Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2017
PEEK versus titanium locking plates for proximal humerus fracture fixation: a comparative biomechanical study in two- and three-part fractures.
The high rigidity of metal implants may be a cause of failure after fixation of proximal humerus fractures. Carbon fiber-reinforced polyetheretherketone (PEEK) plates with a modulus similar to human cortical bone may help to overcome this problem. The present study assesses the biomechanical behavior of a PEEK plate compared with a titanium locking plate. ⋯ In this biomechanical study on unstable proximal humerus fractures, fixation with a PEEK plate showed lower fixation strength and increased motion at the bone-implant interface compared with a titanium locking plate.
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Arch Orthop Trauma Surg · Jan 2017
Review Case ReportsTreatment of physeal fractures of the distal radius by volar intrafocal Kapandji method: surgical technique.
Distal radial physeal fractures with volar displacement are rare. Several methods of operative treatment include volar plate without inserting distal screws, percutaneous technique using two anterior skin incisions and reversed Kapandji technique with pins introduced through a posterior approach and locked at the anterior cortex of the fracture. ⋯ V.
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Arch Orthop Trauma Surg · Jan 2017
Arthroscopic treatment of symptomatic discoid meniscus in children.
To study discoid meniscus in children who underwent arthroscopic surgery at our center. ⋯ Although the short-term outcome after saucerization with or without suture repair for discoid meniscus is favorable, degenerative change or change of lower limb alignment may occur in the long term. Further long-term study is required.
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Arch Orthop Trauma Surg · Jan 2017
Nerve supply of the subscapularis during anterior shoulder surgery: definition of a potential risk area.
The purpose of the study was to evaluate the position of the subscapular nerves relative to surgical landmarks during exposure and to analyze the pattern of innervation of the subscapularis to avoid injury during anterior shoulder surgery. ⋯ The subscapularis has a variable nerve supply, which increases the risk of muscle denervation during open shoulder surgery. Dissection or release should be avoided at the anterior aspect of the subscapularis muscle more than 1 cm medial to the musculotendinous junction. In approaches with a horizontal incision of the subscapularis, splitting should be performed at a vertical distance of 3.2-3.6 cm to the coracoid base to avoid iatrogenic subscapular nerve injuries.
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Arch Orthop Trauma Surg · Jan 2017
Single minimal incision fasciotomy for the treatment of chronic exertional compartment syndrome: outcomes and complications.
Chronic exertional compartment syndrome (CECS) is a common injury in young athletes, causing pain in the involved leg compartment during strenuous exercise. The gold standard treatment is fasciotomy, but most of the reports on its effectiveness include relatively small cohorts and relatively short follow-up periods. This study reports the long-term results of a large cohort of young athletes who underwent single-incision fasciotomy for CECS. ⋯ Single-incision fasciotomy leads to long-term improvement in the activity level and QOL of patients with CECS.