Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2013
Cardiovascular effects of abduction shoulder sling in elderly patients; is it really safe?
The purpose of the prospective study is to investigate the cardiovascular effects of abduction shoulder sling (ASS) in elderly patients who underwent rotator cuff surgery. ⋯ ASS may trigger CSH in short necked and obese patients by exerting mechanical stimulation to the carotid sinus. These patients should be informed about symptoms and signs of CSH and educated on the proper use of ASS and correct positioning of shoulder strap. CSH should be kept in mind in patients who present with dizziness, presyncope and palpitation during the postoperative period.
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Arch Orthop Trauma Surg · Nov 2013
The impact of resident involvement on post-operative morbidity and mortality following orthopaedic procedures: a study of 43,343 cases.
Few studies have addressed the role of residents' participation in morbidity and mortality after orthopaedic surgery. The present study utilized the 2005-2010 National Surgical Quality Improvement Program (NSQIP) dataset to assess the risk of 30-day post-operative complications and mortality associated with resident participation in orthopaedic procedures. ⋯ II (Prognostic).
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Arch Orthop Trauma Surg · Nov 2013
Impact of spinal imbalance and BMI on lumbar spinal canal stenosis determined by a diagnostic support tool: cohort study in community‑living people.
The Japanese Society for Spine Surgery and Related Research (JSSR) developed a diagnostic support tool (score range −2 to 16) for lumbar spinal canal stenosis (LSS). It is well known that patients with LSS have a forward-bending posture while walking. We could find only one study which examined sagittal alignment of LSS patients. The objectives of this study were to screen community-living people with LSS, and to investigate the association between LSS and spinal sagittal alignment, range of motion (ROM), and other spinal or physical factors. ⋯ Increased SIA and BMI might be the most relevant risk factors for LSS.
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Arch Orthop Trauma Surg · Nov 2013
Case ReportsFailed joint unloading implant system in the treatment of medial knee osteoarthritis.
In the setting of end-stage osteoarthritis of the knee, total knee arthroplasty is the gold-standard treatment. Recently, a minimally invasive, joint preserving treatment option in the treatment of medial osteoarthritis of the knee has been developed. ⋯ The goal of this novel device is to reduce medial compartment loading without significantly affecting the loading of the lateral compartment. In this context, the current authors present a case of device failure using these new implants, which at 7 months post-op necessitated revision surgery with complete removal of the device.
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Arch Orthop Trauma Surg · Nov 2013
All arthroscopic release of the glenohumeral joint for severe frozen shoulder: initial glenohumeral visualization through trans-cuff portal.
In recent two decades, a novel minimally invasive technique for resistant frozen shoulder, arthroscopic glenohumeral release, has been popularly practiced. However, by far one key point, although being well recognized, has not been tackled at all during the procedure-that is how to safely and smoothly insert the arthroscope into contracted and restricted glenohumeral joint when MUA cannot be performed or work, especially the severe stiff shoulder. ⋯ Level IV, Case Series, Treatment Study.