Archives of orthopaedic and trauma surgery
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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
Postoperative outcome of screw fixation with autogenous bone grafting for the management of hallux sesamoid fracture nonunion.
Although sesamoid-preserving procedures have been attempted to complement sesamoidectomy for hallux sesamoid fracture nonunion, few reports document the results. Accordingly, the objective of this study was to review the outcomes of patients with hallux sesamoid fracture nonunion who underwent screw fixation with autogenous bone grafting. ⋯ Given that the symptoms improved in all patients without complications, as observed in this study, screw fixation with autogenous bone grafting appears to be a viable option for treating hallux sesamoid fracture nonunion.
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Arch Orthop Trauma Surg · Dec 2024
A simple, subjective, knee self-evaluation using a single question can be used for a quick assessment of patients undergoing knee surgery.
The use of patient-reported outcome measures (PROMS) is the cornerstone of clinical research for surgical disciplines, but the use in daily routine can be challenging. One of the most widespread PROMS in knee surgery is the International Knee Documentation Committee (IKDC) questionnaire. The purpose of the present study was to investigate the potential correlation of the IKDC score with a patient's subjective assessment of the knee using a single question. We hypothesized a correlation between the IKDC score and single question score. ⋯ IKDC score and a simple, subjective, knee self-evaluation using a single question demonstrate moderate correlation. The single question can be used for better understanding of discrepancy between the objective score and the patients' subjective perception of knee function or as a fast, single question proxy score.
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Arch Orthop Trauma Surg · Dec 2024
Variations in clinical practice of one-stage septic revisions in chronic hip and knee periprosthetic joint infections: an international questionnaire study.
Recent studies have increasingly provided evidence that one-stage septic revisions for hip and knee are a safe treatment option for periprosthetic joint infections (PJI) in selected patients. However, there is still a wide treatment variation concerning indications and execution among different practices. This study aimed to describe these differences. ⋯ Notable differences in indications for and execution of one-stage septic revisions persist. We encourage others to share their experiences with this procedure. Moreover, clinical trials should be undertaken to provide stronger evidence for the safety of one-stage septic revisions and to provide clear and uniform guidelines.