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Archives of Orthopaedic and Trauma Surgery

H Banierink, I H F Reininga, E Heineman, K W Wendt, K Ten Duis, F F A IJpma
BACKGROUND: Pelvic ring injuries are serious injuries, often associated with substantial morbidity and mortality rates. The long-term consequences of these injuries might affect the patients' personal life. Our aim was to assess the long-term effects of pelvic ring injuries on physical functioning and quality of life (QoL) using validated patient-reported outcome measures (PROMs) and comparing these results to normative data from the general population. PATIENTS AND METHODS: A retrospective cohort study was conducted on adults treated for pelvic ring injuries between 2007 and 2016...
April 11, 2019: Archives of Orthopaedic and Trauma Surgery
Renata E Gologan, M Koeck, A J Suda, U Obertacke
To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as their consequences after 1 year. Carpal lesions of different types were found in all treated cases of dislocated DRF. A clinical follow-up 1 year (13.9 ± 6.5 months) after surgical treatment showed no correlation between the carpal lesions and the treatment outcome (previously described by Gologan et al...
April 10, 2019: Archives of Orthopaedic and Trauma Surgery
Shozaburo Terai, Yusuke Hashimoto, Shinya Yamasaki, Shinji Takahashi, Nagakazu Shimada, Hiroaki Nakamura
PURPOSE: To investigate the prevalence of cyst formation after using all-inside meniscal repair device and analysed the risk factors associated with it. METHODS: Between August 2008 and September 2013, 51 menisci of 46 patients were included in the study, 46 menisci of which had concomitant anterior cruciate ligament (ACL) ruptures and had an ACL reconstruction. Magnetic resonance imaging (MRI) of the knee was performed at 3, 6, 12 and 24 months after meniscal surgery...
April 9, 2019: Archives of Orthopaedic and Trauma Surgery
Florian Völlner, Johannes Fischer, Markus Weber, Felix Greimel, Achim Benditz, Tobias Renkawitz, Joachim Grifka, Benjamin Craiovan
PURPOSE: The purpose of this study was to investigate the effects of sequential medial release on the stiffness and collateral stability of the ligament complex of the knee. Irrespective of the implantation technique used, varus deformity frequently requires release of the capsular ligament complex. Yet, no data are available on how stiffness and stability of the knee ligament complex are weakened by such release. METHODS: After total knee arthroplasty, ten healthy Thiel-fixed knee joints were subjected to sequential medial release consisting of six release steps...
April 8, 2019: Archives of Orthopaedic and Trauma Surgery
Bin Zhang, Jingchuan Sun, Ximing Xu, Jiangang Shi, Yongfei Guo, Kaiqiang Sun, Haisong Yang, Yuan Wang, Le Huan, Xiaofei Sun, Haibo Wang, Bing Zheng, Fangni Chen, Peng Zhang
BACKGROUND: The aim of this study was to compare the clinical efficacy and radiological outcomes of skip corpectomy and fusion (SCF) with anterior controllable antedisplacement and fusion (ACAF) for treating multilevel ossification of the posterior longitudinal ligament (OPLL). METHODS: 62 patients with multilevel OPLL who had undergone SCF or ACAF were analyzed retrospectively. Types of OPLL, occupying ratio (OR), Japanese Orthopaedic Association (JOA) score, Recovery Rate (RR), Neck Disability Index (NDI) score, Cobb's angles of C2-C7, operation time, blood loss, hospital stay, ratings for fusion assessment and complications were recorded and assessed...
April 5, 2019: Archives of Orthopaedic and Trauma Surgery
Satoshi Baba, Yoshihiro Matsumoto, Kenichi Kawaguchi, Keiichiro Iida, Hirokazu Saiwai, Seiji Okada, Akira Matsunobu, Yoshiyuki Shioyama, Yasuharu Nakashima
PURPOSE: To describe the characteristic features of post-carbon-ion radiotherapy (CIRT) vertebral pathological fractures (VPFs) in upper cervical primary malignant spinal tumors (PMSTs) treated by occipito-cervical (OC) fusion. METHODS: OC fusion was performed for three consecutive patients with post-CIRT VPFs. The clinical results and imaging findings, including bone single-photon emission computed tomography (SPECT)/CT were prospectively collected. RESULTS: No surgery-related wound complication and surgical site infection were noted...
