Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2018
Which factors are independent predictors of early recovery of mobility in the older adults' population after hip fracture? A cohort prognostic study.
The aim of the present study was to identify all factors that might influence the short-term recovery of mobility in older adults' patients after hip surgery. ⋯ Therapy and physiotherapy choices after surgery for hip fracture are significantly associated with early recovery of mobility of older adults' patients, regardless of their baseline conditions. Early removal of supporting devices promoting prolonged bed immobility, such as air mattress, catheter, and incontinence pad, together with achieving an early upright position, are elements to take into account when planning future trials to understand its efficacy in enabling better recovery of mobility.
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Arch Orthop Trauma Surg · Jan 2018
ReviewEvidence-based concepts for prevention of knee and ACL injuries. 2017 guidelines of the ligament committee of the German Knee Society (DKG).
Knee injuries and especially anterior cruciate ligament (ACL) tears are frequent in athletes. Therefore, primary and secondary prevention of sports-related lower limb injuries is an ongoing topic of interest. The aim of present study was to establish guidelines for the prevention of knee and ACL injuries on the basis of evidence-based concepts represented in current literature. ⋯ Screening, identification, and correction of endangering movement patterns like the dynamic valgus are the first crucial steps in order to prevent knee and ACL injuries in athletes. Furthermore, jumping, running and flexibility exercises as well as balance and strength training are proven to reduce the incidence of these injuries and should, therefore, be integrated into the regular warm up program. Appropriate complete prevention programs are freely accessible via the Internet and should be adapted to the specific sport disciplines.
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Arch Orthop Trauma Surg · Jan 2018
Patellofemoral dysbalance and genua valga: outcome after femoral varisation osteotomies.
Patellofemoral dysbalance may be caused by trochlear dysplasia, an elevated TTTG distance, femoral or tibial torsional deformities, patella alta, or a genu valgum. The surgical procedure for the treatment of a genu valgum is varisation osteotomy, usually in the femoral aspect. Several authors believe that a genu valgum is one cause of patellofemoral dysbalance, but studies about the outcome of the treatment with a varisation osteotomy are rare. ⋯ IV, case series.
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Arch Orthop Trauma Surg · Jan 2018
Comparative StudyEffects of tibial baseplate shape on rotational alignment in total knee arthroplasty: three-dimensional surgical simulation using osteoarthritis knees.
Placement of tibial component is expected to fulfill both maximum surface coverage and recommended anterior-posterior (AP) alignment in total knee arthroplasty (TKA). The purpose of this study is to evaluate the effect of the tibial baseplate shape on AP axis. ⋯ Symmetrically or anatomically designed tibial baseplates have their own favored AP axis and specific performance on coverage. When aligned to axis 1/3MED, anatomically designed tibial baseplates will effectively lower the mismatch rates compared to a symmetrically designed tibial baseplate. Orthopaedic surgeons are expected to place the tibial components to the cut surface during TKA with full understanding of the features between different baseplate designs, AP axes, and posterior slopes for an ideal tibial rotational position.
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Arch Orthop Trauma Surg · Jan 2018
Observational StudyAcetabular overcoverage in the horizontal plane: an underdiagnosed trigger of early hip arthritis. A CT scan study in young adults.
Acetabular overcoverage promotes hip osteoarthritis causing a pincer-type femoroacetabular impingement. Acetabular coverage in the horizontal plane is usually poorly defined in imaging studies and may be misdiagnosed. The goal of this study was to analyze the role of acetabular overcoverage measured in the frontal plane and in the horizontal plane by CT scan and to determine its relationship with other anatomic features in the onset of hip arthritis in young adults. ⋯ Acetabular overcoverage in the horizontal plane plays an important role in the onset of early hip arthritis. Considering that this condition is usually underdiagnosed, we suggest the anterior sector acetabular angle, the posterior sector acetabular angle, and the horizontal acetabular sector angles be routinely included in decision-making algorithms in hip conservative surgery to better define hips-at-risk of developing early hip osteoarthritis.