Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2025
Comparative StudyThe CPAK classification in three-dimensional measurements is consistent with those in two-dimensional measurements.
This study aimed to evaluate whether the coronal plane alignment of the knee (CPAK) classification between three-dimensional (3D) measurement using computed tomography (CT) and two-dimensional (2D) measurement using long leg radiographs (LLR) match. ⋯ III.
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Arch Orthop Trauma Surg · Feb 2025
Review Meta AnalysisThe use of external fixation for the correction of recurrent clubfoot: a systematic review and meta-analysis.
Recurrent clubfoot (CF) remains a challenging orthopedic condition, often requiring surgical intervention due to deformity rigidity and scarring from previous treatments. External fixation, particularly the Ilizarov technique, has emerged as a promising approach to correct recurrent and complex CF deformities. However, there is considerable variability in reported results regarding success and recurrence rates. ⋯ External fixation is an effective approach for recurrent CF, with satisfactory success rates. However, the risk of complications underscores the need for vigilant postoperative care. The results support the use of external fixation for complex CF recurrences, but further studies are needed.
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Arch Orthop Trauma Surg · Feb 2025
Association of alcohol consumption and rotator cuff retear: a case control matched cohort study.
Failure of healing or retear after surgical repair of the rotator cuff tendons are still a problem and can cause ongoing shoulder pain and dysfunction. Compromised microcirculation as seen in regular alcohol consumption may lead to poor healing. ⋯ Patients with torn rotator cuff tendons benefited similarly from ARCR independently of their alcohol use concerning clinical presentation. However, significantly higher retear rates were recorded in the alcohol group.
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Arch Orthop Trauma Surg · Feb 2025
Comparative StudySeptic vs. aseptic revision knee arthroplasty: are scoring systems effective in communicating the nuances?
In comparison to primary TKA, outcomes of revision TKA will always appear inferior. When trying to assess outcomes of revision TKA for PJI, a group of aseptic revisions can serve as a reliable control, as compared to primary TKA. Our primary aim was to compare functional outcomes of septic versus aseptic revisions by using 5 scoring systems. ⋯ In our study, there was a significant difference in the outcome of revision TKA based on etiology only with regards to the WOMAC score. Moreover, our study brings to the fore the importance of not just surgical management of patients with septic failure but also the importance of paying heed to the emotional and social problems encountered by these patients which has an impact on their outcome as a whole and diminishes their perception of benefit from revision surgery in spite of equivocal knee scores as compared to their counterparts.
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Arch Orthop Trauma Surg · Feb 2025
Critical factors in enhancing the correction efficacy for varus talar tilt in patients with varus ankle osteoarthritis: relative fibular shortening to the tibia and syndesmotic widening.
Relative fibular shortening compared to the tibia and syndesmotic widening are recognized contributors to the valgus tilt of the talus. This study aimed to assess: (1) the impact of fibular shortening relative to the tibia; and (2) the influence of syndesmotic widening, in correcting a large varus talar tilt (TT) associated with advanced ankle osteoarthritis through medial opening wedge valgization supramalleolar osteotomy (SMO). ⋯ Level III.