Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2020
Management of intraarticular proximal interphalangeal joint fracture-dislocations and pilon fractures with the Ligamentotaxor® device.
Fracture-dislocation and pilon injuries of the proximal interphalangeal joints (PIPJ) continue to pose significant management challenges. Stable fracture configurations can be treated with extension block splinting or pinning. Unstable fractures usually require open or closed reduction and fixation either directly/internally onto the fracture using Kirschner wires, cerclage wires, screws or miniplates or indirectly/externally by ligamentotaxis using external fixators which can be dynamic or static. Dynamic external fixators, such as Suzuki's pins and rubber traction system, S-Quattro and Hynes/Giddins frame, appear intuitive as they provide axial distraction, which reduces the fracture whilst obviating the need to open the fracture. They also allow immediate active movement whilst maintaining reduction. The Ligamentotaxor® (Arex, Pallaiseau Cedex, France) is a commercially-available dynamic external fixator which has been used at our institution since 2013. ⋯ These results, considering the predominance of pilon fractures, compare favourably the published Ligamentotaxor® and other dynamic external fixator systems.
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Arch Orthop Trauma Surg · Aug 2020
Functional outcome and tendon integrity of rotator cuff reconstruction after primary traumatic glenohumeral dislocation.
Rotator cuff tears (rct) subsequent to glenohumeral dislocation are relevant concomitant injuries, can lead to impaired shoulder function and increase risk of recurrent dislocation. ⋯ Patients undergone reconstruction of the rotator cuff following a primary traumatic shoulder dislocation can achieve good functional results and a low rate of recurrent dislocation. Postoperative tendon integrity is comparable with known data about non traumatic tears.
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Arch Orthop Trauma Surg · Aug 2020
Hardware removal rates after surgical treatment of proximal femur fractures : Nationwide trends in Finland in 1997-2016.
Various internal fixation methods have been used to treat proximal femur fractures and occasionally the fixation material is removed. However, nationwide trends of hardware removals are not known. Thus, this study investigated the hardware removal rates after proximal femur fractures in Finland during 1997-2016. ⋯ III, Epidemiologic study.
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Arch Orthop Trauma Surg · Aug 2020
Review Meta AnalysisImplant positioning among the surgical approaches for total hip arthroplasty: a Bayesian network meta-analysis.
Although there is anatomical individuality among patients, some standardized requirements for component orientation for total hip arthroplasty (THA) exist. To date, no study has compared implant positioning using a network meta-analysis (NMA). Hence, the purpose of this study was to perform a NMA comparing implant positioning among the various approaches for THA. ⋯ The anterolateral approach for total hip arthroplasty detected the best femoral stem alignment and cup anteversion. Data concerning cup inclination detected no sufficient transitivity to draw consistent conclusions.
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Arch Orthop Trauma Surg · Aug 2020
Review Meta AnalysisComparison of outcomes between nonsurgical and surgical treatment of distal radius fracture: a systematic review update and meta-analysis.
This study was a systematic review comparing the clinical outcomes of nonsurgical and surgical management for distal radius fractures. ⋯ Therapeutic study (systematic review), Level III.