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ISRN Orthopedics

L Hanna, A Gulati, A Graham
Hip fractures are common and the incidence is expected to increase. Systemic analgesics, often prescribed to relieve pain after hip fractures, have huge side effects and can delay surgery. We analyse the role and efficacy of alternative forms of analgesia like fascia-iliac blocks (FIB) and assess the feasibility of a service delivered by junior doctors. 104 consecutive hip fracture patients were prospectively recruited and equally divided into cases (patients receiving FIB) and controls (patients receiving systemic analgesia)...
2014: ISRN Orthopedics
Vasileios I Sakellariou, Nikolaos K Badilas, George A Mazis, Nikolaos A Stavropoulos, Helias K Kotoulas, Stamatios Kyriakopoulos, Ioannis Tagkalegkas, Ioannis P Sofianos
The increased incidence of motor vehicle accidents during the past century has been associated with a significant increase in brachial plexus injuries. New imaging studies are currently available for the evaluation of brachial plexus injuries. Myelography, CT myelography, and magnetic resonance imaging (MRI) are indicated in the evaluation of brachial plexus. Moreover, a series of specialized electrodiagnostic and nerve conduction studies in association with the clinical findings during the neurologic examination can provide information regarding the location of the lesion, the severity of trauma, and expected clinical outcome...
2014: ISRN Orthopedics
Ahmet Aslan, Emin Uysal, Ahmet Ozmeriç
Aim. In these case series which are about type 3 open tibial fractures formed with three different high energy trauma etiologies in different parts of tibia. We aimed to assess our three-stage treatment approach and discuss final results of our elective surgery management with three different fixation methods. Patients and Methods. We assessed 19 patients with type 3 open tibial fractures between 2009 and 2012. Our treatment protocol consisted of three stages. Early intervention in operating room, which including vascular repairs or soft tissue closure, was done if necessary...
2014: ISRN Orthopedics
Mugundhan Moongilpatti Sengodan, Singaravadivelu Vaidyanathan, Sankaralingam Karunanandaganapathy, Sukumaran Subbiah Subramanian, Samuel Gnanam Rajamani
Aim. To evaluate the clinical use of blocking screws as a supplement to stability in distal tibial metaphyseal fractures treated with statically locked intramedullary nail. Main Outcome Measurement. Alignment and reduction preoperatively, postoperatively, and at healing were the main outcome measured with an emphasis on maintenance of initial reduction on followup. Patients and Methods. This was a prospective study of 20 consecutive cases of distal tibial metaphyseal fractures treated with statically locked intramedullary nailing with supplementary blocking screw between August 2006 and September 2007 with a maximum followup of 3 years...
2014: ISRN Orthopedics
Georgios Arealis, Vassilios S Nikolaou, Andrew Lacon, Neil Ashwood, Mark Hamlet
Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 months had passed between fractures. None of the original fractures had healed. Mean followup was 2 years. All fractures proceeded to union within 7 months...
2014: ISRN Orthopedics
Mohammad Ali Tahririan, Seyyed Hamid Mousavitadi, Mohsen Derakhshan
Fixation of tibial plateau fractures with plate has been widely used. This prospective study was planned to compare locking plate fixation of tibial plateau fracture with nonlocking methods in terms of their functional outcomes. The subjects of the study were selected from consecutive patients suffering from tibial plateau fractures referred to Kashani Hospital in Isfahan, Iran, between 2012 and 2013 and were candidate for surgery. The final included patients were assigned to two groups, those who were treated with locking plate (n = 20) and those who were treated with nonlocking plates (N = 21)...
2014: ISRN Orthopedics
Vasileios I Sakellariou, Nikolaos K Badilas, Nikolaos A Stavropoulos, George Mazis, Helias K Kotoulas, Stamatios Kyriakopoulos, Ioannis Tagkalegkas, Ioannis P Sofianos
The incidence of brachial plexus injuries is rapidly growing due to the increasing number of high-speed motor-vehicle accidents. These are devastating injuries leading to significant functional impairment of the patients. The purpose of this review paper is to present the available options for conservative and operative treatment and discuss the correct timing of intervention. Reported outcomes of current management and future prospects are also analysed.
