Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2021
Increased articular exposure of the lateral elbow joint with the anconeus approach compared to the Kocher approach: a cadaver study.
The Kocher approach is the workhorse approach to the lateral elbow. However, the exposure is often limited, particularly for open reduction. The purpose of this study is to quantitatively compare the articular exposure of the anconeus and Kocher approaches to the lateral elbow. ⋯ The Anconeus approach provides superior exposure of the lateral elbow joint compared with the Kocher approach. We recommend consideration of the anconeus approach for treatment of select traumatic injuries of the lateral elbow requiring increased access to the ulnohumeral and radiocapitellar joints.
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Arch Orthop Trauma Surg · Jun 2021
Comparative StudyComparison of mid-term clinical results between cementless and cemented femoral stems in total hip arthroplasty with femoral shortening osteotomy for Crowe type IV hips.
This report is the first study to compare the clinical outcomes between cementless and cemented femoral prostheses in total hip arthroplasty (THA) with subtrochanteric femoral shortening osteotomy for Crowe type IV hips. ⋯ The cemented femoral prosthesis is superior to the cementless femoral prosthesis for early clinical recovery, while the duration required to achieve bone union at the osteotomy site is longer in the cemented femoral prostheses. It is possible for surgeons to perform successful hip reconstructions, regardless of the fixation method used for THA with shortening femoral osteotomy.
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Arch Orthop Trauma Surg · Jun 2021
Comparative StudyArthroscopic ankle lateral ligament repair alone versus arthroscopic ankle lateral ligament repair with reinforcement by inferior extensor retinaculum.
This study aimed to compare the clinical outcomes and postoperative activities of arthroscopic ankle lateral ligament (ALL) repair alone with arthroscopic ALL repair and reinforcement by the inferior extensor retinaculum (IER) for chronic ankle instability (CAI). ⋯ Retrospective comparative study, level III.
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Arch Orthop Trauma Surg · Jun 2021
Early clinical and radiological outcomes of a new tapered fluted titanium monobloc revision stem in hip arthroplasty.
A new fluted, titanium, monobloc stem with a three degree taper has been designed in an attempt to overcome the challenges associated with femoral reconstruction in the setting of extensive bone loss. The aim of this study was to report its early clinical and radiographic outcomes. ⋯ Positive early clinical and radiological outcomes have been observed with this tapered, fluted, titanium, monobloc stem. Based on these results, this implant may be considered as a viable option in the majority of uncemented femoral revisions.
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Arch Orthop Trauma Surg · Jun 2021
Anatomical evaluation of the femoral attachment of the posterior oblique ligament.
Tibiofemoral joint instability reduces patient satisfaction after total knee arthroplasty (TKA). However, surgeons sometimes encounter excessive medial joint laxity without medial over-release on the tibial side. It was hypothesized that over-resection of the posteromedial femoral condyle can injure the medial stabilizers, especially the posterior oblique ligament (POL) at its femoral attachments. ⋯ Level IV.