Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2017
Meta AnalysisAccuracy of a patient-specific template for pedicle screw placement compared with a conventional method: a meta-analysis.
Accurate placement of pedicle screws in spine surgery is a challenge for surgeons. Patient-specific template techniques have the potential for improving the accuracy of screw placement. The target of this analysis was to investigate differences in terms of accuracy of pedicle screw insertion between patient-specific template assistance and the conventional free-hand method for reconstruction of spinal stability. ⋯ The template-assisted technique is superior to the conventional method for the reduction of pedicle violation. The template-assisted technique is a promising technique that should be considered as another available navigation tool for surgeons to improve the accuracy of pedicle screw placement. As an available technique for emerging applications in spine surgeries, this technique will face challenges but ultimately prove successfully.
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Arch Orthop Trauma Surg · Dec 2017
Randomized Controlled TrialCapsulotomy as a measure to control pain and reducing hemarthrosis in arthroscopic DB ACL reconstruction surgery: a prospective randomized control study.
The aim of the study was to evaluate the effect of capsulotomy as a measure of pain relief and hemarthrosis prevention in the arthroscopic double-bundle anterior cruciate ligament reconstruction. ⋯ We conclude that capsulotomy is a safe and effective measure of pain relief and hemarthrosis management in arthroscopic ACL reconstruction surgeries.
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Arch Orthop Trauma Surg · Dec 2017
Comparative StudyNo difference in outcome for open versus arthroscopic rotator cuff repair: a prospective comparative trial.
Arthroscopic techniques tend to become the gold standard in rotator cuff repair. However, little data are reported in the literature regarding the improvement of postoperative outcomes and re-tear rate relative to conventional open surgery. The aim of this study was to compare clinical outcomes and cuff integrity after arthroscopic versus open cuff repair. ⋯ Prospective comparative study.
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Arch Orthop Trauma Surg · Dec 2017
Comparative StudyManagement of comminuted fractures of the distal humerus: clinical outcome after primary external fixation versus immediate fixation with locking plates.
The surgical treatment of comminuted fractures of the distal humerus remains a challenging problem. The aim of the present study was to compare the clinical outcomes of primary external fixation with second-staged open reduction and internal fixation (ORIF) and initial definitive internal fixation in surgically treated patients with comminuted distal humerus fractures. ⋯ Therapeutic level III.
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Arch Orthop Trauma Surg · Dec 2017
Surgical overreduction and hyperlordotic fusion of C1-C2 joint are associated with cervical sagittal malalignment.
Previous studies have shown that hyperlordotic C1-C2 fusion was related to postoperative subaxial kyphosis. However, most of the patients in these studies were complicated with rheumatoid arthritis (RA). Moreover, no studies have specifically evaluated the relationship between C1-C2 fusion angle and cervical sagittal vertical axis (cSVA), T1 slope or cranial tilt (CRT) after posterior C1-C2 fusion. This study aimed to investigate the cervical sagittal alignment in non-RA patients following posterior C1-C2 fusion and the correlation between C1-C2 fusion angle and postoperative cervical sagittal alignment. ⋯ Apart from decreased subaxial lordosis, posterior C1-C2 fusion in hyperextension may also lead to kyphotic change of atlanto-occipital alignment and increased tilting forward of the cervical spine. Therefore, intraoperative overreduction of C1-C2 angle and hyperlordotic C1-C2 fusion should be avoided to maintain the physiologic cervical sagittal alignment.