Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · May 2011
Management of displaced ankle fractures in elderly patients--is it worth performing osteosynthesis of osteoporotic bone?
Ankle fractures in the elderly with osteoporotic bones are often difficult to manage. It is debatable whether we should treat such fractures conservatively, surgically, or even plan primary arthrodesis. Furthermore, there is a risk of difficult or failed fixation. ⋯ Our results show that accurate reduction and internal fixation of ankle fractures in elderly patients is beneficial and associated with lower complication rates compared to MUA alone. The osteosynthesis failure rate was very low and patients spent less time in plaster and started physiotherapy earlier.
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Ortop Traumatol Rehabil · May 2011
Outcomes of hip arthroplasty in patients younger than 28 years old.
Osteoarthritis is a serious social problem. Young people usually present with secondary degenerative changes. These patients find it particularly difficult to accept symptoms, as they are at their peak of professional activity and family life. They have high expectations regarding improvement in life comfort. The aim of this study was to analyse clinical and radiological outcomes of total hip arthroplasty for hip osteoarthritis in patients younger than 28 years old. We also assessed the correlation between aetiology of early degenerative changes and endoprosthesis survival. ⋯ We observed a considerable improvement in hip function in patients after total hip replacement. Implant survival in the study group was slightly shorter than in the literature. Post-arthroplasty complications were more frequent in patients treated for developmental dysplasia of the hip joint and those with a history of joint infection before the age of two years.