Orthopaedic surgery
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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.
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Orthopaedic surgery · Nov 2009
Comparative StudyImaging study of wedge changes in the vertebral bodies and intervertebral discs in adolescent idiopathic scoliosis.
To observe wedge changes in the vertebral bodies and intervertebral discs in progressive adolescent idiopathic scoliosis before and after conservative treatment with braces, and to explore the correlation between wedge changes in the vertebral bodies or intervertebral discs and scoliosis curves. ⋯ Wedge changes in the vertebral bodies and intervertebral discs have a positive correlation with degree of curve, which indicates that asymmetric growth of the cartilaginous endplate might be the primary cause of wedge change in the vertebral bodies.
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Orthopaedic surgery · Aug 2009
Comparative StudyClinical experience and results of lumbar microendoscopic discectomy: a study with a five-year follow-up.
To investigate the efficacy of microendoscopic discectomy (MED) for the treatment of lumbar disc herniation over a five-year follow-up period. ⋯ MED is both feasible and efficacious for the management of lumbar disc disease. On the basis of the present study it is concluded that MED is better than open discectomy (OD).