Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2015
Plate fixation of extra-articular fractures of the proximal phalanx: do new implants cause less problems?
Limited range of finger motion is a frequent complication after plate fixation of phalangeal fractures. The purpose of this study was to evaluate the results of plate fixation of extra-articular fractures of the proximal phalanx using current low-profile mini-fragment-systems. ⋯ Therapeutic, Retrospective, Level IV.
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Arch Orthop Trauma Surg · Mar 2015
Case ReportsRecommendations for fracture management in patients with osteopetrosis: case report.
Osteopetrosis is caused by general increase in bone density and obliteration of the medullary canal. Fractures are a frequent complication and their management is considered a challenge due to increased resistance to reaming and screw positioning; reduction maneuvers have to be done more carefully to avoid intraoperative fractures, and there is an increased risk of drill breakage. There is also a higher risk of infection and malunion, which increases the incidence of surgical revisions in this population. ⋯ Fracture fixation in patients with osteopetrosis requires strategies to overcome the technical difficulties found during the procedure. Preoperative planning must include the availability of multiple metal drill bits, electric drills, and bone substitutes, having in mind drilling techniques, drilling speed, and temperature control. Patients should be closely followed to evidence any complications such as infections and malunions.
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Arch Orthop Trauma Surg · Mar 2015
Does rotational acetabular osteotomy affect subsequent total hip arthroplasty?
Rotational acetabular osteotomy (RAO) has been used successfully in patients with developmental dysplasia of the hip (DDH). However, some patients are forced to undergo total hip arthroplasty (THA) because of the progression of osteoarthritis. We evaluated the effect of previous RAO on the outcome of THA performed for degenerative arthritis secondary to DDH, comparing outcomes for patients with THA and prior RAO versus outcomes for patients with THA and no prior RAO. ⋯ Our midterm results demonstrated that RAO does not lead to higher revision rates, compromised HHSs, or shortened survivorship in eventual THA for DDH.
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Arch Orthop Trauma Surg · Mar 2015
The effect of flexion balance on functional outcomes in cruciate-retaining total knee arthroplasty.
We investigated the relations between flexion balances and functional outcomes after total knee arthroplasty (TKA). ⋯ These results suggest that total knees with good balanced flexion stability can provide good functional outcomes after TKA.
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Arch Orthop Trauma Surg · Mar 2015
Anatomic single-bundle anterior cruciate ligament reconstruction using the outside-in femoral tunnel drilling technique: a prospective study and short- to mid-term results.
Anatomic positioning of the femoral and tibial tunnels in the native ACL femoral and tibial footprints requires an independent drilling either via an accessory medial portal (trans-portal drilling) or using an outside-in drilling technique. Conventional trans-tibial drilling (dependant drilling) was found to lack the ability to accurately position the femoral tunnel in the native ACL footprint. The purpose of the current study was to evaluate the functional outcome results of anatomic single-bundle ACLR using the OI femoral tunnel drilling technique. ⋯ Level IV.