Orthop Traumatol Sur
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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.
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Orthop Traumatol Sur · Dec 2018
Burnout syndrome in orthopaedic and trauma surgery residents in France: A nationwide survey.
Burnout syndrome is one of the manifestations of distress in healthcare workers and is characterised by emotional exhaustion (EE), depersonalisation (DP), and a sense of low personal accomplishment (PA). The surgical residency is a period of intense training that imposes major challenges on future surgeons, who may therefore be at high risk for burnout syndrome. Nevertheless, no data on burnout syndrome in orthopaedic and trauma surgery (OTS) residents in France is available. Therefore we performed a prospective survey to: (1) evaluate the prevalence of burnout syndrome among OTS residents in France, (2) and to look for factors associated with a higher or lower risk of burnout syndrome in the survey respondents. ⋯ Prospective descriptive cross-sectional survey with no control group.
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Orthop Traumatol Sur · Dec 2018
Ten-year epidemiological study in an orthopaedic and trauma surgery centre: Are there risks involved in increasing scheduled arthroplasty volume without increasing resources?
Current trends in patient management include decreasing hospital stay lengths and reductions in available material and human resources. A shortening of hospital stays in university hospitals has been documented over the last decade. However, to our knowledge, no study has assessed possible relationships linking shorter stays to staffing levels or complication rates. The objectives of this study were: 1) to assess changes in case volume in a university orthopaedics and trauma surgery department between 2006 and 2016, 2) and to look for correlations linking these changes to staffing levels and the rates of significant complications, including the number of hip dislocations after total hip arthroplasty (THA) and the number of infections and complications resulting in malpractice litigation after hip, knee, or shoulder arthroplasty. ⋯ IV, retrospective observational study.
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Orthop Traumatol Sur · Dec 2018
Arthroscopy-assisted fixation of fracture of the distal part of the clavicle by subcoracoid suture and clavicle button.
Neer IIB displaced fracture of the distal part of the clavicle is often treated surgically. Arthroscopy-assisted surgery was recently developed. The aim of the present study was to present an original technique of subcoracoid suture under arthroscopy, with clinical and radiological results. ⋯ IV.
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Orthop Traumatol Sur · Nov 2018
Minimally invasive screw fixation is as stable as anterior plating in acetabular T-Type fractures - a biomechanical study.
Operative treatments of T-type acetabular fractures are challenging surgical procedures. Open reduction and internal fixation is the standard method for the operative management of these fractures, however this is associated with high blood loss, long hospital stay and longer rehabilitation. Anterior subcutaneous pelvic fixation (internal fixation=INFIX) and retrograde pubic screw fixation have shown promising results in minimally invasive treatment of pelvic ring fractures. For T-type acetabular fractures, however, minimally invasive treatment concepts are still rare. Therefore we performed a mechanical in vitro study to: - investigate the potential favorability of minimally invasive treatment options over the already established open anterior locking plate osteosynthesis of acetabular T-fractures regarding biomechanical stability and post-surgical stiffness; - explore the biomechanical feasibility of the INFIX; - assess its potential ability to reduce the anterior acetabular column. ⋯ III, case control prospective experimental study.