Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2022
ReviewManagement of acute knee dislocation with vascular injury: the use of the external fixator. A systematic review.
Vascular injuries after traumatic knee dislocation pose a potential limb threat for the patient. The benefits of external fixation have been described by many authors. However, the usefulness of the external fixator during acute management of knee dislocations with vascular injuries is a controversial aspect that has no consensus in the literature. The purpose of the present study was to provide data from the current literature on the utility of the external fixator and to investigate the percentage of knee dislocations with vascular injuries treated with an external fixator, the timing between external fixator and vascular repair, and the total time of external fixator. ⋯ IV.
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Arch Orthop Trauma Surg · Feb 2022
Randomized Controlled TrialQuadriceps and hamstring tendon autografts in ACL reconstruction yield comparably good results in a prospective, randomized controlled trial.
Comparable data of functional outcomes of anterior cruciate ligament reconstruction using either hamstring- or quadriceps tendon grafts is controversial. This prospective, randomized controlled trial aims to provide data comparing both grafts regarding the functional outcome. ⋯ Quadriceps and hamstring tendon autografts yield comparably good results in primary anterior cruciate ligament reconstruction.
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Arch Orthop Trauma Surg · Feb 2022
Risk factors for postoperative coronal decompensation in adult lumbar scoliosis after posterior correction with osteotomy.
To determine potential risk factors for postoperative coronal imbalance following posterior osteotomy for adult scoliosis. ⋯ Patients with preoperative coronal imbalance towards the convex side (UIV above T6) and LIV rotation were more likely to develop coronal imbalance than those without risk factors. Older patients and those with degenerative scoliosis were also at a relatively higher risk of postoperative coronal imbalance.
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Arch Orthop Trauma Surg · Feb 2022
Radiographic changes in the distal ulna in non-rheumatoid patients with extensor digitorum communis ruptures.
Osteoarthritis of the distal radioulnar joint (DRUJ) is relatively common in elderly people. Extensor digitorum communis (EDC) ruptures occasionally and occurs with or without prior signs in these people. The purpose of this study was to clarify the radiographic changes in the distal ulna associated with EDC rupture. ⋯ Deformation of the distal ulna, a large UV, dorsal penetration, and dorsal bowing was related to EDC rupture. Regarding the large UV, the lunate shaved the upper half of the distal ulna, whereas the DRUJ shaved the lower half. These processes formed a tapered ulna head. A large UV and an inclination of the DRUJ played a role in ulnar head deformation.
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Arch Orthop Trauma Surg · Feb 2022
Clinical and radiographic results after arthroscopic repair of lateral meniscus tear in lateral-depression tibial plateau fracture.
To evaluate the clinical and radiographic results of AR/IF and meniscus repair for treating lateral meniscus (LM) tears associated with lateral tibial plateau fractures and to identify the factors associated with LM tear. ⋯ Level IV retrospective cohort study.