Musculoskeletal surgery
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Musculoskeletal surgery · Dec 2016
The use of TightRope fixation for ankle syndesmosis injuries: our experience.
Ten percentage of all ankle fractures sustain an associated syndesmotic injury. TightRope is a relatively new technique for syndesmosis fixation, characterized by a non-absorbable FibreWire held tight between two cortical metal buttons. The purpose of this study was to evaluate the results obtained with the use of this device. ⋯ TightRope technique can achieve flexible fixation of the syndesmosis and permit full range of motion of the tibiofibular joint. Patients can start rehabilitation exercise at an early stage after operation. The results of this study indicate that TightRope fixation is a valid option for syndesmotic injuries.
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Musculoskeletal surgery · Dec 2016
ReviewHumerus shaft fracture complicated by radial nerve palsy: Is surgical exploration necessary?
Fractures of the humerus shaft often are complicated by radial nerve palsy. Controversy still exists in the treatment that includes clinical observation and eventually late surgical exploration or early surgical exploration. ⋯ However, advantages and disadvantages are associated with each of these algorithms. The aim of this study was to analyze the indications of each treatment options and facilitate the surgeon in choosing the conduct for each lesion, proposing our own algorithm.
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Musculoskeletal surgery · Dec 2016
Proposal of a therapeutic protocol for selected patients with patellofemoral knee osteoarthritis: arthroscopic lateral retinacular release followed by viscosupplementation.
Lateral retinacular release has been demonstrated to reduce articular patellofemoral pressures, while intra-articular injection of hyaluronic acid can improve the biological and rheological knee pathway. We evaluated whether treatment protocol consisting on combination of these two therapies can provide significant symptomatic improvement in patients with patellofemoral osteoarthritis (PFO) and patellar tilt. ⋯ Arthroscopic lateral retinacular release followed by viscosupplementation is an effective treatment protocol for PFO, simple and minimally invasive with respect to other therapeutic options.