Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Aug 2013
Surgeons save bones: an algorithm for orthopedic surgeons managing secondary fracture prevention.
Postmenopausal osteoporosis has a big impact on health care budget worldwide, which are expected to double by 2050. In spite of severe medical and socioeconomic consequences from fragility fractures, there are insufficient efforts in optimizing osteoporotic treatment and prevention. Undertreatment of osteoporosis is a well known phenomenon, particularly in elderly patients. ⋯ From our point of view, this algorithm is useful for almost all cases and the user can expect treatment recommendations in more than 90 % of all cases. Nevertheless, some patients may require specialized review by an endocrinologist. The proposed algorithm may help to increase the rate of appropriate osteoporosis treatment hence reducing the rates of fragility fractures.
-
Arch Orthop Trauma Surg · Aug 2013
Complications following palmar plate fixation of distal radius fractures: a review of 665 cases.
Palmar plate fixation of unstable distal radial fractures is quickly becoming the standard treatment for this common injury. The literature reporting complications consists mainly of isolated case reports or small case series. ⋯ Palmar plate fixation of distal radius fractures is a safe and effective procedure. Nevertheless, complications necessitating a second intervention are relatively common. A proportion of these complications is iatrogenic and can be avoided by improving the surgical technique.
-
Arch Orthop Trauma Surg · Aug 2013
Intramedullary nailing without interlocking screws for femoral and tibial shaft fractures.
Intramedullary fixation is the treatment of choice for diaphyseal fractures of the femur and tibia. Locking the implant can sometimes be cumbersome and time consuming. In our institution, fractures with axial and rotational stability are treated with intramedullary nailing without interlocking. ⋯ The use of intramedullary nailing without interlocking is associated with minimal complications in selected fractures. The advantages include a short operating time and the simplicity of its application.
-
Arch Orthop Trauma Surg · Aug 2013
Early dysphagia complicating anterior cervical spine surgery: incidence and risk factors.
Dysphagia is a common complication of anterior cervical spine surgery, and most of them occurred in the early postoperative period. This study aimed to determine the incidence of early dysphagia after anterior cervical spine surgery and to identify its risk factors. ⋯ There is a relatively high incidence of early dysphagia after anterior cervical spine surgery, which may be attributable to multiple factors.
-
Arch Orthop Trauma Surg · Aug 2013
The influence of steroid administration on systemic response in laminoplasty for cervical myelopathy.
The excessive systemic inflammatory response caused by surgery has been associated with the development of major complications, such as postoperative confusion and acute respiratory distress syndrome. The serum IL-6 has been used as a predictor in the extent of surgical trauma. Several trials have reported that steroid administration reduced excessive systemic response. We investigated the systemic response caused by surgical trauma in patients with cervical laminoplasty and evaluated the influence of steroid administration on systemic response. ⋯ This study shows that the preoperative administration of steroids modified the systemic inflammatory response caused by surgical trauma in patients with cervical laminoplasty.