Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2014
Randomized Controlled Trial Comparative StudyACL reconstruction using bone-patella tendon-bone autograft: press-fit technique vs. interference screw fixation.
The gold standard in ACL reconstructions has been the bone-patellar tendon-bone autograft fixed with interference screws. This prospective, randomized clinical trial aimed to compare two methods of fixation for BPTB grafts: press-fit fixation vs. interference screw, over a 12-month follow-up interval. ⋯ The press-fit technique is an efficient procedure. Its outcome was comparable with the interference screw group. Furthermore it has unlimited bone-to-bone healing, no need for removal of hardware, ease for revision and cost effectiveness.
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Arch Orthop Trauma Surg · Jul 2014
Fatty degeneration and atrophy of the rotator cuff muscles after arthroscopic repair: does it improve, halt or deteriorate?
The purpose of this study was to evaluate the changes in fatty degeneration and atrophy of rotator cuff muscles after arthroscopic repair. We further assessed the factors affecting the functional outcomes and integrity of the rotator cuff. ⋯ Initial muscle atrophy and fatty degeneration did not improve even after a successful rotator cuff repair where the tendon anatomic integrity was maintained for at least 2 years. It may continue to deteriorate, and the best possibility was preservation of the preoperative status. On the other hand, in cases of re-rupture, fatty degeneration and atrophy continued to worsen significantly. The factors affecting tendon integrity were found to be the age of the patient, the size of the tear and the severity of preoperative fatty degeneration in the rotator cuff.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyNeurological manifestations of thoracic myelopathy.
Investigation of preoperative manifestations of thoracic myelopathy in a large population has not been reported. The aim of this study was to identify symptoms specific to anatomical pathology or compressed segments in thoracic myelopathy through investigation of preoperative manifestations. ⋯ This study elucidated symptoms specific to anatomical pathology or compressed segments in thoracic myelopathy. These relationships can be helpful in the initial investigation of thoracic diseases, although additional measures such as MRI or CT are necessary for definitive diagnosis.
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Arch Orthop Trauma Surg · Jul 2014
Case ReportsSafety screw fixation technique in a case of coracoid base fracture with acromioclavicular dislocation and coracoid base cross-sectional size data from a computed axial tomography study.
Coracoid base fracture accompanied by acromioclavicular joint dislocation with intact coracoclavicular ligaments is a rare injury. Generally, an open reduction with screw fixation is the first treatment choice, as it protects the important structures around the coracoid process. This report presents a new technique of screw fixation for coracoid base fracture and provides anatomic information on cross-sectional size of the coracoid base obtained by computed tomography (CT). ⋯ In addition, 25 measurements of the coracoid base were made in 25 subjects on axial CT images. Average length of the long and short axes at the thinnest part of the coracoid base was 13.9 ± 2.0 mm (range 10.6-17.0) and 10.5 ± 2.2 mm (6.6-15.1), respectively. This new screw fixation technique and measurement data on the coracoid base may be beneficial for safety screw fixation of coracoid base fracture.
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Arch Orthop Trauma Surg · Jul 2014
Comparative StudyFunctional and patient-reported outcome of partial wrist denervation versus the Mannerfelt wrist arthrodesis in the rheumatoid wrist.
Wrist arthrodesis offers high success rates in patients with rheumatoid arthritis; however, loss of residual mobility may cause unnecessary disability. This makes wrist denervation an appealing alternative. However, there is a distinct lack of patient-reported outcome measure studies comparing these two procedures. The aim of this study was to report any change in function, pain and satisfaction following wrist arthrodesis compared to denervation in a single surgeon series of rheumatoid patients. ⋯ Both procedures enjoyed favourable results amongst patients with excellent satisfaction outcomes. PIN denervation is a simple procedure with low complication rates and we therefore consider it a valid alternative to more difficult treatment options, such as partial or total wrist arthrodesis.