Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2015
ReviewThe natural history of rotator cuff tears: a systematic review.
To analyse the current scientific evidence regarding the natural history of the clinical and anatomical progression of rotator cuff tears. ⋯ The development of symptoms and anatomical deterioration are often directly correlated. Spontaneous recovery to normal levels of function has been successfully achieved, and standardised non-operative treatment programmes are an effective alternative to surgery for many patients. Follow-up is necessary to avoid irreparable stage. However, surgery is still favoured by young active people and highly professional persons who need to get fit in a short period of time. Further research is still necessary. The AMQPP score system is simple and reliable. It works as a quick quality-checking tool which helps researchers to identify the key points in each paper and reach a decision regarding the eligibility of the paper more easily.
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Arch Orthop Trauma Surg · Aug 2015
Return to recreational sports activity after anterior cruciate ligament reconstruction: a one- to six-year follow-up study.
The aim of this study was to evaluate mid-term return to recreational sport in general population and identify factors related with sports return. ⋯ The results suggest good mid-term return to recreational sports in general population. The following factors had a statistically significant influence on the return to sports activity: type of sport, sex and functional state of the operated knee (IKDC-Lysholm). Psychological and social factors may have a fundamental influence on return to sports activity.
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Arch Orthop Trauma Surg · Aug 2015
Quantitative evaluation of residual bony impingement lesions after arthroscopic treatment for isolated pincer-type femoroacetabular impingement using three-dimensional CT.
The objective of this study is to determine the clinical characteristics of residual bony impingement lesions after arthroscopic treatment for pincer-type femoroacetabular impingement (FAI); and to determine the effects of residual bony impingement lesions on the clinical outcomes after 2 years of follow-up. ⋯ The incidence of residual impingement lesions after arthroscopic pincer-type FAI correction was 63.3 %. The residual rate was 14.48 %. The residual impingement lesions were primarily in the posterior portion of the acetabulum. The clinical outcomes were associated with the residual rate of bony impingement lesions. The patients with residual rates >20 % exhibited significantly lower clinical scores and satisfaction rates.
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Arch Orthop Trauma Surg · Aug 2015
Review Meta AnalysisAdverse effects associated with the direct anterior approach for total hip arthroplasty: a Bayesian meta-analysis.
The direct anterior approach (DAA) is an increasingly popular technique for performing total hip arthroplasty (THA). This muscle-sparing approach may yield functional benefits. However, DAA has been associated with an increased risk incidence (RI) of intra- and postoperative complications. ⋯ DAA is a technically demanding procedure, with outcomes possibly indicative of surgeon learning curve. A risk for intra-operative fractures and LCFN is evident, although the risk for other adverse effects is comparable to those with other approaches.
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Arch Orthop Trauma Surg · Aug 2015
Randomized Controlled TrialEffect of irrigation fluid temperature on core body temperature and inflammatory response during arthroscopic shoulder surgery.
This study was designed to evaluate the influence of irrigation fluid on the patients' physiological response to arthroscopic shoulder surgery. ⋯ Hypothermia occurs more often in arthroscopic shoulder surgery by using room temperature irrigation fluid compared with warm irrigation fluid. And local inflammatory response is significantly reduced by using warm irrigation fluid. It seems that warm irrigation fluid is more recommendable for arthroscopic shoulder surgery.