the use of anchors as an alternative. The present study sought to report long-term clinical and radiological results in a series of acute quadriceps tendon rupture repaired with anchors. The study hypothesis was that results are comparable to those of the gold-standard technique. METHODS: A retrospective continuous study included 25 knees with acute quadriceps tendon rupture, operated on by a single surgeon between 2007 and 2013: 22 patients; 17 male, 5 female; mean age, 64 years (range, 52-87 years)...
March 31, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28373139/actifit%C3%A2-polyurethane-meniscal-scaffold-mri-and-functional-outcomes-after-a-minimum-follow-up-of-5-years
#14
A Leroy, P Beaufils, B Faivre, C Steltzlen, P Boisrenoult, N Pujol
BACKGROUND: Implantation of the Actifit® polyurethane meniscal scaffold in patients who have pain after partial meniscectomy provides short-term pain relief and better function. But there is a lack of information about medium-term outcomes. The objective of this longitudinal study was to evaluate the MRI and functional outcomes after a minimum follow-up of 5 years. It was hypothesized that the results are stable over time. MATERIAL AND METHODS: Fifteen consecutive patients (8 men, 7 women; mean age 30 years, range 19-47, mean BMI 25) were enrolled in the study between February 2008 and January 2011...
March 31, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28373138/the-influence-of-spine-hip-relations-on-total-hip-replacement-a-systematic-review
#15
REVIEW
Charles Rivière, Jean-Yves Lazennec, Catherine Van Der Straeten, Edouard Auvinet, Justin Cobb, Sarah Muirhead-Allwood
BACKGROUD: Sagittal pelvic kinematics along with spino-pelvic angular parameters have recently been studied by numerous investigators for their effect on Total Hip Replacement (THR) clinical outcomes, but many issue of spine hip relations (SHR) are currently unexplored. Therefore, our review aims at clarifying the following questions: 1) Is there any evidence of a relationship between articular impingement/dislocation risk in primary THR, 2) and certain sagittal pelvic kinematics patterns, 3) pelvic incidence, and 4) types of SHRs? METHODS: A systematic review of the existing literature utilising PubMed and Google search engines was performed in January 2017...
March 31, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28366747/-efficacy-of-nighttime-brace-in-preventing-progression-of-idiopathic-scoliosis-of-less-than-25%C3%A2-by-g-lateur-p-grobost-j-gerbelot-a-eid-j-griffet-a-courvoisier-published-in-orthop-traumatol-surg-res-2017-103-275-78
#16
LETTER
Johan L Heemskerk, Diederik H R Kempen, Mark C Altena, René M Castelein
No abstract text is available yet for this article.
March 30, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28366746/acetabular-bone-defects-in-tha-revision-reconstruction-using-morsellised-virus-inactivated-bone-allograft-and-reinforcement-ring-seven-year-outcomes-in-95-patients
#17
G Villatte, R Erivan, G Salles, B Pereira, M Galvin, S Descamps, S Boisgard
BACKGROUND: Acetabular cup loosening is among the main reasons for revision total hip arthroplasty (THA). The implantation of a cryopreserved morsellised bone allograft is a reference method for filling bone defects. However, the outcomes of bone grafts treated with viral inactivation and secured into the host bone (notably using a reinforcement device) are unclear. We therefore retrospectively reviewed cases of acetabular revision with morsellised bone allograft implanted into a reinforcement ring for acetabular revision to assess: 1) clinical survival of the acetabular implant (time to new revision with acetabular component removal), 2) radiological implant survival, 3) and bone graft osseointegration evaluated using Oswestry's criteria...
March 30, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28363878/interest-of-the-compress-test-in-diagnosis-of-nerve-injury-in-hand-wounds
#18
N Bigorre, A Petit, Y Saint-Cast, J Jeudy, B Cesari, F Rabarin, P A Fouque, G Raimbeau
INTRODUCTION: Hand wounds are a common cause of emergency department admission. Digital nerve lesions are found in 5% of palmwounds. Early diagnosis reduces the risk of morbidity, sequelae and litigation. Screening for digital nerveinjuryby the usual tests is difficult in an emergency context. We assessed the diagnostic value of the simple "compress test" to screen for pulp sensibility disorder and the factors that may influence the value of this examination, with a view to validating routine use...
March 28, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28363877/subacromial-temperature-profile-during-bipolar-radiofrequency-use-in-shoulder-arthroscopy-comparison-of-coblation-%C3%A2-vs-vapr-%C3%A2
#19
V Huynh, O Barbier, X Bajard, A Bouchard, D Ollat, G Versier
BACKGROUND: The use of bipolar electrodes for arthroscopic procedurescarries a theoretical ex vivo risk of inducing burn injuries. Few studies have measured the in vivo temperatures produced by bipolar electrodes during arthroscopy, and their results are conflicting. The objective of this study was to evaluate the temperature profilewithin the subacromial space during shoulder arthroscopywith two different electrode systems. HYPOTHESIS: The primary hypothesis was that the two electrode systems produced similar temperature variations and peak temperatures...
March 28, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28359839/a-novel-flexible-drill-device-enabling-arthroscopic-transosseous-repairof-bankart-lesions
#20
Ye-Yeon Won, Jin Soo Park, Soo Joong Choi, Sung In Hong
We have developed a flexible drill device that makes arthroscopic transosseous repair possible, and report preliminary results.Twelvepatientswith post-traumatic anterior inferior glenohumeral instability were selected. SURGICAL TECHNIQUE: The flexible drill device is inserted into the shoulder joint through the posterior portal and the guide pipe unit is placed 5mm posterior to the margin of the anterior glenoid rim. The flexible drill is driven through the glenoid with the power drill, creating a hole in the glenoid...
March 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
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