Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2024
The role of the medial head of the gastrocnemius myocutaneous flap transfer in the management of prosthesis exposure and deep joint infection following total knee arthroplasty.
There is a lack of effective and innovative treatment for patients with prosthesis exposure and deep joint infection following total knee arthroplasty. This study explores the application of the medial head of the gastrocnemius myocutaneous flap transfer in these conditions, offering new therapeutic strategies for clinical practice. ⋯ Medial head of the gastrocnemius myocutaneous flap transfer effectively improves knee joint function and activity, reduces pain, alleviates inflammatory reactions, and has fewer adverse reactions and a lower recurrence rate.
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Arch Orthop Trauma Surg · Dec 2024
ReviewTraumatic lumbosacral instability: part 1 - proposing a definition and identifying underlying injury patterns.
Traumatic lumbosacral instability (TLSI) generally refers to a traumatic disruption of the lumbopelvic junction. The ambiguous use of this term has contributed to confusion and limited understanding of injuries that can impact lumbosacral stability. As of now, TLSI lacks a clear definition, and the underlying injury patterns remain inadequately characterized. Therefore, the objectives of the first part of this two-part series are: (1) to establish a precise definition of TLSI, (2) to identify and systematically characterize the injury patterns underlying TLSI, and (3) to outline principles for diagnosing and classifying these underlying conditions.
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Arch Orthop Trauma Surg · Dec 2024
Comparative Study Observational StudyComparison of pain, functional and psychological trajectories between total and unicompartmental knee arthroplasties: secondary analysis of a 6-month prospective observational study.
Unicompartmental knee arthroplasty (UKA) treats osteoarthritis in one knee compartment, while total knee arthroplasty (TKA) addresses all compartments. The debate focuses on UKA's advantages of quicker recovery and fewer complications versus TKA's lower long-term revision rates, emphasizing the need for thorough outcome evaluations. The aim of the present study is to describe and compare the pain, functional and psychological trajectories during a 6-month postoperative rehabilitation period between total and unicompartmental knee arthroplasties. ⋯ Despite differences in the acute phase, there are no differences in pain, functional and psychological trajectories throughout the six-month rehabilitation period. These results should be acknowledged to better inform patients and to improve patient education during the perioperative period.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudyBi-cruciate stabilized total knee arthroplasty restores the native knee alignments better than conventional posterior stabilized total knee arthroplasty.
This study aimed to compare the differences in the radiological, clinical, and functional outcomes and the estimated restoration rate of native knee alignment between total knee arthroplasty (TKA) with bi-cruciate stabilized (BCS) and posterior stabilized (PS) design. ⋯ Level III, retrospective cohort study.