Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2024
The temperature profile in elbow arthroscopy using radiofrequency ablation.
Over the last decades, arthroscopic surgery has become increasingly relevant as its minimally invasive approach offers many benefits. To investigate the risks of orthoscopic surgery at the elbow, this study aimed to investigate the development of temperatures in elbow joints while performing radiofrequency ablation in arthroscopic surgery. ⋯ Radiofrequency ablation (RFA) can be safely used in elbow arthroscopy with irrigation. The continuous use without irrigation should be limited to 3 s. Despite the anatomical proximity of the ulnar nerve and capsule, we were able to show that a possible rise in temperature most likely does not affect the ulnar nerve.
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Arch Orthop Trauma Surg · Aug 2024
Review Case ReportsMelorheostosis of the cervical and cervicothoracic spine: review of the literature and presentation of 3 new cases.
Melorheostosis is a rare dysplastic bone disease that usually affects long bones at the upper or lower limbs. It is rarely seen at the spine and very rarely located at the cervical spine. ⋯ Here, we give an overview of the current literature of spinal melorheostosis with respect to number of cases and skeletal distribution, aetiology, radiographic appearance, symptoms and treatment. Finally, we describe 3 new clinical cases with manifestation of melorheostosis at the cervical spine and the cervicothoracic junction.
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Arch Orthop Trauma Surg · Aug 2024
Transphyseal arthroscopic anterior cruciate ligament reconstruction in children under 12 years.
The incidence of anterior cruciate ligament (ACL) injuries in children is on the rise. Despite this trend, the optimal management of these injuries remains a matter of ongoing debate. In this light, our study seeks to assess the clinical, radiological, and functional outcomes of transphyseal ACL reconstruction in preadolescent patients in the medium-term. ⋯ Level II, prospective comparative cohort study, before and after intervention.
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Arch Orthop Trauma Surg · Aug 2024
What features of stem increase the risk of intraoperative femoral fracture during cementless primary hip arthroplasty?
Cementless fixation has become increasingly popular in hip arthroplasty due to its shorter operation time, easier technique, biologic fixation, and avoidance of bone cement implantation syndrome compared to cemented fixation. However, intraoperative periprosthetic femoral fracture (IOPFx) is a disconcerting complication during cementless hip arthroplasty. Our purpose was to identify the features of cementless stem that increase the risk of IOPFx during primary hip arthroplasty. ⋯ In conclusion, a stem with a standard length is significantly associated with risk of IOPFx compared to a shortened stem. These findings highlight the importance of careful consideration in terms of the risk of IOPFx when standard length cementless stem is chosen.
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Arch Orthop Trauma Surg · Aug 2024
The resisted torsional stress test in diagnosis of femoral stem loosening in uncemented total hip arthroplasty - first description and retrospective study.
Aseptic femoral stem loosening is among the most common causes for revision in total hip arthroplasty (THA). We describe a simple clinical test that triggers pain in the proximal femur in patients with a loose stem. A previously described passive rotation test was associated with a poor sensitivity. The resisted torsional stress test (RTST) was used for several years in our hospital, and this is the first description of its reliability. ⋯ The RTST provides a helpful tool in the clinical assessment of femoral stem fixation in THA with good accuracy and should be included in standard follow-up examinations and in the assessment of painful THAs.