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Orthopedic traumatology

Martin Salgado, Felipe Fernández, Carolina Avilés, Cecilia Cordova
INTRODUCTION: The presence of postoperative seromadesis is common, corresponding to the presence of serum in the subcutaneous tissue post a surgical event. Erythromycin has been reported as sclerosing, although not in orthopedic surgery. We report a case of erythromycin seromadesis in orthopedic surgery. CASE PRESENTATION: We present a case of a 63-year-old woman having undergone femoral prosthesis surgery and total hip replacement with a subfacial seroma without findings of infection, refractory to standard treatment of compression bandages, massage and cleaning surgery in two oportunities...
April 2016: Journal of Orthopaedic Case Reports
F Mauch, B Drews
BACKGROUND: Magnetic resonance imaging (MRI) and computed tomography (CT) are established complementary tools for cross-sectional imaging in addition to standard x‑rays in orthopedics and traumatology. OBJECTIVE: Illustration of possible applications of MRI and CT in acute and chronic joint diseases. MATERIAL AND METHODS: Summary of the relevant literature with focus on the validity of MRI and CT in depicting joint trauma and pathologies...
October 2016: Der Unfallchirurg
Cristina M Beltran-Aroca, Eloy Girela-Lopez, Eliseo Collazo-Chao, Manuel Montero-Pérez-Barquero, Maria C Muñoz-Villanueva
BACKGROUND: Respect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice. METHODS: By means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital...
2016: BMC Medical Ethics
R Seemann, M Münzberg, R Stange, M Rüsseler, M Egerth, B Bouillon, R Hoffmann, M Mutschler
Patient safety has increasingly gained significance as criterion which clinics and doctors will be measured against in terms of ethics and finances. The "human factor" moved into focus regarding the question of how to reduce treatment errors in clinical daily routine. Nevertheless, systematic mediation of interpersonal competences only plays a minor role in the catalogue of requirements for medical specialization and professional training. This is the case not only in orthopedics and traumatology, but in other medical fields as well...
October 2016: Der Unfallchirurg
Roberto Clayton Lima Oliveira Júnior, Marcelo Glauber da Silva Pereira, Pedro Braga Linhares Garcia, Patrícia Albuquerque Dos Santos, Amanda Dos Santos Cavalcanti, Walter Meohas
OBJECTIVE: Giant cell tumors are benign bone neoplasms that are relatively rare in adults and their biological behavior is still unpredictable. The incidence of local recurrence has presented variation between 0% and 65% in studies conducted worldwide, but few data are available on this complication in the Brazilian population. METHODS: Information on 155 patients with confirmed histological diagnoses of giant cell tumor who were treated in our institution's orthopedic oncology service between January 2000 and July 2014 was gathered...
July 2016: Revista Brasileira de Ortopedia
J Zhang, X Chen, Q Zhu, J Cui, L Cao, J Su
BACKGROUND: In recent years, the number of randomized controlled trials (RCTs) in the field of orthopaedics is increasing in Mainland China. However, randomized controlled trials (RCTs) are inclined to bias if they lack methodological quality. Therefore, we performed a survey of RCT to assess: (1) What about the quality of RCTs in the field of orthopedics in Mainland China? (2) Whether there is difference between the core journals of the Chinese department of orthopedics and Orthopaedics Traumatology Surgery & Research (OTSR)...
August 8, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Erica Alexandra Macedo Pessoa, Andre Braune, Priscila Ladeira Casado, Patricia Nivoloni Tannure
OBJECTIVE:  The aim of this study was to investigate clinical aspects and predisposing factors for alveolar bone graft complications in persons born with oral clefts. DESIGN:  A total of 105 patients, aged 7 to 57 years old, who received alveolar bone graft at the Cranio-maxillofacial Surgery Center in the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro (RJ) from 2009 to 2014 were selected. Data were collected concerning the type of oral cleft, family history of cleft, medical and dental exam, donor area, type of graft material, repaired surgical treatment done, and postoperative follow-up examinations...