2014: ISRN Orthopedics
Carlos Roberto Schwartsmann, Lucas Senger Jacobus, Leandro de Freitas Spinelli, Leonardo Carbonera Boschin, Ramiro Zilles Gonçalves, Anthony Kerbes Yépez, Rodrigo Py Gonçalves Barreto, Marcelo Faria Silva
UNLABELLED: Objectives. To study the correlation between avascular necrosis and the demographics, time elapsed from fracture to surgery, quality of reduction, Garden classification, and the position of the screw following use of the dynamic hip screw (DHS) in the treatment of subcapital neck fractures. Methods. A prospective study of 96 patients with subcapital neck fractures was carried out in a faculty hospital. Patients underwent surgery with closed reduction and internal fixation with DHS...
2014: ISRN Orthopedics
N D Clement, A D Duckworth, C M Court-Brown, M M McQueen
Purpose. The management of unstable distal radial fractures in the superelderly (≥80 years old) remains controversial. The aim of this study was to compare the functional outcome of super-elderly patients with and without malunion after a distal radial fracture. Methods. We identified 51 superelderly patients living independently with displaced fractures from a prospective database of 4024 patients with distal radial fractures. Activities of daily living, presence of wrist pain, whether the wrist had returned to its normal level function, grip strength and ROM were recorded...
2014: ISRN Orthopedics
MohammadBagher Shamsi, Korosh Veisi, Loghman Karimi, Javad Sarrafzadeh, Farid Najafi
Background. Although there are frequent studies about normal range of thoracic kyphosis, there is still a controversy about the exact values of this curve. In nine reported studies on 10 to 20 years of age boys, the value ranged from 25.1° to 53.3°. Objective for the Study. The aim of the present research was investigation of normal ranges of thoracic kyphosis in school children in Kermanshah, western Iran. Methods. 582 male students aged 13 to 18 years old using cluster random sampling were recruited from schools in Kermanshah city, 97 students for each age...
2014: ISRN Orthopedics
Cédric Barrey, Gilles Perrin, Sabina Champain
Dynamic systems in the lumbar spine are believed to reduce main fusion drawbacks such as pseudarthrosis, bone rarefaction, and mechanical failure. Compared to fusion achieved with rigid constructs, biomechanical studies underlined some advantages of dynamic instrumentation including increased load sharing between the instrumentation and interbody bone graft and stresses reduction at bone-to-screw interface. These advantages may result in increased fusion rates, limitation of bone rarefaction, and reduction of mechanical complications with the ultimate objective to reduce reoperations rates...
2013: ISRN Orthopedics
Fernando Claros Pizarro, Simon W Young, Jorge H Blacutt, Rolando Mojica, Juan C Cruz
Developmental hip dysplasia (DDH) presents considerable technical challenges to the primary arthroplasty surgeon. Autogenous bulk grafting using the femoral head has been utilised to achieve anatomic cup placement and superolateral bone coverage in these patients, but reported outcomes on this technique have been mixed with the lack of graft integration and subsequent collapse, an early cause of failures. We describe a novel technique combining the use of bulk autograft with an iliac osteotomy, which provides primary stability and direct cancellous-cancellous bone contact, optimising the environment for early osseointegration...
2013: ISRN Orthopedics
Thomas B Pace, Jonathan L Foret, M Jason Palmer, Stephanie L Tanner, Rebecca G Snider
Autologous platelet rich plasma preparations, commonly referred to as platelet gel, have been reported to have benefits when used in total knee replacement of less blood loss and better motion, with few reported complications. This retrospective review of 268 consecutive primary total knee arthroplasty cases compares postsurgical range of motion at 2, 8, and 12 weeks, knee manipulation rates, change in hemoglobin, and complications between one group receiving a platelet gel preparation (135 cases), and an equivalent group receiving no platelet gel preparation (133 control cases)...
