Orthopaedic surgery
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Orthopaedic surgery · Nov 2011
Comparative StudyComparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients.
To investigate the effect of timing of surgery on clinical results and perioperative complications in pediatric patients with Gartland III type supracondylar humeral fractures without neurovascular compromise. ⋯ Delay in surgery, regardless of whether it is closed or open, for more than 12 hours after injury does not influence the perioperative complications and clinical results for displaced supracondylar humeral fractures in children. However early open reduction and pinning may increase intra-operative blood loss and take longer.
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Orthopaedic surgery · Aug 2011
Review Comparative StudyComparison of vertebroplasty and kyphoplasty for complications.
Vertebroplasty (VP) and kyphoplasty (KP) have been proven equally effective in providing pain relief in patients with vertebral compression fractures (VCF). Both have been reported to have multiple complications which, though rare, are potentially devastating. ⋯ It is questionable whether the relative risk of developing an adjacent level new fracture after VP is greater than after KP The relationship between a new VCF and each of these procedures has also not been clearly established. Although the majority of complications are clinically silent, their potential risks, which include a fatal outcome, should always be kept in mind by the practitioner.
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Orthopaedic surgery · Aug 2011
Short-term clinical observation of the Dynesys neutralization system for the treatment of degenerative disease of the lumbar vertebrae.
To explore the safety and short-term efficacy of the posterior approach of the Dynesys dynamic neutralization system for degenerative disease of the lumbar vertebrae. ⋯ The Dynesys dynamic neutralization system combined with decompression can achieve satisfactory short-term clinical results in lumbar degenerative disease. This procedure system not only reduces back and leg pain, but also preserves the mobility of fixed segments, minimizes tissue injury and avoids taking bone for spinal fusion.
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Orthopaedic surgery · Aug 2011
Expansive open-door laminoplasty and selective anterior cervical decompression and fusion for treatment of multilevel cervical spondylotic myelopathy.
To evaluate the clinical results of combined expansive open-door laminoplasty by splitting of spinous processes and selective anterior cervical decompression and fusion in treatment of multilevel severe cervical spondylotic myelopathy (CSM). ⋯ Combined expansive open-door laminoplasty by splitting of spinous processes and selective anterior decompression and fusion achieves complete spinal canal decompression with minimal morbidity; this strategy is effective in improving the surgical outcomes of CSM in one-year follow-up.
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Orthopaedic surgery · Aug 2011
Mid-term outcomes of contoured plating for comminuted fractures of the olecranon.
To evaluate the mid-term outcomes of contoured plating for comminuted fractures of the olecranon. ⋯ Favorable mid-term outcomes can be achieved by contoured plating of complex, comminuted fractures of the olecranon.