Read by QxMD icon Read

Orthopaedics & Traumatology, Surgery & Research: OTSR

Tristan Ferry, Piseth Seng, Didier Mainard, Jean-Yves Jenny, Frédéric Laurent, Eric Senneville, Marion Grare, Anne Jolivet-Gougeon, Louis Bernard, Simon Marmor
BACKGROUND: Bone and joint infections (BJIs) have a major clinical and economic impact in industrialized countries. Its management requires a multidisciplinary approach, and a great experience for the most complicated cases to limit treatment failure, motor disability and amputation risk. To our best knowledge there is not currently national specific organization dedicated to manage BJI. Is it possible to build at a national level, a network involving orthopaedic surgeons, infectiologists and microbiologists performing locally multidisciplinary meetings to facilitate the recruitment and the management of patients with complex bone and joint infection in regional centers? HYPOTHESIS: A national healthcare network with regional labeled centers creates a dynamic that improves the recruitment, the management, the education, and the clinical research in the field of complex BJI...
November 6, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Pierre Sautet, Alexandre Galland, Stéphane Airaudi, Jean-Noël Argenson, Renaud Gravier
INTRODUCTION: Neer IIB displaced fracture of the distal part of the clavicle is often treated surgically. Arthroscopy-assisted surgery was recently developed. The aim of the present study was to present an original technique of subcoracoid suture under arthroscopy, with clinical and radiological results. HYPOTHESIS: Arthroscopy-assisted subcoracoid suture in Neer IIB clavicle fracture provides satisfactory results. MATERIAL AND METHODS: Fourteen patients, with a mean age of 34...
November 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Chul-Hyun Cho, Beom-Soo Kim, Du-Han Kim, Chang-Hyuk Choi, Jinmyoung Dan, HoMin Lee
INTRODUCTION: Existing various classification systems for distal clavicle fractures have low interobserver and intraobserver reliability and provide limited information for treatment decision. The objective of this study was to determine interobserver and intraobserver reliability of the new classification system and the associated treatment choice for distal clavicle fractures. HYPOTHESIS: The new classification system has good reliability. METHODS: Eight observers including 4 experienced shoulder specialists and 4 orthopedic fellows independently reviewed routine plain radiographs of 74 patients with distal clavicle fractures...
November 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Sarah Jolivet, Jean-Christophe Lucet
Surgical site infection (SSI) is the third most frequent healthcare-associated infection in France. SSI rates in total hip or knee replacement are around 2%. The main bacteria implicated in SSI in clean surgery are those of the skin flora, whence the importance of skin preparation to eliminate transient flora and reduce resident flora. Guidelines for the prevention of SSI have progressed in recent years in France: firstly in 2013, and then in 2016. That preoperative hair removal and scrubbing of clean skin ahead of cutaneous asepsis is non-contributive was confirmed in 2013...
November 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Nathalie Kerfant, Charlotte Monnerie, Anne-Sophie Henry, Pierre Ta, Weiguo Hu, Hoel Letissier, Dominique Le Nen
BACKGROUND: Covering defects at the lower leg and foot is a common challenge in reconstructive surgery. A flap is often required, and free flaps are widely used. The posterior tibial perforator-based flap constitutes a valuable option in this situation. The objectives of this study were to evaluate the reliability of the posterior tibial perforator-based flap, report any complications, and describe the outcomes, with the goal of defining the indications of this flap in the treatment of lower limb defects...
November 1, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Yves Tourné, Anne-Laure Baray, Renaud Barthélémy, Paul Moroney
INTRODUCTION: In Haglund syndrome, standard radiologic measurements lack specificity and reliability in assessing etiologic morphologic calcaneal abnormalities. We report a simple X/Y ratio to measure posterior calcaneal length, where X is calcaneal length on lateral weight-bearing view and Y is greater tuberosity length. OBJECTIVE: To compare this new parameter against the radiologic gold standard in a group of Haglund patients and a healthy control group. HYPOTHESIS: Measuring this ratio significantly distinguishes between Haglund patients and healthy subjects...