July 18, 2016: Cleft Palate-craniofacial Journal
M C D Agostino, R Frairia, P Romeo, E Amelio, L Berta, V Bosco, S Gigliotti, C Guerra, S Messina, L Messuri, B Moretti, A Notarnicola, G Maccagnano, S Russo, R Saggini, M C Vulpiani, P Buselli
Extracorporeal Shock Wave Therapy (ESWT), after its first medical application in the urological field for lithotripsy, nowadays represents a valid therapeutical tool also for many musculoskeletal diseases, as well as for regenerative medicine applications. This is possible thanks to its mechanisms of action, which in the non-urological field are not related to mechanical disruption (as for renal stones), but rather to the capacity, by mechanotransduction, to induce neoangiogenesis, osteogenesis and to improve local tissue trophism, regeneration and remodeling, through stem cell stimulation...
April 2016: Journal of Biological Regulators and Homeostatic Agents
Bergita Ganse, Peng-Fei Yang, Jenny Gardlo, Peter Gauger, Andreas Kriechbaumer, Hans-Christoph Pape, Timmo Koy, Lars-Peter Müller, Jörn Rittweger
INTRODUCTION: Partial weight bearing is part of treatment schemes in orthopedic surgery and traumatology. The aim of the present study was to explore to what degree ground reaction forces during partial weight bearing of the lower leg are related to given instructions and to tibia deformation. MATERIALS AND METHODS: Tibia deformation (torsion, medio-lateral and anterio-posterior bending) was measured for rear foot and forefoot loading, 10kg, 20kg and half body weight instructions compared to full loading in five healthy male subjects using the "Optical Segment Tracking" approach, a motion-capturing based method that uses monocortically fixed bone screws...
August 2016: Injury
N S Zaborovsky, D A Ptashnikov, D A Mikhailov, O A Smekalenkov, S V Masevnin, O A Lapaeva
AIM: At present, there is no consensus on the approach to treatment of patients older than 60 years of age who have spinal deformity and clinical symptoms. The article describes the effect of two different types of surgery on the quality of life of elderly patients with deformities. MATERIAL AND METHODS: A prospective study included 58 patients operated on at the Verden Russian Research Institute of Traumatology and Orthopedics in the period between 2007 and 2010...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
Baran Kömür, Olcay Güler, Serhat Mutlu, Barış Yılmaz, Bülent Yücel, Tahir Mutlu Duymuş
INTRODUCTION: A rare case of proximal phalange fractures has been presented in this study. PRESENTATION OF CASE: A 29-year-old male patient from Turkey was admitted to the orthopedics and traumatology clinic with a complaint of left hand pain, which had persisted for 10days. He described a rotational trauma that had occurred right after hitting his hand on the wheel of a car as a result of an in-car traffic accident 10days ago. Radiological work-ups were requested...
2016: International Journal of Surgery Case Reports
Fabio Antonio Vieira, Paul Juma Olawa, Paulo Santoro Belangero, Gustavo Gonçalves Arliani, Eduardo Antônio Figueiredo, Benno Ejnisman
OBJECTIVE: To map out the approaches used by Brazilian orthopedists in treating complete tears of the rotator cuff. METHODS: A multiple-choice questionnaire was handed out to 232 orthopedists at the 45th Brazilian Congress of Orthopedics and Traumatology. Of these, 207 were returned but five were incomplete and were excluded. Thus, 202 questionnaires were used. RESULTS: Among the orthopedists who answered the questionnaires, around 60% were from the southeastern region and 46% were shoulder and elbow surgeons...
November 2015: Revista Brasileira de Ortopedia
André Mathias Baptista, Sylvio Cesar Sargentini, Juan Pablo Zumárraga, André Ferrari De França Camargo, Olavo Pires De Camargo
OBJECTIVE: To obtain epidemiological data from the tumors of the patella diagnosed and treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo (IOT-HC-FMUSP) between 1998 and 2015. METHODS: Series of cases with retrospective evaluation of patients diagnosed with tumors located in the patella. The data was obtained from the records and patients' charts at the Department of Pathology of IOT-HC-FMUSP. RESULTS: A total of 2220 medical records from patients with anatomopathological reports were included in the study...
May 2016: Acta Ortopedica Brasileira
T Kostuj, B Kladny, R Hoffmann
The register network of the German Society for Orthopaedics and Trauma (DGOU) consists of 14 registries that cover the various fields of traumatology and elective orthopedics. In addition to registries that focus on implants and types of diseases without age limitations, there are also registries dealing with special diseases in children and adolescents as well as the special needs of elderly patients with fractures. The registries serve as instruments for outcome research and quality assurance and can be used to develop treatment recommendations on a high level of evidence...
