Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2014
The treatment of type III acromioclavicular dislocations with a modified Cadenat procedure: surgical technique and mid-term results.
The treatment of type III acromioclavicular injuries is controversial. Both conservative and surgical approaches have been successful. Aim of the present study was to prospectively evaluate the results of the modified Cadenat procedure in subjects with type III acromioclavicular joint injuries. ⋯ 4, Case series.
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Arch Orthop Trauma Surg · Nov 2014
Randomized Controlled Trial Comparative StudySuspensory fixation versus novel transverse crosspin for femoral fixation in anterior cruciate ligament reconstruction.
There is still no gold standard technique for graft fixation during anterior cruciate ligament reconstruction. We compared the functional outcomes of patients receiving either ToggleLoc with ZipLoop technology or Translig transverse crosspin device for femoral graft fixation. ⋯ Two distinct techniques used in this study are likely to be suitable for femoral graft fixation during anterior cruciate ligament reconstruction with the femoral tunnel being created via anteromedial approach.
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Arch Orthop Trauma Surg · Nov 2014
Comparative StudyTreatment of fracture sequelae of the proximal humerus: comparison of hemiarthroplasty and reverse total shoulder arthroplasty.
Fracture sequelae (FS) of the proximal humerus is a challenging scenario in shoulder surgery. Despite they have been traditionally treated with hemiarthroplasty (HA), the use of reverse shoulder arthroplasty (RSA) has been recently introduced. However, there are no studies comparing the results of HA and RSA in FS. The purpose of this study was to compare the functional and quality of life-related outcomes, and complications in the treatment of proximal humeral FS between HA and RSA. ⋯ Therapeutic level II evidence.
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Arch Orthop Trauma Surg · Nov 2014
Locked tension band wiring using ring pins for patellar fractures: a method of minimising implant migration.
A modified K-wire attached with ring (ring pin) was used to treat a displaced patellar fracture, and the ring pin was locked with tension band wiring. The purpose of this study was to evaluate the surgical outcome of this method with respect to its procedural safety. ⋯ This implant could facilitate satisfactory fixation, restore the integrity of the extensor mechanism, and reduce the possibility of implant migration and implant-related discomfort.
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Arch Orthop Trauma Surg · Nov 2014
Novel endoscopic sacroiliac screw removal technique: reduction of intraoperative radiation exposure.
We report in the following on our technique of endoscopic sacroiliacal screw removal as a new extra-articular endoscopic method in soft tissue surgery, aimed at the reduction of radiation exposure for both the patient and the surgical teams. Patients who underwent endoscopic implant removal from the dorsal pelvic ring (Group A) were retrospectively compared with a control group, in which the screws were removed via the conventional approach (Group B). The parameters of interest were the extent of x-ray exposure in seconds and surgical duration in minutes as well as approach related peri- and postoperative complications. ⋯ Case-control study, Level III.