Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2020
Handedness-related outcome following arthroscopic shoulder stabilization.
Bankart's repair technique represents a standard procedure for arthroscopic shoulder stabilization with excellent functional outcomes. Information concerning handedness-related outcome is missing. Here, we compare the postoperative outcome following arthroscopic shoulder stabilization in relation to handedness, taking sex and age as covariates into account. ⋯ Level IV, cohort study.
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Arch Orthop Trauma Surg · Oct 2020
Maximal flexion and patient outcomes after TKA, using a bicruciate-stabilizing design.
Physiological motion after total knee arthroplasty (TKA) should result in a large range of motion, which would lead to good clinical outcomes. An adjusted design of a bicruciate-stabilizing TKA was developed to reproduce physiological motion. The aim of this study was to (1) investigate the maximal knee flexion of this knee system, 1 year post-operatively; (2) determine the clinical and functional improvement and compare the outcomes between patients with and without high maximal flexion; and (3) evaluate the adverse events. ⋯ Prospective cohort study, Level II.
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Arch Orthop Trauma Surg · Oct 2020
Blood loss in primary total hip arthroplasty with a short versus conventional cementless stem: a retrospective cohort study.
To evaluate the impact of short cementless stem on several clinical and radiographic outcomes, with particular focus on blood loss, in comparison with conventional cementless stem in total hip arthroplasty (THA). ⋯ GTS short stem was not associated with a clinically significant lower blood loss in the immediately postoperative period. Unadjusted exploratory analyses show that GTS stem provides the same results of CLS stem in terms of HHS and rate of stem revision at 5 years of follow-up.
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Arch Orthop Trauma Surg · Oct 2020
Decision making for concomitant high tibial osteotomy (HTO) in cartilage repair patients based on a nationwide cohort study of 4968 patients.
High tibial osteotomy (HTO) for varus deformities is a common concomitant treatment in cartilage surgery. Aim of the present study was to analyze factors influencing the decision towards accompanying HTO in patients with cartilage defects of the medial femoral condyle, such as the amount of varus deformity. ⋯ Based upon data from a nationwide cohort, additional HTO in context with cartilage repair procedures of the medial femoral condyle is frequently performed even in mild varus deformities less than 5°. Other factors also seem to influence decision for HTO.
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Arch Orthop Trauma Surg · Oct 2020
An intuitive and simple technique for accurate insertion point selection and precise Poller (blocking) screw insertion.
Although indirect reduction with intramedullary (IM) nailing is the gold standard for long bone fractures, IM nailing in meta-diaphyseal fractures often results in malalignment. Placement of Poller (blocking) screws is an attractive and useful technique in these situations; however, the selection of accurate placement points and the placement process itself are often complicated. This paper proposes an intuitive, simple, and clear technique for selecting the location of Poller screw placement that can be used in either the anteroposterior or lateral view regardless of the fracture type and discusses techniques for Poller screw placement that enable displacement correction.