Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Dec 2019
Computed tomography versus plain radiography assessment of acetabular fracture reduction is more predictive for native hip survivorship.
Computed tomography (CT) is more accurate than plain pelvic radiography (PXR) for evaluating acetabular fracture reduction. As yet unknown is whether CT-based assessment is more predictive for clinical outcome. We determined the independent association between reduction quality according to both methods and native hip survivorship following acetabular fracture fixation. ⋯ Native hip survivorship is better predicted based on postoperative CT imaging as compared to PXR assessment. Predicting need for THA in patients with inadequate reductions based on both assessment methods remains challenging. While both PXR and CT-based methods are associated with hip survivorship, only an inadequate reduction according to CT assessment was an independent risk factor for conversion to THA.
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Arch Orthop Trauma Surg · Dec 2019
Trends in surgical management of proximal humeral fractures in adults: a nationwide study of records in Germany from 2007 to 2016.
Proximal humeral fractures (PHF) are among the most common adult fractures. However, valid epidemiologic population-based data, including differentiation of treatment modalities, are lacking. ⋯ Descriptive epidemiology study, large database analysis.
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Arch Orthop Trauma Surg · Dec 2019
Ex situ reconstruction of comminuted radial head fractures: is it truly worth a try?
Complex radial head fractures are difficult to treat. In cases where stable fixation cannot be achieved, radial head resection or primary arthroplasty are frequently performed. Ex situ reconstruction of comminuted fractures may also be an option. This technique has widely been neglected in the literature, and only two small case series report satisfactory results. The aim of the present case series was to determine the functional and radiological outcomes of ex situ reconstructed Mason III and Mason IV fractures. We expect that the on-table reconstruction of comminuted radial head fractures will lead to bony union with no avascular necrosis in the postoperative course, which will demonstrate that this operative procedure is a reasonable option. ⋯ Level IV-retrospective cohort study.
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Arch Orthop Trauma Surg · Dec 2019
Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly.
Fracture stem of the reverse total shoulder arthroplasty (RTSA) was designed for better tuberosity bone healing for the proximal bone defect of complex proximal humeral fractures (PHF). Our purpose was to compare the clinical and radiological outcomes of patients using fracture stem vs non-fracture (conventional) stem of RTSA in complex PHF of elderly patients. ⋯ Level IV, case series study.
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Arch Orthop Trauma Surg · Dec 2019
The utility and benefit of a newly established postgraduate training course in surgical exposures for orthopedic and trauma surgery.
Limited data exist on specialty surgical cadaver courses for graduates, their skill gain, and whether the course contents are transferable to other surgical disciplines. ⋯ Surgical courses have shown being useful for the acquisition of skills, knowledge, confidence and decision-making, with a positive impact on confidence and decision-making. This information is relevant to future participants, benefactors, surgical programs, and tertiary institutions who want to establish specialist surgical courses.