Archives of orthopaedic and trauma surgery
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The appearance of the 8-plate as a method for hemiepiphysiodesis has renewed the interest for the use of this technique. However, many questions remain unanswered about the way of action of the guided growth method. Although screw length has been said to play no role, to our knowledge, no clinical or experimental evidence exists. ⋯ The 8-plate has shown to be more efficient in producing angular deformity than staples. However, the length of the screw has showed no role in the 8-plate function.
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Arch Orthop Trauma Surg · Dec 2012
The effect of labeling photo documents in wrist arthroscopies on intra- and interobserver reliability.
The reproducibility of diagnoses based on photo documents in wrist arthroscopies is limited and is expected to improve if the photos are labeled with illustrated structures. ⋯ Labeling simplifies but does not necessarily improve the reproducibility of photo documents in wrist arthroscopies. To display the cartilage status and the integrity of the SL ligament, digital photo documents should be labeled with the illustrated structure or joint surface.
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Arch Orthop Trauma Surg · Dec 2012
Is bipolar hemiarthroplasty a reliable option for Ficat stage III osteonecrosis of the femoral head? 15- to 24-year follow-up study.
The long-term results of a bipolar hemiarthroplasty (BHA) for osteonecrosis (ON) of the femoral head have not been favorable. The causes have been attributed to cup migration and osteolysis or groin pain. The purpose of this study was to analyze the long-term outcomes and the survivorships of bipolar hemiarthroplasty applied to Ficat stage III ON. ⋯ Survivorship determined in this study was more favorable than that of previous studies, and exceeded expectation. The BHA for Ficat stage III ON is not reliable option anymore, considering low survival rate and high osteolysis developmental rate.
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Arch Orthop Trauma Surg · Dec 2012
Clinical and MRI results after microfracture of osteochondral lesions of the talus.
Arthroscopic microfracture (AM) of osteochondral lesions of the talus is used to induce intrinsic refilling of the defect and reduce pain. The aim of this retrospective study was to investigate the clinical state after AM and the MRI outcome. ⋯ After AM of osteochondral lesions of the talus, 18 of 22 patients had no or mild, occasional pain at 2 years follow-up. On MRI, the lesion volume had been reduced and filling with repair tissue was found.
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Arch Orthop Trauma Surg · Dec 2012
Comparative StudyMedial patellar retinaculum plasty versus medial capsule reefing for patellar dislocation in children and adolescents.
The purpose of this study was to evaluate the clinical effect of medial patellar retinaculum plasty for children and adolescent patients with patellar dislocation. ⋯ The medial retinaculum plasty was better than medial capsule reefing in improving the subjective effects and decreasing the rate of patellar instability postoperatively in children and adolescent patients.