Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
The role of the medial head of the gastrocnemius myocutaneous flap transfer in the management of prosthesis exposure and deep joint infection following total knee arthroplasty.
There is a lack of effective and innovative treatment for patients with prosthesis exposure and deep joint infection following total knee arthroplasty. This study explores the application of the medial head of the gastrocnemius myocutaneous flap transfer in these conditions, offering new therapeutic strategies for clinical practice. ⋯ Medial head of the gastrocnemius myocutaneous flap transfer effectively improves knee joint function and activity, reduces pain, alleviates inflammatory reactions, and has fewer adverse reactions and a lower recurrence rate.
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Arch Orthop Trauma Surg · Dec 2024
Multicenter StudyThe first analysis of a multicentre paediatric supracondylar humerus fracture (SCHF) registry by fracture type.
Supracondylar humerus fractures (SCHFs) represent a significant segment of paediatric bone injuries, posing unique challenges due to their potential for severe complications. This study aims to provide a detailed analysis of the surgically treated SCHF cases recorded in our registry. ⋯ II.
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Arch Orthop Trauma Surg · Dec 2024
Mid- to long-term clinical and radiological assessment of a short, titanium, porous plasma-splayed flat-tapered cementless femoral stem: An 8- to 12-year follow-up study.
Short cementless stems offer advantages such as bone-stock preservation and minimally invasive insertion. Despite encouraging short- to midterm outcomes, the long-term clinical and radiological implications of short, titanium, and porous plasma-sprayed flat-tapered stems remain unclear. ⋯ The short, titanium, porous, plasma-sprayed, flat-tapered cementless stem exhibited excellent mid- to long-term results in primary total hip arthroplasties with Dorr type A or B femora, comparable with those of other short cementless and standard-length stems. Noteworthy survivorship was observed; however, caution is advised regarding stress-shielding complications, particularly periprosthetic femoral fractures, during extended follow-up.
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Arch Orthop Trauma Surg · Dec 2024
Accuracy of leg length changes in total hip arthroplasty using a computed tomography-based augmented reality navigation system.
Leg length is an important consideration in total hip arthroplasty (THA) as leg length discrepancies (LLD) after THA cause poor outcomes and medical litigation. This study aimed to investigate the accuracy of computed tomography (CT)-based navigation with augmented reality (AR) technology for measuring intra-operative leg length change using anteroposterior radiography (two-dimensional, 2D) and CT (three-dimensional, 3D). ⋯ CT-based navigation with AR technology in the supine position provided acceptable accuracy for leg length change measurements.
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Arch Orthop Trauma Surg · Dec 2024
Randomized Controlled TrialEfficacy of preemptive multimodal analgesia initiated at various time points before total knee arthroplasty: a prospective, double-blind randomized controlled trial.
Preemptive multimodal analgesia (PMA) is commonly employed for pain control after total knee arthroplasty (TKA). However, the optimal timing for initiating PMA remains unclear. This study aimed to compare the efficacy of PMA administered at different time points before TKA. ⋯ In comparison with PMA starting at 1 h preoperatively, initiating PMA at 24 and 48 h preoperatively provided better postoperative pain relief. Considering the aim of minimizing the amount of ineffective medication received by patients, initiating PMA at 24 h preoperatively may be a more favorable option for patients undergoing TKA. However, the clinical significance of our results and the optimal starting time for PMA require further investigation.