Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2023
ReviewFemoral head and neck autograft in arthroplasty for developmental dysplasia of the hip: a systematic review of long-term outcomes.
Total hip arthroplasty (THA) with an acetabular component and an autogenous femoral head graft for acetabular reconstruction in developmental dysplasia of the hip was first described by Harris et al. in 1977. While a number of studies have addressed the aforementioned scenario over the last decades, most lack sufficient numbers and follow-up. As such, we analyzed long-term outcomes of THAs with femoral autograft for arthrosis secondary to hip dysplasia. ⋯ Therapeutic Level III.
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Arch Orthop Trauma Surg · Aug 2023
Multicenter StudyA predictive score of high tibial osteotomy survivorship to help in surgical decision-making: the SKOOP score.
The high tibial osteotomy (HTO) survival rate is strongly correlated with surgical indications and predictive factors. This study aims to assess HTO survival in the long term, to determine the main predictive factors of this survival, to propose a predictive score for HTO based on those factors. ⋯ Retrospective cohort study.
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Arch Orthop Trauma Surg · Aug 2023
Review Meta AnalysisExtramedullary versus intramedullary fixation of stable trochanteric femoral fractures: a systematic review and meta-analysis.
This systematic review and meta-analysis compared extramedullary fixation and intramedullary fixation for stable two-part trochanteric femoral fractures (AO type 31-A1) with regards to functional outcomes, complications, and surgical outcomes. ⋯ Current literature shows no meaningful differences in complications, surgical, or functional outcomes between extramedullary and intramedullary fixation of stable two-part trochanteric femoral fractures. Both treatment options result in good outcomes. This study implicates that, costs should be taken into account when considering implants or comparing fixation methods in future research.
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Arch Orthop Trauma Surg · Aug 2023
Review Meta AnalysisIrritation from metalwork after ankle arthrodesis fixed using screws: a proportional meta-analysis and systematic review.
Ankle arthrodesis (AA) is often fixed using cannulated screws. The irritation from metalwork is a relatively common complication, but there is no consensus regarding the need to remove the screws on a systematic basis. The aim of this study was to determine (1) the proportion of screws removed after AA and (2) whether predictors of screw removal could be identified. ⋯ Level IV, systematic review of Level IV.
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Arch Orthop Trauma Surg · Aug 2023
Randomized Controlled TrialClinical and radiological comparison between partial and complete resection of the anterior cruciate ligament in patients with mucoid degeneration of the anterior cruciate ligament: a controlled clinical trial.
The pathology of a mucoid degeneration of the anterior cruciate ligament (MDACL) has been mentioned in several publications but due to its rare incidence it is not a well-known pathology. Partial or complete resection of the ACL is the option of choice after failed non-surgical treatment. However, the success rate of both surgical techniques and the subsequent risk of an ACL instability is not known. The purpose of this study was to compare the clinical and radiological outcome between partial resection and complete resection of the ACL in patients with MDACL. ⋯ Both arthroscopic debridement and complete resection of the ACL lead to improvement of clinical and radiological findings in isolated MDACL. However, complete resection of the ACL will result in higher instability. Therefore, partial resection might be the better treatment option, especially in young patients with MDACL.