Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2015
Crisscross-type screw fixation for transcondylar fractures of distal humerus in elderly patients.
This study presents the outcomes of low transcondylar fractures of the distal humerus treated by closed reduction and internal fixation with two screws in a crisscross orientation. ⋯ In geriatric patients with transcondylar fractures of the distal humerus, a crisscross fixation with two cannulated screws provides satisfactory results that allow a nearly full range of elbow motion with minimal surgical morbidity.
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Arch Orthop Trauma Surg · Jan 2015
Arthroscopy-assisted reconstruction of coracoclavicular ligament by Endobutton fixation for treatment of acromioclavicular joint dislocation.
The aim of this study was to evaluate the clinical outcomes of arthroscopy-assisted reconstruction of the coracoclavicular (CC) ligament using Endobutton for treating acromioclavicular (AC) joint dislocation. ⋯ Arthroscopy-assisted reconstruction of the coracoclavicular ligament by Endobutton fixation is a safe, easy method for treating AC joint dislocation. It provides reliable fixation, causes little trauma, and has a fast recovery.
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Arch Orthop Trauma Surg · Jan 2015
Soft tissue injury of the shoulder after single non-dislocating trauma: prevalence and spectrum of intraoperative findings during shoulder arthroscopy and treatment results.
The purpose of our study was to present the spectrum and prevalence of intraarticular lesions in patients with shoulder pain after a single non-dislocating shoulder trauma and to evaluate the clinical results according to pathology and workers' compensation status. ⋯ Case series (Level IV).
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Fragility fractures are a growing worldwide health care problem. Hip fractures have been clearly associated with poor outcomes. Fragility fractures of other bones are common reasons for hospital admission and short-term disability, but specific long-term outcome studies of non-hip fragility fractures are rare. The aim of our trial was to evaluate the 1-year outcomes of non-hip fragility fracture patients. ⋯ The outcomes of older non-hip fracture patients are comparable to the poor outcomes of older hip fracture patients, and appear to be primarily related to comorbidities, pre-fracture function and nutritional status. The low rate of patients on osteoporosis medications likely reflects the insufficient recognition of the importance of osteoporosis assessment and treatment in non-hip fracture patients. Increased clinical and academic attention to non-hip fracture patients is needed.
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Arch Orthop Trauma Surg · Jan 2015
Clinical outcomes of trochanteric syndrome endoscopically treated.
Greater trochanteric pain syndrome (GTPS) is clinically defined as greater trochanter pain with mechanical characteristics. Most cases of GTPS are resolved with conservative treatment. Surgical techniques are reserved for those who had unsatisfactory results with conservative treatment. ⋯ IV. Case series.