Archives of orthopaedic and trauma surgery
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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.
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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
Clinical TrialArthroscopic assessment of medial malleolar reduction.
Ankle fractures treated with open reduction internal fixation are fixed in an effort to reestablish anatomic bony alignment and avoid a malunion, thereby diminishing the risk of post-traumatic arthritis. For a medial malleolar fracture, an articular step-off is likely more related to the risk of post-traumatic arthritis than is a cortical step-off. However, the external cortical alignment is often used to judge the adequacy of reduction, as the articular component of the fracture is not as readily visualized. Arthroscopy has been used in various articular fractures as an aid to diagnosis and treatment. The current study prospectively assessed both the quality of medial malleolar reduction on the articular side using arthroscopy and the adequacy of using cortical cues to guide the articular reduction. ⋯ The cortical reduction of the medial malleolus often matched up with the articular reduction. However, in some patients, impaction of the medial malleolus made it so that the two did not match up. There are some cases in which extra-articular cues are insufficient to evaluate for intra-articular reduction.
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Arch Orthop Trauma Surg · Sep 2014
ReviewCeramic on ceramic hip prostheses: a review of past and modern materials.
Ceramic on ceramic hip prostheses are an increasingly popular choice for hip replacement. Modern manufacturing techniques and developments have increased the strength and reliability of ceramic materials. The alternative bearing couples such as metal-on-polyethylene and metal-on-metal are more inclined to wear and produce particulate debris. Despite reports of fractures and stripe wear, harder, more inert and more wear resistant, modern ceramic-ceramic hip replacements provide a strong alternative to traditional bearings.
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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.