Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2013
Practice in rehabilitation after cartilage therapy: an expert survey.
Current cartilage therapy modalities like microfracture, ACT/MACT, AMIC or osteochondral transplantation are important tools to treat symptomatic (osteo)chondral lesions of the knee joint. However, until now there exists no high-level evidence based accepted rehabilitation plan for the postoperative treatment. ⋯ Today there exists no detailed rehabilitation program for treatment after a cartilage-related operation on the basis of an evidence-based level I study. The reason might be that many variables contribute to a specific aftercare procedure. Therefore, the survey of experienced surgeons may help to identify the most promising rehabilitation regime for today, at least until evidence-based level I studies are accomplished.
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Arch Orthop Trauma Surg · Feb 2013
Calcium homeostasis influences radiological fracture healing in postmenopausal women.
Recent studies suggest that calcium and 25-[OH]-cholecalciferol represent substantial co-factors in fracture healing. However, there still seems to be no sustainable consensus regarding the influence on fracture healing patterns. In this study, the influence of calcium and vitamin D levels on fracture callus formation was prospectively analysed using pQCT scan. ⋯ Calcium and parathyroid hormone serum levels influence fracture callus area interpreted as fracture callus formation patterns. Calcium levels within physiological range accounted for highest fracture callus area. Therefore, a balanced calcium homeostasis is required for appropriate callus formation.
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Arch Orthop Trauma Surg · Feb 2013
Intraoperative soft tissue tension and postoperative range of motion in posterior stabilized total knee arthroplasty.
Intraoperative soft tissue tension can significantly impact the range of motion following total knee arthroplasty (TKA). However, the level of impact remains unclear. The purpose of this study was to investigate the relationship between intraoperative soft tissue tension and postoperative range of motion. ⋯ We did not observe a correlation between intraoperative soft tissue tension adjusted from 80 to 160 N and 1-year postoperative range of motion in posterior stabilized TKA.
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Arch Orthop Trauma Surg · Feb 2013
Significance of segmental instability in cervical ossification of the posterior longitudinal ligament and treated by a posterior hybrid technique.
Retrospective cohort case study. ⋯ Segmental instability, a degenerative dynamic factor, is important to the OPLL myelopathy. The posterior hybrid technique seemed to be effective and safe in the treatment of selective OPLL patients associated with SI. The benefits may include providing stabilization environment for spinal cord recovery, and preventing progressive kyphotic change and progression of OPLL.
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Arch Orthop Trauma Surg · Feb 2013
Open arthrolysis and hinged external fixation for posttraumatic ankylosed elbows.
An ankylosed elbow is defined as an elbow having a range of motion of 0°. Movement is extremely limited. This study retrospectively analyzes the results of arthrolysis and hinged external fixation performed on 15 patients suffering from ankylosed elbows. ⋯ Open arthrolysis and monolateral hinged external fixation are effective in treating posttraumatic ankylosed elbow. Arthrolysis should be performed by a combination of lateral and medial approaches. In addition, routine hinged external fixation and anterior transposition of the ulnar nerve may improve the postoperative recovery of elbow stiffness.