Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2012
Clinical TrialDisplaced femoral neck fractures in the young: significance of posterior comminution and raised intracapsular pressure.
Osteosynthesis in fracture neck of femur (NOF) in young is a universally acceptable procedure. Various factors affect the outcome; with AVN (avascular necrosis) and non-union primarily contributing to adverse results in such patients. To identify factors affecting outcome of displaced fracture NOF, a prospective cohort study was carried out in the setting of a tertiary care centre in developing country. ⋯ Prognosis of displaced fracture NOF is significantly associated significant with posterior comminution and intracapsular pressure difference between fractured and normal side.
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Arch Orthop Trauma Surg · Jan 2012
Comparative StudyA novel computer-assisted drill guide template for thoracic pedicle screw placement: a cadaveric study.
The objective of this study was to develop a novel, patient-specific, navigational template for thoracic pedicle screw placement. ⋯ We have developed a novel, patient-specific, navigational template for thoracic pedicle screw placement with good applicability and high accuracy.
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Arch Orthop Trauma Surg · Jan 2012
Clinical TrialCombined tears of the subscapularis and supraspinatus tendon: clinical outcome, rotator cuff strength and structural integrity following open repair.
Anterosuperior rotator cuff tears involving the subscapularis and supraspinatus tendons are less common than other tears of the rotator cuff. The purpose of this study was to report the clinical outcome, rotator cuff strength and structural integrity of open repair of combined anterosuperior rotator cuff tears. ⋯ Open repair of combined anterosuperior rotator cuff tears achieved good postoperative results despite a residual rotator cuff strength deficit. Combined supraspinatus-/full-thickness subscapularis tears achieved equal clinical and radiographic results compared with supraspinatus-/partial-thickness subscapularis tears.
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Arch Orthop Trauma Surg · Jan 2012
Randomized Controlled TrialWhich is more effective in adolescent idiopathic scoliosis surgery: batroxobin, tranexamic acid or a combination?
Adolescent idiopathic scoliosis surgery is often associated with significant blood loss and blood transfusion. In this clinical trial, the authors investigated the efficacy of reducing blood loss and allogeneic blood transfusion by using batroxobin, tranexamic acid (TXA) and the combination of the two agents. ⋯ In our study, batroxobin and TXA can markedly reduce the blood loss and the transfusion requirements equivalently. However, TXA performs better in minimizing FFP and the overall drainage than batroxobin. The combination seems to achieve best results and was more effective than either of the two drugs alone. No apparent adverse events were detected in these groups.
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Arch Orthop Trauma Surg · Jan 2012
Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation.
Fast-track surgery is the combination of optimized clinical and organizational factors aiming at reducing convalescence and perioperative morbidity including the functional recovery resulting in reduced hospitalization. As the previous nationwide studies have demonstrated substantial variations in length of stay (LOS) following standardized operations such as total hip and knee arthroplasty (THA and TKA), this nationwide study was undertaken to evaluate the implementation process of fast-track THA and TKA in Denmark. ⋯ Fast-track surgery has been successfully implemented in the orthopedic departments in Denmark through a multi-disciplinary educational and multi-institutional effort. These implementation principles may be transferred to other countries and other specialties.