October 31, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Carlos D Novoa, Mustafa Citak, Akos Zahar, Roxana E López, Thorsten Gehrke, José L Rodrigo
BACKGROUND: Modular hip arthroplasty is widely recognized in hip surgery; nevertheless, despite advances in prosthetic design, the incidence of hip revision surgery is increasing. In these procedures, a modular adapter that engages the femoral stem and the modular femoral head could be useful in order to protect the neck-head junction and restore preoperative biomechanics and soft tissue tension when the femoral or acetabular component should be retained. The Merete™ BioBall™ system (Merete Medical, Berlin, Germany) could fill this need...
October 31, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Sébastien Lustig, Patrice Mertl, Michel-Henri Fessy, Philippe Massin
No abstract text is available yet for this article.
October 29, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Eric Sali, Alexandre Hardy, Olivier Grimaud, Alain Meyer
Bone fixation of the two roots improves meniscal allograft positioning as compared to simple meniscal peripheral wall fixation. An all-arthroscopic 4-point bone fixation technique could provide rigid primary fixation and a more stable allograft. The technique was implemented on 8 fresh cadavers, under arthroscopy, via tibial bone tunnels at the posterior root, popliteal hiatus, anteromedial segment and anterior root, with cortical buttons for tibial graft fixation. Mean surgery time was 65±5minutes (range, 55-80min)...
October 23, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Ali Zarezadeh, Kelly Mamelson, W Christian Thomas, Bradley S Schoch, Thomas W Wright, Joseph J King
INTRODUCTION: We evaluate the most common outcome measures used in distal humerus fracture studies in order to suggest standardization for future research. MATERIALS AND METHODS: A systematic review identified articles assessing the outcomes of acute distal humerus fractures from 2006 to 2016 from PubMed and Web of Science databases. The inclusion criterion was studies reporting on the outcomes of treatment of acute distal humerus fractures. Review articles, meta-analyses, studies with<5 patients, technique articles, biomechanical studies, and those focusing on one complication/outcome were excluded...
October 20, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Antoine Morvan, Jacques Boddaert, Judith Cohen-Bittan, Hervé Picard, Hugues Pascal-Mousselard, Frédéric Khiami
INTRODUCTION: Proximal femoral fracture is associated with severe morbidity and mortality and high socioeconomic costs. The main mechanical complication of internal fixation in trochanteric fracture is lag-screw cut-out through the femoral head. Several factors are involved, but remain controversial. The aim of the present study was to determine risk factors for cut-out in internal fixation of extracapsular proximal femoral fracture. METHODS: A single-center retrospective study was conducted on a continuous series of 228 patients aged over 75 years, operated on for trochanteric fracture by gamma3 nail or DHS screw plate between July 2009 and December 2014...
October 17, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Marion Besnard, Damien Babusiaux, Pascal Garaud, Philippe Rosset, Louis Bernard, Louis-Romé Le Nail, Julien Berhouet
INTRODUCTION: Referral Centers for Bone and Joint Infection (BJI) were set up to optimize BJI management thanks to multidisciplinary teamwork. The main aim of the present study was to assess the impact of setting up the Western France Bone and Joint Infection Referral Center on arthroscopic treatment of septic arthritis of the shoulder and knee. The secondary aim was to identify other risk factors for failure of this treatment. The null hypothesis was that there was no difference between the "success group" and the "failure group"...
October 17, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Paul Walbron, Adrien Jacquot, Jean-Marc Geoffroy, François Sirveaux, Daniel Molé
The various surgical techniques to treat iliotibial band friction syndrome consist in releasing the iliotibial band by means of plasties that partially interrupt its continuity or by release of the deep aspect. We describe an original technique of digastric distal iliotibial band release from Gerdy's tubercle. Via a 2 cm approach above Gerdy's tubercle, the iliotibial band is incised longitudinally and partially released from the tubercle. Fourteen knees underwent the procedure. With a mean 27±20.6 months' follow-up (range, 12-69 months), return to sport at previous level was possible at a mean 4±2...
October 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Grégoire Faivre, Hugo Kielwasser, Mickaël Bourgeois, Marie Panouilleres, François Loisel, Laurent Obert
BACKGROUND: Burnout syndrome is one of the manifestations of distress in healthcare workers and is characterised by emotional exhaustion (EE), depersonalisation (DP), and a sense of low personal accomplishment (PA). The surgical residency is a period of intense training that imposes major challenges on future surgeons, who may therefore be at high risk for burnout syndrome. Nevertheless, no data on burnout syndrome in orthopaedic and trauma surgery (OTS) residents in France is available...
