Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2019
Shoulder arthrodesis using a vascularized scapular pillar graft: Cadaver study and surgical technique.
Whether secondary to trauma, infection or tumor invasion, a complex reconstruction procedure is required after proximal humerus resection. Among the reconstruction options, there are few published reports of a vascularized scapular pillar graft being used. The goal of our study was to describe the surgical technique for shoulder arthrodesis using a vascularized scapular pillar based on an anatomical study of this graft. ⋯ The latex injection study confirmed that the scapular pillar always has two vascularization sources: circumflex scapular artery and angular branch of the thoracodorsal artery. While there are anatomical variations, the scapular pillar shares its vascularization with the latissimus dorsi and teres major muscles. It can be preserved when transferring the graft for reconstruction. Our anatomical description of shoulder arthrodesis using this composite graft allows surgeons to anticipate potential technical and anatomical problems that could be encountered during this complex surgical procedure.
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Orthop Traumatol Sur · Sep 2019
Surgical treatment of mid-shaft clavicle fractures by minimally invasive internal fixation facilitated by intra-operative external fixation: A preliminary study.
Mid-shaft clavicle fractures are common and may require surgery. The objective of this study in adults with high-risk mid-shaft clavicle fractures was to evaluate the clinical and radiological outcomes of a minimally invasive surgical technique involving a minimally invasive approach, fracture reduction, temporary intra-operative external fixation, and locking plate internal fixation. ⋯ IV, retrospective observational study.
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Orthop Traumatol Sur · Sep 2019
Observational StudyNon-operative treatment is a reliable option in over two thirds of patients with Garden I hip fractures. Rates and risk factors for failure in 298 patients.
Non-operative treatment for impacted femoral neck fractures is a now rarely used strategy whose indications are controversial. No outcome predictors have been convincingly identified, in part due to the small sizes of available studies. We conducted a large retrospective study with the following objectives: (1) to evaluate the percentage of patients older than 65 years of age with non-operatively treated Garden I femoral neck fractures who experience secondary displacement, (2) to identify predictors of secondary displacement, and (3) to determine the frequency of non-operative treatment failure due to any cause and requiring joint replacement surgery. ⋯ IV, retrospective cohort study.