Articles: tibia-surgery.
-
Randomized Controlled Trial Comparative Study
Comparison of 3 Minimally Invasive Methods for Distal Tibia Fractures.
This study compared the results of external fixation combined with limited open reduction and internal fixation (EF + LORIF), minimally invasive percutaneous plate osteosynthesis (MIPPO), and intramedullary nailing (IMN) for distal tibia fractures. A total of 84 patients with distal tibia shaft fractures were randomized to operative stabilization using EF + LORIF (28 cases), MIPPO (28 cases), or IMN (28 cases). The 3 groups were comparable with respect to patient demographics. ⋯ Although EF + LORIF was associated with fewer secondary procedures vs MIPPO or IMN, it was related with more pin-tract infections (14.3%). Findings indicated that EF + LORIF, MIPPO, and IMN all achieved similar good functional results. However, EF + LORIF had some advantages over MIPPO and IMN in reducing operative and radiation times, postoperative complications, and reoperation rate. [Orthopedics. 2016; 39(4):e627-e633.].
-
Arch Orthop Trauma Surg · Apr 2015
Randomized Controlled TrialFarmedial versus anteromedial portal drilling of the femoral tunnel in ACL reconstruction: a computed tomography analysis.
The success of ACL reconstruction is predicated on a variety of factors. Tunnel placement plays one of the most significant roles in achieving knee kinematics and function. The purposes of this study were to compare femoral tunnel position, angle, length and posterior wall blow-out after ACL reconstruction with hamstring tendons autograft through either a farmedial portal or an anteromedial portal technique. ⋯ Level I, prospective randomised comparative cohort study.
-
Randomized Controlled Trial
Transtibial versus tibial inlay techniques for posterior cruciate ligament reconstruction: long-term follow-up study.
The most common technique for posterior cruciate ligament (PCL) reconstruction is transtibial or tibial inlay. However, few studies have reported long-term outcome comparisons between the 2 techniques. ⋯ Clinical and radiographic outcomes between the 2 PCL reconstruction techniques were comparable. Osteoarthritis was observed in patients, with a significant proportion presenting loss of joint space. Examined factors, excluding meniscectomy, were not correlated with the development of osteoarthritis.
-
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · Dec 2014
Randomized Controlled Trial[Determination of tibial bone resection thickness by lateral tibiofemoral joint 90° flexional gap in total knee arthroplasty for varus osteoarthritic knees].
To investigate the efficiency of total knee arthroplasty (TKA) for varus osteoarthritic knees with tibial bone resection determined by lateral tibiofemoral joint 90° flexional gap measurement. ⋯ It was an effective method to determine bone resection thickness using lateral tibiofemoral joint 90° flexional gap measurement in TKA for varus osteoarthritic knees, which can reduce the bone resection thickness of the tibial plateau and distal femoral lateral condyle and restore the joint line and PCO with better early recovery of the knee function.
-
Clin. Orthop. Relat. Res. · Dec 2014
Randomized Controlled TrialBotulinum toxin a does not decrease calf pain or improve ROM during limb lengthening: a randomized trial.
During lower limb lengthening, distraction-induced muscle pain and surrounding joint contractures are frustrating complications for which few effective treatments are available. ⋯ Level II, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.