Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2015
Minimal invasive posterior total hip arthroplasty: are 6 weeks of hip precautions really necessary?
Postoperative hip dislocations have been reported in 0.5 to 10.6 % of patients after primary posterolateral total hip arthroplasty (THA). Hip precautions are currently recommended for 6 weeks postoperatively to reduce early dislocation and facilitate healing of the posterior soft tissue repair. ⋯ Shortening the time of posterolateral hip precautions from 6 to 4 weeks after surgery does not increase the risk of postoperative dislocation.
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Arch Orthop Trauma Surg · Feb 2015
Incompliance of total hip arthroplasty (THA) patients to limited weight bearing.
Limited weight bearing of the lower extremity is a commonly applied procedure in orthopedic rehabilitation following trauma surgery and joint replacement. The compliance of patients with limited weight bearing after cementless total hip arthroplasty has not yet been surveyed using sensor-loaded insoles. The objective of this study was to investigate foot loadings in patients after THA under the assumption of limited weight bearing. ⋯ Patients following cementless do not comply with limited weight bearing when they are trained by the use of a bathroom scale.
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Arch Orthop Trauma Surg · Jan 2015
Review Meta AnalysisBenefit of intraoperative navigation on glenoid component positioning during total shoulder arthroplasty.
The objective of this study was to review and synthesize the current best evidence for the use of intraoperative navigation in the implantation of glenoid components in total shoulder prostheses. ⋯ Level II-meta-analysis of non-homogenous controlled trials.
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Arch Orthop Trauma Surg · Jan 2015
Randomized Controlled Trial Comparative StudyCorticosteroid injection for trigger finger: blinded or ultrasound-guided injection?
Trigger digit is one of the most common causes of pain and disability in the hand. The mainstay of conservative treatment of this disease has been local steroid injection into the tendon sheath. The aim of this study was to investigate the clinical benefit of an ultrasound-guided corticosteroid injection compared to a blinded application. ⋯ Level 1(prospective randomised study).
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Arch Orthop Trauma Surg · Jan 2015
Comparative StudyHigh-flexion posterior-substituting versus cruciate-retaining prosthesis in total knee arthroplasty: functional outcome, range of motion and complication comparison.
Currently, a high-flexion cruciate-retaining knee prosthesis has been designed to allow greater advantage after total knee arthroplasty (TKA). The present study was conducted to compare functional outcome, range of motion (ROM) as well as complications in subjects who underwent either a high-flexion cruciate-retaining (HFCR, Group I) or a high-flexion posterior-substituting (HFPS, Group II) prosthesis TKA. ⋯ Our study demonstrated no advantage of the high-flexion cruciate- retaining TKA over high-flexion posterior-substituting TKA with regard to functional outcome, range of motion as well as complications at short-term follow-up. However, longer follow-up is necessary to confirm whether these results are sustained.