Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2015
The application of atlantoaxial screw and rod fixation in revision operations for postoperative re-dislocation in children.
We evaluate the feasibility, safety, and efficacy of atlantoaxial screw and rod fixation for revision operations in the treatment of re-dislocation after atlantoaxial operations in children. ⋯ If a revision operation is required, atlantoaxial screw-rod fixation is a safe and effective method. Because the anatomical structure is complicated in revision operation patients, CAD-RP technology could guide the the procedures of exposure and screw placement.
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Arch Orthop Trauma Surg · Mar 2015
Case ReportsBilateral nonunion of the sacrum in a long-term paraplegic patient treated with trans-sacral bar and spinopelvic fixation.
The incidence of fragility fractures of the pelvis is sharply increasing in accordance with growing life expectancy in developed countries. Numerous conditions may compromise bone density and quality, and paraplegia due to spinal cord injury is one of them. ⋯ The patient was treated with trans-sacral bar and spinopelvic fixation. Rapid relief from pain and functional recovery was achieved with complete bone healing 1 year after the operation.
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Arch Orthop Trauma Surg · Mar 2015
Randomized Controlled Trial Comparative StudyComparison of novel intramedullary nailing with mini-invasive plating in surgical fixation of displaced midshaft clavicle fractures.
This prospective randomized pilot study sought to determine whether fixation with Sonoma CRx intramedullary pin is a comparable alternative to minimally invasive plating fixation in patients with displaced clavicle fractures. ⋯ Given the shorter operative times and better cosmetic appearance, Sonoma CRx intramedullary pin may be an alternative to minimally invasive plating. Further safety studies are warranted.
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Arch Orthop Trauma Surg · Mar 2015
Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique.
Muscular recovery of structural integrity after arthroscopic Bankart repair using the para- and trans-musculotendinous three-portal technique has not been investigated. ⋯ Arthroscopic Bankart repair using the three-portal technique prevents full muscular integrity for para-tendinous anteroinferior portals at the SSC, the trans-tendinous suprabicipital portal through the SSP, and the trans-tendinous portal through the ISP.
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Arch Orthop Trauma Surg · Mar 2015
Comparative StudyComparison of Bryan versus ProDisc-C total disk replacement as treatment for single-level cervical symptomatic degenerative disk disease.
The purpose of this retrospective trial was to compare the role of the Bryan with ProDisc-C total disk replacement (TDR). ⋯ Both the Bryan and the ProDisc-C TDR resulted in satisfactory clinical outcome. Moreover, Bryan TDR can maintain the lordosis of FSU, whereas ProDisc-C TDR can restore the lordosis of FSU, whether or not this radiographic evidence leads to more favorable clinical outcome for ProDisc-C TDR requires further investigation.