Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2013
Results of metal-on-metal hip resurfacing in patients 40 years old and younger.
The prevalence of total hip arthroplasty in young patients is small but increasing. We analyzed the results of metal-on-metal hip resurfacing (MMHR) in patients aged 40 years or less. In total 74 operations were performed on 64 patients. ⋯ Seven-year survival was 90.5 %. The functional outcome of hip resurfacing in this cohort was excellent, but overall survival was unsatisfactory. Further analysis is required to verify the role of hip resurfacing among young and active patients.
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Arch Orthop Trauma Surg · Feb 2013
The aetiology of total knee arthroplasty failure influences the improvement in knee function.
Some indications for revision total knee arthroplasty (TKA), e.g. arthrofibrosis, have been identified to yield inferior results. The aim of this study was to analyse the results of revision TKA according to aetiology of TKA failure. ⋯ The aetiology of TKA failure has an effect on the improvement in knee function from revision TKA. As no difference was observed between patient groups postoperatively, similar clinical results can be expected independent of the aetiology of primary TKA failure.
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Arch Orthop Trauma Surg · Feb 2013
Three to seven year follow-up of a tapered modular femoral prosthesis in revision total hip arthroplasty.
Modular femoral prostheses can provide independent distal fixation and intraoperative flexibility and are being used increasingly, especially in patients with proximal femoral bone defects. This retrospective clinical study evaluated whether modular prostheses were effective and reliable implants for femoral revision. ⋯ Modular femoral components can improve hip function, provide distal fixation, equalize leg length, and result in fewer complications when used to revise failed femoral components.
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Arch Orthop Trauma Surg · Feb 2013
Influence of anthropometric features on graft diameter in ACL reconstruction.
There is a paucity of literature regarding the influence of anthropometric features on the hamstring graft obtained in ACL reconstruction. This study was undertaken to assess the influence of anthropometric measurements on the graft diameter obtained at ACL reconstruction surgery within the European population. We hypothesise that anthropometric features do influence graft thickness in ACL reconstruction. ⋯ Although body mass index did not significantly correlate, body height may be a predictive variable in predicting the graft diameter in ACL reconstruction and provide useful pre operative information.
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Arch Orthop Trauma Surg · Feb 2013
Clinical and radiological outcomes of spinal cord injury without radiologic evidence of trauma with cervical disc herniation.
To verify the relationship between neurologic deficit after spinal cord injury without radiologic evidence of trauma (SCIWORET) and coexisting cervical disc herniation (CDH). ⋯ CDH in most patients with SCIWORET likely occurred before rather than after trauma. CDH caused more severe cord compression but did not aggravate the neurologic injury. The extent of MSCC had no association with the initial neurologic deficit or final recovery.