April 3, 2019: Archives of Orthopaedic and Trauma Surgery
Lauren J Seo, Jonathan Gabor, David Novikov, James E Feng, Ran Schwarzkopf, Jonathan M Vigdorchik
BACKGROUND: Patients with developmental dysplasia of the hip (DDH) require special surgical considerations for total hip arthroplasty (THA). Despite the difficulties posed by the population's anatomical abnormalities, few large evaluations of postoperative outcomes exist. This study seeks to characterize outcomes following primary THA among patients diagnosed with DDH. METHODS: A retrospective review was conducted at a tertiary care center on all THA patients between June 2011 and March 2018...
April 2, 2019: Archives of Orthopaedic and Trauma Surgery
Kilian Rueckl, Diego J Alcaide, Bernhard Springer, Stefan Rueckl, Maximilian F Kasparek, Friedrich Boettner
INTRODUCTION: Malpositioning of the cup in total hip arthroplasty (THA) is associated with dislocation, early polyethylene wear, and impingement. The direct anterior approach (DAA) THA allows for intraoperative fluoroscopy imaging (IF). The current study investigates the following research hypotheses: (1) intraoperative measurements of radiographic cup inclination (RI) are reliable and reproducible. (2) A correction factor can compensate for the complex parallax effects when using IF...
April 1, 2019: Archives of Orthopaedic and Trauma Surgery
Michal Zídka, Valér Džupa
PURPOSE OF THE STUDY: Outpatient treatment of hip dysplasia in newborns has excellent results. A combination of general screening with early treatment with a functional abduction device works well. Treatment with the Frejka pillow and the Pavlik harness is frequently used in our region. The aim of the study is to compare efficiency and treatment duration, related to the brace used, and to prove that the choice of an abduction device implies parental compliance with the treatment protocol...
April 1, 2019: Archives of Orthopaedic and Trauma Surgery
Konstantinos Anagnostakos, Christof Meyer
INTRODUCTION: In the past 10 years an increasing number of studies about partial two-stage exchange arthroplasty in the management of periprosthetic hip infections have been published. The aim of the present work was to systematically review the current knowledge about this procedure, and critically verify the success as well as the complications of this treatment option. MATERIALS-METHODS: A literature search was performed through PubMed until June 2018. Search terms were "partial two stage hip" and "partial retention hip", and "retaining well fixed hip"...
March 29, 2019: Archives of Orthopaedic and Trauma Surgery
Alexander Maslaris, Frank Layher, Matthias Bungartz, Timo Zippelius, Emmanouil Liodakis, Olaf Brinkmann, Georg Matziolis
BACKGROUND: Easy revisability is gaining increasingly in importance. The removal of well-fixed cemented stems is very demanding and is often associated with increased operative morbidity. Implant design may be here a decisive impact factor, and the best way to ascertain it is experimentally. Aim of this study is to assess different cemented stems of established knee revision implants in regard to their removal capability. METHODS: Based on their sagittal profile, five stem extensions from known manufacturers were divided in conical, conical-cylindrical and cylindrical designs...
March 29, 2019: Archives of Orthopaedic and Trauma Surgery
R L Roerdink, A W Plat, R P van Hove, A C A P Leenders, B C van der Zwaard
INTRODUCTION: Wound leakage has been shown to increase the risk of prosthetic joint infections (PJIs) in primary total hip (THA) and knee arthroplasty (unicondylar and total knee arthroplasty; KA). The aim of this study is to determine whether the addition of a continuous subcuticular bonding stitch to a conventional three-layer closure method reduces the incidence of prolonged wound leakage and PJIs after THA and KA. MATERIALS AND METHODS: This retrospective cohort study included all patients receiving a THA or KA...
March 25, 2019: Archives of Orthopaedic and Trauma Surgery
Florian Wichlas, Serafim Tsitsilonis, Michela Delli Guanti, Gino Strada, Christian Deininger
PURPOSE: Developing a guideline for orthopedic trauma surgeons working in civilian trauma hospitals in low-income countries. METHODS: This is a retrospective data analysis in a non-governmental organizational trauma hospital in Sierra Leone, Africa. Trauma victims (282), with 349 fractures, were admitted to the hospital 10/2015-01/2016. The incidence of open and closed fractures and the use of implants were evaluated. RESULTS: The most common fractures were open and closed tibial shaft fractures and closed femoral shaft fractures in adults, and closed supracondylar humerus fractures in children...
March 25, 2019: Archives of Orthopaedic and Trauma Surgery
Yusuke Osawa, Taisuke Seki, Yasuhiko Takegami, Taiki Kusano, Naoki Ishiguro, Yukiharu Hasegawa
BACKGROUND: Acetabular wall defects after periacetabular osteotomy (PAO) lead to technical difficulties when performing subsequent total hip arthroplasty (THA). There is no unified consensus regarding the solution for THA socket installation after PAO. In the current study, we performed computed tomography (CT)-based simulation of socket installation and evaluated the acetabular defect following THA after PAO and after primary osteoarthritis (OA). PATIENTS AND METHODS: The study group comprised 55 patients (56 hips) who underwent THA after PAO...
