Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2013
Calcium homeostasis influences radiological fracture healing in postmenopausal women.
Recent studies suggest that calcium and 25-[OH]-cholecalciferol represent substantial co-factors in fracture healing. However, there still seems to be no sustainable consensus regarding the influence on fracture healing patterns. In this study, the influence of calcium and vitamin D levels on fracture callus formation was prospectively analysed using pQCT scan. ⋯ Calcium and parathyroid hormone serum levels influence fracture callus area interpreted as fracture callus formation patterns. Calcium levels within physiological range accounted for highest fracture callus area. Therefore, a balanced calcium homeostasis is required for appropriate callus formation.
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Arch Orthop Trauma Surg · Feb 2013
Functional results and quality of life after bilateral scaphoid reconstruction: a case series.
Unilateral scaphoid non-union remains a major problem, which can lead to major functional limitations. Until now there is no evidence of outcome of the rare case of bilateral scaphoid non-unions and in how far two-stage bilateral reconstruction affects functional results and the quality of life. Between 1997 and 2010, altogether four bilateral scaphoid non-unions were treated in the centre and retrospectively analyzed. ⋯ The evaluation of the DASH score resulted in 11.6 (±12.5), the SF36 scale in 87.1 (±9.2) points. The present case series for the first time demonstrated functional mid-term results of the rare event of bilateral scaphoid reconstruction after non-union. With respect to the impact on one affected hand, functional results, DASH score and quality of life are excellent and thus justify good prognosis in patient education after injury.
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Arch Orthop Trauma Surg · Feb 2013
Comparative StudySuture anchors or transglenoidal sutures for arthroscopic repair of isolated SLAP-2 lesions? A matched-pair comparison of functional outcome and return to sports.
Presumably, the technique of SLAP refixation has significant influence on outcome. This study analyzes and compares functional outcome and return to sports after arthroscopic suture anchor (SA) and arthroscopic transglenoidal suture (TS) repair of isolated SLAP-2 lesions. ⋯ Superior objective and subjective shoulder function was obtained following arthroscopic SA repair compared to arthroscopic TS repair of isolated SLAP-2 lesions. In addition, results of SA repair were more predictable. However, nearly half of the athletes did not achieve full return to sports regardless of the applied technique of refixation.
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Arch Orthop Trauma Surg · Feb 2013
The aetiology of total knee arthroplasty failure influences the improvement in knee function.
Some indications for revision total knee arthroplasty (TKA), e.g. arthrofibrosis, have been identified to yield inferior results. The aim of this study was to analyse the results of revision TKA according to aetiology of TKA failure. ⋯ The aetiology of TKA failure has an effect on the improvement in knee function from revision TKA. As no difference was observed between patient groups postoperatively, similar clinical results can be expected independent of the aetiology of primary TKA failure.
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Arch Orthop Trauma Surg · Feb 2013
Results of dynamic pedobarography following surgically treated intra-articular calcaneal fractures.
To investigate the clinical outcome and gait analysis findings by dynamic pedobarography in patients following surgically treated single, closed, dislocated intra-articular calcaneal fractures. ⋯ We found only an average clinical outcome and clear pathological gait patterns in our cohort with lateralization of the gait line.