Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1986
Acromioclavicular dislocations treated by coracoacromial ligament transfer.
Forty-seven patients with acute Allman type-III acromioclavicular dislocations were treated with open reduction and coracoacromial ligament transfer. At follow-up 1.6-10 years (mean 6) post-operatively 44 patients (94%) had excellent or good functional results. ⋯ Two of the three patients with subluxation in the acromioclavicular joint at follow-up had unsatisfactory results. Complications were infrequent and cosmetic results satisfactory.
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Fracture of the tibial tuberosity is an uncommon injury and rarely occurs after closure of the proximal tibial epiphysis. Three cases of tibial tuberosity fracture over a period of 11 years were treated by open reduction, internal fixation, and immobilization for 6 weeks in plaster of Paris (1970-1980). The postoperative follow-up times were 5, 6, and 7 years. ⋯ Two patients had secondary posttraumatic patella infera without any symptoms. All patients returned to normal activity. The results demonstrated that this injury in the adolescent knee heals without deformity of functional loss when adequate reduction and fixation of the fracture fragments have been achieved.
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Arch Orthop Trauma Surg · Jan 1985
Mechanical effects of intramedullary reaming on osteotomy healing in rats.
The effect of intramedullary reaming on the healing of stable femoral osteotomies was studied. In one group of rats reaming of the medullary cavity was performed, and a partial, transverse osteotomy was made at the mid-shaft. ⋯ There were no significant differences in these biomechanical parameters between the two groups during the experimental period. The results indicate that reaming of the medullary cavity of diaphyseal bone does not significantly impair the healing of fractures that are rigidly fixated.
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Arch Orthop Trauma Surg · Jan 1984
Randomized Controlled Trial Clinical TrialEarly results after Colles' fracture: functional bracing in supination vs dorsal plaster immobilization.
A randomized clinical study of functional bracing in supination (FUSU) versus dorsal plaster immobilization (DPI) was conducted in 145 patients with Colles' fracture. A dynamic wrist unit was developed and used in 68 patients allocated for FUSU. The anatomical end result after FUSU was excellent or good in 80% of the patients versus 64% after DPI (P less than 0.05), in particular due to less dorsal angulation (P less than 0.001) and less radial shortening. ⋯ At 6 months, 92% satisfactory results were achieved after FUSU versus 86% after DPI (P less than 0.05). Both anatomical and functional benefits were recorded in Frykman type V, VI, and VIII fractures and in the group of displaced intra-articular fractures. The functional benefit from FUSU is suggested primarily to be secondary to decreased fracture redislocation.
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Arch Orthop Trauma Surg · Jan 1984
Case ReportsPseudarthrosis resulting in complete paraplegia fifteen years after spinal fusion.
Paraplegia immediately following spinal fusion is a known problem. This case demonstrates the importance of long-term follow-up of fusion patients. Prompt attention must be given to any change in neurological status. A careful check must be made for pseudarthrosis and for secondary compression of the spinal cord as possible causes of neurological compromise.