Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2015
Prevention of excessive postoperative sliding of the short femoral nail in femoral trochanteric fractures.
Lag screw cut-out is one of the major postoperative complications on femoral trochanteric fractures. However, precise analyses of excessive sliding and lag screw cut-out were limited. The purpose of this study was to investigate the factors that induce this unfavorable event. ⋯ Because the sliding distance increased in the intramedullary type in the lateral view of unstable fractures, an accurate reduction in the lateral view at surgery is important, particularly in unstable fractures.
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Arch Orthop Trauma Surg · May 2015
Suspected adipose tumours of the hand and the potential risk for malignant transformation to sarcoma: a series of 14 patients.
Lipomas are associated with a variety of symptoms including neuropathies, local compression of the surrounding tissues, aesthetic complaints and may be graded as liposarcomas histologically. This study was performed to review our surgical management at the level of the hand. ⋯ IV.
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Arch Orthop Trauma Surg · May 2015
Case ReportsTriple hourglass-like fascicular constriction of the posterior interosseous nerve: a rare cause of PIN syndrome.
Supinator syndrome or posterior interosseous nerve (PIN) syndrome is a compression neuropathy of the deep branch of the radial nerve in the region of the Arcade of Frohse. An extremely rare cause of an acute onset supinator syndrome is the hourglass-like fascicular constriction of the posterior interosseous nerve due to torsion. To our knowledge, only a limited number of cases which describe the sonographic appearance of fascicular torsions are known in the literature. We present a rare case of a supinator syndrome associated with hourglass-like constrictions of the PIN diagnosed by means of sonography.
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Arch Orthop Trauma Surg · May 2015
Improved tibial component rotation in TKA using patient-specific instrumentation.
Patient-specific instrumentation (PSI) was introduced in an attempt to reduce positional outliers of components in total knee arthroplasty (TKA). It was hypothesized that PSI could help with the positioning of tibial components in optimal rotational alignment. ⋯ In this setup, PSI was effective in significantly reducing outliers of optimal rotational tibial component alignment during TKA. Anatomy of the proximal tibia does not deliver clear landmarks that are prominent and consistent. This makes both, MRI analysis as well as cutting jig production and intraoperative placement a challenge.
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Arch Orthop Trauma Surg · Apr 2015
Review Meta AnalysisEffectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data.
To evaluate the effectiveness and safety of arthroscopic and open Bankart repair for recurrent anterior shoulder dislocation using meta-analysis of data from clinical trials. ⋯ Meta-analysis of available randomized controlled trials and case-control studies demonstrated that arthroscopic repair and open Bankart repair were similar in safety. Arthroscopic repair resulted in better recovery of range of motion, but recurrence and reoperation rates were higher than open Bankart repair.