Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2015
Thinned chimeric radial collateral artery perforator flap in complex distal thumb reconstruction.
Tissue loss accompanied by bone defects in the thumb is a challenging reconstruction problem. Traditional repair methods are unsatisfactory. ⋯ Findings proved that thinned chimeric RCA perforator flap is a beneficial microsurgical alternative for reconstructing complex bone and soft tissue defects in thumb.
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Arch Orthop Trauma Surg · Nov 2015
Gait characteristics and quality of life perception of patients following tibial plateau fracture.
The purpose of the current study was to evaluate the long-term functional outcome as measured by gait patterns and quality of life assessment of patients with high-energy tibial plateau fracture compared to matched controls. ⋯ Long-term deviations in gait and quality of life exist in patients following tibial plateau fracture. Patients following tibial plateau fracture present altered spatiotemporal gait patterns compared to healthy controls, as well as self-reported quality of life.
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Arch Orthop Trauma Surg · Nov 2015
Can rotational alignment of total knee arthroplasty be measured on MRI?
The aim of this study was to investigate the potential of MRI to determine rotational alignment after TKA in comparison to the gold standard, CT. ⋯ Despite artefact formation, it can be concluded that the rotational alignment of metallic TKA components can be measured by MRI as accurately as by CT.
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Arch Orthop Trauma Surg · Nov 2015
Gender differences in the accuracy of joint line tenderness for arthroscopically confirmed meniscal tears.
The reliability of joint line tenderness was previously investigated among other clinical tests for the diagnosis of meniscal pathology with variable results. The aim of this study was to evaluate and compare the accuracy of joint line tenderness as a clinical diagnosing test for arthroscopically confirmed meniscal tears between males and females. ⋯ The physical finding of joint line tenderness of the knee as a test for lateral meniscal tear was found reliable in both males and females. For medial meniscal tears, the test had low reliability and thus less useful if used alone, in both genders.
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Arch Orthop Trauma Surg · Nov 2015
Association between dementia and postoperative complications after hip fracture surgery in the elderly: analysis of 87,654 patients using a national administrative database.
Mortality following hip fracture surgery is higher in patients with dementia than those without; however, few large-scale studies have investigated postoperative in-hospital complications in such patients. The aim of this study was to elucidate the complications that occur after hip fracture surgery in patients with and without dementia using a large national database. ⋯ Our results highlight the need to pay particular attention to surgical site infection, urinary tract infection and respiratory complications in patients with preoperative dementia after hip fracture surgery. These results provide additional useful evidence to inform the management of these patients.