June 2016: Der Unfallchirurg
Liliana Savin, Dan Mihăilescu, Carmen Grierosu, Paul Botez
AIM: To monitor the effect of tranexamic acid use (Exacyl) on postoperative bleeding (aspiration), autologous blood transfusion (autotransfusion), allogeneic blood transfusion and postoperative anemia (difference between preoperative and immediate postoperative hemoglobin levels) in total knee arthroplasty. MATERIALS AND METHODS: This retrospective observational study was conducted on a sample of 457 patients who underwent endoprosthetic knee arthroplasty in the interval January 1, 2008-July 3O, 2014 at the Traumatology-Orthopedics Clinic of the Iasi Rehabilitation Hospital...
January 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
M Kilian, R Zamborský, I Chandoga, M Budaj, S Vajczikova
INTRODUCTION: Proximal humerus fractures account for about 45% of all fractures. Treatment of 3- and 4-part fractures is difficult, and the optimal treatment option remains controversial. The aim of the study was to compare surgical and non-surgical treatments of 3- and 4-part fractures of the proximal humerus in adults. METHOD: A prospective study of surgical and non-surgical treatments of 3- and 4-part fractures of the proximal humerus was conducted at the 2nd Department of Orthopedics and Traumatology, University Hospital Bratislava, from September 2010 until September 2013...
February 2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
C A Estrada-Malacón, M Pérez-Valtierra, A Torres-Zavala, M Fonseca-Bernal
INTRODUCTION: The radial head is a primary and important stabilizer of the elbow, mainly for valgus stability, posterolateral and axial displacement of the radius and varus loading. Radial head fractures account for 1.7-5% of all fractures in adults, 17-19% of elbow trauma, and 33% of all elbow fractures. The latter is the most common one at this level. The alternatives for a radial head fracture that cannot be reconstructed include excision of the radial head or hemiarthroplasty. OBJECTIVE: To assess the function of patients who underwent radial head hemiarthroplasty for Mason-Johnston types III and IV fractures, us- ing the Mayo Elbow Performance Index (MEPI) and Quick-Dash (QD)...
May 2015: Acta Ortopédica Mexicana
I A Norkin, A W Baratov, T M Andreeva, B S Yushina, A S Fedonnikov
The article presents the results of analysis ofmanpower support of specialized out-patient traumatological orthopedic care in the Privoljskii federal okrug. The manpower deficiency of traumatologist-orthopedist at the out-patient stage was established especially especially in rural area. This is cause of low indicators ofdispensary monitoring of patients with consequences of traumas and diseases of musculo-skeletal system and factual unavailability of rehabilitation care to patients of given profile. The experience oftraining and re-training of traumatologist-orthopedist is presented...
September 2015: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Lucas Gonzaga Piovesana, Hériston Cristovam Lopes, Daniel Moreira Pacca, André Felipe Ninomiya, Mauro César Mattos E Dinato, Rodrigo Gonçalves Pagnano
OBJECTIVE: : To assess intra- and interobserver reproducibility of Sanders Classification System of calcaneal fractures among experienced and less experienced observers. METHODS: : Forty-six CT scans of intra-articular calcaneal fractures were reviewed. Four observers, two with ten years of experience in foot and ankle surgery and two third-year residents in Orthopedics and Traumatology classified the fractures on two separate occasions three weeks apart from each other...
March 2016: Acta Ortopedica Brasileira
M Erdil, F Yildiz, E Kuyucu, Ş Sayar, G Polat, H H Ceylan, F Koçyiğit
PURPOSE OF THE STUDY: The objective of this study is to evaluate the effect of posterior tibial slope after fracture healing on antero-posterior knee laxity, functional outcome and patient satisfaction. MATERIAL AND METHODS: 126 patients who were treated for tibial plateau fractures between 2008-2013 in the orthopedics and traumatology department of our institution were evaluated for the study. Patients were treated with open reduction and internal fixation, arthroscopy assisted minimally invasive osteosynthesis or conservative treatment...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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