Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2018
Comparative StudyComparison of volarly and dorsally displaced distal radius fracture treated by volar locking plate fixation.
In case of distal radius fractures (DRF) the distal fragment generally displaces either dorsally or volarly. Scientific literature however, seldom differentiates between volarly and dorsally displaced DRFs when reporting results. It is no clear, if the direction of displacement has an influence on the clinical and radiological outcome. This study was intended to evaluate the influence of displacement direction in adult patients with surgically treated Colles or Smith type fractures. ⋯ Decreased flexion in combination with a decreased dorsopalmar tilt might hint towards a mechanical inhibition in the Colles group. Altogether, the study showed good clinical outcome with satisfactory radiological result. As all patients showed arthrosis progression, the fracture per se is to be seen as a prearthrotic factor. It still remains unclear which measures could be taken to prevent this.
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Arch Orthop Trauma Surg · Jun 2018
A higher association of medial collateral ligament injury of the knee in pronation injuries of the ankle.
To evaluate the prevalence of medial collateral ligament (MCL) injury of the knee among ankle-fracture patients and to determine the risk factors associated with MCL injury in this patient group. ⋯ The prevalence of MCL injury among females and the pronation type of ankle injury was 8.19% (10 out of 122 females) and 10.75% (10 out of 93 pronation injuries), respectively. More careful physical examination of the knee joint is strongly recommended in patients with ankle fractures, especially if the patient is female or the ankle-fracture pattern corresponds to the pronation type of injury.
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Arch Orthop Trauma Surg · Jun 2018
Obesity causes poorer clinical results and higher re-tear rates in rotator cuff repair.
The purpose of this retrospective study was to report on the functional outcome after both open and arthroscopic rotator cuff (RC) repair in normal weight, pre-obese and obese patients. It was hypothesized that obesity is a negative prognostic factor for clinical outcome and failure for the RC repair. ⋯ Both the arthroscopic and the open approach showed equivalent clinical results and failure rates. Obesity (BMI > 30) causes less favorable results in the Constant and DASH scores and showed higher re-tear rates.
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Arch Orthop Trauma Surg · Jun 2018
Correction to: A simple approach for the preoperative assessment of sacral morphology for percutaneous SI screw fixation.
In the original article, co-author's given name has been published incorrectly. The correct given name should be Vinzent Kevin.