Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2013
Technique for reduction and percutaneous fixation of U- and H-shaped sacral fractures.
We describe an early reduction and percutaneous fixation technique for isolated sacral fractures. Strong manual traction combined with manual counter-traction on the torso is used to disimpact the fracture. Transcondylar traction is then applied bilaterally and two ilio-sacral screws are inserted percutaneously on each side. ⋯ Early reduction and percutaneous fixation ensures restoration of the pelvic parameters while minimising soft-tissue damage and the risk of infection. Decompression procedures can be performed either during the same surgical procedure after changing the installation or after a few days. These complex fractures warrant patient referral to specialised reference centres.
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Orthop Traumatol Sur · Sep 2013
Comparative StudyEvaluation of surgical treatment for ruptured Achilles tendon in 31 athletes.
In the past few decades, the incidence of Achilles tendon rupture has increased in parallel with increased sports participation. Although the optimal treatment remains controversial, there is a trend towards surgical treatment in athletes. ⋯ Level IV.
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Orthop Traumatol Sur · Sep 2013
Promising results after the treatment of simple and complex distal humerus type C fractures by angular-stable double-plate osteosynthesis.
The aim of this study was to evaluate the functional results and complications following open reduction and internal fixation of distal humerus type C fractures (AO classification) using an anatomically precontoured, angular-stable double-plate system. ⋯ Level IV Retrospective study.
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Orthop Traumatol Sur · Jun 2013
Giant cell tumors of the tendon sheaths in the hand: review of 96 patients with an average follow-up of 12 years.
Giant cell tumors (GCT) of the hand are relatively common and have a good prognosis, but the risk of recurrence is high. The goal of this study was to evaluate the long-term clinical results of a consecutive series of patients and to determine the risk factors for recurrence. ⋯ IV.
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Orthop Traumatol Sur · Jun 2013
Comparative StudyKnee arthrodesis using a customised modular intramedullary nail in failed infected total knee arthroplasty.
Knee arthrodesis is used to treat patients with failed infected total knee arthroplasty (TKA). Among fixation methods, intramedullary nailing increases the chances of bone union but may carry a risk of infection around the nail. This risk is not well understood, because available case-series studies were not confined to patients with knee infection. ⋯ Level IV, retrospective cohort study.