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European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie

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https://read.qxmd.com/read/30993522/application-of-an-external-fixator-vascular-compressor-efvc-in-the-critically-injured-trauma-patient-a-novel-damage-control-technique
#1
REVIEW
Bradley Saitta, Jonathan Edgington, Theodore Hart, Kenneth Wilson, Gary An, Miguel Daccarett, Jason Strelzow
Methods of controlling hemorrhage in penetrating abdominal injuries are varied, ranging from electrocautery, ligation, laparotomy sponge packing, angiography, hemostatic agents, and direct manual pressure. Unfortunately, traditional methods are sometimes unsuccessful due to the location or nature of the hemorrhage, and manual pressure cannot be held indefinitely. We describe a novel damage control technique for hemorrhage control in these situations, followed by three cases where an external fixator vascular compressor (EFVC) was used to hold continual pressure...
April 16, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30993521/a-unilateral-less-invasive-posterolateral-approach-for-disc-debridement-and-titanium-cage-insertion-supplemented-by-contralateral-transfascial-screw-fixation-for-high-morbidity-patients-suffering-from-septic-thoracolumbosacral-spondylodiscitis
#2
Panagiotis Korovessis, Vasileios Syrimpeis, Vasileios Tsekouras, Andreas Baikousis, Konstantinos Vardakastanis, Peter Fennema
PURPOSE: This case series reports on the efficacy and safety of a less invasive posterolateral approach for septic thoracolumbosacral spondylodiscitis in high-morbidity patients. METHODS: Twenty consecutive severe sick (ASA > III) patients (14 men and 6 women), with an average age of 64 ± 14 years, suffering from septic subacute and chronic thoracolumbosacral spondylodiscitis were selected to undergo a one-stage less invasive unilateral posterolateral disc space debridement, supplemented by an ipsilateral titanium cage implantation and pedicle screw fixation plus a contralateral transfascial pedicle screw fixation...
April 16, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30989339/stem-length-in-primary-cementless-total-hip-arthroplasty-does-it-make-a-difference-in-bone-remodeling
#3
Ahmed M Samy, Ahmad El-Tantawy
PURPOSE: Stem design is usually accused for proximal femoral remodeling following total hip arthroplasty (THA). The aim of this prospective study was to compare the in vivo changes in bone mineral density (BMD) of the proximal femur after implantation of cementless THA with two length alternative stems. METHODS: Between May 2011 and March 2014, 50 patients, who met our selection criteria and received cementless THA, randomized into two groups. Group A received cementless standard femoral stems, while group B received short stems...
April 15, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30980138/synovial-hemangioma-of-the-knee-joint-in-pediatrics-our-case-series-and-review-of-literature
#4
Keiichi Muramatsu, Ryuta Iwanaga, Takashi Sakai
BACKGROUND: Synovial hemangioma is a benign intra-articular tumor. This condition is rare and unfamiliar soft tissue tumor to most orthopedic surgeons. Delayed diagnosis causes osteoarthritic damage and the destruction of joint structures due to infiltrating tumor growth. We discuss the patterns of tumor location and the appropriate surgical procedure for this condition. METHODS: Ten patients were treated surgically in our department. These comprised five males and five females ranging in age from 0 to 17 years (average age 12...
April 12, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30968204/epidermal-inclusion-cyst-of-the-knee
#5
REVIEW
Khaldoon M Bashaireh, Ziad A Audat, Rami A Jahmani, Abdelwahab J Aleshawi, Ali F Al Sbihi
Epidermoid cysts are asymptomatic, slowly enlarging, firm to fluctuant, dome-shaped lesions. Epidermoid cysts frequently appear on the trunk, neck, face, and scrotum, behind the ears and in the palmoplantar region. We review all the cases of epidermoid cyst of the knee and present a case of non-traumatic-induced epidermal cyst in the popliteal fossa of a 66-year-old male with 10-year history of right knee swelling, which appeared firstly as a small mass 2 × 2 cm in the popliteal aspect of the knee. The mass was increasing gradually in size until 2 years ago when it increased suddenly to gain the dimensions of 4 × 6 cm...
April 9, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30968203/negative-prognostic-factors-in-surgical-treatment-for-trimalleolar-fractures
#6
Gianluca Testa, Marco Ganci, Mirko Amico, Giacomo Papotto, Serena Maria Chiara Giardina, Giuseppe Sessa, Vito Pavone
PURPOSE: Trimalleolar fractures are a common injury of the ankle that require surgical treatment to obtain an anatomic reduction of both malleoli and stabilization of the syndesmosis. This study aims to report the outcomes of surgical treatment for trimalleolar fractures, identifying the risk factors determining a worse result. MATERIALS AND METHODS: Between January 2013 and December 2016, 48 patients with trimalleolar fracture treated with open reduction and internal fixation were retrospectively analyzed...
