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Archives of Orthopaedic and Trauma Surgery | Page 2

Xianyue Shen, Jianlin Xiao, Yuhui Yang, Tong Liu, Shangjun Chen, Zhongli Gao, Jianlin Zuo
OBJECTIVE: The aim of the present study was to compare the morphometric differences between patients with or without anterior cruciate ligament (ACL) injury, and identify the anatomic risk factors associated with ACL injury in active individuals. METHODS: The knee joint magnetic resonance images (MRI) of 100 subjects were included in this study. Data from the ACL-injured group (50 patients) and matched controls (50 subjects) were obtained from the same hospital...
June 12, 2019: Archives of Orthopaedic and Trauma Surgery
Jun-Ki Moon, Jaejoon Ryu, Yeesuk Kim, Jae-Hyuk Yang, Kyu-Tae Hwang, Young-Ho Kim
INTRODUCTION: Acetabular revision arthroplasty using jumbo cups for moderate-to-severe acetabular defects has varied outcomes. We evaluated the clinical and radiological outcomes of acetabular revision arthroplasty using a press-fitted jumbo cup and sought to identify factors that influence outcomes during intermediate follow-up. MATERIALS AND METHODS: Eighty patients (47 men, 33 women; 80 hips) who underwent acetabular revision arthroplasty using press-fitted jumbo cups were included...
June 11, 2019: Archives of Orthopaedic and Trauma Surgery
Thomas Rosteius, Valentin Rausch, Simon Pätzholz, Sebastian Lotzien, Hinnerk Baecker, Thomas Armin Schildhauer, Jan Geßmann
INTRODUCTION: Heterotopic ossifications (HOs) commonly occur following total hip arthroplasty. Data regarding the appearance of HO after periprosthetic joint infection (PJI) of the hip are rare. Therefore, the aim of this study was to analyze the incidence and potential risk factors for the development of HO in patients with PJI of the hip. MATERIALS AND METHODS: We performed a single-center, retrospective study including patients treated with a two- or multistage operation and patients undergoing salvage procedure in cases of PJI of the hip with a minimum follow-up of 6 months...
June 11, 2019: Archives of Orthopaedic and Trauma Surgery
Sueen Sohn, In Jun Koh, Man Soo Kim, Kwang Yun Song, Yong In
BACKGROUND: The purpose of this study was to investigate whether cortical non-contact or delayed contact of an adjustable-loop button for femoral fixation could affect knee stability following anterior cruciate ligament (ACL) reconstruction. METHODS: Eighty subjects who underwent single-bundle ACL reconstruction using an adjustable-loop femoral cortical button were retrospectively reviewed regarding patient demographics, graft size, combined surgery, and postoperative 2-year results of knee stability, functional scores, and radiographic tunnel widening...
May 27, 2019: Archives of Orthopaedic and Trauma Surgery
Ashley E Levack, Aleksey Dvorzhinskiy, Elizabeth B Gausden, Matthew R Garner, Stephen J Warner, Peter D Fabricant, Dean G Lorich
BACKGROUND: The purpose of this study was to evaluate the effect of ankle plantarflexion and the axial location of measurement on quantitative syndesmosis assessment. METHODS: Twelve fresh-frozen cadaveric specimens were secured in three positions of ankle plantarflexion (0°, 15°, and 30°) using an ankle-spanning external fixator and underwent CT scans at each position. Syndesmotic measurements were obtained on axial images using three previously described methods (six measurements) at the level of the tibial plafond and 1 cm proximal to the plafond...
May 27, 2019: Archives of Orthopaedic and Trauma Surgery
Tadashi Tsukeoka, Yoshikazu Tsuneizumi, Kensuke Yoshino
BACKGROUND: Although sagittal tibial alignment in total knee arthroplasty (TKA) is important, no landmark exists to achieve reproducible slope. It is theoretically demonstrated that the preoperative planned distance between the skin surface and the rod can be a useful guide for the tibial slope in the previous imaging study. We conducted this retrospective study to confirm whether the results of the study are repeatable in an intra-operative situation. METHODS: Fifty-five consecutive TKAs using the distance from the extramedullary cutting guide rod to the skin surface as a reference guide for the tibial slope were performed and tibial component positioning was compared with 55 knees performed using the accelerometer-based portable navigation...
May 27, 2019: Archives of Orthopaedic and Trauma Surgery
Jennifer J Beck, Karren Takamura, Jeanne M Beck, Grace Chang, Richard E Bowen
BACKGROUND: The iliotibial band (ITB) is used in anterior cruciate ligament (ACL) reconstruction in skeletally immature patients as well as several other orthopedic reconstructions. The purpose of this study is to determine the size of the ITB as an autograft option in ACL reconstruction surgery or other orthopedic soft tissue reconstructions. METHODS: Five adult cadavers resulting in nine ITB were used. Thickness and width of the ITB were determined. Using ITB width of 15-60 mm, single and doubled graft sizes were determined using standard surgical graft size technique...
