Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2020
The outcomes of mobile bearing unicompartmental knee arthroplasty and total knee arthroplasty on anteromedial osteoarthritis of the knee in the same patient.
Compared to total knee arthroplasty (TKA), mobile-bearing unicompartmental knee arthroplasty (UKA) is associated with better outcomes, such as an earlier recovery, less postoperative pain, lower morbidity and mortality, and a greater "feel" of a normal knee. However, no study has reported the clinical outcomes in patients with the same stage of osteoarthritis of the knee. The purpose of this study was to determine the clinical outcomes, including the Joint Forgotten Score (JFS), Oxford Knee Score (OKS), Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Kujala score after UKA on one knee and TKA on the opposite knee in the same patient. ⋯ UKA was associated with a better JFS and KOOS but was otherwise comparable to TKA and may be preferable.
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Arch Orthop Trauma Surg · Nov 2020
Outcome of proximal interphalangeal joint replacement with pyrocarbon implants: a long-term longitudinal follow-up study.
The aim of this study was to compare the short-, mid-, and long-term results of pyrocarbon PIPJ arthroplasty. ⋯ Pyrocarbon PIPJ arthroplasty has a risk of early complications necessitating revision surgeries. In spite of radiological implant migration, good pain relief, grip strength, and high quality-of-life ratings are stable for a long time.
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Arch Orthop Trauma Surg · Nov 2020
Seasonal effect on the incidence of post-operative wound complications after trauma-related surgery of the foot, ankle and lower leg.
Post-operative wound complications remain among the most common complications of orthopedic (trauma) surgery. Recently, studies have suggested environmental factors such as season to be of influence on wound complications. Patients operated in summer are reported to have more wound complications, compared to other seasons. The aim of this study was to identify if "seasonality" was a significant predictor for wound complications in this cohort of trauma-related foot/ankle procedures. ⋯ No seasonality could be identified in the rate of wound complications after trauma surgery of the lower leg, ankle and foot in this cohort. This lack of effect might result from the temperate climate of this cohort. Larger temperature and precipitation differences may influence wound complications to a larger extent. However, previous studies suggesting seasonality in wound complications might also be based on coincidence.
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Arch Orthop Trauma Surg · Nov 2020
The effect of coronal splits on the structural stability of bi-condylar tibial plateau fractures: a biomechanical investigation.
Surgical treatment of bi-condylar tibial plateau fractures is still challenging due to the complexity of the fracture and the difficult surgical approach. Coronal fracture lines are associated with a high risk of fixation failure. However, previous biomechanical studies and fracture classifications have disregarded coronal fracture lines. ⋯ Coronal articular fracture lines substantially affect the mechanical response of tibia implant structures specifically on the medial side. With this in mind, utilizing a clinically relevant fracture model for biomechanical evaluations regarding bi-condylar tibial plateau fractures is strongly recommended.
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Arch Orthop Trauma Surg · Nov 2020
Clinical outcomes of medial retinaculum plasty versus MPFL reconstruction with concomitant tibial tubercle transfer: a retrospective study.
To elucidate the clinical outcomes of medial retinaculum plasty versus MPFL reconstruction with concomitant tibial tubercle transfer. ⋯ The combined medial retinaculum plasty and tibial tubercle transfer achieved similar clinical outcomes versus the MPFL reconstruction with concomitant TTT. This therapeutic protocol was a good option in treatment of patellar dislocation with increased TT-TG distance or patella alta.