Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2014
ReviewReturn to play following ACL reconstruction: a systematic review about strength deficits.
There is a lack of consensus regarding appropriate criteria attesting patients' unrestricted sports activities after ACL reconstruction. Purpose of this study was to perform a systematic review about strength deficits to find out if a strength test might be a return to play criterion. ⋯ Strength deficits of hip, knee and ankle muscles are reported after ACL reconstruction. Muscular strength test may be an important tool to determine if an athlete can return to competitive sports after ACL reconstruction.
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Arch Orthop Trauma Surg · Oct 2014
Comparative Study Clinical TrialCan physical examination predict the intraarticular tear pattern of the anterior cruciate ligament?
We evaluated the correlation between physical examinations and the tear patterns of the anterior cruciate ligament (ACL). ⋯ A PT of more than grade 2 is a reliable physical examination for prediction of ruptured PLB or complete rupture.
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Arch Orthop Trauma Surg · Oct 2014
Risk factors for subsidence in anterior cervical fusion with stand-alone polyetheretherketone (PEEK) cages: a review of 82 cases and 182 levels.
To determine risk factors for subsidence in patients treated with anterior cervical discectomy and fusion (ACDF) and stand-alone polyetheretherketone (PEEK) cages. ⋯ Subsidence is associated with a greater number of treatment levels, treatment at C5-7 and relatively oversized cage use.
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Arch Orthop Trauma Surg · Oct 2014
Comparative StudyStability of two angular stable locking plates for open wedge high tibial osteotomy (HTO): TomoFix™ versus LOQTEQ® HTO plate.
The aim of this study was to test the mechanical stability of LOQTEQ® HTO plate in comparison to the TomoFix™ internal plate fixator. ⋯ The results of the present study showed that fatigue strength of the LOQTEQ® HTO plate was significantly higher in comparison to TomoFix™. These results justify the clinical use of the LOQTEQ® HTO plate.
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Arch Orthop Trauma Surg · Oct 2014
Clinical TrialComputer-based quantification of the Achilles tendon thickness in sequential B-mode ultrasound images: a study of feasibility and reliability.
Assessment of the Achilles tendon thickness (ATT) using B-mode ultrasound is a common technique for clinical evaluation of chronic mid-part tendinosis. Currently used image-based assessment is limited by relatively high inter- and intra-observer variability. In this study, it was tested whether a new sequence-based automated assessment of ATT provides more reliable and reproducible results than the standard image-based procedure. ⋯ The study shows sequence-based automated assessment of ATT being clearly superior to the standard image-based procedure. The new method provides a clear reduction of reader as well as observer-dependent variability. Due to the decreased scattering of measurement data sequence-based measurement seems especially valuable for quantification of small tendon thickness changes such as exercise-induced hypertrophy.