Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2014
Does measuring the range of motion of the hip and knee add to the assessment of disability in people undergoing joint replacement?
Range of motion (ROM) is a core component of some commonly used measures of disability, such as the American Knee Society Score and Harris Hip Score. However, the relationship between ROM and function is contested. The aim of this cross-sectional analysis was to investigate the relationship between pre-operative range of motion (ROM) and disability in patients undergoing hip and knee joint replacement. ⋯ III - cohort study.
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Post-traumatic osteoarthritis of the elbow is an uncommon condition in which the clinical manifestations are often at variance with the radiological findings. In symptomatic forms, pain and stiffness are variably combined. ⋯ Post-traumatic elbow osteoarthritis raises difficult therapeutic problems in young patients. The goal of treatment is to obtain a low level of pain with sufficient motion range to ensure good function, while preserving future surgical options and delaying elbow arthroplasty to the extent possible.
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Orthop Traumatol Sur · Feb 2014
Long-term quality of life after en-bloc vertebrectomy: 25 patients followed up for 9 years.
Assess quality-of-life results in patients who have undergone extensive curative surgery for spinal tumor and compare them to the general population in France. ⋯ Level IV; retrospective clinical study.
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Orthop Traumatol Sur · Feb 2014
Grammont reversed prosthesis for acute complex fracture of the proximal humerus in an elderly population with 5 to 12 years follow-up.
The aim of this retrospective study was to analyze outcome in 23 cases of Delta III reverse ball-and-socket total shoulder prosthesis implantation for acute complex fractures of the proximal humerus in an elderly population with poor bone quality. In this type of population, this procedure could respond to the difficulties of a reliable and efficient re-fixation of the tubercles. ⋯ For acute complex fractures of the proximal humerus in elderly subjects with poor bone quality, when effective and reliable re-fixation of the tubercles is difficult or impossible, the reverse ball-and-socket shoulder prosthesis is a possible alternative providing good functional outcome except for rotations, but with the risk of inferior scapular notching. Although not problematic in the medium term, these notches may contribute to glenoid loosening with bone loss in the long term. Nevertheless, this procedure seems to improve the status of patients with such fractures.