Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Oct 2013
Multicenter Study Clinical TrialGlenoid morphology affects the incidence of radiolucent lines around cemented pegged polyethylene glenoid components.
Radiolucent lines (RLL) are frequent findings around cemented all-polyethylene glenoid implants. The present study evaluates the frequency, extend and the clinical impact of RLL around a cemented two-pegged glenoid implant with special focus on the influence of preoperative glenoid morphology. Our hypothesis was that glenoid morphology does not affect clinical outcome and RLL in the investigated setting. ⋯ Level IV case series study.
-
Arch Orthop Trauma Surg · Oct 2013
Comparative Study Clinical TrialArthroscopically assisted stabilization of acute high-grade acromioclavicular joint separations in a coracoclavicular Double-TightRope technique: V-shaped versus parallel drill hole orientation.
The arthroscopically assisted Double-TightRope technique has recently been reported to yield good to excellent clinical results in the treatment of acute, high-grade acromioclavicular dislocation. However, the orientation of the transclavicular-transcoracoidal drill holes remains a matter of debate. ⋯ The Double-TightRope technique yields good to excellent clinical results in both V-shaped and parallel drill hole placement. Partial recurrent vertical and horizontal instability represents a problem in both techniques. So far, no significant differences regarding clinical or radiologic results have been found. Long-term results are needed to reveal possible advantages in terms of clinical and radiologic acromioclavicular stability.
-
Arch Orthop Trauma Surg · Oct 2013
Evaluation of reduction and fixation of calcaneal fractures: a Delphi consensus.
Postoperative radiological assessment of the quality of reduction and fixation of calcaneal fractures is essential when evaluating treatment success. However, a universally accepted radiological evaluation protocol is currently unavailable. The aim of this study was to obtain an expert-based consensus on the most important criteria for the radiological assessment of the quality of reduction and fixation of calcaneal fractures. ⋯ This Delphi consensus shows that more aspects require evaluation than currently used in radiological evaluation protocols. With this consensus, we provide the basis for a universal evaluation protocol to assess the radiological outcome of calcaneal fracture treatment.
-
Arch Orthop Trauma Surg · Oct 2013
Randomized Controlled Trial Multicenter StudyEarly conversion to below-elbow cast for non-reduced diaphyseal both-bone forearm fractures in children is safe: preliminary results of a multicentre randomised controlled trial.
This multicentre randomised controlled trial was designed to explore whether 6 weeks above-elbow cast (AEC) or 3 weeks AEC followed by 3 weeks below-elbow cast (BEC) cause similar limitation of pronation and supination in non-reduced diaphyseal both-bone forearm fractures in children. ⋯ Multicentre randomised controlled trial, Level II.
-
Arch Orthop Trauma Surg · Oct 2013
Multicenter Study Comparative StudyOperative versus non-operative treatment for two-part surgical neck fractures of the proximal humerus.
Aim of this study was to evaluate outcomes of operative as compared to conserveative treatment for two-part humerus fractures at the surgical neck. ⋯ Both non-operative treatment and operative treatment using modern implants (LPHP, PHILOS and PHN) can be considered safe and effective treatment options for two-part fractures of the proximal humerus. Operative treatment may result in better range of motion and reduced pain in the early postoperative course of treatment.