Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jan 2015
Review Meta AnalysisBenefit of intraoperative navigation on glenoid component positioning during total shoulder arthroplasty.
The objective of this study was to review and synthesize the current best evidence for the use of intraoperative navigation in the implantation of glenoid components in total shoulder prostheses. ⋯ Level II-meta-analysis of non-homogenous controlled trials.
-
Arch Orthop Trauma Surg · Jan 2015
Randomized Controlled Trial Comparative StudyCorticosteroid injection for trigger finger: blinded or ultrasound-guided injection?
Trigger digit is one of the most common causes of pain and disability in the hand. The mainstay of conservative treatment of this disease has been local steroid injection into the tendon sheath. The aim of this study was to investigate the clinical benefit of an ultrasound-guided corticosteroid injection compared to a blinded application. ⋯ Level 1(prospective randomised study).
-
Arch Orthop Trauma Surg · Jan 2015
Comparative StudyHigh-flexion posterior-substituting versus cruciate-retaining prosthesis in total knee arthroplasty: functional outcome, range of motion and complication comparison.
Currently, a high-flexion cruciate-retaining knee prosthesis has been designed to allow greater advantage after total knee arthroplasty (TKA). The present study was conducted to compare functional outcome, range of motion (ROM) as well as complications in subjects who underwent either a high-flexion cruciate-retaining (HFCR, Group I) or a high-flexion posterior-substituting (HFPS, Group II) prosthesis TKA. ⋯ Our study demonstrated no advantage of the high-flexion cruciate- retaining TKA over high-flexion posterior-substituting TKA with regard to functional outcome, range of motion as well as complications at short-term follow-up. However, longer follow-up is necessary to confirm whether these results are sustained.
-
Arch Orthop Trauma Surg · Jan 2015
Urinary incontinence and poor functional status in fragility fracture patients: an underrecognized and underappreciated association.
Urinary incontinence (UI) affects some 20 % of community-dwelling older people and 30-60 % of people in institutional care. UI is known as an independent predictor of falls, and likely impacts fracture rates. The aim of the study was to measure the prevalence of UI in a typical fragility fracture population, to evaluate the relationship of UI with functional disability in the post-acute setting. ⋯ This study confirms the high prevalence of UI in older fragility fracture patients, and the association between UI and functional impairments. The diagnostic work-up and treatment of patients should be focused on the special needs of these older patients. More efforts are needed to increase awareness about prevalence and consequences of UI among older fragility fracture patients.
-
Arch Orthop Trauma Surg · Jan 2015
Soft tissue injury of the shoulder after single non-dislocating trauma: prevalence and spectrum of intraoperative findings during shoulder arthroscopy and treatment results.
The purpose of our study was to present the spectrum and prevalence of intraarticular lesions in patients with shoulder pain after a single non-dislocating shoulder trauma and to evaluate the clinical results according to pathology and workers' compensation status. ⋯ Case series (Level IV).