Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
ReviewDo we need standardized postoperative radiographs after locking plate fixation of distal radius fractures - A retrospective analysis of 664 patients.
After surgical treatment of fractures of the distal radius, radiographs in 2 planes are routinely performed postoperatively as a standard procedure to verify anatomic reduction and implant positioning. However, the postoperative radiological examinations rarely has a consequence. Therefore, the purpose of this study was to evaluate the frequency of treatment plan changes based on standardized postoperative radiographs. Secondarily, abnormalities, already being present in the intraoperative radiographs, were examined. ⋯ Considering the low incidence of treatment plan changes, routinely performed radiographs after surgical treatment of distal radius fractures must be critically questioned.
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Arch Orthop Trauma Surg · Dec 2024
Long-term outcomes with a partial neck-preserving cementless short stem in primary total hip arthroplasty for young patients: a single center first one hundred cases.
This study aimed to assess the long-term results of THA patients who received a cementless short stem regarding clinical outcomes, bone changes, complications, and incidence of femoral revision. ⋯ This study showed that the MiniHip short stem is a reliable option for THA in younger patients, with a high implant survival rate and excellent functional outcomes over the long term.
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Arch Orthop Trauma Surg · Dec 2024
Long-term results of short stem total hip arthroplasty in patients with osteonecrosis of the femoral head.
Short stem total hip arthroplasty (THA) is an alternative to conventional stem, designed to facilitate minimal-invasive surgery, physiological loading and preserve bone stock. However, there is insufficient evidence of the long-term outcomes in patients with osteonecrosis of the femoral head (ONFH). This study aims to analyze the clinical and radiographic results with a minimum follow-up of 10 years. Furthermore, the survival rate of the short stem was calculated. ⋯ Short stem showed promising long-term clinical outcomes in patients with ONFH. The radiographic results demonstrated physiological proximal load transfer.
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Arch Orthop Trauma Surg · Dec 2024
Endoscopic-assisted anterior pelvic ring osteosynthesis for pelvic ring injuries: a technical report.
In the surgical treatment of pelvic ring injuries (PRIs), there is an increasing adoption of minimally invasive techniques to improve surgical outcomes. Since the introduction of endoscopic-assisted osteosynthesis for PRIs in 2019, various surgical challenges have been identified. To improve surgical and clinical outcomes, we modified the existing procedures and aimed to present the surgical outcomes of patients with pelvic fractures who underwent endoscopic-assisted surgery. ⋯ Endoscopic-assisted pelvic surgery is a safe and effective treatment alternative for PRIs, particularly when focusing on the anterior pelvic ring. The advantages of this approach, including small incisions and preservation of abdominal and pelvic floor muscle integrity, contribute to improved patient recovery. Future research should focus on comparative studies of this technique with other minimally invasive techniques and open surgery.
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Arch Orthop Trauma Surg · Dec 2024
Review Comparative StudyComparison of postoperative blood loss in cementless and cemented total knee arthroplasty: a systematic review.
With the advancement of porous surface processing technology, cementless total knee arthroplasty (TKA) has once again garnered attention. Cementless TKA lacks cement sealing, raising concerns regarding potential blood loss. Recently, patient blood management (PBM) protocols have been introduced to mitigate postoperative blood loss and transfusions. In this systematic review, we aimed to address whether cementless TKA leads to increased blood loss and transfusion rates as compared with cemented TKA. Additionally, we explored the impact of contemporary PBM protocols on post-TKA hemodynamics. ⋯ In the context of recent studies implementing PBM protocols, the choice of implant fixation method appears to have no relevant impact on post-TKA blood loss. Nevertheless, it is important to note that the reporting of outcomes and PBM protocols exhibit considerable variation and heterogeneity.