Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2023
The outcomes of surgical treatment for lateral Hoffa fracture nonunions.
Lateral Hoffa nonunion are rare injuries. A significant percentage of these nonunions are due to missed acute lateral Hoffa fractures. Operative management of these injuries is difficult and complicated by the presence of bone loss, infection, and soft-tissue contractures. In this study, the aim was to assess clinical and functional outcome in our group of patients with lateral Hoffa nonunion who had undergone operative management and to determine whether variables such as fracture type, infection, and previous surgery affect nonunion/complication rates. ⋯ Lateral Hoffa nonunion can be managed with careful planning of surgical approaches and fixation techniques.
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Arch Orthop Trauma Surg · May 2023
Increased length of stay following total joint arthroplasty based on insurance type.
Increased length of stay after total joint arthroplasty has been shown to be a risk factor for peri-operative complications. The purpose of this study was to determine if Medicaid insurance would be a risk factor for increased length of stay after total joint arthroplasty. ⋯ Patients with Medicaid insurance undergoing total joint arthroplasty have increased length of stay compared to patients with Medicare or Private insurance and have higher incidence of pre-operative narcotic use.
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Arch Orthop Trauma Surg · May 2023
Translation, cross-cultural adaptation and reliability of the International Knee Documentation Committee (IKDC) subjective knee form and the tampa scale for kinesiophobia (TSK) into Hebrew.
The International Knee Documentation Committee-Subjective Form (IKDC-SF) is one of the most used measures for evaluating the quality of life among people experiencing knee pain but is not yet available in Hebrew. Similarly, the Tampa Scale for Kinesiophobia (TSK), used to evaluate fear of movement, is not available in Hebrew. This study aimed to determine the reliability and construct validity of the Hebrew IKDC-SF and TSK among people experiencing chronic knee pain. ⋯ We demonstrated that the Hebrew version of the IKDC-SF and TSK is reliable and valid for assessing QoL, function, and kinesiophobia among people experiencing chronic knee pain.
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Arch Orthop Trauma Surg · May 2023
Amorphous calcium deposits of the hip joint: current observations and state of the scientific discussion.
As a result of increasing hip arthroscopies, rare pathologies as intra-articular amorphous calcium deposits in the capsule-labral (perilabral) recess can be recognized. There is a lack of publications on this pathology. The largest case series included 18 patients. An association between femoroacetabular impingement syndrome (FAIS) and female sex was observed. Furthermore, a correlation between the size of the calcific deposit and the preoperative hip function score was reported. Our hypothesis was that the data of our patient collective with intraoperative amorphous calcium deposits of the hip joint are comparable to the existing data to confirm previous observations. ⋯ Amorphous calcium deposits were found in approximately 1% of all hip joints with indication for hip arthroscopy. They are not consistently associated with gender, intra-articular hip pathologies or comorbidities. The clustered occurrence in cam FAI can be justified solely by the fact that impingement is by far the most common indication for hip arthroscopy.
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Arch Orthop Trauma Surg · May 2023
Hip arthroscopy is a successful treatment for femoroacetabular impingement in under-16 competitive football players: a prospective study with minimum 2-year follow-up.
Femoroacetabular impingement is considered a spectrum disease affecting multiple hip structures and it is especially prevalent in football players. Hip arthroscopy has shown good results in this population. However, little attention has been given to its efficacy in children and adolescent players. The aim of this study is to evaluate the outcomes of hip arthroscopy in under-16 football players. ⋯ Hip arthroscopy is a safe and effective surgical procedure for the treatment of FAI in under-16 competitive football players, improving hip pain and function with excellent rates to return to play.