Articles: fracture-fixation.
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Background and Objectives: Valgus-impacted femoral neck fractures (OTA 31B1.1 and 31B1.2) are considered stable fractures with favorable outcomes compared to displaced fractures. However, complications such as femoral neck shortening, screw sliding, and suboptimal recovery can occur, particularly in severe deformities. This study evaluated the outcomes of a sequential fixation technique using short-threaded screws followed by long-threaded screws. ⋯ Posterior tilt > 15° (OR 15.085, p = 0.002), valgus tilt > 15° (OR 28.616, p = 0.002), and bone mineral density (OR 0.285, p = 0.005) were predictors of fixation failure, while long-threaded screws significantly reduced fixation failure risk (OR 0.062, p = 0.005). Conclusions: The sequential use of short-threaded screws for compression, followed by long-threaded screws for stabilization, effectively reduced screw sliding and fixation failure while improving functional and radiological outcomes. This technique shows promise as an effective treatment for valgus-impacted femoral neck fractures.
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Arch Orthop Trauma Surg · Dec 2024
A modified Radiographic Union Score for Tibia (RUST) scoring system for patella fractures treated with osteosynthesis shows excellent intra und interobserver reliability.
Patellar fractures are rare at 1% incidence of all fractures. However, they can cause significant functional impairments due to the patella's role in knee joint extension. Current scoring systems lack objectivity in assessing patellar healing. This study aims to validate the Radiographic Union Score for Tibia (RUST) using biplanar radiographs for assessing surgically treated patellar fractures. ⋯ This study validated the Radiographic Union Score for Tibia (RUST) for evaluating bone healing in patellar fractures treated with osteosynthesis, demonstrating good intra- and interobserver reliability. The modified RUST can provide a standardized method for assessing healing in patellar fractures, benefiting both clinical practice and clinical trials.
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Arch Orthop Trauma Surg · Dec 2024
Postoperative outcome of screw fixation with autogenous bone grafting for the management of hallux sesamoid fracture nonunion.
Although sesamoid-preserving procedures have been attempted to complement sesamoidectomy for hallux sesamoid fracture nonunion, few reports document the results. Accordingly, the objective of this study was to review the outcomes of patients with hallux sesamoid fracture nonunion who underwent screw fixation with autogenous bone grafting. ⋯ Given that the symptoms improved in all patients without complications, as observed in this study, screw fixation with autogenous bone grafting appears to be a viable option for treating hallux sesamoid fracture nonunion.
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Arch Orthop Trauma Surg · Dec 2024
Fulfillment of expectations and patient satisfaction following surgical treatment of complex proximal tibial fractures.
The aim of this study was to investigate on fulfillment of expectations and patient satisfaction after surgical treatment of complex proximal tibial fractures. ⋯ In patients who suffered a complex proximal tibial fracture, fulfillment of preoperative expectations is only limited. Nevertheless, overall satisfaction with the outcome is high, and correlates to a high degree with fulfillment of joint functionality and current health status. The fracture type does not influence these results.
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Arch Orthop Trauma Surg · Dec 2024
Short-term follow-up of single-port thoracoscopic rib fracture reduction and internal fixation for the treatment of multiple rib fractures.
The objective of this study was to evaluate the short-term outcomes of single-port thoracoscopic rib fracture reduction and internal fixation for the treatment of multiple rib fractures. ⋯ The use of a memory alloy reverse rib embrasure device for intrathoracic rib fracture fixation via single-port thoracoscopic surgery is safe and reliable. This method demonstrates a high success rate of internal fixation, excellent clinical fracture healing, and advantages such as minimal trauma, rapid recovery, and the simultaneous treatment of other intrathoracic conditions. It significantly reduces postoperative pain and enhances the quality of life.