Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2019
Orthopedic trauma surgeon in Sierra Leone: how to keep one's head over water.
Developing a guideline for orthopedic trauma surgeons working in civilian trauma hospitals in low-income countries. ⋯ Surgeons in low-income country trauma hospitals should treat conservatively on outpatient basis only, to reduce the amount of stationary patients. Open fractures should be treated with external fixators, and closed fractures in children, hand and foot, with K-wires. Closed fractures in adults of the lower extremity should be nailed, and closed fractures in adults of the upper extremity can be treated with plates.
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Arch Orthop Trauma Surg · Sep 2019
Observational StudyProspective observation of Clostridium histolyticum collagenase for the treatment of Dupuytren's disease in 788 patients: the Austrian register.
Since March 2011, the microbial collagenase of Clostridium histolyticum (Xiapex®, Swedish Orphan Biovitrum AB, Stockholm, Sweden) has become available in the European Union for treatment of Dupuytren's disease. The purpose of this study was to evaluate potential safety risks of Xiapex® and to contribute to a better understanding for its use. ⋯ The injectable collagenase Clostridium histolyticum (Xiapex®) proved to be effective and safe in patients with Dupuytren's disease. Minor adverse events disappeared within 30 days and the need for surgical treatment within 1 year was very low (2%). No major complications or rare side effects were seen in this prospective observational study.
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Arch Orthop Trauma Surg · Sep 2019
Comparative StudyMinimal invasive posterior correction of Lenke 5C idiopathic scoliosis: comparative analysis of minimal invasive vs. open surgery.
Surgical management of adolescent idiopathic scoliosis in spite of usually favourable outcomes is still a major operation. Therefore, efforts are being undertaken to minimalize the procedure, reduce the surgical trauma and postoperative convalescence. The study was designed to compare posterior minimal invasive surgery using navigation based on intraoperative 3D imaging and standard open instrumented fusion in Lenke 5C idiopathic scoliosis treatment. ⋯ The minimally invasive approach to idiopathic scoliosis treatment is a very promising technique to limit the extent of surgery maintaining the same goals as in the open method. It allows for lower blood loss, less requirement for opioids and a shorter hospital stay.
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Arch Orthop Trauma Surg · Sep 2019
Staphylococcal resistance profiles in deep infection following primary hip and knee arthroplasty: a study using the NJR dataset.
This study aimed to (1) report the rates of resistance against a variety of antibiotics for pure Staphylococcal infections, and (2) examine the impact of ALBC use at primary surgery has on resistance patterns for patients undergoing first-time revision of primary hip and knee arthroplasty for indication of infection. ⋯ Clinicians must anticipate the possibility of antibiotic resistance to ALBC utilised at primary surgery.
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Arch Orthop Trauma Surg · Sep 2019
Risk factors of hyperextension and its relationship with the clinical outcomes following mobile-bearing total knee arthroplasty.
To evaluate the incidence and risk factors of postoperative hyperextension after mobile-bearing total knee arthroplasty (TKA) and its clinical outcomes. ⋯ IV.