Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2013
Theatre within 36 h for patients with fracture of the proximal femur: can we deliver?
Proximal femur fractures carry significant levels of morbidity and mortality. Surgical delay is one factor that adversely affects outcome in these patients. In 2010, hospital-income from patients with proximal femur fractures was linked to the surgery being undertaken within 36 h of admission. Can we deliver this target? ⋯ Not all patients with a fracture of the proximal femur can have surgery within 36 h of their injury. However, we have identified and describe four specific areas that could increase the number of patients who meet this target.
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Arch Orthop Trauma Surg · Mar 2013
Computer-assisted total knee arthroplasty: impact of the surgeon's experience on the component placement.
Accuracy of implant positioning in total knee arthroplasty (TKA) has a major impact on postoperative outcomes. We investigate the accuracy of positioning of multiples values simultaneously in TKA navigated, even among novice users. ⋯ The satisfactory HKA alignment was not the result of reversed errors between the tibia and the femur, since it correlated the successful simultaneous results of alpha and beta angles.
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Arch Orthop Trauma Surg · Mar 2013
Cement augmentation of lag screws: an investigation on biomechanical advantages.
In trauma surgery, lag screws are commonly used. However, in osteoporotic bone, anchorage can be considerably compromised. This study investigates the biomechanical potential of cement augmentation in terms of improved fixation. ⋯ Cement augmentation of lag screws can improve fixation stability in terms of installing and maintaining interfragmentary compression. Effects of relaxation can be reduced and re-tightening of screws is possible without compromising the fixation. Particularly in reduced bone mass, augmentation of lag screws can markedly increase the security of the technique.
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Arch Orthop Trauma Surg · Mar 2013
Randomized Controlled Trial Multicenter StudyClinical assessment of a CMC/PEO gel to inhibit postoperative epidural adhesion formation after lumbar discectomy: a randomized, control study.
To evaluate effectiveness of carboxymethylcellulose/polyethylene oxide (CMC/PEO) gel in improving clinical outcomes after the first-time lumbar discectomy. ⋯ The results demonstrated that CMC/PEO gel is effective in reducing posterior dural adhesions in the spine with no apparent safety issues. It can improve patients' postoperative clinical outcome.
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Arch Orthop Trauma Surg · Mar 2013
Review Case ReportsPost-traumatic pseudoaneurysm of the medial plantar artery combined with tarsal tunnel syndrome: two case reports.
Pseudoaneurysms in the foot are more often reported in the lateral plantar artery than the medial plantar artery, most likely because of its more superficial location. There are no reports of pseudoaneurysm of the medial plantar artery after trauma. We present two cases of pseudoaneurysm of the medial plantar artery after blunt foot trauma and foot laceration. ⋯ The patients were treated successfully using transcatheter embolization without the need for surgical intervention. The tarsal tunnel syndrome also subsided. Here, the authors report these cases and provide a review of literature.