Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2015
Return to recreational sports activity after anterior cruciate ligament reconstruction: a one- to six-year follow-up study.
The aim of this study was to evaluate mid-term return to recreational sport in general population and identify factors related with sports return. ⋯ The results suggest good mid-term return to recreational sports in general population. The following factors had a statistically significant influence on the return to sports activity: type of sport, sex and functional state of the operated knee (IKDC-Lysholm). Psychological and social factors may have a fundamental influence on return to sports activity.
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Arch Orthop Trauma Surg · Aug 2015
Quantitative evaluation of residual bony impingement lesions after arthroscopic treatment for isolated pincer-type femoroacetabular impingement using three-dimensional CT.
The objective of this study is to determine the clinical characteristics of residual bony impingement lesions after arthroscopic treatment for pincer-type femoroacetabular impingement (FAI); and to determine the effects of residual bony impingement lesions on the clinical outcomes after 2 years of follow-up. ⋯ The incidence of residual impingement lesions after arthroscopic pincer-type FAI correction was 63.3 %. The residual rate was 14.48 %. The residual impingement lesions were primarily in the posterior portion of the acetabulum. The clinical outcomes were associated with the residual rate of bony impingement lesions. The patients with residual rates >20 % exhibited significantly lower clinical scores and satisfaction rates.
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Arch Orthop Trauma Surg · Aug 2015
Ligament reconstruction with single bone tunnel technique for chronic symptomatic subtle injury of the Lisfranc joint in athletes.
Only few procedures for Lisfranc ligaments reconstruction to treat subtle injury of the Lisfranc joint have been reported. We have developed a novel technique for Lisfranc ligaments reconstruction, which was applied to treat chronic symptomatic subtle injuries that had failed to respond to initial treatment or were misdiagnosed. This article describes the technique and its operative outcome in a small case series. ⋯ Level IV, retrospective case series.
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Arch Orthop Trauma Surg · Aug 2015
Radiographic diagnosis of sagittal plane rotational displacement in pelvic fractures: a cadaveric model and clinical case study.
Our objective was to measure the sagittal plane rotational (flexion and extension) displacement of hemipelvis radiologically and analyze the ratio of flexion and extension displacement of unstable pelvic fractures. ⋯ The sagittal plane rotation (flexion and extension) displacement of pelvic fractures could be measured by special points and lines on the radiographs. Minimally invasive reduction should be based on clearly identified differences between the sagittal plane rotation and the vertical displacement of pelvic fractures.
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Arch Orthop Trauma Surg · Aug 2015
Effect of patient position on measurement of patellar height ratio.
Patient position is an important factor which can affect the accuracy of patellar height ratio measurement. Varying degree of knee flexion angles and action of quadriceps muscle while supine or standing positions are the most concerning factors. ⋯ Quadriceps action had a significant influence on the mean values obtained by the MIS, CD, and BP methods. In clinical practice, interpretation for patella alta or patella baja of these measurement methods should be normalized according to the patient position. Varying the degree of knee flexion did not produce clinically important effects in any of the five patellar height measurement methods.