Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2021
Review Meta AnalysisDoes early surgery improve outcomes for periprosthetic fractures of the hip and knee? A systematic review and meta-analysis.
Previous evidence has established that early surgery is beneficial to improve outcomes for individuals with native hip fractures in the elderly population. Patients who sustain a periprosthetic fracture have been demonstrated to have similar demographics and outcomes as those with native fractures around the hip and knee. We therefore set out to determine if there is a similar difference in perioperative outcomes between early and delayed surgery for periprosthetic fractures of the hip and knee through a systematic review and meta-analysis. ⋯ There is evidence that delaying surgery in those with periprosthetic fractures of the hip and knee has a deleterious impact on mortality and other important patient outcomes. There are, however, notable limitations to the existing available literature, with further appropriately designed large-scale studies required to confirm these findings.
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Arch Orthop Trauma Surg · Aug 2021
Randomized Controlled TrialOutcomes after nonoperatively treated non-displaced Lisfranc injury: a retrospective case series of 55 patients.
Current knowledge of the role of the nonoperative treatment of Lisfranc injuries is based on a few retrospective case series. Hence, consensus on which patients can be treated nonoperatively does not exist. The aim of this study was to investigate outcomes after nonoperative treatment of Lisfranc injuries. ⋯ IV, retrospective case series.
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Arch Orthop Trauma Surg · Aug 2021
Can a simple iPad app improve C-arm based component position in anterior THA?
Correct acetabular component positioning improves hip biomechanics, impingement free range of motion and may lead to a reduced risk of postoperative dislocation. The C-arm is a simple and cost-effective tool for THA in a supine position, however, evaluation of the images can be challenging due to parallax. The current study aimed to investigate whether a software app-based measurement technique can control acetabular component position and leg length in anterior THA. ⋯ The software app used in the current study allowed for a simple and accurate measurement of intraoperative cup position and leg length in direct anterior THA.
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Arch Orthop Trauma Surg · Aug 2021
Infection and periprosthetic fracture are the leading causes of failure after aseptic revision total knee arthroplasty.
The purpose of this study was to clarify the medium to long term survival of aseptic revision total knee arthroplasty (RTKAs) and identify the common modes of failure following RTKAs. ⋯ PJI and periprosthetic fracture are the leading causes of re-revision surgery following aseptic revision TKA. Efforts to improve outcomes of aseptic revision TKA should focus on these areas, particularly prevention of PJI.