Orthop Traumatol Sur
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Orthop Traumatol Sur · Oct 2014
"Femoroacetabular impingement". Legg-Calve-Perthes disease: from childhood to adulthood.
The objective of this study was to investigate cases of femoroacetabular impingement (FAI) and analyze the risk factors for a painful hip at skeletal maturity after Perthes disease. We hypothesized that FAI occurs as a sequela of Perthes disease and that coxa plana and triple osteotomy of the pelvis (TOP) may be risk factors. ⋯ IV.
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Orthop Traumatol Sur · Oct 2014
Treatment of nonunion in neglected long bone shaft fractures by osteoperiosteal decortication.
In emerging countries, nonunion in the shaft of fractured long bones is common. ⋯ Osteoperiosteal decortication is a reliable technique that leads to predictable, satisfactory results, given the limited materials required to treat long bone nonunion in emerging countries.
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Orthop Traumatol Sur · Oct 2014
Observational StudyPrevalence of protein-energy malnutrition in hospital patients over 75 years of age admitted for hip fracture.
One percent of falls in over-75 years old cause hip fracture (HF). Protein-energy malnutrition (PEM) is associated with falls and fracture. PEM screening and perioperative nutritional management are recommended by the European Society of Parenteral and Enteral Nutrition, yet data on nutritional status in elderly HF patients are sparse. The Mini Nutritional Assessment (MNA) score is presently the most effective screening tool for PEM in over-75 years old. ⋯ Level IV; prospective cohort study.
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Orthop Traumatol Sur · Sep 2014
Tibial tubercle osteotomy hinged on the tibialis anterior muscle and fixed by circumferential cable cerclage in revision total knee arthroplasty.
Difficulties in knee exposure during revision total knee arthroplasty (RTKA) may require tibial tubercle osteotomy (TTO). The main objective of this study was to assess union after TTO hinged on the lateral soft tissues and fixed using circumferential cable cerclage during RTKA. ⋯ IV, retrospective study.
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Orthop Traumatol Sur · Sep 2014
Early percutaneous fixation of spinal thoracolumbar fractures in polytrauma patients.
Care of polytrauma patients is complex and requires that a particular treatment sequence be followed during what is typically a short period of time. Early, temporary stabilization of injuries (damage control orthopedics [DCO]) is a validated strategy for the care of polytrauma patients. Application of this concept to spinal fractures has also led to good outcomes for patients. The recent development of percutaneous thoracolumbar fixation could improve the initial care of these vulnerable patients even more. The purpose of this study was to evaluate preliminary results in a series of polytrauma patients presenting with thoracolumbar fractures without neurological deficits who were treated according to DCO principles using early percutaneous fixation. ⋯ Level IV.