Orthop Traumatol Sur
-
Orthop Traumatol Sur · Jun 2015
ReviewCervical spine surgery in ankylosing spondylitis: Review and current concept.
Ankylosing spondylitis of the cervical spine is associated with stiff kyphosis and increased risk of transversal unstable fracture. A spine surgeon may be involved mainly in the management of trauma cases, but in some situations, corrective surgery of a kyphotic cervical deformity is needed. ⋯ This paper is a review of the literature regarding cervical surgery in cases of ankylosing spondylitis. It addresses practical technical questions.
-
Orthop Traumatol Sur · Jun 2015
Prone and direct posterior approach for management of posterior column tibial plateau fractures.
The three-column fixation concept is becoming popular in orthopedic practice. Posterior column fracture is an uncommon type of tibial plateau fracture. The supine position for the surgical approach is familiar to most surgeons; however, it is difficult to achieve good reduction and fixation in posterior column fracture. ⋯ The prone position and direct posterior approach has great advantages in terms of reduction and stable fixation, yielding good results.
-
Irreparable massive rotator cuff tears are challenging to treat. Our objective here was to evaluate the efficacy of a specifically designed rehabilitation programme. ⋯ III.
-
Orthop Traumatol Sur · Jun 2015
Randomized Controlled TrialIs there any advantage in placing an additional calcar screw in locked nailing of proximal humeral fractures?
The objective of this study was to evaluate the biomechanical effect of an additional unlocked calcar screw compared to a standard setting with three proximal humeral head screws alone for fixation of an unstable 2-part fracture of the surgical neck. ⋯ The use of an additional unlocked calcar screw does not provide mechanical benefit in locked nailing of an unstable 2-part fracture of the surgical neck.
-
Orthop Traumatol Sur · Jun 2015
Ultrasound-guided diagnosis of fractures of the distal forearm in children.
Distal radius and forearm fractures are injuries that are frequently seen in trauma surgery outpatient clinics. Usually, the wrist is X-rayed in 2 planes as standard diagnostic procedure. In contrast, we evaluate in our study the accuracy of ultrasonography (US) in diagnosing these fractures. ⋯ Ultrasound imaging is suitable to demonstrate fractures of the distal forearm. It is a highly sensitive procedure in detecting distal forearm fractures. In our opinion, a negative result in ultrasound may reduce the need for further radiographs in children with distal forearm lesions. But in any doubtful situation the need for conventional radiographs remains.