Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2019
Mediolateral coronal laxity does not correlate with knee range of motion after total knee arthroplasty.
It remains controversial whether coronal laxity after total knee arthroplasty (TKA) is a critical factor in determining clinical outcomes such as knee range of motion (ROM). The purpose of this study was to evaluate the correlation between postoperative ROM and coronal laxity, which was defined as the angular motion from the neutral, unloaded position to the loaded position, in patients with medial knee osteoarthritis undergoing TKA. ⋯ This study indicated that mediolateral coronal laxity in patients with an osteoarthritic knee did not correlate with knee ROM after TKA when 3°-4° of laxity in the medial and lateral orientations was maintained.
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Arch Orthop Trauma Surg · Jun 2019
No added value using SPECT/CT to analyze persistent symptoms after anterior cruciate ligament reconstruction.
To evaluate the diagnostic and clinical value of SPECT/CT compared to the standard algorithm for patients with persistent symptoms after anterior cruciate ligament reconstructions. The standard algorithm uses clinical information, conventional radiographs, MRI and CT scan, while the trial algorithm uses the same information but SPECT/CT in addition. ⋯ Level II: diagnostic comparative study.
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Arch Orthop Trauma Surg · Jun 2019
Modular tumor prostheses: are current stem designs suitable for distal femoral reconstruction? A biomechanical implant stability analysis in Sawbones.
High loosening rates after distal femoral replacement may be due to implant design not adapted to specific anatomic and biomechanical conditions. ⋯ The tapered design may be favorable in larger defects whereas the hexagonal may be advantageous in defects located more distally.
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Arch Orthop Trauma Surg · Jun 2019
Correction to: No added value using SPECT/CT to analyze persistent symptoms after anterior cruciate ligament reconstruction.
The shared first authorship of Christian Egloff, MD and Lukas Huber was always planned and correctly acknowledged.
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Arch Orthop Trauma Surg · May 2019
Randomized Controlled Trial Multicenter StudyPrevention of postoperative bleeding in hip fractures treated with prosthetic replacement: efficacy and safety of fibrin sealant and tranexamic acid. A randomised controlled clinical trial (TRANEXFER study).
We assessed the efficacy of fibrin sealant (FS) and tranexamic acid (TXA) administered topically in patients with a hip fracture treated with prosthetic replacement. ⋯ The use of TXA and FS administered topically prior to surgical closure in patients with a sub-capital femoral fracture undergoing arthroplasty did not significantly reduce either postoperative blood loss or transfusion rate, compared with a group that only received usual haemostasis.