May 25, 2019: Archives of Orthopaedic and Trauma Surgery
L Leitner, G Bratschitsch, Patrick Sadoghi, G Adelsmayr, P Puchwein, A Leithner, R Radl
PURPOSE: Accurate placement of spinal pedicle screws (PS) is mandatory for good primary segmental stabilization allowing consequent osseous fusion, requiring judgmental experience developed during a long training process. Computer navigation offers permanent visual control during screw manipulation and has been shown to significantly lower the risk of pedicle perforation. This study aims to evaluate whether safety, accuracy, and judgmental skills in screw placement, comparable to an experienced surgeon, can be developed during training using computer navigation...
May 24, 2019: Archives of Orthopaedic and Trauma Surgery
Wu Zhou, Tian Xia, Yi Liu, Faqi Cao, Mengfei Liu, Jing Liu, Bobin Mi, Liangcong Hu, Yuan Xiong, Guohui Liu
OBJECTIVE: To compare the clinical effect of 3D-printed template technology with X-ray fluoroscopy in assisting surgery for sacroiliac screws placement. DESIGN: Institutional review board-approved retrospective analysis. PATIENTS: The clinical data of 31 cases of sacroiliac complex injury between January 2015 and December 2016 were analyzed. There were 16 patients, males 11 and females 5, who underwent surgery assisted by 3D-printed template in template group, and that of contemporaneous 15 patients, males 11 and females 4, who underwent traditional surgery were gathered as fluoroscopy group...
May 24, 2019: Archives of Orthopaedic and Trauma Surgery
Ianiv Klaber, Pablo Ruiz, Daniel Schweitzer, Maria Jesus Lira, Eduardo Botello, Aniela Wozniak
INTRODUCTION: Surgical instrument contamination during total joint replacement is a matter of major concern. Available recommendations suggest changing suction tips, gloves and avoiding light handle manipulation during the procedure. There is a paucity of data regarding surgical gown contamination. The aim of the present study was to evaluate the contamination rate of surgical gowns (SGs) during total hip arthroplasty (THA) and secondarily compare it with other orthopedic procedures. MATERIALS AND METHODS: One hundred and forty surgical gowns (from 70 surgeries) were screened for bacterial contamination using thioglycolate (a high-sensitivity culture broth)...
May 24, 2019: Archives of Orthopaedic and Trauma Surgery
Lukas A Holzer, Nicolas Huyer, Jörg Friesenbichler, Andreas Leithner
BACKGROUND: Patients with primary malignant bone tumors are facing different challenges in their everyday lives due to improved treatment and prolonged survival. This raises the question whether and to what extent their quality of life, body image, and self-esteem is affected by their disease. The aim of this retrospective study was to analyze the quality of life, body image and self-esteem of patients with primary malignant bone tumors compared to a healthy control group. METHODS: A total of 56 patients (39 male, 17 female; average age 33...
May 24, 2019: Archives of Orthopaedic and Trauma Surgery
Isabella M Mehling, A Arsalan-Werner, V Wingenbach, J Seegmüller, M Schlageter, M Sauerbier
INTRODUCTION: Headless compressions screws are the most implanted devices for scaphoid fractures and nonunions. For cases when screw osteosynthesis is not possible, a special locking plate for scaphoid reconstruction has been developed. The purpose of this study was to evaluate the safety and practicability of this device for difficult scaphoid pathologies. MATERIALS AND METHODS: Between March 2010 and December 2014, 20 patients (age range 16-59 years) were treated with scaphoid locking plate osteosynthesis...
May 23, 2019: Archives of Orthopaedic and Trauma Surgery
Annika Arsalan-Werner, Natallia Brui, Isabella Mehling, Michael Schlageter, Michael Sauerbier
INTRODUCTION: Fingertip injuries are frequent and several surgical strategies exist to reconstruct the amputated part and restore function and appearance. Yet, long-term results are rarely published. The purpose of this study was to examine the long-term clinical outcome of neurovascular island flaps for traumatic fingertip amputation of Allen type III/IV injuries. MATERIALS AND METHODS: We retrospectively analysed a cohort of patients with traumatic fingertip amputation that underwent reconstruction with a neurovascular island flap from January 2003 to December 2014...
May 21, 2019: Archives of Orthopaedic and Trauma Surgery
Daniel Wagner, Lukas Kamer, Takeshi Sawaguchi, Hansrudi Noser, Masafumi Uesugi, Andreas Baranowski, Dominik Gruszka, Pol M Rommens
INTRODUCTION: The use of trans-sacral implants to treat fractures of the sacrum is limited by the variable pelvic anatomy. We were interested in how many trans-sacral implants can be placed per pelvis? If a trans-sacral implant cannot be placed in S1, where is the cortex perforated, and is the use of sacroiliac screws safe in these pelves? MATERIALS AND METHODS: 3D pelvic models were created from CT scans of 156 individuals without fractures (92 European and 64 Japanese, 79 male and 77 female, mean age 66...
