Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2015
The effect of surgical timing on the outcome of patients with neck of femur fracture.
To investigate the effect of surgical timing (in hours versus after hours and weekdays versus weekends) on the outcome of patients with neck of femur fracture. ⋯ There was no difference in the rates of adverse events between patients who had surgery during hours and weekdays with those who had surgery after hours or weekends. The careful selection of patients with appropriate hospital staff, resources and adequate theatre access, surgery during after hours and weekends may be safely considered to prevent a delay in surgical treatment for patient with neck of femur fracture.
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Arch Orthop Trauma Surg · Nov 2015
Influences of fit and fill following hip arthroplasty using a cementless short-stem prosthesis.
The purpose of this study consisted in examining the effects of fit and fill ratio of the Metha prosthesis (BBraun, Aesculap, Tuttlingen, Germany) on radiological and clinical outcomes at a follow-up of 1 year. ⋯ Implanting the Metha prosthesis induces tight fit and fill ratio at the proximal and coated sections. Preoperative femur configuration should be considered to achieve best fit and fill situation and therefore excellent primary stability. In most cases "normal" and "stove-pipe" configurations provide good proximal fit and fill. Since "champagne-flute" configuration induces undesirable tight distal fit and fill ratio the size of the Metha (®) stem should be adequately increased to achieve a more proximal load transmission.
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Arch Orthop Trauma Surg · Nov 2015
Gap-balancing technique combined with patient-specific instrumentation in TKA.
Combining patient-specific instrumentation (PSI) with a balancer device in total knee arthroplasty (TKA) to achieve functional femoral rotational alignment is a novel technique. The primary goal of this study was to introduce a new method to combine PSI with a gap-balancing technique and to determine the impact of the technique on rotation of the femoral component. ⋯ PSI was with the gap-balancing technique was successfully used without affecting anatomical alignment. With the balancer device, PSI can be used more widely than techniques based solely on landmarks, as the soft-tissue tension can be taken into account, thus virtually eliminating flexion instabilities.
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Arch Orthop Trauma Surg · Nov 2015
Clinical outcomes following revision anterior shoulder arthroscopic capsulolabral stabilization.
Traditionally surgeons have treated failed shoulder instability with open capsulolabral repair. Despite improved instrumentation, technique and familiarity in shoulder arthroscopy, few studies have reported the outcomes of arthroscopic revision shoulder instability repair. The purpose of this study was to assess clinical outcomes in patients following revision shoulder arthroscopic anterior capsulolabral stabilization. ⋯ Case series, LOE IV.
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Arch Orthop Trauma Surg · Nov 2015
Sonographical parameters of the finger pulley system in healthy adults.
To establish normative values of tendon to bone distances (TBDs) to evaluate the A2 and A4 annular pulley integrity, we hypothesized that these values correlate with gender, athletic exercise, occupation, individual's age and body height. ⋯ Establishing normative values will help to detect injured pulleys more precisely and examination should be performed both in resting position and active forced flexion.