Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2023
60 years of Charnley-Muller Alivium hip prosthesis: the revision percentage and tribo-corrosion sequelae after a mean of 27 years.
The main aim was to analyse the series of 29 collected cemented Charnley-Muller Alivium retrievals with the meantime in situ of 27 years. In addition, the revision rate of 1425 Alivium prostheses implanted at our institution between 1977 and 1992 was calculated. ⋯ Our study represents valuable data not reported previously on the survival rate of Charnley-Muller prostheses at 45 years of follow-up and a unique insight into the collected retrievals from the materials' point of view.
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Sixty-eight patients with seventy-one total wrist fusions were retrospectively reviewed with a mean follow-up of 11.7 years. The main purpose of this study was to determine long-term functional results and define possible reasons for remaining pain. Except one asymptomatic non-union, all wrist fusions united. ⋯ Most patients complained about remaining pain during strong activities with a mean VAS of 4/10 that could not further been defined on clinical or radiological examinations. Patients with more than two previous operations had a significant worse outcome concerning the modified Mayo wrist score [≤ 1 operation mean 61 points vs. ≥ 2 operations mean 56 points (Mann-Whitney U test: p = 0.009)] and PRWE-G [≤ 1 operation mean 27 points vs. ≥ 2 operations mean 37 points (t test: p = 0.047)] and furthermore a downward trend for worse DASH [≤ 1 operation mean 265 points vs. ≥ 2 operations mean 35 points (t test: p = 0.086)] results. Despite the loss of wrist motion and remaining pain, patients were highly satisfied with the long-term result and 93% would undergo the operation again.
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Arch Orthop Trauma Surg · Oct 2023
Higher failure rate of secondary patellar resurfacing following bicompartmental knee arthroplasty.
The role of secondary patellar resurfacing (SPR) in anterior knee pain (AKP) is still debated in literature. A regional arthroplasty registry was investigated, aiming to: (1) assess the survival rate of SPR; and (2) compare SPR to tricompartmental TKA. ⋯ III, therapeutic study.
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Arch Orthop Trauma Surg · Sep 2023
A novel method for evaluating combined component anteversion in total hip arthroplasty on cross-table lateral hip radiographs.
Accurate measurement of combined component anteversion (CA) is important in evaluating the radiographic outcomes following total hip arthroplasty (THA). The aim of the present study was to evaluate the accuracy and reliability of a novel radiographic method in estimating CA in THA. ⋯ Cross-sectional study, Level III.
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Arch Orthop Trauma Surg · Sep 2023
Interest in the combination of antimicrobial therapy for orthopaedic device-related infections due to Enterococcus spp.
The objective of this study was to evaluate the management of orthopaedic device-related infections (ODRIs) due to Enterococcus spp. ⋯ The management of enterococcal ODRIs is complex, and ODRI patients are at high risk for relapse. In our small study, a better outcome was not demonstrated for patients with combination therapy and rifampicin use. Further studies are needed to improve the medico-surgical strategy for treating these infections.