Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2014
Randomized Controlled Trial Comparative StudyTreatment of non-union of humerus diaphyseal fractures: a prospective study comparing interlocking nail and locking compression plate.
The aim of this prospective comparative study was to compare outcomes and complications of humeral diaphyseal fracture non-unions managed with humerus interlocking nail (HIL) and locking compression plate (LCP). ⋯ This study concludes that both the implants can be used in non-union of humeral shaft fractures with good functional outcomes and acceptable rate of complications.
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Arch Orthop Trauma Surg · Jul 2014
Randomized Controlled Trial Comparative StudyACL reconstruction using bone-patella tendon-bone autograft: press-fit technique vs. interference screw fixation.
The gold standard in ACL reconstructions has been the bone-patellar tendon-bone autograft fixed with interference screws. This prospective, randomized clinical trial aimed to compare two methods of fixation for BPTB grafts: press-fit fixation vs. interference screw, over a 12-month follow-up interval. ⋯ The press-fit technique is an efficient procedure. Its outcome was comparable with the interference screw group. Furthermore it has unlimited bone-to-bone healing, no need for removal of hardware, ease for revision and cost effectiveness.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyA prospective comparative study of pin site infection in pediatric supracondylar humeral fractures: daily pin care vs. no pin care.
Pin site infection is a critical issue for patients' safety in skeletal fixation using percutaneous pins or wires. Closed reduction and percutaneous Kirschner wires fixation are the mainstay of treatment in pediatric supracondylar humeral fractures. Little information is available in the literature about the optimal regimen of pin site care in children. ⋯ Daily pin site care was associated with a higher infection rate and greater stress in postoperative care that required more telephone consultations. The study results could not support daily pin site care. Careful observation of pin sites was recommended in the treatment of pediatric supracondylar humeral fractures.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyA comparison of the anteromedial and transtibial drilling technique in ACL reconstruction after a short-term follow-up.
The purpose of this study was to compare clinical and radiological outcomes of patients who underwent single-bundle anterior cruciate ligament (ACL) reconstruction with anteromedial portal (AMP) and transtibial (TT) techniques. ⋯ It was shown that AMP technique was superior to the TT technique in providing anatomical placement of the graft and in recovery time to return sports; however, there was no difference between groups in early periods in terms of the clinical and functional outcomes.
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Arch Orthop Trauma Surg · Jul 2014
Fatty degeneration and atrophy of the rotator cuff muscles after arthroscopic repair: does it improve, halt or deteriorate?
The purpose of this study was to evaluate the changes in fatty degeneration and atrophy of rotator cuff muscles after arthroscopic repair. We further assessed the factors affecting the functional outcomes and integrity of the rotator cuff. ⋯ Initial muscle atrophy and fatty degeneration did not improve even after a successful rotator cuff repair where the tendon anatomic integrity was maintained for at least 2 years. It may continue to deteriorate, and the best possibility was preservation of the preoperative status. On the other hand, in cases of re-rupture, fatty degeneration and atrophy continued to worsen significantly. The factors affecting tendon integrity were found to be the age of the patient, the size of the tear and the severity of preoperative fatty degeneration in the rotator cuff.