Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2021
Multicenter StudyNon-medical patient-related factor influence in proximal humeral fracture outcomes: a multicentric study.
Age, sex, and type of fracture have traditionally been described as prognostic factors for proximal humeral fractures (PHFs). Some non-medical patient-related factors may play a role in the outcome. This paper evaluates the association of comorbidities and socioeconomic factors with clinical outcomes for PHF. ⋯ Socioeconomic status had a higher impact on functional outcomes than fracture pattern in patients with PHF.
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Arch Orthop Trauma Surg · Nov 2021
Association of secondary displacement of distal radius fractures with cortical bone quality at the distal radius.
The aim of this study was to investigate the associations of patient characteristics, bone mineral density (BMD), bone microarchitecture and calculated bone strength with secondary displacement of a DRF based on radiographic alignment parameters. ⋯ In conclusion, our study indicates that besides primary reduction, cortical bone quality may be important for the risk of secondary displacement of DRFs.
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Arch Orthop Trauma Surg · Nov 2021
Multivariate ordered logistic regression analysis of the postoperative effect of symptomatic discoid lateral meniscus.
The postoperative effect of arthroscopy in the treatment of symptomatic discoid lateral meniscus (DLM) varies greatly among individuals. Therefore, this study aims to investigate the factors affecting the postoperative outcomes of symptomatic DLM. ⋯ With the increase of BMI, work intensity, age of onset, duration of symptoms, and the severity of cartilage lesion, the postoperative results become worse. Moreover, female and meniscoplasty with repair are risk factors for the postoperative outcomes.
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Arch Orthop Trauma Surg · Nov 2021
Stable clinical long term results after AMIC in the aligned knee.
The aim of this study was to report a long-term follow-up of patients treated with autologous matrix-induced chondrogenesis (AMIC) for full-thickness chondral and osteochondral defects of the femoral condyle or patella combined with the correction of lower limb malalignment or patellar tracking if indicated. ⋯ AMIC showed durable results in aligned knees. The favorable outcome was maintained after an average of 9 years when malalignment of the lower limb and patellar maltracking were corrected. Such data are particularly encouraging for young adult patients who may benefit from a procedure that circumvents early arthroplasty.
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Arch Orthop Trauma Surg · Nov 2021
Surgical debridement of infected pubic symphysitis supports optimal outcome.
Infected pubic symphysitis (IPS) is a rare bacterial infection of the pubic symphysis that causes subpubic pain, disability and ultimately permanent immobility. Due to difficult diagnosis, patients present with long-standing complaints and consult several doctors. To date, no validated treatment protocol exists and most patients are treated conservatively with antibiotics. This study was aimed to assess the results after careful surgical debridement and pathogen-specific antibiotic treatment in IPS. ⋯ Surgical debridement is the keystone for treatment of IPS and should be combined with local and systemic antibiotic therapy.