Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2019
How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches.
The correct choice of a fracture-specific surgical approach with an articular accessibility in complex tibial plateau fractures to facilitate durable fracture fixation of the anatomic articular reconstruction is under debate, as the most important risk factor for malreduction in complex tibial plateau fractures is an impaired visualization of the articular surface. ⋯ Level IV.
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Arch Orthop Trauma Surg · Oct 2019
Review Meta AnalysisBetter outcomes with patellar resurfacing during primary total knee arthroplasty: a meta-analysis study.
Total knee arthroplasty (TKA) is a feasible and cost-effective procedure. However, resurfacing of the patella sparks a heated debate. Anterior knee pain after TKA was supposed to be correlated to the patellofemoral joint, and the resurface of the patella was believed to be effective to avoid this complication. ⋯ Level II, meta-analysis of prospective clinical trials.
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Arch Orthop Trauma Surg · Oct 2019
Randomized Controlled TrialComparison of the use of evaporative coolants and ice packs for the management of preoperative edema and pain in ankle fractures: a prospective randomized controlled trial.
The use of evaporative coolants in the management of acute musculoskeletal injury has received increasing attention recently. However, its efficacy compared with conventional cryotherapy in treating injured human subjects remains unclear. The purpose of this study is to compare the efficacy of evaporative coolants with that of ice packs in preoperative management of edema and pain in patients with an ankle fracture. ⋯ Level I, prospective randomized study.
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Arch Orthop Trauma Surg · Oct 2019
Multicenter StudyRATeS (Re-Admissions in Trauma and Orthopaedic Surgery): a prospective regional service evaluation of complications and readmissions.
All the surgeries carry risks, which may lead to readmission at a later date. At present, there is limited Trauma and Orthopaedic (T&O) specific data in the literature. As a result, a prospective regional service evaluation aimed to discover the current complication and readmission rates across all T&O procedures and identify any factors associated with these outcomes. ⋯ This large, multi-centre project describes readmission rates following trauma and orthopaedic surgery. In the presented study, the elective nature of the procedure was associated with a reduced risk of readmission.
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Arch Orthop Trauma Surg · Oct 2019
Does non-contact or delayed contact of an adjustable-loop femoral button affect knee stability following anterior cruciate ligament reconstruction?
The purpose of this study was to investigate whether cortical non-contact or delayed contact of an adjustable-loop button for femoral fixation could affect knee stability following anterior cruciate ligament (ACL) reconstruction. ⋯ Level III, retrospective comparative study.