Acta orthopaedica et traumatologica turcica
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Acta Orthop Traumatol Turc · Jan 2015
Distraction lengthening of the proximal phalanx in distal thumb amputations.
Thumb amputation is a major cause of hand dysfunction, and the treatment for distal thumb amputations remains controversial. Although finger reconstruction methods using distraction lengthening are known to restore finger length and function, we found no reports in the literature regarding phalangeal lengthening in thumb amputations. We aimed to evaluate proximal phalangeal lengthening in thumb amputations at or near the interphalangeal (IP) joint. ⋯ For reconstruction in cases of distal thumb amputations, distraction lengthening of the proximal phalanx can be used to improve absolute length, web space, and grip distance. The technique is safe and effective, improves functionality/cosmesis, and offers a low complication risk.
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Acta Orthop Traumatol Turc · Jan 2015
Review Meta AnalysisOperative vs. nonoperative treatment for comminuted proximal humeral fractures in elderly patients: a current meta-analysis.
The aim of this study was to compare the effect of operative vs. nonoperative treatment for comminuted proximal humeral fractures in elderly patients regarding clinical results, complications, and additional surgeries. ⋯ Compared with operative treatment for closed comminuted proximal humeral fractures in elderly patients, conservative treatment can effectively reduce the risk of additional surgeries and complications. However, there is no statistical difference between operative and nonoperative treatment in terms of clinical outcomes.
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Acta Orthop Traumatol Turc · Jan 2015
Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries.
The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction. ⋯ Open tibial inlay approach is beneficial during PCL reconstruction. Further study is warranted to establish its effectiveness on functional outcomes and prevention of complications.
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Acta Orthop Traumatol Turc · Jan 2015
Demographical, clinical, and psychological differences of patients who suffered hand injury accidentally and by punching glass.
The aim of this study was to compare patients who were injured by punching glass with patients who were injured accidentally, according to demographical, clinical, and psychological parameters. ⋯ Hand therapy specialists should be aware of potential problems in patients who were injured by punching glass.
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Acta Orthop Traumatol Turc · Jan 2015
Multicenter Study Comparative StudyExchanging reamed nailing versus augmentative compression plating with autogenous bone grafting for aseptic femoral shaft nonunion: a retrospective cohort study.
The purpose of this study was to compare the outcomes of exchanging reamed nailing (ERN) and augmentative compression plating (ACP) with autogenous bone grafting (BG) for the treatment of aseptic femoral shaft nonunion secondary to the treatment of intramedullary nailing (IMN). ⋯ ACP with autogenous BG can obtain a higher bone union rate and shorter time to union than ERN in the treatment of aseptic femoral shaft nonunion after failed IMN. Especially for nonisthmal femoral shaft nonunions or isthmal nonunions with larger bone defects, ACP with autogenous BG can be more advantageous than ERN for patients. A future prospective observational study should be conducted.