Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2014
Case ReportsA detached arthroscopic lens within the shoulder joint: a case report.
Shoulder arthroscopy has become a common procedure in today's orthopedic practice. The safety of this procedure has been well established, but there are some complications associated with every surgical procedure both minor and major. In the present era, with advanced arthroscopic instruments, it is rare to encounter the problem of instrument breakage during arthroscopic surgery. ⋯ We performed shoulder arthroscopy again and removed the detached lens arthroscopically. This case warrants the need for the surgeon and the operating room staff to be well acquainted with the arthroscopic instruments and to check the instruments properly before and after the completion of the procedure. If the operating room staff would have identified the damage to the scope, encountered during the primary operation, we could have avoided the second procedure to remove the lens.
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Arch Orthop Trauma Surg · Aug 2014
Multicenter Study Comparative StudyGrip force monitoring on the hand: Manugraphy system versus Jamar dynamometer.
For clinical grip force assessment, the Jamar dynamometer is a wide accepted tool. Users have to be aware that this method does not represent all grip efforts applied. The Manugraphy system is a tool that measure total grip force as well as identify load distribution patterns of the hand while gripping cylinders wrapped with calibrated capacitive matrix sensor mats. The aim of this study was to validate an assessment setting of the Manugraphy system for clinical use. Further, the relationship and difference between the Manugraphy system and the Jamar dynamometer were investigated. ⋯ The force values, obtained using the two systems, have a high correlation but are not directly comparable. Both systems allow valid and constant grip force measurement. As the sensor mat detects all forces applied perpendicularly to the cylinder surface, it characterizes grip force better than the Jamar dynamometer. In addition, information about load distribution of the hand is gained.
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Arch Orthop Trauma Surg · Aug 2014
Comparative StudyResults of operative treatment for recalcitrant retrocalcaneal bursitis and midportion Achilles tendinopathy in athletes.
The results of operative treatment for recalcitrant midportion Achilles tendinopathy and recalcitrant retrocalcaneal bursitis were evaluated using the patient administered, disease specific, and validated VISA-A-G questionnaire. ⋯ Retrocalcaneal bursitis and midportion Achilles tendinopathy responded equally well to operative treatment. When repaired, additional tendon lesions did not influence this result. We demand to differentiate not only between midportion Achilles tendinopathy and retrocalcaneal bursitis but also to identify additional Achilles tendon lesions to specifically address these lesions during operative procedures.
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Arch Orthop Trauma Surg · Aug 2014
Comparative StudyResults of surgical treatment of cervical spondylotic myelopathy in patients aged 75 years or more: a comparative study of operative methods.
The number of surgical procedures in elderly patients has been increasing as the population has grown older; recently, spine surgeons have been more likely to encounter elderly patients with cervical myelopathy in need of surgical treatment. There are many reports about surgical treatment of elderly patients with cervical spondylotic myelopathy (CSM); however, there are no studies about the proper selection of surgical methods and comparison of their results in CSM patients aged ≥ 75 years. The objective of this study was to review the results of operative methods in CSM patients aged ≥ 75 years. ⋯ Selective laminoplasty is less invasive and the surgical results in our study were almost good. It also has good short-term results. However, the indication for surgery has to be selected carefully in elderly CSM patients.
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Arch Orthop Trauma Surg · Aug 2014
Temporary hemiepiphysiodesis of the distal medial femur: MPFL in danger.
Temporary hemiepiphysiodesis (TH) with plate fixation is a well-accepted and common treatment for correcting leg malalignment in skeletally immature patients. The purpose of this study was to investigate any soft tissue damage caused during TH at the distal medial femur with a plate and two screws. We hypothesized that correct plate placement can affect the integrity of the medial stabilizing structures of the knee, especially the medial patellofemoral ligament (MPFL), the medial collateral ligament (MCL) or result in arthrotomy of the knee joint itself. ⋯ Standard plate placement during TH on the distal medial femur frequently leads to damage to the MPFL, impingement of the MPFL, the capsular and synovial tissues or exposure of the knee joint.