Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2013
Single‑incision technique for the internal fixation of distal fractures of the tibia and fibula: a combined anatomic and clinical study.
To present a novel single anterior-lateral approach for the treatment of distal tibia and fibula fracture via anatomical study and primary clinical application in order to minimize soft tissue complications. ⋯ Distal fibula fracture occurring with distal tibia fracture poses a challenge for stable fixation. This has necessitated the need for dual incisions on the distal leg to approach each fracture for reduction and fixation. However, a single anterolateral incision enables the safe approach to the lateral aspects of the distal tibia and fibula thus eliminating the need for two separate incisions and minimizing the soft tissue complication to some extent. Meanwhile, the neurovascular bundle at risk during operation, distal tibia and fibula is clearly exposed in the single anterior-lateral incision.
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Arch Orthop Trauma Surg · Dec 2013
Clinical and radiographical results after double flip button stabilization of acute grade III and IV acromioclavicular joint separations.
Persistent horizontal instability after acute acromioclavicular (AC) joint separation may provoke unsatisfactory results of conservative treatment. ⋯ IV.
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Arch Orthop Trauma Surg · Dec 2013
Case ReportsNon surgically managed anteromedial coronoid fractures in posteromedial rotatory instability: three cases with 2 years follow-up.
Varus posteromedial rotatory instability refers to one of the complex elbow fracture-dislocation caused by anteromedial coronoid fracture with disruption of lateral collateral ligament (LCL). Recent clinical and biomechanical studies have demonstrated that this unstable complex injury resulted in incongruence of joint, which could lead to early posttraumatic arthritis. ⋯ This case series describes three patients with anteromedial coronoid fracture who were managed conservatively with excellent outcomes. This report suggests that anteromedial coronoid fracture associated with posteromedial rotatory instability might be treated using conservative treatment in selective cases when anteromedial coronoid fracture is minimally displaced and there is no evidence of elbow subluxation.
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Arch Orthop Trauma Surg · Dec 2013
Is hospital volume associated with length of stay, re‑admissions and reoperations for total hip replacement? A population‑based register analysis of 78 hospitals and 54,505 replacements.
Hospital volume has been suggested to be a significant determinant of the outcome of joint replacement surgery. We updated previously published data on the effect of hospital volume on length of stay, re-admissions, and reoperations for total hip replacement (THR) at the population level in Finland. ⋯ LOS and LUIC ought to be shortened in lower volume hospitals.
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Arch Orthop Trauma Surg · Dec 2013
Muscle strength and function of shoulders with Bankart lesion after successful arthroscopic treatment: interlimb comparison 24 months after surgery.
The purpose of this study was to examine outcomes following arthroscopic Bankart repair with the focus on strength after the repair. ⋯ Level III cohort study.