Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2023
Observational StudyVisualization of the location and level of pain in common wrist pathologies using color-coded heatmaps.
Pain of the hand and wrist affects a large patient population. If the onset is unrelated to recent trauma, the first medical contact is rarely established with a specialized hand surgeon. ⋯ Knowledge of main demographic parameters, pain projection, and degree of impairment in daily activities can help physicians to narrow differential diagnosis of wrist pain during first patient contact. Patients should then be referred to hand surgeons for specialist examination, to further differentiate the origin of the pain.
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Arch Orthop Trauma Surg · Feb 2023
Salami-Tactics: when is it time for a major cut after multiple minor amputations?
Repetitive minor amputations carry the concomitant risks of multiple surgical procedures, major amputations have physical and economical major drawbacks. The aim of this study was to evaluate whether there is a distinct number of minor amputations predicting a major amputation in the same leg and to determine risk factors for major amputation in multiple minor amputations. ⋯ Retrospective comparative study (Level III).
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Arch Orthop Trauma Surg · Feb 2023
The clinical outcomes of scaphoid nonunion treated with a precisely processed autologous bone screw: a case series.
Metal implants and bioabsorbable implants are frequently used in orthopaedic surgery, but they have some disadvantages. The usefulness of autologous bone has been described, and a method to precisely process autologous bone into implants such as screws and apply the implants clinically has been desired. We created a new system for manufacturing autologous bone screws during surgery and report five cases of scaphoid nonunion treated with precise autologous bone screws made from the tibial cortex using the new system. ⋯ IV.
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Arch Orthop Trauma Surg · Feb 2023
A nomogram to predict postoperative infection for older hip fracture patients.
Postoperative infection is one of the most common postoperative complications in hip fracture surgery. It is related with increased morbidity and mortality. This study aimed at developing a nomogram to predict the individual probability of postoperative infection to facilitate perioperative decision-making. ⋯ Our nomogram showed good discrimination ability in predicting individual probability of postoperative infection among older patients with hip fracture surgery. The nomogram could help clinicians identify patients at high risk of postoperative infection before surgery.
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Arch Orthop Trauma Surg · Feb 2023
Changes in the femoral varus and rotational profiles are correlated in women with varus osteoarthritic lower limbs.
Previous studies have reported the relationship between coronal alignment of the lower limbs and the rotational profile of the femur and tibia. However, the relationship between coronal alignment of the femur and tibia and their rotational profiles in patients with varus osteoarthritic knees is unclear. ⋯ Femoral anteversion and the rotational profile of the distal femur were negatively correlated with the degree of femoral varus in Asian women with varus osteoarthritic knees. This study enhanced the understanding of the relationship between changes in coronal alignment of the femur and tibia and their rotational profiles in patients with varus osteoarthritic lower limbs, although this study was limited by the small sample sizes and methodological quality.