Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2012
Effectiveness of educational intervention on undermanagement of osteoporosis in fragility fractures.
Fragility fractures are characterized by a low energy trauma and should be considered as potentially osteoporosis-related fractures. This study aimed to determine whether the orthopedic surgeons' awareness could increase the osteoporosis management rate in patients with fragility fractures. ⋯ The detection and medication rates for osteoporosis in patients with fragility fractures increased more than tenfold after the intervention program.
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Arch Orthop Trauma Surg · Oct 2012
Posterior transpedicular debridement, decompression and instrumentation for thoracic tuberculosis in patients over the age of 60.
Our aim was to evaluate the feasibility and efficiency of the application of posterior transpedicular debridement with instrumentation and fusion to the treatment of over 60-year-old patients with thoracic tuberculosis. ⋯ Posterior transpedicular debridement with instrumentation and fusion is a feasible and effective procedure in the treatment for thoracic tuberculosis in patients over the age of 60.
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Arch Orthop Trauma Surg · Oct 2012
Angulated locking plate in periprosthetic proximal femur fractures: biomechanical testing of a new prototype plate.
To improve proximal plate fixation of periprosthetic femur fractures, a prototype locking plate with proximal posterior angulated screw positioning was developed and biomechanically tested. ⋯ Bicortical angulated screw positioning showed less interfragmentary osteotomy movement and improves osteosynthesis in periprosthetic fractures.
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Arch Orthop Trauma Surg · Oct 2012
Successful limb salvage using the two-staged technique with internal fixation after osteodistraction in an effort to treat large segmental bone defects in the lower extremity.
The reconstruction of large segmental bone defects exceeding 8 cm remains a major therapeutic challenge. Strategies to avoid amputation and thereby provide satisfactory functional outcomes have not been sufficiently evaluated. Therefore, the present study reviews the clinical and functional outcomes after limb salvage. ⋯ We observed a reduced incidence of axial deviation and refracture in patients with large segmental bone defects who underwent an additional internal stabilization after fixation with an external frame. The two-stage technique caused no increase in infectious complications and might therefore be a preferable approach for successful limb salvage in patients suffering from large segmental bone defects exceeding 8 cm with insufficient bone formation during external fixation.
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Arch Orthop Trauma Surg · Oct 2012
Treatment of Neer type II fractures of the lateral clavicle using distal radius locking plates combined with TightRope augmentation of the coraco-clavicular ligaments.
Neer type II lateral clavicle fractures are inherently unstable and debate continues regarding optimal treatment. The purpose of this study was to review the outcome of Neer type II lateral clavicle fractures treated using a novel technique, which incorporates a superiorly placed distal radius locking plate combined with TightRope™ fixation to augment the coraco-clavicular ligaments. ⋯ Surgical fixation of Neer type II lateral clavicle fractures using a 2.4-mm distal radius locking plate in combination with TightRope™ suture augmentation results in a predictable outcome, preserving excellent shoulder function while maintaining a low complication rate.