Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2015
Multicenter StudyAcetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?
The present study was designed to examine whether oblique radiographs (Judet views) in addition to 2D and 3D CT scans improved the intra- and interobserver reliability when assessing acetabular fractures. ⋯ The moderate agreement found for the Letournel classification is to be expected given the complexity of the classification. The addition of oblique radiographs to the image sets does not seem to improve the reliability and thus its routine use for classification and decision making may be debated.
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Arch Orthop Trauma Surg · Jul 2015
Randomized Controlled Trial Multicenter StudyTopical and intravenous tranexamic acid reduce blood loss compared to routine hemostasis in total knee arthroplasty: a multicenter, randomized, controlled trial.
Tranexamic acid (TXA) is becoming widely used in orthopedic surgery to reduce blood loss and transfusion requirements, but consensus is lacking regarding the optimal route and dose of administration. The aim of this study was to compare the efficacy and safety of topical and intravenous routes of TXA with routine hemostasis in patients undergoing primary total knee arthroplasty (TKA). ⋯ I.
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Arch Orthop Trauma Surg · Jul 2015
Comparative StudyReconstruction techniques in comparison for reverse shoulder trauma prosthesis in the elderly: a follow-up between 2 and 4 years.
The aim of this study was to evaluate the clinical outcome of a bone graft technique called bCAT (bone Collar And Tie), in which the fractured humeral head is modelled into a collar shape versus puzzle piece reconstruction (PPR) in elderly patients with complex proximal humeral fractures. ⋯ The PPR and the bCAT techniques promoted the healing and correct positioning of the tuberosities thereby resulting in good functioning of the residual cuff. The bCAT technique resulted in better clinical function particularly in abduction and extrarotation and in terms of radiological outcome of reverse prosthesis surgery.
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Arch Orthop Trauma Surg · Jul 2015
Open fixation of acute anterior glenoid rim fractures with bioresorbable pins: analysis of clinical and radiological outcome.
The purpose of this study was a detailed analysis of clinical and radiological results following open fixation of acute-traumatic, displaced anterior glenoid rim fractures with bioresorbable pins. ⋯ Bioresorbable pin fixation is a feasible and safe method of osteosynthesis for anterior glenoid rim fractures up to a glenoid defect size of about 35 % and enables immediate active range of motion. Good or excellent clinical outcome can be expected and glenohumeral stability is reliably restored. The most common mid- and long-term complication is occurrence or progression of osteoarthritis. The major benefits of bioresorbable pin fixation are redundancy of implant removal, minimal risk of implant-related complications and early functional rehabilitation.