Archives of orthopaedic and trauma surgery
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Impactions of the articular surface are relevant prognostic parameters in the treatment of acetabular fractures. Posterior marginal impactions and acetabular dome impactions may occur depending on the direction of the force vectors during trauma. Posterior marginal impactions are mainly observed in posterior fracture dislocations, while acetabular dome impactions are frequently seen in the elderly with the hip joint in extension during trauma. ⋯ Acetabular dome impactions may be reduced using the fracture lines or by creating a cortical window. Reduction is followed by filling the void with bone or bone substitutes supported by raft screws. No clear treatment recommendations for femoral head impactions are given in the literature.
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Arch Orthop Trauma Surg · Dec 2024
Multicenter StudyThe first analysis of a multicentre paediatric supracondylar humerus fracture (SCHF) registry by fracture type.
Supracondylar humerus fractures (SCHFs) represent a significant segment of paediatric bone injuries, posing unique challenges due to their potential for severe complications. This study aims to provide a detailed analysis of the surgically treated SCHF cases recorded in our registry. ⋯ II.
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Arch Orthop Trauma Surg · Dec 2024
Comparative Study Observational StudyComparison of pain, functional and psychological trajectories between total and unicompartmental knee arthroplasties: secondary analysis of a 6-month prospective observational study.
Unicompartmental knee arthroplasty (UKA) treats osteoarthritis in one knee compartment, while total knee arthroplasty (TKA) addresses all compartments. The debate focuses on UKA's advantages of quicker recovery and fewer complications versus TKA's lower long-term revision rates, emphasizing the need for thorough outcome evaluations. The aim of the present study is to describe and compare the pain, functional and psychological trajectories during a 6-month postoperative rehabilitation period between total and unicompartmental knee arthroplasties. ⋯ Despite differences in the acute phase, there are no differences in pain, functional and psychological trajectories throughout the six-month rehabilitation period. These results should be acknowledged to better inform patients and to improve patient education during the perioperative period.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudyPerioperative and short-term outcomes of cemented versus cementless total hip arthroplasty: a retrospective propensity-matched analysis.
Cement fixation for total hip arthroplasty (THA) remains a controversial topic. While cemented stems are associated with lower risk of periprosthetic fractures (PPF), cementless stems may offer superior biological fixation. This study analyzed peri-operative and short-term outcomes of cemented vs. cementless stem fixation in THA. ⋯ III, Therapeutic Study.
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Arch Orthop Trauma Surg · Dec 2024
Comparative StudySimultaneous bilateral total hip arthroplasty results in smaller Leg length discrepancy than staged bilateral procedures.
The purpose of this study was to compare leg length discrepancies (LLD) between simultaneous and staged bilateral total hip arthroplasty (BTHA). ⋯ Simultaneous BTHA has the potential to provide smaller LLD than staged BTHA because simultaneous surgery enables intraoperative comparison of bilateral leg lengths based on both extra- and intra-articular measurements. This approach may be advantageous for postoperative patient satisfaction.