Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2016
Comparative StudyOpen wedge high tibial osteotomy (HTO) versus mobile bearing unicondylar medial joint replacement: five years results.
Aim of this study was to compare clinical results after open wedge HTO (OW-HTO and medial unicondylar joint replacement (UKA) in patients aged between 55 and 65. ⋯ The results of this study showed that 5 years after surgery patients after UKA had less residual pain and symptoms than patients after UKA. These advantages might result in a higher quality of life.
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Arch Orthop Trauma Surg · Jul 2016
Two-stage protocol and spacer implantation in the treatment of destructive septic arthritis of the hip joint.
The ideal treatment of the destructive septic arthritis of the hip joint remains controversial. The aim of the present retrospective study was to report on our experience about the use of antibiotic-loaded cement spacers in the treatment of destructive bacterial coxitis. ⋯ Two-stage treatment and spacer implantation is associated with a high rate of infection control but also with a high mortality rate between stages.
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Arch Orthop Trauma Surg · Jul 2016
Retrospective quantitative cartilage and semi-quantitative morphological evaluation at 6 years after ACL reconstruction.
Purpose We analyzed anterior cruciate ligament reconstruction (ACLR) patients in order to evaluate degenerative changes and the effect of meniscal insufficiency at mid-term follow-up. ⋯ ACLR knees exhibit cartilage matrix and morphological degeneration at mid-term follow-up. Lateral meniscal insufficiency noted at ACLR presents a higher risk of developing degenerative changes than does the medial meniscus insufficiency; however, this difference may not be detected clinically.
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Arch Orthop Trauma Surg · Jul 2016
Preliminary results of a new surgical technique in total knee arthroplasty (TKA) using the native ligament tension for femoral implant positioning in varus osteoarthritis.
Individual implant alignment in total knee arthroplasty (TKA) has seen growing interest over the past years. This study therefore aimed to develop a surgical technique for implant alignment based on native ligament tension, and to present the results obtained using this technique. ⋯ Therapeutic study level IV.
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Arch Orthop Trauma Surg · Jul 2016
The incidence of and factors affecting iliosacral screw loosening in pelvic ring injury.
Iliosacral screw fixation has been commonly used for stabilization of the posterior ring in unstable pelvic fractures. However, loosening of the screw may develop with or without redisplacement of the fracture. This study was undertaken to evaluate the incidence of iliosacral screw loosening and to identify its predictive factors. ⋯ Our findings demonstrate that cases with VS injuries are prone to screw loosening, especially when combined with zone II sacral fracture. Accordingly, alternative fixation methods should be considered in such cases.