Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2013
A posterior inverted L-shaped approach for the treatment of posterior bicondylar tibial plateau fractures.
To present a case series of patients with posterior bicondylar tibial plateau fractures treated by direct exposure and buttress plate fixation through posterior inverted L-shaped approach. ⋯ The posterior inverted L-shaped approach would not involve osteotomy, tendotomy or division of muscles, while allowing satisfied visualization of the entire posterior aspect of tibial plateau and appropriate placement of hardware. This approach is a safe and effective way for the treatment of posterior bicondylar tibial plateau fractures.
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Arch Orthop Trauma Surg · Jan 2013
Case ReportsFootprint reconstruction in a rotator cuff tear associated cyst of the greater tuberosity: augmented anchorage.
Tears of the rotator cuff (RC) complicated by bone cysts at the footprint might represent a challenge for the shoulder surgeon. This might be additionally aggravated in elderly patients with inferior bone quality due to osteopenia or osteoporosis. ⋯ The application range of this technique is not limited to defined bony defects and presents a promising novel surgical approach. Level of evidence V.
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Arch Orthop Trauma Surg · Jan 2013
Treatment of aseptic loosened MTPI prosthesis by one-stage revision with ToeFit Plus prosthesis.
Due to the missing bony integration of the ceramic Moje prosthesis for replacing the first metatarsophalangeal joint (MTPI) in hallux rigidus, the mid-term results were bad so far. In case of revision, the distraction arthrodesis with autologous bone taken from the iliac crest as a salvage procedure is the method of choice. ⋯ We could show good and very good short-term results after the replacement of a loosened MTPI prosthesis with a ToeFit Plus. Due to the conic screw anchorage, ToeFit Plus is excellently suited for prosthesis replacement at the MTPI. With sufficient bony anchorage prerequisites, it is possible to preserve and improve the range of motion by changing the loosened MTPI prosthesis in the ToeFit Plus, thereby avoiding the morbidity of gaining autologous bone from the iliac crest.
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Arch Orthop Trauma Surg · Jan 2013
Case ReportsOsteochondral autograft transplantation for malunited intra-articular fracture of the proximal interphalangeal joint: a case report.
Malunited intra-articular fracture of the proximal inter-phalangeal (PIP) joint sometimes causes problems, such as range of motion (ROM) limitation in the joint or lack of digital dexterity; however, the treatment method has not yet been established. We report a juvenile case of osteochondral autograft tranplantation to treat a malunited intra-articular fracture of the middle finger. ⋯ The benefits of our method include use of articular cartilage as a reconstruction material, availability for a relatively large cartilage defect, and stability of the autograft for the press-fitting method, which enable early mobilization exercise after surgery.
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Arch Orthop Trauma Surg · Jan 2013
Repair of hand defects by transfer of free tissue flaps from toes.
There are very few reports on the use of a free composite flap from the toe to repair small tissue defects in the hand. Here, we describe our experience using a free composite flap from the great toe and second toe. ⋯ Based on the unique characteristics of the free flap from toes, we consider them to be good options for reconstruction of small tissue defects in the hand according to various sizes, shapes, and sites.