Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2022
Fractures of the proximal radius in children: management and results of 100 consecutive cases.
Pediatric radial neck and head fractures are rare, accounting for only 1% of all fractures in children. The aim of this study is to describe the management and results of the respective fracture types and different injury characteristics. ⋯ Proximal radial fractures occur predominately without dislocation. Good results are obtained with conservative treatment throughout. In cases with displacement exceeding growth-related correction, ESIN is the undisputed treatment of choice. Open surgery and long immobilization periods should be avoided whenever possible.
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Arch Orthop Trauma Surg · Aug 2022
Regional anesthesia does not decrease inpatient or outpatient opioid demand in distal femur fracture surgery.
Regional anesthesia (RA) is sometimes used to decrease pain and opioid consumption in distal femur fractures. However, the real-world impact of RA on inpatient opioid consumption and outpatient opioid demand is not well known. The hypothesis of this study is that RA would be associated with decreased inpatient opioid consumption and outpatient opioid demand. ⋯ Level III, retrospective, therapeutic cohort study.
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Arch Orthop Trauma Surg · Aug 2022
The acetabular roof reinforcement plate for the treatment of displaced acetabular fractures in the elderly: results in 59 patients.
Open reduction and internal fixation is considered the gold standard of treatment for displaced acetabular fractures in younger patients. For elderly patients with osteoporotic bone quality, however, primary total hip arthroplasty (THA) with the advantage of immediate postoperative mobilization might be an option. The purpose of this study was to evaluate the clinical and radiological outcomes of surgical treatment of displaced osteoporotic acetabular fractures using the acetabular roof reinforcement plate (ARRP) combined with THA. ⋯ The ARRP has proven to provide sufficient primary stability to allow for immediate FWB in most cases and represents a valuable option for the surgical management of displaced acetabular fractures in this challenging patient group.
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Arch Orthop Trauma Surg · Aug 2022
Mid and lower thoracic kyphosis changes during adulthood: the influence of age, sex and thoracic coronal curvature.
There is conflicting data on how thoracic kyphosis changes throughout adulthood. We evaluated mid and lower thoracic kyphosis (MTK) in various age groups and the influence of age, sex and coronal curve (CC) on MTK. ⋯ MTK increases with advancing age during adulthood in both genders; CC, but not sex, was an independent predictor of MTK.
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Arch Orthop Trauma Surg · Aug 2022
Hallux anatomy: much ado about shoes-an attempt to prove that constrictive V-shaped toe-box shoes deform the hallux.
A question still remains as to whether constrictive toe-box shoes (TBS) cause disability only due to pain on pressure points or if they can cause permanent changes in the hallux anatomy. The aim of this study is to compare the hallux morphology in 3 groups classified according to their use of constrictive or open TBS. ⋯ 3.