Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2020
Seasonal effect on the incidence of post-operative wound complications after trauma-related surgery of the foot, ankle and lower leg.
Post-operative wound complications remain among the most common complications of orthopedic (trauma) surgery. Recently, studies have suggested environmental factors such as season to be of influence on wound complications. Patients operated in summer are reported to have more wound complications, compared to other seasons. The aim of this study was to identify if "seasonality" was a significant predictor for wound complications in this cohort of trauma-related foot/ankle procedures. ⋯ No seasonality could be identified in the rate of wound complications after trauma surgery of the lower leg, ankle and foot in this cohort. This lack of effect might result from the temperate climate of this cohort. Larger temperature and precipitation differences may influence wound complications to a larger extent. However, previous studies suggesting seasonality in wound complications might also be based on coincidence.
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Arch Orthop Trauma Surg · Nov 2020
Clinical outcomes of medial retinaculum plasty versus MPFL reconstruction with concomitant tibial tubercle transfer: a retrospective study.
To elucidate the clinical outcomes of medial retinaculum plasty versus MPFL reconstruction with concomitant tibial tubercle transfer. ⋯ The combined medial retinaculum plasty and tibial tubercle transfer achieved similar clinical outcomes versus the MPFL reconstruction with concomitant TTT. This therapeutic protocol was a good option in treatment of patellar dislocation with increased TT-TG distance or patella alta.
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Arch Orthop Trauma Surg · Nov 2020
Observational StudyComplications of implant removal after healed hip fractures.
Osteosynthesis of pertrochanteric fractures is one of the most frequently performed procedures in orthopaedic trauma care. Auto-dynamization during fracture healing can lead to lateralization of the screw or blade. This can cause debilitating complaints, which sometimes necessitate the removal of the screw or blade. After removal of the implant, we observed spontaneous femoral neck fractures in five patients. This article presents an evaluation of these cases with reference to literature. ⋯ The clinical indications for implant removal in healed pertrochanteric fractures are not well established and should be restricted to specific cases. After removal of these implants without replacement partial weight-bearing should be advised strictly. Based on our findings it is recommended to replace the cephalomedullary nail with a shorter one, ideally combined with implant augmentation.
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Arch Orthop Trauma Surg · Nov 2020
Randomized Controlled TrialEffect of triamcinolone acetonide on stiffness after surgical treatment of proximal humerus fractures: a randomized controlled study.
The primary aim of this study was to determine the effectiveness and safety of an intraarticular triamcinolone injection for the treatment of stiffness after the operative treatment of proximal humerus fractures. ⋯ Postoperative glenohumeral injection of triamcinolone is a safe and effective treatment modality for shoulder stiffness after internal fixation of proximal humerus fractures during the early period of rehabilitation.
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Arch Orthop Trauma Surg · Nov 2020
Clinical outcome and failure analysis of medial meniscus bucket-handle tear repair: a series of 96 patients with a minimum 2 year follow-up.
The failure rate of meniscal repair remains significant, especially for bucket-handle tears. This study aimed to evaluate the clinical outcomes, failure rate and risk factors for failure of bucket-handle medial meniscal tear repairs performed during ACL reconstruction. ⋯ Despite the fact that failure rate remains high for medial meniscus bucket-handle tears, suture repair of bucket-handle tears should be encouraged taking into account the long-term consequences of menisectomy.