Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2020
The functional outcome of arthroscopic rotator cuff repair with double-row knotless vs knot-tying anchors.
To date two main techniques are used in arthroscopic full-thickness rotator cuff tears, the conventional knot-tying suture bridge technique and the knotless technique. We evaluated whether there is a difference in clinical outcome using both techniques. Our patients underwent arthroscopic treatment of full-thickness rotator cuff tears, and we retrospectively evaluated clinical function, strength and surgery time. ⋯ Similarly, there was no statistical difference between the groups in regard to strength, surgery time, and range of motion at the twelve months follow-up. Our data confirm that both techniques may be used successfully to repair full-thickness rotator cuff tears with very good functional outcome. Level of evidence IV.
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Arch Orthop Trauma Surg · Aug 2020
Underestimation and undertreatment of osteoporosis in patients awaiting primary total knee arthroplasty.
Osteoporosis is generally regarded as a risk factor for periprosthetic fracture during or after primary total knee arthroplasty (TKA). Despite this, little is known about osteoporosis in patients undergoing elective primary TKA Therefore, we sought to investigate the prevalence of osteoporosis and rates of pharmacologic osteoporosis treatment prior to primary TKA. We hypothesized that preoperative osteoporosis is underestimated and undertreated in the primary TKA population. ⋯ Osteoporosis was highly prevalent in patients awaiting TKA, but the rates of diagnosis and pharmacologic osteoporosis treatment were low. Therefore, more attention needs to estimate and treat osteoporosis in patients awaiting primary TKA, especially in female patients.
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Arch Orthop Trauma Surg · Aug 2020
General treatment principles for fracture-related infection: recommendations from an international expert group.
Fracture-related infection (FRI) remains a challenging complication that creates a heavy burden for orthopaedic trauma patients, their families and treating physicians, as well as for healthcare systems. Standardization of the diagnosis of FRI has been poor, which made the undertaking and comparison of studies difficult. Recently, a consensus definition based on diagnostic criteria for FRI was published. ⋯ Standardized patient outcome measures purely focusing on FRI are currently not available but the patient-reported outcomes measurement information system (PROMIS) seems to be the preferred tool to assess the patients' short and long-term outcome. This review summarizes the current general principles which should be considered during the whole treatment process of patients with FRI based on recommendations from the FRI Consensus Group. Level of evidence: Level V.
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Arch Orthop Trauma Surg · Aug 2020
Review Meta AnalysisImplant positioning among the surgical approaches for total hip arthroplasty: a Bayesian network meta-analysis.
Although there is anatomical individuality among patients, some standardized requirements for component orientation for total hip arthroplasty (THA) exist. To date, no study has compared implant positioning using a network meta-analysis (NMA). Hence, the purpose of this study was to perform a NMA comparing implant positioning among the various approaches for THA. ⋯ The anterolateral approach for total hip arthroplasty detected the best femoral stem alignment and cup anteversion. Data concerning cup inclination detected no sufficient transitivity to draw consistent conclusions.
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Arch Orthop Trauma Surg · Aug 2020
Review Meta AnalysisComparison of outcomes between nonsurgical and surgical treatment of distal radius fracture: a systematic review update and meta-analysis.
This study was a systematic review comparing the clinical outcomes of nonsurgical and surgical management for distal radius fractures. ⋯ Therapeutic study (systematic review), Level III.