October 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Dominik C Meyer, Elias Bachmann, Alexandre Lädermann, Georg Lajtai, Thorsten Jentzsch
PURPOSE: Surgical knots are particularly challenged by high-strength suture material. It was hypothesized that sutures in a double-stranded looped configuration present mechanical advantages. METHODS: This in vitro biomechanical study repeatedly tested 12 different knots with a static distraction material testing machine with a constant tensile speed. The cow hitch, its altered version, and conventional half hitches were also tested on bovine tendon. Suture material was braided polyblend non-bioresorbable polyester...
October 13, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Gaël Gaudin, Jean-Yves Coillard, Marc Augoyard, Yves Tourné, Tristan Meusnier, Philippe Beaudet, Jean-Noël Bernard, Romain Augoyard, Jean-Luc Besse
INTRODUCTION: First metatarsophalangeal (MTP1) joint arthrodesis, described as a safe and effective procedure, has complications that may require surgical revision. These complications are rarely studied. The aim of this study was to determine the incidence and outcomes of revision surgery after MT1 arthrodesis. HYPOTHESIS: The incidence of surgical revision after MTP1 arthrodesis is not insignificant; however, the outcomes are satisfactory. MATERIALS AND METHODS: In this multicenter retrospective study between January 2014 and December 2015, 190 forefoot revisions in patients who had previously undergone MTP1 arthrodesis were included by 8 surgeons...
October 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Adrien Pauvert, Henri Robert, Philippe Gicquel, Nicolas Graveleau, Nicolas Pujol, Franck Chotel, Nicolas Lefevre
INTRODUCTION: There is little published information on the ligamentization of pediatric anterior cruciate ligament (ACL) grafts. The aims of our study were to compare the MRI appearance of ACL grafts performed in a population with open growth plates to normal ACLs in adolescents and to determine whether the MRI signal in the grafts at 6 months could predict a retear. We hypothesized that ligamentization was a slow, gradual process. MATERIAL AND METHODS: This was a prospective multicenter study of 100 ACL grafts (quadriceps tendon, hamstring tendon, fascia lata) in children 7 to 16 years of age...
October 9, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Paul Lecoanet, Morgane Vargas, Julien Pallaro, Thomas Thelen, Clément Ribes, Thierry Fabre
BACKGROUND: Leg length discrepancy (LLD) occurs in about 25% of cases after total hip arthroplasty (THA) and adversely affects function if greater than 10mm. When using the direct anterior approach (DAA), limb length control is considered easier with a standard operating table than with a traction table. However, this assumption has not been confirmed. More specifically, no studies have used EOS imaging, which is currently the reference for assessing limb length. The objectives of this retrospective study were: (1) to use EOS imaging to determine whether THA via the DAA on a standard table allowed satisfactory limb length control; (2) whether LLD was associated with other parameters such as age, gender, body mass index (BMI), or side; and (3) to compare clinical score values between patients with and without LLD...
October 9, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Yoann Lévy, Michel Azar, Laurie Tran, Pascal Boileau, Nicolas Bronsard, Christophe Trojani
INTRODUCTION: Single-stage bilateral total knee replacement (TKR) has the advantages of requiring only one hospital stay and one anesthesia session, having a shorter rehabilitation period, and reducing the cost of patient care. However, this strategy is controversial because of the perioperative risk. We hypothesized that this strategy did not cause early perioperative mortality and that the early morbidity and readmission rates would be low when patients are selected based on their ASA score...
October 8, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Laura Marie-Hardy, Padhraig O'Laughlin, Michel Bonnin, Tarik Ait Si Selmi
INTRODUCTION: Dual mobility cups have become the implant of choice for older patients with a high risk of dislocation. However, to our knowledge, no study has explored the possibility of metal ion production with these implants that incorporate a polyethylene-on-metal bearing. This led us to conduct a prospective study to determine whether use of a dual mobility cup is accompanied by increased levels of nickel and chromium in the blood. HYPOTHESIS: Use of a dual mobility cup is accompanied by an increase of nickel and chromium levels in the blood...
October 5, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"