Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jul 2012
Review Meta Analysis Comparative StudyA meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury.
Magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA) have gained increasing favour in the assessment of patients with suspected glenoid labral injuries. The purpose of this study was to determine the diagnostic accuracy of MRI or MRA in the detection of gleniod labral lesions. ⋯ Level 2a.
-
Arch Orthop Trauma Surg · Jul 2012
Meta Analysis Comparative StudyA meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures.
Total hip arthroplasty or hemiarthroplasty are used to treat displaced femoral neck fractures. However, the optimal treatment of these fractures remained controversial. ⋯ Total hip arthroplasty is associated with better functional outcome and lower reoperation rate than hemiarthroplasty in treatment of displaced femoral neck fractures in the elderly patients.
-
Arch Orthop Trauma Surg · Jul 2012
Multicenter Study Clinical TrialA multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN).
The aim of this study was to present clinical experience and outcomes of intramedullary nailing of proximal, midshaft and distal tibia fractures with the Expert Tibia Nail (ETN; Synthes GmbH, Switzerland), an implant offering a wide range of proximal and distal locking options in multiple planes to increase stability of the implant and bone construct. ⋯ Intramedullary ETN fixation of tibia fractures results in low rates of delayed union, primary and secondary malalignment, implant-related complications, and secondary surgery. Fibula plating had a negative effect on the healing of the tibia.
-
Arch Orthop Trauma Surg · Jul 2012
Clinical TrialProprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study.
This prospective study evaluated the development of proprioception over the course of 3 years after shoulder arthroplasty. ⋯ In conclusion, proprioception that was measured by an AAR test remained unchanged or deteriorated 3 years after shoulder arthroplasty. The postoperative deterioration of proprioception was more distinctive in HEMI than in TSA group.
-
Arch Orthop Trauma Surg · Jul 2012
Is proximal femoral nailing a good procedure for teaching in orthogeriatrics?
Proximal femoral nailing is a common operation in orthogeriatrics and a highly standardized procedure. For teaching purposes, this operation is often performed by residents and supervised by attending physicians. The objective of this study is to investigate if teaching this operation influences the surgical in-house complication rate. ⋯ We conclude that proximal femoral nailing is an operation suitable for teaching purposes. However, patients between 71 and 80 years of age seem to be at an increased risk for cut-out if operated by a resident.