March 23, 2019: Archives of Orthopaedic and Trauma Surgery
Niklas Biermann, Wolf Christian Prall, Wolfgang Böcker, Hermann Otto Mayr, Florian Haasters
INTRODUCTION: Secondary dislocation due to loss of fixation is the most common complication after plate fixation of proximal humeral fractures. A wide range of different techniques for augmentation has been described to improve the primary and secondary stability. Nevertheless, comparative analyses on the specific advantages and limitations are missing. Therefore, the aim of the present article was to systematically review and evaluate the current biomechanical and clinical studies. MATERIALS AND METHODS: The databases of PubMed and EMBASE were comprehensively searched for studies on augmentation techniques for proximal humeral fractures using defined search terms...
March 22, 2019: Archives of Orthopaedic and Trauma Surgery
Themistoklis Tzatzairis, Georgios I Drosos, Theodosia Vogiatzaki, Konstantinos Tilkeridis, Athanasios Ververidis, Konstantinos Kazakos
BACKGROUND: Tranexamic acid (TXA) is widely used in the orthopedic field and particularly in total knee arthroplasty (TKA). Its efficacy and safety in reducing the blood loss in TKA have been well-documented in the current literature. Little data regarding TKA without tourniquet and TXA exist. Our aim is to compare three different dosages of intravenous (IV) TXA in TKA without tourniquet. MATERIALS AND METHODS: A total of 180 patients undergoing TKA for knee osteoarthritis were stratified in three equal groups...
March 22, 2019: Archives of Orthopaedic and Trauma Surgery
Julio Urrutia, Pablo Besa, Cristobal Piza
INTRODUCTION: Vertebral compression fractures (VCF) are frequently asymptomatic; incidental diagnosis is a valuable opportunity to identify low bone mass and to start treatment. We aimed to determine the proportion of patients over 60 years old evaluated with chest plus abdominal and pelvic computed tomography (CT) scans, allowing visualization of the entire thoraco-lumbar spine, who incidentally present VCF. MATERIALS AND METHODS: We evaluated 300 patients over 60 years old who under went chest plus abdominal and pelvic CT scans...
March 21, 2019: Archives of Orthopaedic and Trauma Surgery
James W A Fletcher, Markus Windolf, Leonard Grünwald, R Geoff Richards, Boyko Gueorguiev, Peter Varga
BACKGROUND: The aim of this study was to identify the effect of screw length on predictions of fixation failure in three-part proximal humeral fractures using a finite element-based osteosynthesis modelling toolkit. METHODS: A mal-reduced unstable three-part AO/OTA 11-B3.2 fracture with medial comminution was simulated in forty-two digitally processed proximal humeri covering a spectrum of bone densities and fixed with the PHILOS plate using three distal and six proximal locking screws...
March 20, 2019: Archives of Orthopaedic and Trauma Surgery
Alex E Ward
INTRODUCTION: All the surgeries carry risks, which may lead to readmission at a later date. At present, there is limited Trauma and Orthopaedic (T&O) specific data in the literature. As a result, a prospective regional service evaluation aimed to discover the current complication and readmission rates across all T&O procedures and identify any factors associated with these outcomes. METHODS: Data were collected at six sites across Yorkshire and Humber for all T&O procedures during October 2016...
March 20, 2019: Archives of Orthopaedic and Trauma Surgery
Raja Bhaskara Rajasekaran, Dheenadhayalan Jayaramaraju, Dhanasekara Raja Palanisami, Devendra Agraharam, Ramesh Perumal, Arun Kamal, Shanmuganathan Rajasekaran
BACKGROUND: Recalcitrant distal femur nonunions (RDFN) are a challenge in management due to factors including poor bone stock, multiple surgeries, metaphyseal bone loss, and joint contractures. There are no specific guidelines in the management of cases of RDFN. Based on our experience, we devised an algorithm and we present the results of 62 cases of RDFN managed following it. MATERIALS AND METHODS: Our algorithm was formulated after analyzing 34 cases of RDFN and it involved four factors which were hypothesized to influence outcomes namely: distal femoral bone stock, extent of medial void, alignment of the fracture, and stability of fixation...
March 20, 2019: Archives of Orthopaedic and Trauma Surgery
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