May 21, 2019: Archives of Orthopaedic and Trauma Surgery
Julius Kho, Erica Kholinne, Sungjoon Lim, Hanpyo Hong, Jae-Man Kwak, Yucheng Sun, Kyoung-Hwan Koh, In-Ho Jeon
INTRODUCTION: The need for precise quantification of the glenoid defect should be emphasized in the choice of surgery for bony Bankart lesion especially in its critical values of 16% to 25. The study aims to verify the validity of bare spot method for arthroscopic quantification of glenoid bone defect using several varieties of posterior portal location. MATERIALS AND METHODS: Two intact cadaveric glenoids were prepared for the study. The greatest anteroposterior diameter of the perfect circle concept of the glenoid is identified and center of the circle is marked as glenoid bare spot with metal marker...
May 20, 2019: Archives of Orthopaedic and Trauma Surgery
Clemens Gwinner, Michael Fuchs, Ufuk Sentuerk, Carsten F Perka, Thula C Walter, Imke Schatka, Julian M M Rogasch
BACKGROUND: Precise measurement of the tibial slope (TS) is crucial for realignment surgery, ligament reconstruction, and arthroplasty. However, there is little consensus on the ideal assessment. It was hypothesized that the tibial slope changes according to the acquisition technique and both tibial length as well as femoral rotation serve as potential confounders. METHODS: 104 patients (37 women, 67 men; range 12-66 years) were retrospectively selected, of which all patients underwent a 1...
May 18, 2019: Archives of Orthopaedic and Trauma Surgery
Matthias Krause, Sebastian Krüger, Gunnar Müller, Klaus Püschel, Karl-Heinz Frosch
INTRODUCTION: The correct choice of a fracture-specific surgical approach with an articular accessibility in complex tibial plateau fractures to facilitate durable fracture fixation of the anatomic articular reconstruction is under debate, as the most important risk factor for malreduction in complex tibial plateau fractures is an impaired visualization of the articular surface. MATERIALS AND METHODS: Six established surgical approaches were simulated on 12 cadaver knees...
May 17, 2019: Archives of Orthopaedic and Trauma Surgery
Jesús Payo-Ollero, Ahinoa Casajús-Ortega, Rafael Llombart-Blanco, Carlos Villas, Matías Alfonso
INTRODUCTION: A multitude of procedures has been described in the literature for the treatment of lesser toe deformities and there is currently no general consensus on the optimal method of fixation. The aim of this study is to assess the clinical and radiological outcomes of an intramedullary nitinol implant for the correction of lesser toe deformities, and to determine if the distal interphalangeal (DIP) joint and metatarsophalangeal (MTP) joint are modified during patient follow-up after correction of the PIP joint...
May 17, 2019: Archives of Orthopaedic and Trauma Surgery
Yong-Cheol Yoon, Chang-Wug Oh, Jong-Keon Oh
INTRODUCTION: In 2012, the Korean central government selected trauma centers to provide effective treatment and reduce preventable mortality in severe trauma patients. General surgeons, thoracic surgeons, orthopedists, and neurosurgeons play pivotal roles in trauma centers, as most trauma patients require orthopedic procedures. This study aimed to underscore the importance of trauma orthopedic specialists (TOSs) by comparing treatment outcomes between a TOS and general orthopedists. PATIENTS AND METHODS: Orthopedic trauma patients with injury severity scores > 15 points, admitted to level 1 trauma centers between March 2015 and December 2016, were divided into the TOS group (treated by 1 orthopedic trauma specialist who treats trauma patients with no limitation in the joint of specialization) and the general orthopedist group (GOG; treated by several general orthopedists who manage both trauma and disease but are each specialized in a certain joint)...
May 17, 2019: Archives of Orthopaedic and Trauma Surgery
Rana Ono, Shingo Komura, Akihiro Hirakawa, Hitoshi Hirose, Masanori Tsugita, Takahiro Masuda, Yoshiki Ito, Haruhiko Akiyama
Osteitis of the fingers is a serious infection that needs early diagnosis and appropriate surgical debridement and antibiotic treatment of the infected bone. If the effects of treatments are insufficient, long-term antibiotic treatment and repeated operations could be required. In worst cases, some patients may have to undergo amputation. Recently, the usefulness of the Masquelet technique in extensive traumatic bone defects has been reported. We herein describe two cases of immunocompromised patients with purulent osteitis involving joint destruction of the finger treated by two-stage arthrodesis using the Masquelet technique...
May 15, 2019: Archives of Orthopaedic and Trauma Surgery
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