Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2024
Increased patient body mass index is associated with increased surgeon physiologic stress during total hip arthroplasty.
While increased body mass index (BMI) in patients undergoing total hip arthroplasty (THA) increases surgical complexity, there is a paucity of objective studies assessing the impact of patient BMI on the cardiovascular stress experienced by surgeons during THA. The aim of this study was to assess the impact of patient BMI on surgeon cardiovascular strain during THA. ⋯ III.
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Arch Orthop Trauma Surg · Mar 2024
Comparison of time-efficiency of individually wrapped screws and sterile screw racks in distal radius fracture treatment.
Time-efficiency of individually wrapped screws versus screws in a screw rack is not well established. ⋯ Level I (therapeutic, randomized controlled trial).
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Arch Orthop Trauma Surg · Mar 2024
ReviewSymptomatic rib fracture nonunion: a systematic review of the literature.
Rib fractures commonly occur in trauma patients with varying presentations. Though the literature in recent years has moved toward favoring more early intervention of acute rib fractures, little has been reported on the matter of surgical fixation for symptomatic rib fracture nonunions. ⋯ Surgical stabilization of rib fracture nonunions appears to be an appropriate treatment alternative, and various techniques and approaches may be used with similar success. Further studies with higher level of evidence are recommended on the subject.
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Arch Orthop Trauma Surg · Mar 2024
Delayed debridement affects prognosis in patients with purulent flexor tenosynovitis: a retrospective cohort and multivariate analyses.
Purulent flexor tenosynovitis (PFT) is a severe condition, and many patients report serious postoperative complications such as amputation, limited range of motion (ROM), or recurrence of symptoms. However, the ideal protocol for PFT treatment remains unknown owing to the limited number of studies. This retrospective cohort study aimed to identify prognostic factors for PFT treatment outcomes. ⋯ The results of this study suggest that indications for nonoperative treatment of PFT are limited and that earlier surgical debridement is recommended.
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Arch Orthop Trauma Surg · Mar 2024
The potential of posterior cruciate ligament buckling phenomenon as a sign for partial anterior cruciate ligament tears.
Diagnosis of a partial tear of the anterior cruciate ligament (ACL) can be challenging with physical examination and imaging techniques. Although magnetic resonance imaging (MRI) has high sensitivity and specificity for diagnosing complete ACL tears, its effectiveness may be limited when it is used to diagnose for partial tears. The hypothesis of the present study is that the posterior cruciate ligament (PCL) buckling phenomenon, which is a secondary sign of complete ACL tears on MRI, may be a useful method for diagnosing partial ACL tears. ⋯ Level III.