Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2013
Case ReportsMedial femoral condyle fracture as a complication of antegrade intramedullary nailing.
A 49-year-old man suffered a closed oblique fracture of the middle third of his left femur. Closed reduction and internal fixation by intramedullary (IM) nailing were performed. Per-operative fluoroscopic imaging and initial postoperative X-rays were judged normal and the patient followed the usual rehabilitation protocol. ⋯ The nail possibly hit the Steinmann traction pin in the distal femur causing the medial condyle fracture. The patient was reoperated; open reduction and internal plate and screw fixation were performed with satisfactory clinical progress postoperatively. The description and illustration of this case is intended to make trauma surgeons aware of this rare but serious complication of IM femoral nailing.
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Arch Orthop Trauma Surg · Sep 2013
Preoperative predictors for allogenic blood transfusion in hip and knee arthroplasty for rheumatoid arthritis.
To identify the preoperative predictors of requirement for postoperative allogenic blood transfusion following hip and knee joint arthroplasty. ⋯ The ability to identify those within this high-risk group who are likely to receive blood transfusion allows for an informed, appropriate and cost effective approach to blood management strategies.
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Arch Orthop Trauma Surg · Sep 2013
Clinical and biomechanical investigation of an increased articular cavity depth after distal radius fractures: effect on range of motion, osteoarthrosis and loading patterns.
After fracture, distal radius malunion with dissociation of the volar and dorsal ulnar fracture fragments can lead to an increased articular cavity. ⋯ Alterations in contact biomechanics could be one reason for the higher incidence of posttraumatic osteoarthritis when a deeper central impaction of the distal radius is present. From a clinical and experimental point of view, restoration of the normal shape of the distal radius is considered to minimize the risk for posttraumatic radiocarpal osteoarthritis.
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Arch Orthop Trauma Surg · Sep 2013
Long-term outcome of medial open reduction in developmental dysplasia of hip.
Long-term outcome of medial open reduction (MOR) was examined. We aimed to evaluate the effects of MOR on hip development in developmental dysplasia of hip (DDH). ⋯ Medial open reduction is effective and safe treatment method in DDH. Early concentric stable reduction with MOR improved results.
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Arch Orthop Trauma Surg · Sep 2013
The functional outcome of acute scapholunate ligament repair in patients with intraarticular distal radius fractures treated by internal fixation.
Intra-articular fractures of the distal radius (DRF) are associated with a twofold increase in the risk of scapholunate ligament injury (SLI). The aim of this study was to compare functional outcome, pain, and disability between patients with operatively treated DRF and either an acute, repaired scapholunate ligament injury or no ligament injury. ⋯ The outcomes of intraarticular fractures of the distal radius with operatively treated associated SLI are comparable with the outcomes of intraarticular fractures of the distal radius without associated SLI.