Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Dec 2013
Randomized Controlled TrialProximal femoral locking plate versus dynamic hip screw for unstable intertrochanteric femoral fractures.
To compare the outcome in patients who underwent surgery for unstable intertrochanteric femoral fractures using the proximal femoral locking plate versus the dynamic hip screw (DHS). ⋯ A non-collapsing locking plate achieved bone union in unstable intertrochanteric fractures with lower risks of limb shortening and medialisation of the shaft.
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To review 9 cases of mechanical failure of the volar locking plate for distal radial fractures. ⋯ Although mechanical failure of volar locking plate is uncommon, some are potentially preventable.
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J Orthop Surg (Hong Kong) · Dec 2013
Randomized Controlled TrialRopivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty.
To compare the use of ropivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty (TKA) in terms of efficacy and safety (lack of toxicity). ⋯ Ropivacaine and bupivacaine showed similar anesthetic and analgesic effects, but the former had a significantly faster onset time.
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J Orthop Surg (Hong Kong) · Dec 2013
Plating, nailing, external fixation, and fibular strut grafting for non-union of humeral shaft fractures.
To compare various treatment modalities (plating, Ilizarov external fixation, and non-vascular fibular cortical strut grafting) for non-union of humeral shaft fractures. ⋯ Compression plating achieved the best results. An external fixator may be used temporarily for infected non-unions. Fibular strut grafting may be used when non-unions warrant additional stability.
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J Orthop Surg (Hong Kong) · Dec 2013
Case ReportsCervical epidural haematoma causing Brown-Sequard syndrome: a case report.
Brown-Sequard syndrome secondary to compression of the spinal cord by an epidural haematoma following minor trauma is rare. A 65-year-old woman presented with neck pain and sudden onset hemiplegia with contralateral anaesthesia. ⋯ She underwent open-door laminoplasty for evacuation of the haematoma. At the 2-year follow-up, she had regained normal sensations and a neurological grade of 5/5.