April 9, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30963325/increased-opioid-consumption-in-diabetics-with-operative-ankle-fractures-a-retrospective-case-control-study
#7
David A Weiner, Jordan P Murphy, Chukwuweike Gwam, Galvin J Loughran, Christian Vulpis, David P Milzman, Jacob M Wisbeck
INTRODUCTION: Opioids are commonly used for post-operative pain control. It is known that diabetic patients with ankle fractures will experience prolonged healing, higher risk of hardware failure, and an increased risk of infection. However, the opioid requirements amongst this patient cohort have not been previously evaluated. Thus, the purpose of this study is to retrospectively compare opioid utilization amongst ankle fracture patients with and without diabetes mellitus (DM). METHODS: An IRB approval was obtained for the retrospective review of patients who presented with an ankle fracture and underwent surgery between November 2013 and January 2017...
April 8, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30963324/overview-of-randomised-controlled-trials-in-orthopaedic-research-search-for-significant-findings
#8
REVIEW
Hosam E Matar, Simon R Platt
BACKGROUND: The majority of recent orthopaedics randomised controlled trials (RCTs) have been non-inferiority trials with no significant clinical or statistical differences between treatment groups. The aim of this study was to evaluate randomised trials for significant findings in the orthopaedic literature based on the main elective procedures undertaken across different subspecialties. METHODS: We evaluated the following procedures: anterior cervical discectomy and fusion (ACDF), subacromial decompression (SAD), carpal tunnel decompression (CTD), total hip replacement (THR), anterior cruciate ligament reconstruction (ACLR), total knee replacement (TKR) and hallux valgus correction (HVC)...
April 8, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30963323/digital-tomography-is-an-effective-investigation-for-sternoclavicular-joint-pathology
#9
Graham Tytherleigh-Strong, Alex Mulligan, Satish Babu, Abbas See, Nawfal Al-Hadithy
OBJECTIVE: Plain radiographs of the sternoclavicular joint (SCJ) are difficult to interpret, and a CT or MRI scan is the usual investigation of choice. At our hospital, we use digital SCJ tomograms as our first-line investigation for all SCJ pathologies. We wanted to ascertain whether this is a safe and appropriate first-line imaging investigation. MATERIALS AND METHODS: We retrospectively reviewed every patient who had undergone an SCJ digital tomogram (DT) over a 4-year period...
April 8, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30955091/comparative-responsiveness-of-four-visual-analogue-scales-in-microdiscectomy-for-lumbar-disc-herniation
#10
Karthik Vishwanathan, Ian Braithwaite
INTRODUCTION: There is a paucity of studies reporting responsiveness of visual analogue scale (VAS) measures in patients treated by discectomy for symptomatic lumbar disc herniation. The aim of this study was to evaluate the responsiveness of different types of VAS. METHODS: VAS score was measured separately for constant leg pain (VAS-LP-constant), severe episode of leg pain (VAS-LP-severe), constant backache (VAS-BP-constant) and severe episode of backache (VAS-BP-severe) in a cohort of patients undergoing discectomy surgery for sciatica...
April 6, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30941632/ct-scans-to-exclude-spine-fractures-in-children-after-negative-radiographs-may-lead-to-increase-in-future-cancer-risk
#11
Purnajyoti Banerjee, Mark Thomas
INTRODUCTION: National Institute for Health and Care Excellence guidelines recommend computed tomography (CT) scanning for children who fulfill the criteria of significant mechanism or focal spinal pathology. Resulting radiation might subsequently increase the risk of cancer. METHODS: Children with spinal CT scans and radiographs from August 2015 to July 2017 were reviewed retrospectively. Data were obtained from the formal radiology reports and case notes. The radiation exposure and risk of cancer were estimated...
April 2, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30929083/investigation-of-the-control-of-rotational-alignment-in-the-tibial-component-during-total-knee-arthroplasty
#12
Mitsuru Hanada, Hiroki Furuhashi, Yukihiro Matsuyama
BACKGROUND: In this study, rotational errors that occur in relation to the tibial component of total knee arthroplasty (TKA) were investigated intraoperatively using a CT-free navigation system and postoperative CT images to confirm the correctness of the rotation. METHODS: Forty patients who underwent TKA using the navigation system were examined. These patients were split evenly into two groups, those whose rotational position was confirmed using a mark made manually on the tibia, and those whose rotation was confirmed using the navigation...
March 30, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30929082/is-patient-satisfaction-related-to-patient-reported-sounds-from-ceramic-on-ceramic-total-hip-arthroplasty-a-study-of-265-hips
#13
Jonathan A Barrow, Hiren M Divecha, Sunil Panchani, Richard Boden, Amol Chitre, Anil Gambhir, Martyn L Porter, Tim N Board
INTRODUCTION: The ideal method and implant to perform total hip arthroplasty (THA) is still a debated topic. Ceramic on ceramic (CoC) bearings have favourable wear properties, but squeaking has been reported as an unwanted side effect. We aimed to determine the rate of noise generation from CoC hips and investigate whether there is a relationship with patient satisfaction. METHODS: A total of 246 consecutive CoC bearing uncemented THA were retrospectively identified in a single institution...
