Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2013
Randomized Controlled Trial Multicenter StudyEarly conversion to below-elbow cast for non-reduced diaphyseal both-bone forearm fractures in children is safe: preliminary results of a multicentre randomised controlled trial.
This multicentre randomised controlled trial was designed to explore whether 6 weeks above-elbow cast (AEC) or 3 weeks AEC followed by 3 weeks below-elbow cast (BEC) cause similar limitation of pronation and supination in non-reduced diaphyseal both-bone forearm fractures in children. ⋯ Multicentre randomised controlled trial, Level II.
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Arch Orthop Trauma Surg · Oct 2013
Multicenter Study Comparative StudyOperative versus non-operative treatment for two-part surgical neck fractures of the proximal humerus.
Aim of this study was to evaluate outcomes of operative as compared to conserveative treatment for two-part humerus fractures at the surgical neck. ⋯ Both non-operative treatment and operative treatment using modern implants (LPHP, PHILOS and PHN) can be considered safe and effective treatment options for two-part fractures of the proximal humerus. Operative treatment may result in better range of motion and reduced pain in the early postoperative course of treatment.
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Arch Orthop Trauma Surg · Oct 2013
Review Case ReportsProximal radioulnar translocation associated with elbow dislocation and radial neck fracture in child: a case report and review of literature.
Proximal radioulnar translocation with radial neck fracture and elbow dislocation is extremely rare. We report a case of a 5-year-old boy who was presented with elbow dislocation, and proximal radioulnar translocation was diagnosed a day after the injury. ⋯ The patient finally regained full range of elbow motion and forearm rotation. This case had clinical importance in that the reverse instability of the elbow was observed compared with the previous reports.
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Arch Orthop Trauma Surg · Oct 2013
Multicenter Study Clinical TrialGlenoid morphology affects the incidence of radiolucent lines around cemented pegged polyethylene glenoid components.
Radiolucent lines (RLL) are frequent findings around cemented all-polyethylene glenoid implants. The present study evaluates the frequency, extend and the clinical impact of RLL around a cemented two-pegged glenoid implant with special focus on the influence of preoperative glenoid morphology. Our hypothesis was that glenoid morphology does not affect clinical outcome and RLL in the investigated setting. ⋯ Level IV case series study.
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Arch Orthop Trauma Surg · Oct 2013
ReviewThe assessment of neutrophil CD64 count as an early warning marker of joint replacement infection.
120,000 hip and knee replacements are performed each year in the UK and more than 1 % of these require revision surgery due to infection. Current diagnostic tests used to diagnose infection of joint replacements, including the current gold standard C-reactive protein, which offers poor specificity when diagnosing infection in the post-operative period. In the post-operative period these tests are unable to differentiate between physiological inflammation and infection of the replacement. ⋯ Data from several studies utilising a flow cytometer support the view that CD64 is firstly, a good marker of systemic infection and secondly, when studied in conjunction with musculoskeletal infections alone, is a sensitive and specific marker of this type of infection. However, meta-analysis of studies in this field concludes that more highly powered studies are needed before definite conclusions can be drawn. Despite this, the studies do portray a strong case for CD64 being the future of diagnosis of post-operative infection.