Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2017
Locking attachment plate fixation around a well-fixed stem in periprosthetic femoral shaft fractures.
Periprosthetic fractures are difficult to manage. Plating technique has been considered a reliable form of management of periprosthetic fractures with a well-fixed stem, but a dependable and stable method of plate fixation to the bone is lacking. This study reports the clinical results using a locking attachment plate (LAP) instead of cable fixation to fix locking plates to a periprosthetic femoral shaft fracture. ⋯ Using the LAP to manage periprosthetic fractures with a well-fixed stem could obviate the need for cable around the stem area and yield acceptable outcomes.
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Arch Orthop Trauma Surg · Sep 2017
The impact of hepatitis C virus infection on 90-day outcomes following major orthopaedic surgery: a propensity-matched analysis.
The impact of hepatitis C virus (HCV) infection on outcomes following major orthopaedic interventions, such as joint arthroplasty or spine surgery, has not been effectively studied in the past. Most prior studies are impaired by small samples, limited surveillance for adverse events, or the potential for selection bias to confound results. In this context, we sought to evaluate the impact of HCV infection on 90-day outcomes following joint arthroplasty or spine surgery using propensity-matched techniques. ⋯ HCV infection was found to increase the risk of complication and readmission following spine surgery and total joint arthroplasty. Patients should be counseled on their increased risk prior to surgery. Health systems that treat a higher percentage of patients with HCV need to consider the increased risk of complications and readmission when negotiating with insurance carriers.
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To observe changes of spinopelvic parameters and the presence of pelvic incidence (PI) variation in different positions, and the accuracy of PI compared with CT scan. ⋯ Majority of patients demonstrated alignment changes of unchanged PI with decreased PT and LL, and increased SS from standing to supine; however, decreased PT and PI and fixed SS and LL were also demonstrated. Patients with higher PI change have high values in three pelvic parameters and sagittal vertical axis, and fixed LL.
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Arch Orthop Trauma Surg · Sep 2017
Management of proximal humeral fractures by the Ilizarov external fixator.
External fixation can be performed in poor bone and soft tissue conditions, and can be used in patients with poor general conditions or multiple injuries as a rapid, mini-invasive procedure. The purpose of the current study was to evaluate the effectiveness and safety of the Ilizarov external fixator in the management of proximal humeral fractures. ⋯ Level IV, case series.