Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2013
Incidental dural tear in lumbar spinal decompression and discectomy: analysis of a nationwide database.
An incidental dural tear (DT) is one of the most common intraoperative complications in lumbar spine surgery. The purpose of this study was to report the incidence of DT in lumbar spinal decompression (LSD) and lumbar discectomy (LD), risk factors, and patient outcomes on a national level. ⋯ The incidence of DT was higher in LSD (6.3 %) than in LD (1.9 %), based on a national database. The effect of DT on in-hospital morbidity and mortality and health care burdens was more significant in LSD than in LD.
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Arch Orthop Trauma Surg · Nov 2013
Weak link of tendon-bone healing and a control experiment to promote healing.
This study aims to observe the mechanical weak point and histological features of tendon-bone interface after anterior cruciate ligament reconstructive surgery and to explore the tendon-bone healing effects of the platelet-rich gel (PRG) + deproteinized bone (DPB) compound. ⋯ The mechanical weak point of the early tendon-bone interface was in the immature fibrous tissue. The PRG + DPB compound can effectively trigger tendon-bone healing by promoting the maturation and ossification of the tendon-bone tissue. This compound improved the tensile strength of the healing interface and reduced bone tunnel enlargement.
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Arch Orthop Trauma Surg · Oct 2013
Comparative Study Clinical TrialDoes laminoplasty really improve neurological status in patients with cervical spinal cord injury without bone and disc injury? A prospective study about neurological recovery and early complications.
Cervical spinal cord injury without bone and disc injury in patients with spinal cord compression is a fairly common problem in Japan. Because elderly Japanese population tend to have cervical spinal canal stenosis. However, there has been no consensus in the treatment of these patients. We conducted a prospective study to evaluate treatment outcomes and complications of these patients. ⋯ In the present study, we found no significant difference in paralysis improvement between surgical and conservative treatment, although we observed a higher frequency of complications with surgery.
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Arch Orthop Trauma Surg · Oct 2013
Comparative Study Clinical TrialArthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations in a coracoclavicular Double-TightRope technique: V-shaped versus parallel drill hole orientation.
The arthroscopically assisted Double-TightRope technique has recently been reported to yield good to excellent clinical results in the treatment of acute, high-grade acromioclavicular dislocation. However, the orientation of the transclavicular-transcoracoidal drill holes remains a matter of debate. ⋯ The Double-TightRope technique yields good to excellent clinical results in both V-shaped and parallel drill hole placement. Partial recurrent vertical and horizontal instability represents a problem in both techniques. So far, no significant differences regarding clinical or radiologic results have been found. Long-term results are needed to reveal possible advantages in terms of clinical and radiologic acromioclavicular stability.
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Arch Orthop Trauma Surg · Oct 2013
Surgical treatment of thoracic spinal tuberculosis with adjacent segments lesion via one-stage transpedicular debridement, posterior instrumentation and combined interbody and posterior fusion, a clinical study.
To investigate the clinical efficacy and feasibility of one-stage surgical treatment for thoracic spinal tuberculosis with adjacent segments lesion by internal fixation, transpedicular debridement, and combined interbody and posterior fusion via a posterior-only approach. ⋯ One-stage transpedicular debridement, posterior instrumentation and combined interbody and posterior fusion via a posterior-only approach can be an effective and feasible treatment method for thoracic spinal tuberculosis.