Orthop Traumatol Sur
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Orthop Traumatol Sur · May 2012
Comparative StudySimplified open repair for anterior chest wall deformities. Analysis of results in 205 patients.
Pectus deformities are the most frequently seen congenital thoracic wall anomalies. The cause of these conditions is thought to be abnormal elongation of the rib cartilages. We here report our clinical experience and the results of a sternochondroplasty procedure based on the subperichondrial resection of the elongated cartilages. ⋯ Our sternochondroplasty technique based on the subperichondrial resection of the elongated cartilages allows satisfactory repair of both pectus excavatum and sternal prominence. It is a safe procedure that might improve the effectiveness of surgical therapy in patients with pectus deformities.
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Orthop Traumatol Sur · May 2012
Randomized Controlled Trial Comparative StudyJoint perception after hip or knee replacement surgery.
Knee and hip arthroplasties are recognized as being effective. However, subjects with a prosthetic joint rarely report returned sensation comparable to their native joint. ⋯ No difference was found after more conservative surgeries such as HR or UKA compared to traditional arthroplasty procedures (THA or TKA). Demonstrating inferior results in comparison to the hip, knee arthroplasties deserve particular attention and can still be improved. The assessment of joint perception used in this study can be considered a valuable clinical tool that is strongly correlated to validated, but more complex to apply, clinical scores.
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Orthop Traumatol Sur · May 2012
Research in orthopaedics from China has thrived over the last decade: a bibliometric analysis of publication activity.
Over the past decades, there have been great advances in orthopaedics in China. The purpose of this study was to investigate the orthopaedic research output in the three Chinese-speaking regions - the Mainland (ML), Hong Kong (HK), and Taiwan (TW). ⋯ Chinese researchers in the field of orthopaedics have been more and more active in the global orthopaedic community during the past 10 years. ML seems to have caught up to HK and TW in respect to research output.
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Orthop Traumatol Sur · May 2012
Comparative StudyProximal femoral nail antirotation (PFN-ATM) fixation of extra-capsular proximal femoral fractures in the elderly: retrospective study in 102 patients.
The best surgical strategy for extra-capsular proximal femoral fractures (PFFs) is controversial in the elderly. Poor bone quality and neck screw instability can adversely affect the results with currently available fixation devices, which predominantly consist in dynamic hip screw-plates and proximal reconstruction nails. ⋯ The new PFN-A™ device ensures reliable fixation with low mechanical complication rates. Although our data do not constitute proof that a helical blade is superior over a neck screw, they suggest a decreased rate of construct failure and may serve as a basis for a comparative study.
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Orthop Traumatol Sur · May 2012
Multicenter Study Comparative StudyDual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation.
Displaced fractures of the femoral neck in the elderly are best treated with arthroplasty. The type of arthroplasty to be used, either hemi- or total hip arthroplasty, remains controversial as total hip replacements potentially have a higher rate of dislocation. ⋯ This low rate of dislocation after acute total hip replacement using dual mobility design cups favorably compares with hemiarthroplasties. Dual mobility cups might therefore be considered a valuable option to prevent postoperative dislocation when treating displaced intracapsular fractures of the proximal femur in elderly patients if a total hip replacement is recommended. Further study is needed before extending the indications for total hip arthroplasty following a fracture of the femoral neck, to assess the potential cost and complications of a longer procedure with its potential acetabular complication, and weigh them against the potential benefits.