Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyK-wire position in tension-band wiring technique affects stability of wires and long-term outcome in surgical treatment of olecranon fractures.
Tension-band wiring (TBW) has been accepted as the treatment of choice for displaced olecranon fractures. The aim of this study was to examine the effect of K-wire position on instability of the K-wires in relation to local complications and radiological and clinical long-term outcome. ⋯ Instability of K-wires after TBW is more common after intramedullary placement of the wires resulting in proximal migration of the K-wires and gap appearance. There was a tendency of more osteoarthritis in the group of patients where instability of K-wires was identified. We would recommend the use of transcortical placed wires, as well as to have a low threshold in removing the implants.
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J Shoulder Elbow Surg · Mar 2012
Partial allograft replacement of the radial head in the management of complex fracture-dislocations of the elbow.
There have been reports of total radial head allografts showing variable outcomes. This case series reports the novel use of an allograft for partial radial head replacement in the treatment of elbow fracture-dislocation. ⋯ Partial radial head allograft may be a useful alternative to radial head prosthesis in unstable fracture-dislocations in which the radial head cannot be restored fully.
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyThe docking technique for lateral ulnar collateral ligament reconstruction: surgical technique and clinical outcomes.
Lateral ulnar collateral ligament (LUCL) reconstruction is a commonly used surgical approach for the treatment of posterolateral rotatory instability (PLRI). We hypothesized that favorable clinical results could be obtained using the docking technique. ⋯ LUCL reconstruction using the docking technique facilitates simple graft tensioning and excellent graft fixation. Clinical results are comparable with previously reported studies with a low complication rate.
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyFunctional outcome of hemiarthroplasty compared with reverse total shoulder arthroplasty in the treatment of rotator cuff tear arthropathy.
Hemiarthroplasty was the treatment of choice for rotator cuff tear arthropathy (CTA) before the introduction of the reverse total shoulder arthroplasty (RTSA). The purpose of this study was to compare our outcomes for hemiarthroplasty with those for RTSA. ⋯ RTSA performs better than hemiarthroplasty in terms of pain relief, function, and active elevation at 2-year follow-up.
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyThe influence of proximal ulnar morphology on elbow range of motion.
Physiologic dorsal apex angulation of the proximal ulna is present in 96% of the population. We hypothesize that a correlation exists between the physiologic dorsal ulnar angulation and elbow range of motion (ROM). ⋯ The increasing magnitude of the PUDA is associated with decreased maximal elbow extension and global elbow ROM.