March 30, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30927087/analysis-of-parameters-influencing-intraarticular-temperature-during-radiofrequency-use-in-shoulder-arthroscopy
#14
Matthieu Chivot, Stéphane Airaudi, Alexandre Galland, Renaud Gravier
PURPOSE: The aim of this study was to analyze the influence of several factors on the temperature in the work chamber during shoulder arthroscopy procedures in order to identify danger zones when using radiofrequency. METHODS: Intraarticular temperature was measured intraoperatively using system with special probe that directly measured the temperature in 22 patients. Data collection was prospective. The main parameters studied were the measurement of the temperature depending on: localization of the procedure (glenohumeral or subacromial), the use of coagulation or ablation, the number of portals, the pressure of the arthropump, the time of use, the blood pressure and the temperature of the operating room...
March 29, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30923964/rotational-component-alignment-in-patient-specific-total-knee-arthroplasty-compared-with-conventional-cutting-instrument
#15
Nuttawut Chanalithichai, Nattapol Tammachote, Chane Jitapunkul, Supakit Kanitnate
BACKGROUND: Although many studies investigated the accuracy of customized cutting block (CCB), the data on rotational alignment are still lacking. The study aimed to assess whether CCB improved the component rotational position compared with conventional cutting instrument (CCI) using computed tomography scanning. METHODS: Eighty-six of 102 total knee arthroplasties from the previous randomized study were analyzed. The outcomes were rotational position of the femoral and tibial components, frequency of outliers and intra-class correlation coefficient...
March 28, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30915555/a-new-geometric-model-to-quantify-the-area-of-glenoid-bone-defect-and-medialisation-of-the-native-joint-line-in-glenohumeral-arthritis
#16
Riccardo Maria Lanzetti, Marco Spoliti
PURPOSE: To propose a geometric model to quantify the bone defect and the glenoid medialisation (in millimetres) compared to the native joint line. We also evaluated the reliability of this geometric model. METHODS: Using two-dimensional CT imaging, we built a hypothetical triangle on the axial scan consisting of the following: side A, length (millimetres) of the glenoid bone; side B, average length (millimetres) of the glenoid in a healthy population; side C, the missing side; and angle α, the retroversion angle calculated using the Friedman method...
March 27, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30915554/timing-of-surgical-interventions-for-upper-cervical-epidural-abscess-a-case-report-and-review-of-the-literature
#17
LETTER
Takaomi Kobayashi, Hiroshi Ureshino, Kensuke Hotta, Ko Ikuta
No abstract text is available yet for this article.
March 26, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30915553/outcomes-of-robotic-arm-assisted-medial-unicompartmental-knee-arthroplasty-minimum-3-year-follow-up
#18
Konstantinos Dretakis, Vasilios G Igoumenou
The purpose of this study was to determine implant survivorship, complications, and re-operation rates, after robotic arm-assisted unicompartmental knee arthroplasty (UKA) at intermediate follow-up. Patient satisfaction and clinical outcome were further investigated, in addition to an analysis of restoration of knee alignment. Fifty-one patients, who received a robotic arm-assisted medial UKA, were prospectively studied, and followed for a minimum of 3 years (mean 51.4 ± 4.5 months). Survival of implants, complications, reoperations, and patients' overall satisfaction were evaluated...
March 26, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30911816/a-new-minimally-invasive-u-shaped-lumbopelvic-stabilization-technique
#19
Sebastian Decker, Jonas Herden, Christian Krettek, Christian W Müller
Lumbopelvic stabilization is a surgical technique used frequently to treat lumbosacral fractures; however, it can also be used in revision cases, infections, or during deformity correction. However, the related soft tissue complication rates associated with open lumbopelvic stabilization are high. Different authors have recently reported minimally invasive surgical techniques. We developed a rigid minimally invasive technique for lumbopelvic stabilization. We present our technique and also present preliminary results from 10 cases...
March 25, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30903377/independent-clinical-appraisal-of-the-tape-locking-screw-tls-%C3%A2-anterior-cruciate-ligament-reconstruction-technique-compared-with-the-hamstring-graft-technique-with-a-minimum-of-12-month-follow-up
#20
B Orfeuvre, R Pailhé, A Sharma, J Gaillot, B Rubens Duval, D Saragaglia
INTRODUCTION: The aim of this study was to assess the differential laxity after reconstruction of the anterior cruciate ligament (ACL) by the TLS® technique using a single tendon, the semitendinosus in four-strand graft, compared with the hamstring technique which uses both the gracilis and semitendinosus. We hypothesised that this surgical technique would provide post-surgical differential laxity measurements at least as good as those of the hamstring technique. MATERIALS AND METHODS: We carried out a prospective monocentric study on patients undergoing unilateral anterior cruciate ligament repair between December 2014 and June 2016...
March 22, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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