Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2023
Review Meta AnalysisComplications associated using the reamer-irrigator -aspirator (RIA) system: a systematic review and meta-analysis.
Complications associated with the application of the Reamer-irrigator-Aspirator (RIA) system are described in the literature. However, to date a systematic review and meta-analysis to assess prevalence of complications associated with the use of the RIA system have not been conducted. ⋯ The systematic review and meta-analysis demonstrate a low overall prevalence rate of complications associated with the RIA system. However, especially the risk of cortical perforation and the frequently reported relevant intraoperative blood loss are complications that should be anticipated in perioperative management and ultimately considered when using the RIA system.
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Arch Orthop Trauma Surg · Jul 2023
Randomized Controlled Trial Multicenter StudyPercutaneous kyphoplasty combined with zoledronic acid for the treatment of primary osteoporotic vertebral compression fracture: a prospective, multicenter study.
To explore the therapeutic efficacy of percutaneous kyphoplasty (PKP) combined with zoledronic acid (ZOL) in postmenopausal women and adult men with osteoporotic vertebral compression fracture (OVCF). ⋯ The therapeutic efficacy of PKP combined with ZOL for primary OVCF is clinically beneficial and warrants further study.
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Arch Orthop Trauma Surg · Jul 2023
Multicenter StudyImplant removal after short percutaneous pedicle fixation associated with SpineJack® kyphoplasty: is correction sustained?
This study objective was to evaluate sagittal correction loss after instrumentation removal in patients treated for thoracic or lumbar compression fractures treated with SpineJack® kyphoplasty associated with short percutaneous pedicle screw fixation. ⋯ Instrumentation removal was associated with good radiological outcomes with a non-significant loss of vertebral wedge angle and tolerable loss of traumatic regional angulation (+ 2.4° compared to the no-removal group), even if performed early.
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Arch Orthop Trauma Surg · Jul 2023
Randomized Controlled Trial Observational StudyDirect anterior versus antero-lateral approach in hip joint hemiarthroplasty.
Femoral neck fractures are common injuries in the elderly and represent a major source of morbidity and mortality. Due to the benefits, bipolar hip hemiarthroplasty (BHH) is a popular method to treat. The purpose of this study is to evaluate the functional and radiographic outcomes for BHH comparing the direct anterior approach (DAA) to the anterolateral approach (ALA) to the hip joint. ⋯ Although we compared two minimally invasive approaches, our results shows a statistically significant difference in pain intensity and mobility for the early postoperative period using the direct anterior approach.
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Arch Orthop Trauma Surg · Jul 2023
Randomized Controlled TrialLumbar facet joint osteoarthritis as the underlying reason for persistent low back pain after minimally invasive discectomy.
A post-hoc subgroup analysis of prospective collected data in a randomized controlled trial (RCT) of minimally invasive discectomy was conducted, to find out the possible underlying reasons for patients with persistent low back pain (LBP) following surgery. ⋯ LFJOA is a possible underlying reason for patients with persistent LBP after minimally invasive discectomy. Surgeons should carefully review the preoperative radiological images to find out whether there is LFJOA in the LDH segment, and kindly diminish the expectation of back pain relief for those patients.