Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2011
The use of gentamicin-coated nails in the tibia: preliminary results of a prospective study.
The use of antibiotic-coated implants may reduce the rate of infection and facilitate fracture healing after surgical treatment of tibial shaft fractures. A new biodegradable gentamicin-loaded coating of an implant (UTN PROtect) was CE-certified in August 2005. In this prospective, non-randomized case series, we investigated the clinical, laboratory and radiological outcomes of 21 patients who underwent surgical treatment in closed or open tibial fractures, as well as revisions with the UTN PROtect gentamicin-coated intramedullary nail. ⋯ Level II.
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Arch Orthop Trauma Surg · Oct 2011
Anterior corpectomy and reconstruction with titanium mesh cage and dynamic cervical plate for cervical spondylotic myelopathy in elderly osteoporosis patients.
This retrospective study was to evaluate the relationship between osteoporosis and dynamic cervical plates in screw-plate or screw-bone interface of elderly cervical spondylotic myelopathy (CSM) patients. ⋯ Despite the fact that there is a significant difference of the cage subsidence rate between the two groups no clinical outcome, nor sagittal alignment or fusion rate differences among groups was observed in elderly CSM patients.
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Arch Orthop Trauma Surg · Sep 2011
Instrumented transforaminal lumbar interbody fusion with single cage for the treatment of degenerative lumbar disease.
There are several practical problems encountered in the TLIF procedure with implantation of two titanium cages, such as difficulty in achieving symmetric positioning with two cages, loosening of the first cage following insertion of the second cage and higher direct costs to the patient. ⋯ Instrumented TLIF with single cage is a safe and effective method for the treatment of degenerative lumbar diseases.
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Arch Orthop Trauma Surg · Sep 2011
Case ReportsOsteosynthesis of traumatic manubriosternal dislocations and sternal fractures with a 3.5/4.0 mm fixed-angle plate (LCP).
We present a case series of three patients with manubriosternal dislocation and/or sternal fractures. ⋯ Our positive experiences with the operative treatment using 3.5/4.0 mm fixed-angle plate (LCP) may help to establish the operative procedure of first choice in this group of patients.
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Arch Orthop Trauma Surg · Sep 2011
Case ReportsDorsal screw penetration following implant removal after volar locked plating of distal radius fracture.
Complications while removing implants are quite common. In rare cases screw shanks must be left in situ. ⋯ After implant removal, one of the screw shanks left in situ penetrated the dorsal cortex of the distal radius into the third extensor tendon compartment and led to irritation of the extensor pollicis longus tendon. We report the unexpected complication and analysis of possible errors of this case to avoid this kind of complication.