Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Apr 2017
Factors affecting survival of patients in the acute phase of upper cervical spine injuries.
In recent years, on the one hand, the mortality rates of upper cervical spine injuries, such as odontoid fractures, were suggested to be not so high, but on the other hand reported to be significantly high. Furthermore, it has not been well documented the relationship between survival rates and various clinical features in those patients during the acute phase of injury because of few reports. This study aimed to evaluate survival rates and acute-phase clinical features of upper cervical spine injuries. ⋯ Elderly people were more likely to experience upper cervical spine injuries, and their mortality rate was significantly higher than that in injured younger people. In addition, complete paralysis, high ISS, a state of CPA at discovery, was significantly higher in the mortality group.
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Arch Orthop Trauma Surg · Apr 2017
Posterior-only surgery with preoperative skeletal traction for management of severe scoliosis.
The surgical treatment of severe adolescent spinal deformities is challenging and carries substantial risks of mortality and morbidity. To mitigate this risk, surgeons have employed various methods as this study designed to evaluate the safety and effectiveness of preoperative halo-femoral or halo gravity traction (HGT) followed by posterior-only surgery in the management of severe scoliosis. ⋯ Despite the benefits of modern instrumentation procedures, the treatment of severe scoliosis can be very competing. We think that by applying preoperative halo femoral traction and halo-gravity traction, managing severe scoliosis will be in safe and easy manner and can lead to better deformity correction and less neurological complications and facilitate to avoid anterior operation for severe scoliosis and its related complications.
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Arch Orthop Trauma Surg · Apr 2017
Case ReportsSpontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.
Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. ⋯ Indications for a RSL arthrodesis are osteoarthritis of the radiolunate and radioscaphoid joint with a concomitant intact midcarpal joint. We present a case study of spontaneous RSL fusion post wrist infection caused by a dog bite.
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Arch Orthop Trauma Surg · Apr 2017
MRI to measure cervical sagittal parameters: a comparison with plain radiographs.
The inability to visualize the sternum tip and T1 vertebra on radiographs may decrease the accuracy of the measurements of cervical sagittal parameters. The object of this study is to investigate the value of MRI to measure cervical sagittal parameters and to compare the data of cervical sagittal parameters on radiographs and MR images. ⋯ Positional change may significantly influence most sagittal parameters. Supine MRI cannot substitute for upright cervical radiographs to measure most cervical sagittal parameters except for TIA in an asymptomatic population.
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Arch Orthop Trauma Surg · Mar 2017
ReviewTowards standardised definitions of shoulder arthroplasty complications: a systematic review of terms and definitions.
A transparent, reliable and accurate reporting of complications is essential for an evidence-based evaluation of shoulder arthroplasty (SA). We systematically reviewed the literature for terms and definitions related to negative events associated with SA. ⋯ A clear standardised set of SA complication definitions is lacking. Few authors reported complications based on definitions mainly considering radiological criteria without clinical parameters. This review should initiate and support the development of a standardised SA complication core set.