Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2013
The Copeland resurfacing humeral head implant does not restore humeral head anatomy. A retrospective study.
Recently, there has been concern that the Copeland resurfacing humeral head implant (RHHI) leaves the shoulder joint overstuffed. The purpose of this study was in a selected cohort of patients operated with a Copeland RHHI (1) to evaluate the Length of the Gleno-Humeral Offset (LGHO), (2) to assess the patient-reported quality of life and functional outcome measured by Western Ontario Osteoarthritis of the Shoulder Index (WOOS) and (3) to determine the number of revisions in the cohort. ⋯ The Copeland RHHI causes significantly increased LGHO and leads to overstuffing in the shoulder joint. The WOOS score in the cohort was comparable to that for all other Danish patients operated with a Copeland RHHI.
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Arch Orthop Trauma Surg · May 2013
Comparative StudyUsefulness of knee arthroscopy for diagnosis of knee pain in pediatric patients: comparison with preoperative clinical diagnosis.
To investigate the knee arthroscopic findings of pediatric patients with knee pain. ⋯ ACL injury and discoid lateral meniscus were the predominant conditions in pediatric patients who underwent knee arthroscopic surgery for knee pain. Knee arthroscopy is useful to provide a definitive diagnosis for knee pain in pediatric patients. Preoperative evaluations had a diagnostic accuracy of only 83.2 % and failed to diagnose conditions such as medial plica syndrome and chondral injury. Therefore, diagnosis before knee arthroscopy has to be interpreted with caution.
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Arch Orthop Trauma Surg · May 2013
Treatment of thumb soft-tissue defects using a bipedicle island flap of the index finger: anatomical basis and clinical application.
Reconstruction of the thumb with exposure of bone and tendon is challenging. We designed a bipedicle island flap from the dorsum of the index finger to repair thumb defects. One pedicle includes the radial proper palmar digital artery (PDA) of the index finger, another pedicle includes the first dorsal metacarpal artery (FDMA). The aim of the study was to investigate the anatomical basis and clinical application of this flap. ⋯ The bipedicle island flap has two arterial systems to provide sufficient blood supply. This technique provides another option for thumb reconstruction when a large supercharged FDMA island flap needs to be designed, or when there is an additional injury to the radial side of the dorsum of the hand or if there are anatomical variations of the FDMA, or if damage to the FDMA occurs during surgery.
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Arch Orthop Trauma Surg · May 2013
Orthopedic surgeon perspectives on appropriate referral of trauma patients to physical therapy (PT).
To evaluate orthopedic surgeon referral of trauma patients to PT. ⋯ There are potential differences in the referral practices of orthopedists of varying levels of experience. Although outcome is viewed as positive following PT, it appears that many orthopedists view a prescribed home exercise program as an acceptable equivalent to formalized PT in the setting of orthopedic trauma. Future research should be directed at determining indicators for formalized PT.
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Arch Orthop Trauma Surg · May 2013
Predicting patient satisfaction using the Oxford knee score: where do we draw the line?
The aim of this study was to identify threshold values in the pre- and post-operative Oxford knee score (OKS), and change in the score for differing levels of patient satisfaction with their total knee replacement (TKR). ⋯ The threshold values, we have identified for the different levels of satisfaction using the post-operative OKS, which is the most accurate predictor, can be used to predict level of patient satisfaction and give quantification of the OKS.