Orthop Traumatol Sur
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Orthop Traumatol Sur · Dec 2015
Arthroscopic treatment of acute acromioclavicular dislocations using a double button device: Clinical and MRI results.
Arthroscopic treatment of acute grade 3 and 4 acromioclavicular dislocation is controversial, due to the risk of recurrence and of postoperative reduction defect. The purpose of the present study was to investigate whether the healing of the acromioclavicular (AC) and coracoclavicular (CC) ligaments and the accurate 3D positioning parameters of the AC joint using MRI were correlated with satisfactory functional outcome. ⋯ Level IV, therapeutic case series.
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Orthop Traumatol Sur · Dec 2015
Ten-year follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocation in young patients.
Early treatment of initial anterior glenohumeral dislocation in young patients is controversial and the interest of surgery, and notably arthroscopic stabilization, has not been demonstrated. A prospective study was therefore performed to assess (1) short-to-medium-term recurrence rate, (2) functional outcome, and (3) and medium-term osteoarthritis rate. ⋯ IV, prospective non-comparative study.
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Orthop Traumatol Sur · Dec 2015
Does primary total knee arthroplasty for acute knee joint fracture maintain autonomy in the elderly? A retrospective study of 21 cases.
Due to poor results and failure encountered in osteosynthesis of peri-articular fracture of the knee, arthroplasty may be suggested to osteopenic elderly subjects. All osteosynthesis techniques entail loss of independence and are associated with elevated mortality. No studies definitively establish better management of such fractures. ⋯ IV, retrospective study.
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Orthop Traumatol Sur · Nov 2015
Observational StudyCompared fixation and survival of 280 lateralised vs 527 standard cementless stems after two years (1-7).
Restoring the native hip anatomy increases hip prosthesis survival, whereas increased femoral lateralisation creates high torque stresses that may alter prosthesis fixation. After finding lucent lines around cementless lateralised stems (Corail™, DePuy Synthes, St Priest, France) in several patients, we evaluated the effects of lateralisation in a large case-series. The objective of our study was to compare lateralised vs standard stems of identical design in terms of radiological osteo-integration and survival. ⋯ III, retrospective case-control study.
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Orthop Traumatol Sur · Oct 2015
Patient's satisfaction after outpatient forefoot surgery: Study of 619 cases.
The number of outpatient surgical procedures performed in France on the forefoot has grown rapidly in recent years. ⋯ Outpatient care is becoming more common in response to economic challenges. The development of outpatient foot surgery appears to have satisfied the vast majority of operated patients. However, adjustments should be made to improve their tolerance to the pain management protocol. Although the logistics of performing follow-up call can be complicated, the patients appreciate receiving this call the next day. The call also seems to reassure both the patients and care providers.