Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1991
Randomized Controlled Trial Clinical TrialHematomas and subcutaneous suture techniques in total hip replacement. An ultrasound study.
Thirty-five patients undergoing total hip replacement due to primary arthrosis were randomized into two groups. In one group each subcutaneous suture included a stitch in the fascia; in the other group the fascia was not included in the suture. Ultrasonography examination showed no significant difference in the number of subcutaneous hematomas in each group. ⋯ Three patients had a clinical diagnosis of hematoma and in only one of these did ultrasonography support the diagnosis. It appears that the clinical diagnosis of hematomas, even subcutaneous hematomas, is unreliable. Careful hemostasis is recommended.
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Arch Orthop Trauma Surg · Jan 1991
Case ReportsSports-related two-plane fractures of the distal tibia. Report of two cases.
Two cases of sports-related two-plane fractures of the distal tibia, their operative treatment and the result of therapy after hardware removal are reported. The incidence and mechanism of this type of fracture in adolescents are shown as well as the indication for surgical reconstruction depending on the gap in the joint surface of the distal tibia.
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An isolated fracture of the first rib is rare. Stress fractures of the first rib have previously been reported in various sports and the mechanism of fractures of the first rib has been well documented. ⋯ No reported case of stress fracture of the first rib in a weightlifter has hitherto been available. This paper describes such a case for the first time.
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Arch Orthop Trauma Surg · Jan 1991
Comparative StudyAseptic loosening of straight- and curved-stem Müller femoral prostheses.
Out of 1099 Müller total hip prostheses with straight and curved stems consecutively implanted between 1980 and 1984, those performed in as homogeneous a group as possible of patients under the age of 70 years were selected for the present retrospective study. There were 158 straight femoral stems with cementless RM acetabular cups, 105 straight stems with cemented Müller acetabular cups, and 158 curved stems with cemented Müller acetabular cups, and their results over a mean follow-up period of 5.8 +/- 1.24 years were compared. ⋯ Survival curves show a worse result for straight stems after 6 years; within a follow-up period of 6-8 years there was significantly more radiological loosening in straight stems than in curved. Loosening in straight stems is assumed to develop mainly as a physiological reaction to the presence of bone cement particles.
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Arch Orthop Trauma Surg · Jan 1991
Further experiences of Küntscher's nailing for tibial shaft fractures.
We present the experience of managing 429 fractures of the tibia fixed with straight Küntscher rods. The overall impression is quite encouraging because this method involves a short and easy operation with limited exposure and provides sound fixation. Complications have been negligible.