Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2019
Case ReportsStaged arthrodesis using the Masquelet technique for osteomyelitis of the finger with articular destruction: a report of two cases.
Osteitis of the fingers is a serious infection that needs early diagnosis and appropriate surgical debridement and antibiotic treatment of the infected bone. If the effects of treatments are insufficient, long-term antibiotic treatment and repeated operations could be required. In worst cases, some patients may have to undergo amputation. ⋯ They obtained good infection control and better function of the finger than before the operation. Moreover, there was no recurrence of the infection. The Masquelet technique could be an alternative technique for osteitis with high risk of amputation.
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Arch Orthop Trauma Surg · Jul 2019
Tobacco use predicts poorer clinical outcomes and higher post-operative complication rates after open elbow arthrolysis.
Tobacco use is a worldwide public health problem, and has been found to be a predisposing factor for adverse functional outcomes and increased postoperative complication rates after various orthopedic operations. The purpose of this study was to determine the potential impact of tobacco use on open arthrolysis for post-traumatic elbow stiffness. ⋯ Level III; Retrospective Cohort Design; Therapeutic Study.
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Arch Orthop Trauma Surg · Jul 2019
Decrease surgery time by using an alternative lateral parapatellar approach for tibia shaft fracture nailing.
Medial parapatellar or transpatellar ligament approaches are commonly used for nail osteosynthesis in tibia shaft fractures. The lower leg is normally in a hanging position to allow guide wire insertion and reaming of the tibia. However, this position complicates fracture reduction and retention, as well as image intensification throughout the procedure. A lateral parapatellar approach with the lower leg in a semi-extended, horizontal position has been previously described for proximal tibial fracture fixation. The purpose of the presented study was to share the lateral parapatellar approach technique used in our institution and to analyse its feasibility for tibia shaft fracture fixation when compared to a medial parapatellar and transpatellar incision technique. ⋯ The extra-articular semi-extended tibial nailing technique using a lateral parapatellar approach was associated with a significant decrease in time of surgery, while fluoroscopy time was shorter but not significantly different between the three groups.