Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2020
Patient expectation fulfilment following total hip arthroplasty: a 10-year follow-up study.
The primary aim of this study was to assess how expectation fulfilment changes up to 10 years following total hip arthroplasty (THA). ⋯ Expectation fulfilment following THA changes with time. The majority of patients report high levels of expectation fulfilment following THA at late follow-up. This information can be used to help manage the longer-term expectations of patients undergoing THA.
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Arch Orthop Trauma Surg · Jul 2020
Kneeling difficulty is common following anterior cruciate ligament reconstruction with hamstring autograft and correlates with outcome measures.
Patients frequently have discomfort or difficulty with kneeling following anterior cruciate ligament reconstruction (ACLR). This study aimed to report the prevalence of, and reasons for, kneeling difficulty after ACLR with a hamstring autograft; and to investigate the association between the degree of kneeling difficulty, presence of concurrent meniscal surgery, and clinical outcomes, including patient-reported outcome measures (PROMs) and functional tests. ⋯ IV.
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Arch Orthop Trauma Surg · Jul 2020
"Cat and dog bite injuries of the hand: early versus late treatment".
Animal bites of the hand are common injuries in the emergency department. Serious complications may occur if those injuries are not treated adequately. The purpose of the study was to examine if there is a difference between the treatment of animal bite injuries at an early stage (first treatment within the first 24 h after injury, group I) versus a later stage (first treatment more than 24 h after injury, group II) retrospectively. ⋯ Level 3, therapeutic.
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Arch Orthop Trauma Surg · Jul 2020
Should patients aged 75 years or older undergo medial unicompartmental knee arthroplasty? A propensity score-matched study.
With increasing life expectancies worldwide, more elderly patients with isolated medial compartment osteoarthritis may become suitable UKA candidates. However, there is a paucity of literature comparing outcomes between older patients (≥ 75 years) and younger patients undergoing UKA. The aim of this study was to determine if there were differences in functional and HRQoL measures between older patients (≥ 75 years) and younger controls (< 75 years) undergoing primary UKA. ⋯ Our findings highlight the need to counsel older patients regarding potentially reduced improvements in functional outcomes, despite advantages of lower revision. However, UKA in older patients continues to be a viable option for isolated medial compartment osteoarthritis LEVEL OF EVIDENCE: Level III Propensity score matched study.
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Arch Orthop Trauma Surg · Jul 2020
Efficacy of total hip arthroplasty after operatively treated acetabular fracture.
We evaluated the clinical and radiological outcomes of patients following total hip arthroplasty (THA) for acetabular fracture. ⋯ THA secondary to an operatively treated acetabular fracture provides good symptomatic relief, but shows relatively inferior survival rates, and clinical failure was related to post-traumatic arthritis with acetabular non-union.