Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2016
Comparative StudyComparison of different femoral fixation implants and fit techniques for tunnel widening and clinical outcome in ACL reconstruction using hamstring autograft.
The purpose of the current study is to investigate in different femoral fixation devices whether tight (undersize drilled) fit technique decreases the tunnel widening and improves the clinical outcome compared to conventional technique in ACL reconstruction using hamstring tendon autograft. ⋯ Therapeutic case series, Level IV.
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Arch Orthop Trauma Surg · Feb 2016
Prospective clinical and radiostereometric analysis of the Fitmore short-stem total hip arthroplasty.
Uncemented short, curved femoral stems may help save proximal bone stock during total hip arthroplasty (THA) and facilitate insertion in minimal invasive surgery. The aim of this 2 year, prospective, single-center study was to examine the stability and migration of the Fitmore (®) stem in THA using model-based radiostereometric analysis (RSA), and thus predict the implant's long-term survival. In addition, we evaluated the stem's clinical performance using standard clinical measures. ⋯ We conclude that the Fitmore Hip Stem stabilizes after 3 months and achieves good short-term clinical results in most cases.
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Arch Orthop Trauma Surg · Feb 2016
The effect of local bone density on mechanical failure after internal fixation of pertrochanteric fractures.
The aim of this prospective study was to investigate the effect of local hip bone density on mechanical failure after fixation of pertrochanteric fractures and to establish possible risk factors for the failures. ⋯ Local hip bone density does not appear to have a significant influence on mechanical failure after internal fixation of pertrochanteric fractures. Stable fractures and fractures with good reduction are expected to obtain satisfactory outcomes.
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Arch Orthop Trauma Surg · Feb 2016
Technical errors and complications in orthopaedic trauma surgery.
Adverse events and associated morbidity and subsequent costs receive increasing attention in clinical practice and research. As opposed to complications, errors are not described or analysed in literature on fracture surgery. The aim of this study was to provide a description of errors and complications in relation to fracture surgery, as well as the circumstances in which they occur, for example urgency, type of surgeon, and type of fracture. ⋯ The present study suggests that an osteosynthesis procedure performed by or actively assisted by an orthopaedic trauma surgeon decreases the probability of an error in osteosynthesis. Apart from errors in osteosynthesis, the involvement of an orthopaedic trauma surgeon did not lead to a significant reduction in the number of postoperative complications.
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Arch Orthop Trauma Surg · Feb 2016
MRI-associated classification to evaluate the outcome after autologous reconstruction of the medial patellofemoral ligament: a preliminary study.
Purpose of this study was to establish and validate an MRI-associated classification to graduate postoperative results of MPFL reconstructions. ⋯ We were able to establish and validate an MRI-associated classification to graduate the postoperative outcome after MPFL reconstructions. Foresighted, the presented classification might support further decision making in case of unsatisfying postoperative results.