Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2023
Clavicle fixation to reduce short-term analgesia and improve respiratory function in patients with chest wall injuries.
The objective of this study was to determine if operative fixation of clavicle fractures in patients with non-operatively treated ipsilateral rib fractures is associated with a lower overall analgesic requirement and improved respiratory function. ⋯ Level III therapeutic study.
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Arch Orthop Trauma Surg · Nov 2023
Medial minimally invasive percutaneous plate osteosynthesis for humeral shaft fractures: a case series and novel technique description.
Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) is increasingly favored for treating humeral shaft fractures (HSFs). However, conventional MIPPO techniques pose challenges in fixing fractures near fossa olecranon and carry a risk of iatrogenic radial nerve palsy. A novel technique using a medial MIPPO for treating humeral shaft fractures (HSFs) is described. Results of clinical follow-up are presented. ⋯ IV.
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Arch Orthop Trauma Surg · Nov 2023
Ambulatory status after revision total hip arthroplasty in elective versus fracture indications.
To improve revision total hip arthroplasty (rTHA) prognosis and postoperative management, a better understanding of how non-elective and elective indications influence clinical outcomes is needed. We sought to compare ambulatory status, complication rates, and implant survival rates in patients who underwent aseptic rTHA for periprosthetic fracture or elective indications. ⋯ Compared to rTHA performed for elective aseptic indications, fracture rTHA patients had poorer early functional outcomes, with greater need for ambulatory aids and non-home discharge. However, these differences did not persist long term and did not portend increased infection or re-revision rates.
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Arch Orthop Trauma Surg · Nov 2023
ReviewFailure rates in surgical treatment in adults with bacterial arthritis of a native joint: a systematic review of 8,586 native joints.
Most adult cases of bacterial-septic-arthritis of a native joint are effectively managed with a single surgical debridement, but some cases may require more than one debridement to control the infection. Consequently, this study assessed the failure rate of a single surgical debridement in adults with bacterial arthritis of a native joint. Additionally, risk factors for failure were assessed. ⋯ A single surgical debridement fails to control bacterial arthritis of a native joint in approximately a quarter of all adult cases. Limited to moderate evidence exists that risk factors associated with failure are: synovial white blood cell count, sepsis, large joint infection, and the volume of irrigation. These factors should urge physicians to be especially receptive to signs of an adverse clinical course.