Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2019
Selective fasciotomy for acute traumatic lower leg compartment syndrome: is it feasible?
The standard treatment for an acute compartment syndrome (ACS) of the lower leg is a four compartment fasciotomy. It can be performed through either one lateral or a lateral and medial incision. Selective fasciotomy, only opening the compartments with elevated pressure, is a less invasive procedure. The aim of this study was to describe a procedure of selective fasciotomy after pressure measurement and to determine its feasibility in a retrospective cohort study. ⋯ Selective fasciotomy is feasible and seems to be safe. Future comparative studies will have to focus on possible benefits of this less invasive treatment.
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Arch Orthop Trauma Surg · Dec 2019
Radiographic analysis of lower limb alignment in professional football players.
To radiographically analyze lower limb alignment in adult asymptomatic professional football players and to correlate these values to clinical measurements. ⋯ This study was radiographically confirming increased varus of elite football players toward general population. Apex of the varus deformity was located in the proximal tibia. Clinical measurement of ICD/IMD adjusted for body height highly correlated with the radiographic values of coronal alignment; therefore, it may be used in population studies.
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Arch Orthop Trauma Surg · Dec 2019
Computed tomography versus plain radiography assessment of acetabular fracture reduction is more predictive for native hip survivorship.
Computed tomography (CT) is more accurate than plain pelvic radiography (PXR) for evaluating acetabular fracture reduction. As yet unknown is whether CT-based assessment is more predictive for clinical outcome. We determined the independent association between reduction quality according to both methods and native hip survivorship following acetabular fracture fixation. ⋯ Native hip survivorship is better predicted based on postoperative CT imaging as compared to PXR assessment. Predicting need for THA in patients with inadequate reductions based on both assessment methods remains challenging. While both PXR and CT-based methods are associated with hip survivorship, only an inadequate reduction according to CT assessment was an independent risk factor for conversion to THA.
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Arch Orthop Trauma Surg · Dec 2019
Trends in surgical management of proximal humeral fractures in adults: a nationwide study of records in Germany from 2007 to 2016.
Proximal humeral fractures (PHF) are among the most common adult fractures. However, valid epidemiologic population-based data, including differentiation of treatment modalities, are lacking. ⋯ Descriptive epidemiology study, large database analysis.
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Arch Orthop Trauma Surg · Dec 2019
Ex situ reconstruction of comminuted radial head fractures: is it truly worth a try?
Complex radial head fractures are difficult to treat. In cases where stable fixation cannot be achieved, radial head resection or primary arthroplasty are frequently performed. Ex situ reconstruction of comminuted fractures may also be an option. This technique has widely been neglected in the literature, and only two small case series report satisfactory results. The aim of the present case series was to determine the functional and radiological outcomes of ex situ reconstructed Mason III and Mason IV fractures. We expect that the on-table reconstruction of comminuted radial head fractures will lead to bony union with no avascular necrosis in the postoperative course, which will demonstrate that this operative procedure is a reasonable option. ⋯ Level IV-retrospective cohort study.