Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2023
Early ACL reconstruction shows an improved recovery of isokinetic thigh muscle strength compared to delayed or chronic cases.
The recovery of periarticular strength is a major criterion in return-to-play testing. The rationale of the study was to assess the impact of the delay of surgery (∆ between injury and surgery) on knee extensor and knee flexor strength of anterior cruciate ligament (ACL)-deficient patients six months after reconstruction. ⋯ III, retrospective cohort study.
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Arch Orthop Trauma Surg · Sep 2023
The effect of reduced bone mineral density on elective total hip arthroplasty outcomes.
Reduced bone mineral density (BMD) and disruption of normal bony architecture are the characteristics of osteopenia and osteoporosis and in patients undergoing total hip arthroplasty (THA) may cause failure of trabecular ingrowth. The purpose of this study is to evaluate the impact of reduced BMD on outcomes following primary elective THA. ⋯ Patients with osteoporosis were older with reduced BMI and had increased PFx after non-cemented elective THA. Understanding this can help surgeons formulate an appropriate preoperative plan for the treatment of patients with osteoporotic bone undergoing elective THA.
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Arch Orthop Trauma Surg · Sep 2023
Comparison of segmental lordosis gain of prone transpsoas (PTP) vs. lateral lumbar interbody fusion.
Lumbar interbody fusion is a standard method to treat certain degenerative conditions that are refractory to conservative treatments. LLIF reduces posterior muscle damage, can relieve neurological symptoms through indirect decompression, provides increased stability with its wider cages, and promotes more significant segmental lordosis than standard posterior techniques. However, the technique possesses its issues, such as unusual positioning, possible plexus-related symptoms, and median segmental lordosis correction. Trying to ease those issues, the idea of a prone transpsoas technique occurred. ⋯ The prone transpsoas approach can significantly enhance the correction of segmental lordosis proportionated to the traditional LLIF approach.