Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Mar 2013
Practice in rehabilitation after cartilage therapy: an expert survey.
Current cartilage therapy modalities like microfracture, ACT/MACT, AMIC or osteochondral transplantation are important tools to treat symptomatic (osteo)chondral lesions of the knee joint. However, until now there exists no high-level evidence based accepted rehabilitation plan for the postoperative treatment. ⋯ Today there exists no detailed rehabilitation program for treatment after a cartilage-related operation on the basis of an evidence-based level I study. The reason might be that many variables contribute to a specific aftercare procedure. Therefore, the survey of experienced surgeons may help to identify the most promising rehabilitation regime for today, at least until evidence-based level I studies are accomplished.
-
Arch Orthop Trauma Surg · Mar 2013
Cement augmentation of lag screws: an investigation on biomechanical advantages.
In trauma surgery, lag screws are commonly used. However, in osteoporotic bone, anchorage can be considerably compromised. This study investigates the biomechanical potential of cement augmentation in terms of improved fixation. ⋯ Cement augmentation of lag screws can improve fixation stability in terms of installing and maintaining interfragmentary compression. Effects of relaxation can be reduced and re-tightening of screws is possible without compromising the fixation. Particularly in reduced bone mass, augmentation of lag screws can markedly increase the security of the technique.
-
Arch Orthop Trauma Surg · Feb 2013
Comparative StudySubjective and objective results of arthroscopic debridement of ulnar-sided TFCC (Palmer type 1B) lesions with stable distal radio-ulnar joint.
The purpose of this study was to determine functional and subjective results of patients who received arthroscopic debridement for their TFCC Palmer 1B lesions and to compare their results with those of arthroscopic suture repair. ⋯ Arthroscopic debridement of Palmer type 1B lesions in stable DRUJ yields satisfactory to excellent results. Our study showed similar results compared with the studies of arthroscopic suture repair with shorter postoperative care and fewer complications.
-
Arch Orthop Trauma Surg · Feb 2013
Calcium homeostasis influences radiological fracture healing in postmenopausal women.
Recent studies suggest that calcium and 25-[OH]-cholecalciferol represent substantial co-factors in fracture healing. However, there still seems to be no sustainable consensus regarding the influence on fracture healing patterns. In this study, the influence of calcium and vitamin D levels on fracture callus formation was prospectively analysed using pQCT scan. ⋯ Calcium and parathyroid hormone serum levels influence fracture callus area interpreted as fracture callus formation patterns. Calcium levels within physiological range accounted for highest fracture callus area. Therefore, a balanced calcium homeostasis is required for appropriate callus formation.
-
Arch Orthop Trauma Surg · Feb 2013
Results of dynamic pedobarography following surgically treated intra-articular calcaneal fractures.
To investigate the clinical outcome and gait analysis findings by dynamic pedobarography in patients following surgically treated single, closed, dislocated intra-articular calcaneal fractures. ⋯ We found only an average clinical outcome and clear pathological gait patterns in our cohort with lateralization of the gait line.