Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2013
Comparative StudySubjective and objective results of arthroscopic debridement of ulnar-sided TFCC (Palmer type 1B) lesions with stable distal radio-ulnar joint.
The purpose of this study was to determine functional and subjective results of patients who received arthroscopic debridement for their TFCC Palmer 1B lesions and to compare their results with those of arthroscopic suture repair. ⋯ Arthroscopic debridement of Palmer type 1B lesions in stable DRUJ yields satisfactory to excellent results. Our study showed similar results compared with the studies of arthroscopic suture repair with shorter postoperative care and fewer complications.
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Arch Orthop Trauma Surg · Feb 2013
Calcium homeostasis influences radiological fracture healing in postmenopausal women.
Recent studies suggest that calcium and 25-[OH]-cholecalciferol represent substantial co-factors in fracture healing. However, there still seems to be no sustainable consensus regarding the influence on fracture healing patterns. In this study, the influence of calcium and vitamin D levels on fracture callus formation was prospectively analysed using pQCT scan. ⋯ Calcium and parathyroid hormone serum levels influence fracture callus area interpreted as fracture callus formation patterns. Calcium levels within physiological range accounted for highest fracture callus area. Therefore, a balanced calcium homeostasis is required for appropriate callus formation.
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Arch Orthop Trauma Surg · Feb 2013
Results of dynamic pedobarography following surgically treated intra-articular calcaneal fractures.
To investigate the clinical outcome and gait analysis findings by dynamic pedobarography in patients following surgically treated single, closed, dislocated intra-articular calcaneal fractures. ⋯ We found only an average clinical outcome and clear pathological gait patterns in our cohort with lateralization of the gait line.
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Arch Orthop Trauma Surg · Feb 2013
Significance of segmental instability in cervical ossification of the posterior longitudinal ligament and treated by a posterior hybrid technique.
Retrospective cohort case study. ⋯ Segmental instability, a degenerative dynamic factor, is important to the OPLL myelopathy. The posterior hybrid technique seemed to be effective and safe in the treatment of selective OPLL patients associated with SI. The benefits may include providing stabilization environment for spinal cord recovery, and preventing progressive kyphotic change and progression of OPLL.
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Arch Orthop Trauma Surg · Feb 2013
Randomized Controlled Trial Multicenter Study Comparative StudyOperative vs conservative treatment of traumatic patellar dislocation: results of a prospective randomized controlled clinical trial.
Patellar dislocation is a common knee injury with mainly lateral dislocations, leading to ruptures of the medial patellofemoral ligament in most of the cases. Even though several prognostic factors for patellofemoral instability have been identified so far, the appropriate therapy for patients with patellar dislocation remains a controversial issue. The purpose of this study was to compare the outcome after conservative or operative treatment in patients after first-time patellar dislocation. ⋯ Our multicentric prospective randomized controlled trial revealed no significant difference between conservative and operative treatment for patients after first-time traumatic patellar dislocation. However, a tendency towards a better Kujala score and lower redislocation rates for patients with operative treatment was observed. The small number of patients is a limiting factor of the study, leading to results without statistical significance. A meta-analysis including other study's level I data is desirable for the future.