Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2014
Tibial tubercle osteotomy in septic revision total knee arthroplasty.
The incidence of revision knee arthroplasty for infection is increasing and the required surgical approach for the revision is a challenge for surgeons. Extensile approaches are frequently used when it is impossible to evert the extensor mechanism. The aim of this paper is to report our experience with tibial tubercle osteotomy (TTO) and the functional results in patients who underwent a two-stage revision due to prosthesis infection. ⋯ Retrospective case series, Level IV.
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Arch Orthop Trauma Surg · Sep 2014
Clinical TrialOrthogeriatric care pathway: a prospective survey of impact on length of stay, mortality and institutionalisation.
Care pathways for elderly hip fracture patients are increasingly implemented but there has been only limited evaluation of their use. Our objective was to investigate the impact of such a care pathway on the use of healthcare resources and on patients' outcomes. ⋯ A care pathway for elderly hip fracture patients allowed decreased LoS without affecting mortality or change of residential status 1 year after fracture compared to prefracture baseline.
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Arch Orthop Trauma Surg · Sep 2014
Case Reports Clinical TrialPercutaneous cerclage wiring followed by intramedullary nailing for subtrochanteric femoral fractures: a technical note with clinical results.
Although intramedullary nailing is an ideal treatment for subtrochanteric femoral fractures, it is technically challenging in fractures extending into the nail entry area and/or involving the lesser trochanter. Although the application of circumferential wire may facilitate reduction in these situations, its use remains controversial due to possible blood supply disturbances to underlying bone. In the present study, we evaluated complex subtrochanteric fractures treated by percutaneous cerclage wiring followed by intramedullary (IM) nailing for anatomical fracture reduction and union. ⋯ Temporary reduction by percutaneous wiring offers a means of satisfactory nailing in difficult subtrochanteric femoral fractures, and affords anatomical reconstruction and favorable bony union.
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Arch Orthop Trauma Surg · Sep 2014
Review Meta Analysis Comparative StudyDoes immobilization after arthroscopic rotator cuff repair increase tendon healing? A systematic review and meta-analysis.
To determine whether immobilization after arthroscopic rotator cuff repair improved tendon healing compared with early passive motion. ⋯ Level II; systematic review of levels I and II studies.
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Arch Orthop Trauma Surg · Sep 2014
Review Case ReportsSubtalar dislocation: two cases requiring surgery and a literature review of the last 25 years.
Subtalar dislocations are uncommon, representing ~1% of all traumatic dislocations. We present two cases of closed medial subtalar dislocation and a systematic literature review of the last 25 years. ⋯ 4.