Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2023
Tissue sampling is non-inferior in comparison to sonication in orthopedic revision surgery.
The aim of this study was to assess the role of sonication fluid cultures in detecting musculoskeletal infections in orthopedic revision surgery in patients suspected of having peri-prosthetic joint infection (PJI), fracture-related infections (FRI), or postoperative spinal implant infections (PSII). ⋯ Sonication fluid culture showed no additional benefit compared to conventional microbiological diagnostics of tissue and synovial fluid cultures. Preoperative administration of antibiotics had a clearly negative effect on microbiologic test accuracy. In over 83.9% of the cases, sonication fluid and tissue cultures showed identical results. In the other cases, sonication fluid culture did not further contribute to the therapy decision, whereas other factors, such as fistulas, cell counts, or histological analysis, were decisive in determining therapy.
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Arch Orthop Trauma Surg · Jun 2023
Morbidities and prognostic factors after tibial pilon fracture: impact on patients.
This study aims primarily to characterize the sequelae and morbidity associated with tibial pilon injuries from the patients' perspectives in terms of multiple surgical interventions, duration of hospital stay, downtime from work, loss of productivity and impact on patients' lives. The secondary aim is to review the associated risk factors for these morbidities. ⋯ Tibial pilon fractures leads to significant morbidities with profound negative impact on patients' lives in terms of multiple surgical interventions required, prolonged hospital stay, need for readmissions and prolonged downtime from work. These morbidities from patients' perspective should be emphasized to patients and employers to manage their expectations and potential limitations.
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Arch Orthop Trauma Surg · Jun 2023
Sexual activity after short-stem total hip arthroplasty. Does stem size matter?
Sexual activity is an important component of quality of life. To date, no studies have examined the impact of stem design on return to sexual activity (RTS) and quality of sex life after total hip arthroplasty (THA). ⋯ Level III, retrospective cohort study.
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Arch Orthop Trauma Surg · Jun 2023
Anatomic reconstruction of the lateral ligaments using allograft tendon and suspensory fixation for chronic lateral ankle instability with poor remnant quality: results and complications.
Treatment of chronic lateral ankle instability (CLAI) with poor remnant quality is challenging. The aim of the present study was to evaluate clinical results and complications of anatomic reconstruction of the lateral ligaments using allograft tendon and suspensory fixation in the treatment of such patients. ⋯ Level IV, retrospective case series.
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Arch Orthop Trauma Surg · Jun 2023
Medial proximal tibial resorption after total knee arthroplasty according to the design of the cobalt chrome tibial baseplate.
A new tibial baseplate of the cobalt-chrome (CoCr) prosthesis has an enhanced design with additional cement pockets and undersurface with increased roughness compared with the original baseplate. This study aimed to compare the incidence of medial proximal tibial resorption (MPTR) in total knee arthroplasties (TKAs) with the original and new CoCr tibial baseplates. ⋯ III.