Orthopaedic surgery
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Orthopaedic surgery · Nov 2009
Comparative StudyCorrelation between radiculalgia and counts of T lymphocyte subsets in the peripheral blood of patients with lumbar disc herniation.
To determine the correlation between the degree of radiculalgia and counts of T lymphocyte subsets in the peripheral blood of patients with lumbar disc herniation. ⋯ Our results suggest that changes in T lymphocyte subsets in peripheral blood take place after prolapse of lumbar intervertebral discs. The current results may provide support for involvement of immunologic mechanisms in low back pain secondary to herniation of the lumbar disc. T lymphocytes may play an important role in the development of symptoms in patients with lumbar intervertebral disc herniation.
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Orthopaedic surgery · Nov 2009
Comparative StudyOne-stage anterior release and reduction with posterior fusion for treatment of irreducible atlantoaxial dislocation.
To analyze the approach and feasibility of one-stage anterior release and reduction with posterior fusion for irreducible atlantoaxial dislocation. ⋯ Treatment of irreducible atlantoaxial dislocation with one-stage anterior release and reduction with posterior fusion is a reliable method.
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Orthopaedic surgery · Nov 2009
Comparative StudyTreatment of aseptic nonunion after intramedullary nailing fixation with locking plate.
To evaluate the safety and efficacy of locking plate combined with bone grafting in the treatment of aseptic nonunion following intramedullary nailing fixation of fractures of the long bones. ⋯ Locking plate fixation combined with bone grafting is a highly effective treatment for aseptic nonunions of the long bones after intramedullary nailing fixation, especially in the case of metaphyseal nonunion.
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Orthopaedic surgery · Nov 2009
Comparative StudyInterbody cage support improves reconstruction of sagittal balance after anterior selective fusion in Lenke type 5 idiopathic scoliosis patients.
To investigate the effect of interbody cage support on reconstruction of the sagittal profile after anterior selective correction in Lenke type 5 adolescent idiopathic scoliosis (AIS) patients. ⋯ Anterior selective single rod instrumentation and fusion is a recommended method for Lenke type 5C AIS. A structural interbody cage does not appear to improve the regional profile, nor the profiles in the instrumented area and the adjacent proximal and distal segments; yet could result in a better total balance in the long-term.
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Orthopaedic surgery · Nov 2009
Comparative StudyTreatment of fractures of the ulnar coronoid process.
To discuss the classification, management and outcome of fractures of the ulnar coronoid process. ⋯ We choose conservative treatment for type I fractures unless the bone fragment affected movement of the elbow joint, in which case we chose operative treatment so that elbow stability was not affected. Type II and type III fractures with elbow instability were reduced by internal fixation and the ligament repaired or reconstructed. In type IV cases, bone reconstruction was necessary to recover elbow stability. Proper post-operative rehabilitation can decrease the occurrence of traumatic osteoarthritis.