Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
ReviewIndications and outcomes of the Coonrad-Morrey total elbow arthroplasty: a systematic review.
The Coonrad-Morrey prosthesis (CMP) is a widely applied semi-constrained implant that effectively counteracts compression and thrust on the hinge. The aim of this systematic review was to evaluate the indications and outcomes of CMP across different aetiologies for which it was implanted. ⋯ CMP showed favourable medium- to long-term clinical outcomes for patients with RA and FR, especially when osteosynthesis is not deemed feasible in elderly patients with low joint workload. Although CMP offered restored range of motion and functional improvements, the implant's low overall survival rate and high complication rate require careful consideration, especially in assessing individual patient factors which are then necessary to determine the suitability of CMP as a therapeutic option.
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Impactions of the articular surface are relevant prognostic parameters in the treatment of acetabular fractures. Posterior marginal impactions and acetabular dome impactions may occur depending on the direction of the force vectors during trauma. Posterior marginal impactions are mainly observed in posterior fracture dislocations, while acetabular dome impactions are frequently seen in the elderly with the hip joint in extension during trauma. ⋯ Acetabular dome impactions may be reduced using the fracture lines or by creating a cortical window. Reduction is followed by filling the void with bone or bone substitutes supported by raft screws. No clear treatment recommendations for femoral head impactions are given in the literature.
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Arch Orthop Trauma Surg · Dec 2024
Multicenter StudyThe first analysis of a multicentre paediatric supracondylar humerus fracture (SCHF) registry by fracture type.
Supracondylar humerus fractures (SCHFs) represent a significant segment of paediatric bone injuries, posing unique challenges due to their potential for severe complications. This study aims to provide a detailed analysis of the surgically treated SCHF cases recorded in our registry. ⋯ II.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudyPerioperative and short-term outcomes of cemented versus cementless total hip arthroplasty: a retrospective propensity-matched analysis.
Cement fixation for total hip arthroplasty (THA) remains a controversial topic. While cemented stems are associated with lower risk of periprosthetic fractures (PPF), cementless stems may offer superior biological fixation. This study analyzed peri-operative and short-term outcomes of cemented vs. cementless stem fixation in THA. ⋯ III, Therapeutic Study.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudySimultaneous bilateral total hip arthroplasty results in smaller Leg length discrepancy than staged bilateral procedures.
The purpose of this study was to compare leg length discrepancies (LLD) between simultaneous and staged bilateral total hip arthroplasty (BTHA). ⋯ Simultaneous BTHA has the potential to provide smaller LLD than staged BTHA because simultaneous surgery enables intraoperative comparison of bilateral leg lengths based on both extra- and intra-articular measurements. This approach may be advantageous for postoperative patient satisfaction.