2013: ISRN Orthopedics
Bahattin Kerem Aydin, Ramazan Akmese, Mustafa Agar
A series of five cases were presented in which similar fractures of the shaft of the humerus occurred during the hand grenade throwing activity during the military education. All the fractures were in the 1/3 distal humeral shaft, and butterfly fragments were accompanying in two soldiers. All the fractures healed without any clinical complications with conservative treatment. The mechanism of the fracture is discussed with reference to the recent literature.
2013: ISRN Orthopedics
Matthew Suen, B Fung, C P Lung
Ganglion cysts are soft tissue swellings occurring most commonly in the hand or wrist. Apart from swelling, most cysts are asymptomatic. Other symptoms include pain, weakness, or paraesthesia. The two main concerns patients have are the cosmetic appearance of the cysts and the fear of future malignant growth. It has been shown that 58% of cysts will resolve spontaneously over time. Treatment can be either conservative or through surgical excision. This review concluded that nonsurgical treatment is largely ineffective in treating ganglion cysts...
2013: ISRN Orthopedics
Amir Oron, Izhar Arieli, Tamir Pritsch, Einat Even-Sapir, Nahum Halperin, Gabriel Agar
Chronic knee pain is a common complaint among the elderly and appears in 30%-40% of the population over the age of 65. This study was performed in order to evaluate correlation between clinical presentation of chronic knee pain and the imaging findings of SPECT and planar bone scintigraphy. Methods. We prospectively recruited 116 patients over the age of 50 who had neither knee surgery nor trauma. Patients were divided into symptomatic and asymptomatic groups. All patients were examined by an experienced orthopedic surgeon; on the same day imaging was performed...
2013: ISRN Orthopedics
Juha Kukkonen, Juho Rantakokko, Petri Virolainen, Ville Aärimaa
Purpose. Biceps long head pathology is often associated with rotator cuff tears. The aim of this study was to determine the effect of possible associated biceps procedure on the treatment outcome in rotator cuff repair. Methods. 148 consecutive shoulders operated for isolated full-thickness supraspinatus tendon tear were included. A biceps tenotomy or tenodesis was performed in cases of irritated/frayed and/or unstable biceps tendon. The patients were grouped into three groups according to the biceps procedure (no procedure, tenotomy, and tenodesis)...
2013: ISRN Orthopedics
Mehmet Bulut, Bekir Yavuz Uçar, Demet Uçar, Ibrahim Azboy, Abdullah Demirtaş, Celil Alemdar, Mehmet Gem, Emin Ozkul
Objective. The aim of this study was to determine, by plain radiography, if there is a relationship between sacralization and low back pain. Methods. Five hundred lumbosacral radiographs of low back pain patients and 500 control groups were examined. Data collection consisted of the subject's age at the time of imaging, gender, number of lumbar vertebral bodies, and bilateral height measurement of the lowest lumbar transverse process. Dysplastic transverse processes were classified according to the Castellvi radiographic classification system...
2013: ISRN Orthopedics
Michael Suk, Monica Daigl, Richard E Buckley, Cleber A J Paccola, Dean G Lorich, David L Helfet, Beate Hanson
Background. In orthopedics, there is no instrument specifically designed to assess patients' expectations of their final surgery outcome in general trauma populations. We developed the Trauma Expectation Factor Trauma Outcome Measure (TEFTOM) to investigate the fulfilment of patients' expectations one year after surgery as a measure of general trauma surgical outcomes. The aim of this paper was to assess the psychometric characteristics of this new general trauma outcome measure. Methods. The questionnaire was tested in 201 ankle and distal tibia fracture patients scheduled for surgery...
2013: ISRN Orthopedics
Tanner C Clark, Frank H Schmidt
Background. Since the introduction of robot-assisted navigation in primary total knee arthroplasty (TKA), there has been little research conducted examining the efficiency and accuracy of the system compared to computer-assisted navigation systems. Objective. To compare the efficiency and accuracy of Praxim robot-assisted navigation (RAN) and Stryker computer-assisted navigation (CAN) in primary TKA. Methods. This was a retrospective study consisting of 52 patients who underwent primary TKA utilizing RAN and 29 patients utilizing CAN...
2013: ISRN Orthopedics
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