Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2012
Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged.
To evaluate the clinical study efficacy and feasibility of 17 aged patients with lumbo-sacral tuberculosis treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation. ⋯ One-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation can be an effective treatment method for the treatment of lumbo-sacral tuberculosis in the aged patients.
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Arch Orthop Trauma Surg · Dec 2012
Macroreplantations of the upper extremity: a series of 11 patients.
Micro- or macroreplantation is classified depending on the level of amputation, distal or proximal to the wrist. This study was performed to review our experience in macroreplantation of the upper extremity with special attention to technical considerations and outcomes. ⋯ Level IV.
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Arch Orthop Trauma Surg · Dec 2012
Predicting proximal femur rotation by morphological analyses using translucent 3-dimensional computed tomography.
Predicting rotation of proximal femur in femur fracture surgeries is important to prevent malrotation. ⋯ We suggested practical values which might be useful as a reference in the operating room practically and hope that our findings would be helpful to prevent malrotation while performing proximal femur or femur shaft surgeries.
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Arch Orthop Trauma Surg · Dec 2012
Evaluation of long-term outcomes of pasteurized autografts in limb salvage surgeries for bone and soft tissue sarcomas.
Pasteurized autografts used in limb salvage operations for malignant musculoskeletal tumors have several advantages, including reduced disease transmission, economic efficiency, accessibility, and anatomical conformation. However, their use has been associated with bone absorption, fracture, and pseudarthrosis. Few studies exist which have assessed the long-term outcomes of pasteurized autografts. The purpose of this study was to investigate the clinical outcomes of patients treated with pasteurized autografts and to compare these outcomes across various graft types. ⋯ Our findings show that pasteurized bone grafts in combination with vascularized fibular grafts have improved outcomes and potential clinical indications.
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Arch Orthop Trauma Surg · Dec 2012
Delayed detection of clinically significant posterior cruciate ligament injury after peri-articular fracture around the knee of 448 patients.
The purpose of this study was to report the frequency with which posterior cruciate ligament (PCL) injuries occurred in combination with peri-articular fractures around the knee, and to determine the frequency with which the detection of these PCL injuries was delayed (i.e., detected in an outpatient clinic after fracture treatment). ⋯ The delayed detection frequency was high for PCL injury after peri-articular fracture around the knee.