Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2022
Substantial changes in fracture rates in German hospitals in 2018 compared with 2002: an epidemiological study.
The aim of this study was to present recent epidemiological data on extremity and axial skeletal fractures in German hospitals and to compare them with older data to detect time trends. ⋯ The increase in the absolute fracture rates was due to increased rates of femur, shoulder, upper arm, forearm, and axial skeletal fractures, with elderly women being the main contributors. Femur fractures were found to be the most common fractures treated in German hospitals.
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Arch Orthop Trauma Surg · Aug 2022
Case ReportsLUCL reconstruction of the elbow: clinical midterm results based on the underlying pathogenesis.
Traumatic and atraumatic insufficiency of the lateral ulnar collateral ligament (LUCL) can cause posterolateral rotatory instability (PLRI) of the elbow. The influence of the underlying pathogenesis on functional outcomes remains unknown so far. The objective of this study was to determine the impact of the initial pathogenesis of PLRI on clinical outcomes after LUCL reconstruction using an ipsilateral triceps tendon autograft. ⋯ Therapeutic study, LEVEL III.
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Arch Orthop Trauma Surg · Aug 2022
"Anterior-shift sign": a novel MRI finding of adult hip dysplasia.
In adult hip dysplasia, methods for direct evaluation of hip instability have not been established. The present study aimed to determine findings suggestive of hip instability on magnetic resonance imaging (MRI) and to evaluate their correlations with clinical and radiological factors. ⋯ This study suggested that hip instability can be observed as the anterior-shift sign on MRI. This sign is useful when considering indications for periacetabular osteotomy in adult hip dysplasia.
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Arch Orthop Trauma Surg · Aug 2022
Randomized Controlled TrialProspective randomized comparison of bone transport versus Masquelet technique in infected gap nonunion of tibia.
The present prospective randomized study compared the bone transport technique (BT) and Masquelet technique (MT) in the treatment of infected gap non-union of the tibia. ⋯ The functional and bone results were comparable but more reliable in bone transport than the Masquelet technique. The fixator duration and incidence of non-union were higher in MT group. Ilizarov bone transport technique should be preferred in infected non-union of the tibia with bone loss upto 6 cm.
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Arch Orthop Trauma Surg · Aug 2022
Randomized Controlled TrialDouble plating is associated with higher fixation strength than single plating in osteoporotic fractures of the scapular spine: a biomechanical study.
The number of atraumatic stress fractures of the scapular spine associated with reverse shoulder arthroplasty is increasing. At present, there is no consensus regarding the optimal treatment strategy. Due to the already weakened bone, fractures of the scapular spine require a high fixation stability. Higher fixation strength may be achieved by double plating. The aim of this study was to evaluate the biomechanical principles of double plating in comparison to single plating for scapular spine fractures. ⋯ Controlled laboratory study.