Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2020
The functional outcome of arthroscopic rotator cuff repair with double-row knotless vs knot-tying anchors.
To date two main techniques are used in arthroscopic full-thickness rotator cuff tears, the conventional knot-tying suture bridge technique and the knotless technique. We evaluated whether there is a difference in clinical outcome using both techniques. Our patients underwent arthroscopic treatment of full-thickness rotator cuff tears, and we retrospectively evaluated clinical function, strength and surgery time. ⋯ Similarly, there was no statistical difference between the groups in regard to strength, surgery time, and range of motion at the twelve months follow-up. Our data confirm that both techniques may be used successfully to repair full-thickness rotator cuff tears with very good functional outcome. Level of evidence IV.
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Arch Orthop Trauma Surg · Aug 2020
What are the differences in outcomes between simple and complicated FSF managed by early IMN?
To compare the outcomes of simple versus complicated femoral shaft fracture (FSF) treated by early intramedullary nail. ⋯ Complicated femoral fractures are associated with higher morbidity, especially in less severely injured polytrauma, which eventually results in longer hospital stay. Patients with moderate ISS and complicated fracture may have an increased risk of ARDS.
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Arch Orthop Trauma Surg · Aug 2020
Underestimation and undertreatment of osteoporosis in patients awaiting primary total knee arthroplasty.
Osteoporosis is generally regarded as a risk factor for periprosthetic fracture during or after primary total knee arthroplasty (TKA). Despite this, little is known about osteoporosis in patients undergoing elective primary TKA Therefore, we sought to investigate the prevalence of osteoporosis and rates of pharmacologic osteoporosis treatment prior to primary TKA. We hypothesized that preoperative osteoporosis is underestimated and undertreated in the primary TKA population. ⋯ Osteoporosis was highly prevalent in patients awaiting TKA, but the rates of diagnosis and pharmacologic osteoporosis treatment were low. Therefore, more attention needs to estimate and treat osteoporosis in patients awaiting primary TKA, especially in female patients.