Orthop Traumatol Sur
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Orthop Traumatol Sur · Feb 2019
Cementless distal fixation modular stem without reconstruction of femoral calcar for unstable intertrochanteric fracture in patients aged 75 years or more.
Hemiarthroplasty (HA) using standard-length femoral stem with reconstruction of femoral calcar or using calcar replacing prosthesis for unstable intertrochanteric fractures in elderly patients is a viable option. However, both of the techniques increase the complexity of procedure, operative trauma and complication. This study evaluated the clinico-radiological results of the MP-Link cementless distal fixation modular prosthesis without reconstruction of femoral calcar for unstable intertrochanteric fracture in patients aged 75 years or more. ⋯ IV, Retrospective study.
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Orthop Traumatol Sur · Feb 2019
Use of intramedullary nailing in poor sanitary conditions: French Military Medical Service experience.
Intramedullary (IM) nailing is the gold standard for treating long bone fractures in developed countries because of its minimally-invasive application and good biomechanical properties. In precarious conditions, external fixation or open plate fixation are often performed because surgeons do not have the means to carry out IM nailing. However, these procedures can lead to infection-related complications and mechanical failures. The aim of our study was to describe the outcomes and postoperative complications of IM nailing of closed, long bone fractures in patients operated in a French front-line combat surgical unit (role 2+). Our hypothesis was that IM nailing is a reliable technique with low morbidity for the initial treatment of long bone fractures, even in precarious situations. ⋯ II, low-powered prospective study.
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Orthop Traumatol Sur · Feb 2019
Predictive factors for satisfaction after contemporary unicompartmental knee arthroplasty and high tibial osteotomy in isolated medial femorotibial osteoarthritis.
Both high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) are viable treatment options for early osteoarthritis (OA). Although a substantial proportion of the patient selection criteria for HTO and UKA are now shared, the factors related to satisfaction following each procedure remain unclear. ⋯ Retrospective cohort study, Level III.
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Orthop Traumatol Sur · Feb 2019
Mechanical advantage of preserving the hamstring tibial insertion for anterior cruciate ligament reconstruction - A cadaver study.
The best fixation method for an anterior cruciate ligament (ACL) graft is debated. The tibial fixation of tendon grafts is the principal weak point for mechanical and anatomical reasons. Preserving the tibial insertion for hamstring grafts during ACL reconstruction make provide a mechanical benefit. The aim of this study was to compare the strength at the tibial tunnel of a hamstring graft with intact tibial insertion without a screw, to that of a graft with intact tibial insertion and screw fixation, and to that of a free graft with screw fixation. We hypothesized that preserving the graft's tibial insertion increases the maximum resistance of the tibial fixation relative to a free graft. ⋯ III, controlled laboratory study.