Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2013
Individual and team training with first time users of the Pelvic C-Clamp: do they remember or will we need refresher trainings?
Pelvic ring injuries with associated hemorrhage from the presacral venous plexus are major contributors to morbidity and mortality in trauma patients. The Pelvic C-Clamp is an often discussed, yet seldom used device for both skeletal and hemodynamic stabilization. In a recent study we have addressed this issue and have stressed the importance of regular training sessions with the device. This study is aimed as an extended follow up with a special focus on how trained skills are retained over time. ⋯ The majority of 57 pins were placed in the safe area within 6 min after one single training session. This reproduces the Australian data and supports the theory that adequately educated and skilled physicians should be able to handle the device properly. The data from the re-evaluation suggest that repeating the training session with the device improves performance.
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Arch Orthop Trauma Surg · Mar 2013
Clinical outcome following the first-line, single lesion microfracture at the knee joint.
⋯ Microfracturing results in a satisfying clinical outcome, but no full recovery in patients without previous surgery and single lesions. Specific parameters facilitate outcome prognosis and therefore may aid in indicating surgery.
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Arch Orthop Trauma Surg · Mar 2013
Randomized Controlled Trial Comparative StudyMini-midvastus versus mini-medial parapatellar approach in total knee arthroplasty: a prospective, randomized study.
To date, no English literature has evaluated the short-term results of the mini-medial parapatellar approach compared with the mini-midvastus approach. This prospective, randomized study was performed to compare the short-term results of total knee arthroplasty using either a mini-midvastus or a mini-medial parapatellar approach. ⋯ Based on these results, we believe that the early results are similar between mini-midvastus and mini-medial parapatellar approach, ultimately the selection of the surgical approach will depend on the surgeon's experience and preference.
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Arch Orthop Trauma Surg · Mar 2013
Relationship between distal screws and femoral arteries in closed hip nailing on computed tomography angiography.
Iatrogenic vascular injury as a result of closed hip nailing is not common, but is a regularly reported complication after hip fracture surgeries. ⋯ These data indicate that insertion of distal screws into intramedullary nails increases the risk of injury to vascular structures. Surgeons must take care in drilling or inserting screws to ensure the prevention of vascular injury.
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Arch Orthop Trauma Surg · Mar 2013
Comparative StudyMedial placement of the acetabular component in an alumina-on-alumina total hip arthroplasty: a comparative study with propensity score matching.
In an alumina-on-alumina total hip arthroplasty (THA), recommended with a small inclination angle <45°, the acetabular component (cup) may be positioned more medially to be covered almost completely by host bone. The purpose of this study was to identify the correlating factors and to evaluate the outcomes of medial placement of the cup in patients with alumina-on-alumina THAs. ⋯ Thin acetabular medial wall and a small inclination angle of the cup were the correlating factors of medial placement of the cup in patients who underwent an alumina-on-alumina THA. Medial placement did not lead to differences in the clinical or radiological outcomes.