Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Oct 2014
Review Meta AnalysisThe use of pneumatic tourniquet in total knee arthroplasty: a meta-analysis.
Pneumatic tourniquet use in total knee arthroplasty (TKA) is always a controversial issue. The aim of the present study is to assess the effectiveness and safety of its use in patients receiving primary unilateral TKA, and to explore the most safe and effective protocols. ⋯ Our results indicate that tourniquet application could reduce surgical time, intraoperative blood loss and total blood loss, but increases postoperative total blood loss. With respect to postoperative complications, DVT and surgical site infection rates are relatively augmented in the tourniquet group.
-
Arch Orthop Trauma Surg · Oct 2014
ReviewReturn to play following ACL reconstruction: a systematic review about strength deficits.
There is a lack of consensus regarding appropriate criteria attesting patients' unrestricted sports activities after ACL reconstruction. Purpose of this study was to perform a systematic review about strength deficits to find out if a strength test might be a return to play criterion. ⋯ Strength deficits of hip, knee and ankle muscles are reported after ACL reconstruction. Muscular strength test may be an important tool to determine if an athlete can return to competitive sports after ACL reconstruction.
-
Arch Orthop Trauma Surg · Oct 2014
Comparative StudyAnatomical fit of seven different palmar distal radius plates.
The purpose of this study was to compare the anatomical fit of different, precontoured palmar distal radius plates. ⋯ Although there was no complete congruency between the plates and the radial cortex, all distal palmar radius plates investigated in this study presented a reasonable anatomical shape. The Synthes VA-LCP distal two-column-radius plate palmar showed the best anatomical fit. A low profile and optimized anatomical precontouring minimizes irritation of the surrounding soft tissues and should be considered with plate design and implant choice.
-
Arch Orthop Trauma Surg · Oct 2014
Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle.
Although several arthroscopic surgical techniques for the treatment of lateral instability of the ankle have been introduced recently, some concern remains over their procedural complexity, complications, and unclear clinical outcomes. We have simplified the arthroscopic technique of Broström repair with Gould augmentation. ⋯ The inferior extensor retinaculum is directly visualized through the accessory anterolateral port and is attached to the fibula with another suture anchor under arthroscopic view via the anterolateral port. The use of two small ports offers a procedure that is simple to perform and less morbid for patients.
-
Arch Orthop Trauma Surg · Oct 2014
Risk factors for subsidence in anterior cervical fusion with stand-alone polyetheretherketone (PEEK) cages: a review of 82 cases and 182 levels.
To determine risk factors for subsidence in patients treated with anterior cervical discectomy and fusion (ACDF) and stand-alone polyetheretherketone (PEEK) cages. ⋯ Subsidence is associated with a greater number of treatment levels, treatment at C5-7 and relatively oversized cage use.