Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2007
Dislocation of the elbow with fractures of the coronoid process and radial head.
The aim of the study was to evaluate the factors relevant to prognosis after operative treatment of an elbow dislocation/fracture involving the coronoid process and the radial head. In 30-50% of cases, elbow dislocations are accompanied by concomitant bony injuries. Here, the ulnar coronoid process and the radial head are particularly crucial to the stability of the elbow joint. ⋯ Elbow dislocations with involvement of the ulnar coronoid process and the radial head are complex injuries and their surgical treatment and aftercare need to be handled by a skilled and experienced traumatologist. In this process, the precondition for regaining a stable joint with good function is, above all, early, exercise-stable fixation and/or reconstruction of the coronoid process and early functional mobilization of the joint.
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Arch Orthop Trauma Surg · Dec 2007
Use of antibiotic cement rod to treat intramedullary infection after nailing: preliminary study in 19 patients.
The treatment of intramedullary infections after nailing usually includes removal of the nail, debridement, and, in some cases, insertion of antibiotic-impregnated cement beads. We use this self-made antibiotic cement rod to treat intramedullary infections. Compared with the beads, it provides some limited mechanical support and can be preserved in the canal for a long time. ⋯ One patient had nonunion and one patient underwent amputation because of severe primary trauma and long-term infection. The rod was removed between 35 and 123 days after implantation. We conclude that the antibiotic cement rods could be a relatively effective, simple and inexpensive method of treating intramedullary infections after nailing.
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Arch Orthop Trauma Surg · Dec 2007
The role of sacroiliac joint dysfunction in the genesis of low back pain: the obvious is not always right.
It is a common practice to the link low back pain with protruding disc even when neurological signs are absent. Because pain caused by sacroiliac joint dysfunction can mimic discogenic or radicular low back pain, we assumed that the diagnosis of sacroiliac joint dysfunction is frequently overlooked. ⋯ Sacroiliac joint dysfunction should be considered strongly in the differential diagnosis of low back pain in this group of patients.