Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2015
The application of atlantoaxial screw and rod fixation in revision operations for postoperative re-dislocation in children.
We evaluate the feasibility, safety, and efficacy of atlantoaxial screw and rod fixation for revision operations in the treatment of re-dislocation after atlantoaxial operations in children. ⋯ If a revision operation is required, atlantoaxial screw-rod fixation is a safe and effective method. Because the anatomical structure is complicated in revision operation patients, CAD-RP technology could guide the the procedures of exposure and screw placement.
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Arch Orthop Trauma Surg · Mar 2015
A special instrument to accurately and safely remove the femoral head.
Intracapsular hip fractures occur frequently, and most of them need operation. But current femoral head removal instruments used in the operation have many disadvantages. We optimized them. ⋯ The optimized instrument decreased the risk and saved the time of operation.
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Arch Orthop Trauma Surg · Mar 2015
Restoration of the anatomic position during a meniscal allograft transplantation using pre-existing landmarks.
Accurate sizing and positioning of a meniscal allograft is an important factor for successful outcomes of meniscal allograft transplantation. The objectives of this study were (1) to search a proper rotational landmark, (2) to determine the sagittal slope of meniscus, and, thus (3) to determine the meniscal positioning. ⋯ Line between patellar tendon and tibial spine was a good reference line for a meniscal rotation in the medial meniscus. Among previously introduced reference lines, LMLD showed approximity with a true meniscal rotation. The slope between tibial insertion and mid-portion was significantly different in the lateral meniscus.
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Open ankle fractures present a significant clinical challenge. The management and outcome of these injuries has been extensively reported, but there have been no reports of the epidemiology and how this has changed over time. We report 178 adult patients with open ankle fractures presenting to our unit over a twenty-three year period. ⋯ The overall incidence remained constant over the two decades. In common with many traumatic injuries, open ankle fractures are increasingly low-energy insufficiency fractures affecting elderly patients, particularly older women. This has implications for service planning and training as well as the surgical intervention in these patients.
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Arch Orthop Trauma Surg · Mar 2015
Case ReportsBilateral nonunion of the sacrum in a long-term paraplegic patient treated with trans-sacral bar and spinopelvic fixation.
The incidence of fragility fractures of the pelvis is sharply increasing in accordance with growing life expectancy in developed countries. Numerous conditions may compromise bone density and quality, and paraplegia due to spinal cord injury is one of them. ⋯ The patient was treated with trans-sacral bar and spinopelvic fixation. Rapid relief from pain and functional recovery was achieved with complete bone healing 1 year after the operation.