Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2012
Extensive laminectomy for the treatment of ossification of the posterior longitudinal ligament in the cervical spine.
To introduce the surgical strategy of extensive laminectomy (with inner 1/4 facet joint resection to expose the origin of the nerve root) and to discuss its benefit for the treatment of cervical ossification of the posterior longitudinal ligament (OPLL) with myelopathy. ⋯ Extensive laminectomy is effective in treating cervical OPLL, with mild cervical/shoulder pain, low rate of C5 nerve root palsy, and no recurrence of spinal cord compression symptoms.
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Arch Orthop Trauma Surg · Feb 2012
Compartment syndrome in dislocation and non-dislocation type proximal tibia fractures: analysis of 356 consecutive cases.
Dislocation type proximal tibia fractures are associated with the major soft tissue injuries. The main purpose of this study was to analyze the incidence of compartment syndrome (CS) in proximal tibia fractures in relation to the fracture type, i.e., dislocation versus non-dislocation type. We further analyzed CS within the non-dislocation type injuries, initial treatment modality as well as infection rate relative to the treatment policies (one- or two-staged procedures). ⋯ The incidence for CS did not differ between the dislocation and non-dislocation type group, but a significant difference was found comparing the incidence for CS only in the non-dislocation type group.
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Arch Orthop Trauma Surg · Feb 2012
Minimally invasive plate osteosynthesis using anterior-inferior plating of clavicular midshaft fractures.
This study evaluated the clinical and radiological outcomes of acute displaced clavicular midshaft fractures treated with minimally invasive plate osteosynthesis (MIPO). ⋯ MIPO using anterior-inferior plating for acute displaced clavicular midshaft fractures provided satisfactory clinical outcomes without serious complications and could be an effective alternative option to conventional operative treatments.