Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2011
One-staged reconstruction of Achilles tendon and overlying skin defects with suppuration: using peroneus brevis tendon transfer and reversed sural neurofasciocutaneous flap.
The combined loss of the Achilles tendon and the overlying soft tissue with suppuration has been treated with many single- or multi-staged procedures, most of which are technically complex. The ideal single-stage procedures are needed. Ten patients with combined loss of the Achilles tendon and the overlying soft tissue underwent reconstruction using peroneus brevis tendon transfer and reversed sural neurofasciocutaneous flap. ⋯ No Achilles tendon re-rupture or misbalance of ankle joints occurred as of date. The Arner-Lindholm evaluation standard was taken to evaluate the curative effect; the results were excellent in seven cases and good in three cases. As a one-stage procedure, the peroneus brevis tendon transfer and reversed sural neurofasciocutaneous flap is an ideal option to reconstruct the combined loss of the Achilles tendon and the overlying soft tissue.
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Arch Orthop Trauma Surg · Sep 2011
Case ReportsDorsal screw penetration following implant removal after volar locked plating of distal radius fracture.
Complications while removing implants are quite common. In rare cases screw shanks must be left in situ. ⋯ After implant removal, one of the screw shanks left in situ penetrated the dorsal cortex of the distal radius into the third extensor tendon compartment and led to irritation of the extensor pollicis longus tendon. We report the unexpected complication and analysis of possible errors of this case to avoid this kind of complication.
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Arch Orthop Trauma Surg · Sep 2011
Instrumented transforaminal lumbar interbody fusion with single cage for the treatment of degenerative lumbar disease.
There are several practical problems encountered in the TLIF procedure with implantation of two titanium cages, such as difficulty in achieving symmetric positioning with two cages, loosening of the first cage following insertion of the second cage and higher direct costs to the patient. ⋯ Instrumented TLIF with single cage is a safe and effective method for the treatment of degenerative lumbar diseases.
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Arch Orthop Trauma Surg · Sep 2011
Case ReportsOsteosynthesis of traumatic manubriosternal dislocations and sternal fractures with a 3.5/4.0 mm fixed-angle plate (LCP).
We present a case series of three patients with manubriosternal dislocation and/or sternal fractures. ⋯ Our positive experiences with the operative treatment using 3.5/4.0 mm fixed-angle plate (LCP) may help to establish the operative procedure of first choice in this group of patients.
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Arch Orthop Trauma Surg · Sep 2011
Anterior cervical multilevel decompression and fusion using fibular strut as revision surgery for failed cervical laminoplasty.
Retrospective analyses of six cases. ⋯ ACDF with fibular strut graft was effective as a revision procedure for failed laminoplasty.