Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Apr 2017
Complications during hospitalization and risk factors in elderly patients with hip fracture following integrated orthogeriatric treatment.
This study aimed to evaluate the incidence of complications in elderly patients with a hip fracture following integrated orthogeriatric treatment. To discover factors that might be adjusted, in order to improve outcome in those patients, we examined the association between baseline patient characteristics and a complicated course. ⋯ After integrated orthogeriatric treatment, a complicated course was seen in 49.6% of the patients with a hip fracture. The in-hospital mortality rate was 3.8%. Important risk factors for a complicated course were increasing age, poor medical condition and delirium risk VMS Frailty score. Awareness of risk factors that affect the course during admission can be useful in optimizing care and outcomes. In the search for possible areas for improvement in care, targeted preventive measures to mitigate delirium, and healthcare-associated infections (HAIs), such as CAUTIs and pneumonia are important.
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Arch Orthop Trauma Surg · Apr 2017
Case ReportsSpontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.
Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. ⋯ Indications for a RSL arthrodesis are osteoarthritis of the radiolunate and radioscaphoid joint with a concomitant intact midcarpal joint. We present a case study of spontaneous RSL fusion post wrist infection caused by a dog bite.
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Arch Orthop Trauma Surg · Apr 2017
MRI to measure cervical sagittal parameters: a comparison with plain radiographs.
The inability to visualize the sternum tip and T1 vertebra on radiographs may decrease the accuracy of the measurements of cervical sagittal parameters. The object of this study is to investigate the value of MRI to measure cervical sagittal parameters and to compare the data of cervical sagittal parameters on radiographs and MR images. ⋯ Positional change may significantly influence most sagittal parameters. Supine MRI cannot substitute for upright cervical radiographs to measure most cervical sagittal parameters except for TIA in an asymptomatic population.
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Arch Orthop Trauma Surg · Apr 2017
Review Meta AnalysisEffectiveness and safety of unilateral pedicle screw fixation in transforaminal lumbar interbody fusion (TLIF): a systematic review and meta-analysis.
To evaluate the effectiveness and safety of unilateral pedicle screw fixation in transforaminal lumbar interbody fusion (TLIF) by comparing with bilateral pedicle screw fixation. ⋯ Based on this systematic review and meta-analysis, the unilateral fixation in TLIF may achieve a similar clinical outcome and reduce blood loss and operative time when compared with that in bilateral fixation. However, the unilateral fixation may produce lower fusion rate and more cage migration than bilateral fixation in TLIF.
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Arch Orthop Trauma Surg · Apr 2017
Comparative StudyDorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study.
Unstable proximal phalanx fractures are relatively common injuries but consensus of standard treatment is lacking. Outcomes following plate fixation are highly variable, and it remains unclear which factors are predictive for poorer results. The purpose of this study was to compare dorsal and lateral plate fixation of finger proximal phalangeal fractures with regard to factors that influence the outcome. ⋯ Therapeutic, retrospective comparative, level III.