Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
Observational StudyMid-term outcomes after primary total hip arthroplasty with a cemented short stem in an elderly patient cohort.
The main objective of this prospective study was to assess clinical, radiographic and safety mid-term outcomes after THA with a short cemented stem in an elderly patient cohort. Moreover, the study aimed at investigating the mid-term survivorship of the implant and the incidence of complications. ⋯ NCT04987437.
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Arch Orthop Trauma Surg · Dec 2024
Identifying predictors of nosocomial pneumonia in trauma patients admitted to a level-1 trauma center.
Nosocomial pneumonia is common in trauma patients and associated with an adverse prognosis. We recently externally validated and recalibrated an existing formula to predict nosocomial pneumonia risk. Identifying more potential predictors could aid in a more accurate prediction of nosocomial pneumonia risk in level-1 trauma patients. This study aims to identify predictors of nosocomial pneumonia in level-1 trauma patients available in the emergency department or shortly after, and examine their added predictive value to an existing prediction model by Croce. ⋯ Level III, prognostic/epidemiological.
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Arch Orthop Trauma Surg · Dec 2024
Predictors of treatment duration in conservative management of developmental dysplasia of hip -a retrospective cohort study.
Developmental dysplasia of the hip is a prevalent condition in newborns. However, predicting the duration of conservative treatment remains challenging. This study aimed to determine the duration of treatment more precisely by analyzing associated factors. ⋯ Bilaterality added 19 days to treatment duration. However, sex and clinical hip instability did not significantly affect the treatment time. These findings enable the calculation of treatment duration based on identified factors, potentially improving the management and planning of conservative therapies for developmental dysplasia of the hip in newborns.
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Arch Orthop Trauma Surg · Dec 2024
Review Meta Analysis Comparative StudyComparing functional outcomes between 3D printed acetabular cups and traditional prosthetic implants in hip arthroplasty: a systematic review and meta analysis.
The primary research aim was to determine if the use of traditional or 3D printed prosthesis resulted in better functional outcome scores in hip arthroplasty. ⋯ Group differences in pooled mean HHS scores at twelve months follow-up surpassed established minimum differences for clinical importance. High quality research should be further pursued to elucidate these findings.
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Arch Orthop Trauma Surg · Dec 2024
A modified Radiographic Union Score for Tibia (RUST) scoring system for patella fractures treated with osteosynthesis shows excellent intra und interobserver reliability.
Patellar fractures are rare at 1% incidence of all fractures. However, they can cause significant functional impairments due to the patella's role in knee joint extension. Current scoring systems lack objectivity in assessing patellar healing. This study aims to validate the Radiographic Union Score for Tibia (RUST) using biplanar radiographs for assessing surgically treated patellar fractures. ⋯ This study validated the Radiographic Union Score for Tibia (RUST) for evaluating bone healing in patellar fractures treated with osteosynthesis, demonstrating good intra- and interobserver reliability. The modified RUST can provide a standardized method for assessing healing in patellar fractures, benefiting both clinical practice and clinical trials.