Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2014
Total knee arthroplasty with rotating-hinge Endo-Model prosthesis: clinical results in complex primary and revision surgery.
Rotating-hinge knee implants are highly constrained devices able to provide the stability needed for arthroplasty in case of severe bone loss and complex instability. Notable doubts still exist in using rotating-hinge devices, mainly due to risk of mechanical failure and risk of infection. ⋯ Coherent with previously published works, we confirm the Endo-Model prosthesis to provide excellent pain relief, restoration of walking capacity and intrinsic knee stability both in complex primary and in revision knee arthroplasty, with good or excellent results in the majority of patients and acceptable complication rate.
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Arch Orthop Trauma Surg · Nov 2014
Review Meta AnalysisFunctional outcomes and quality of life in patients with osteosarcoma treated with amputation versus limb-salvage surgery: a systematic review and meta-analysis.
To perform a meta-analysis for comparing the functional outcomes and quality of life (QOL) of osteosarcoma patients receiving amputation or limb-salvage surgeries. ⋯ This meta-analysis including six high-quality studies indicates that amputation and limb-salvage surgery provide similar functional outcomes and quality of life for patients with osteosarcomas.
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Arch Orthop Trauma Surg · Nov 2014
The treatment of type III acromioclavicular dislocations with a modified Cadenat procedure: surgical technique and mid-term results.
The treatment of type III acromioclavicular injuries is controversial. Both conservative and surgical approaches have been successful. Aim of the present study was to prospectively evaluate the results of the modified Cadenat procedure in subjects with type III acromioclavicular joint injuries. ⋯ 4, Case series.
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Arch Orthop Trauma Surg · Nov 2014
Novel endoscopic sacroiliac screw removal technique: reduction of intraoperative radiation exposure.
We report in the following on our technique of endoscopic sacroiliacal screw removal as a new extra-articular endoscopic method in soft tissue surgery, aimed at the reduction of radiation exposure for both the patient and the surgical teams. Patients who underwent endoscopic implant removal from the dorsal pelvic ring (Group A) were retrospectively compared with a control group, in which the screws were removed via the conventional approach (Group B). The parameters of interest were the extent of x-ray exposure in seconds and surgical duration in minutes as well as approach related peri- and postoperative complications. ⋯ Case-control study, Level III.
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Arch Orthop Trauma Surg · Nov 2014
Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note.
This article describes a minimally invasive plate osteosynthesis technique for midshaft fractures of clavicles using intramedullary indirect reduction and prebent plates with 3D printing models. This technique allows for easy reduction of fractures with accurate prebent plates and minimal soft tissue injury around the fracture site.