Injury
-
The purpose of this study is to report the longterm radiological and clinical outcomes of the distal humeral epiphyseal separations (DHESs) treated by arthrogram-assisted closed pinning, retrospectively. ⋯ Level IV, Therapeutic.
-
Comparative Study
Biomechanical comparison of bone-screw-fasteners versus traditional locked screws in plating female geriatric bone.
To biomechanically compare plated constructs using nonlocking bone-screw-fasteners with interlocking threads versus locking screws with traditional buttress threads in geriatric female bone. ⋯ In female geriatric bone, constructs fixed with bone-screw-fasteners incorporate multiplanar interlocking thread geometry and performed similarly to traditional locked plating. These novel devices may combine the benefits of both nonlocking and locking screws when plating geriatric bone.
-
Posterior tilt of the femoral head in femoral neck fractures (FNF) may influence stability of the fracture and may therefore affect the treatment outcome. Posterior tilt can be measured with different methods. The Lateral Garden Angle (LGA) has been used for this purpose for decades and more recently the Posterior Tilt Measurement (PTM) was introduced. Despite the fact that both methods (LGA and PTM) are used in multiple studies, they have never been compared for reliability in a direct study. The aim of this study is to analyze the intra and inter observer reliability of the LGA described by Garden and the PTM according to Palm. ⋯ Based on our results we believe the LGA and the PTM are both reliable methods to measure posterior tilt. Yet the Posterior Tilt Measurement seems to have a better inter observer reliability and therefore has a slight preference over the Lateral Garden Angle.
-
Comparative Study
Biceps femoris tenodesis revisited A prospective cohort study of concurrent anterior cruciate and postero-lateral corner reconstruction.
When tendon allograft is not an option, knee posterolateral corner reconstruction by biceps femoris tenodesis gains increasing interest. This study investigated such question; "Does biceps femoris tenodesis result in clinical and functional outcomes comparable to Larsen fibular-based sling in concurrent posterolateral corner and anterior cruciate reconstruction? ⋯ Despite it is non-anatomic technique, biceps femoris tenodesis can achieve clinical and functional outcomes comparable to Larsen fibular-based sling in concurrent posterolateral corner and anterior cruciate reconstruction; while offering advantages of simplicity and quickness and overcoming tendon graft unavailability.
-
Comparative Study
Clinical outcomes of PFNA-II in the Asian intertrochanteric fracture patients: Comparison of clinical results according to proximal nail protrusion.
This study intended to explore the clinical outcomes of PFNA-II, one of the commonly used fixation devices for intertrochanteric fractures and the association of clinical results with the extent of proximal nail protrusion. ⋯ Nail protrusion over the greater trochanter area occurs frequently after the surgical treatment of intertrochanteric fracture using PFNA-II. When the nail protruded into the greater trochanter, the number of patients who clinically complained of pain was statistically significantly high. We recommend a modification to the PFNA-II that would further shorten the proximal nail end suitable for the Asian population to achieve better clinical results in the fixation of intertrochanteric fractures.