Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2022
ReviewOutcome measures in total hip arthroplasty: have our metrics changed over 15 years?
Consensus has not been reached regarding ideal outcome measures for total hip arthroplasty (THA) clinical evaluation and research. The goal of this review was to analyze the trends in outcome metrics within the THA literature and to discuss the potential impact of instrument heterogeneity on clinical practice. ⋯ The utilization of outcome-reporting metrics in THA has continued to increase, resulting in added complexity within the literature. The utilization rates of individual instruments have shifted over the past 15 years. Additional study is required to determine which specific instruments are recommended.
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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.
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Arch Orthop Trauma Surg · Aug 2022
ReviewUse of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence?
Intramedullary locking devices (ILDs) have recently been advocated as a minimally invasive approach to manage displaced intraarticular calcaneal fractures (DIACFs), to minimise complications and improve outcomes. We reviewed clinical and biomechanical studies dealing with commercially available devices to identify their characteristics, efficacy and safety. ⋯ Level V - Review of Level III to V studies.
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Arch Orthop Trauma Surg · Aug 2022
ReviewSubsidence of a metaphyseal-anchored press-fit stem after 4-year follow-up: an EBRA-FCA analysis.
Uncemented stem migration analysis by EBRA-FCA (Einzel-Bild-Roentgen Analyse, Femoral Component Analyse) has been seen to be a good predictive indicator for early implant failure. In this study, we investigated the migration behavior of a cementless metaphyseal-anchored press-fit stem after 4-year follow-up. ⋯ Migration pattern of the metaphyseal-anchored stem and a low subsidence rate at final follow-up may predict a good long-term clinical result.