Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2014
Randomized Controlled Trial Comparative StudyTreatment of non-union of humerus diaphyseal fractures: a prospective study comparing interlocking nail and locking compression plate.
The aim of this prospective comparative study was to compare outcomes and complications of humeral diaphyseal fracture non-unions managed with humerus interlocking nail (HIL) and locking compression plate (LCP). ⋯ This study concludes that both the implants can be used in non-union of humeral shaft fractures with good functional outcomes and acceptable rate of complications.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyA prospective comparative study of pin site infection in pediatric supracondylar humeral fractures: daily pin care vs. no pin care.
Pin site infection is a critical issue for patients' safety in skeletal fixation using percutaneous pins or wires. Closed reduction and percutaneous Kirschner wires fixation are the mainstay of treatment in pediatric supracondylar humeral fractures. Little information is available in the literature about the optimal regimen of pin site care in children. ⋯ Daily pin site care was associated with a higher infection rate and greater stress in postoperative care that required more telephone consultations. The study results could not support daily pin site care. Careful observation of pin sites was recommended in the treatment of pediatric supracondylar humeral fractures.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyA comparison of the anteromedial and transtibial drilling technique in ACL reconstruction after a short-term follow-up.
The purpose of this study was to compare clinical and radiological outcomes of patients who underwent single-bundle anterior cruciate ligament (ACL) reconstruction with anteromedial portal (AMP) and transtibial (TT) techniques. ⋯ It was shown that AMP technique was superior to the TT technique in providing anatomical placement of the graft and in recovery time to return sports; however, there was no difference between groups in early periods in terms of the clinical and functional outcomes.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyThe comparison of macroscopic and histologic healing of side-to-side (SS) tenorrhaphy technique and primer tendon repair in a rabbit model.
The side-to-side (SS) tenorrhaphy technique has been used in tendon transfer surgery. The mechanical properties of SS tendon suture have been studied previously. However, the histo-pathological healing of the SS tenorrhaphy of the tendons is unknown. The aim of this study was to assess the gross and histological effects of SS tenorrhaphy in a rabbit model. ⋯ The result of the current study showed that histological healing and union of SS tenorrhaphy differ from that in primary tendon injury and healing. Further studies are required to clarify the healing stages at the tenorrhaphy site.