Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2012
Core decompression combined with implantation of a demineralised bone matrix for non-traumatic osteonecrosis of the femoral head.
Core decompression is the standard surgical procedure in the treatment of early stage non-traumatic osteonecrosis of the femoral head (ONFH). However, there is still a debate whether decompression in combination with supplementary augmentation by bone grafts, growth factors, or cell implementation is superior to conventional decompression alone. This study evaluated patients after core decompression combined with an augmentation by a demineralised bone matrix, and particularly aimed to report long-term conversion rates to total hip replacement (THR). ⋯ In patients with early- stage femoral head osteonecrosis core decompression combined with the implantation of a demineralised bone matrix leads to a limited, temporary pain relief as seen in core decompression alone. However, long-term results were not encouraging with a high rate of conversion to arthroplasty. Therefore, core decompression with implantation of a demineralised bone matrix may be not appropriate to avoid THR in the long term.
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Arch Orthop Trauma Surg · Aug 2012
Outcomes of total hip replacement in patients with slipped capital femoral epiphysis.
Total hip replacement has been advocated for the treatment of degenerative hip diseases secondary to slipped capital femoral epiphysis; nonetheless, outcomes of this procedure have not been well established. We reviewed the outcomes of modern total hip replacements in patients who suffered from slipped capital femoral epiphysis. ⋯ We recommend total hip replacement for patients who suffer from slipped capital femoral epiphysis because of the satisfactory survival, low complication rate, and the possibility of restoring leg length.
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Arch Orthop Trauma Surg · Aug 2012
Case ReportsBeneficial effects following microsurgical decompression in an adult with congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele: an interesting case report.
Case report. ⋯ Surgery for spinal canal stenosis in patients with severe thoraco-lumbar scoliosis can be effective in relieving radicular pain, weakness and numbness, and while not curative can greatly improve the quality of life.
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Arch Orthop Trauma Surg · Jul 2012
Review Meta Analysis Comparative StudyA meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury.
Magnetic resonance imaging (MRI) and magnetic resonance arthrography (MRA) have gained increasing favour in the assessment of patients with suspected glenoid labral injuries. The purpose of this study was to determine the diagnostic accuracy of MRI or MRA in the detection of gleniod labral lesions. ⋯ Level 2a.
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Arch Orthop Trauma Surg · Jul 2012
Meta Analysis Comparative StudyA meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures.
Total hip arthroplasty or hemiarthroplasty are used to treat displaced femoral neck fractures. However, the optimal treatment of these fractures remained controversial. ⋯ Total hip arthroplasty is associated with better functional outcome and lower reoperation rate than hemiarthroplasty in treatment of displaced femoral neck fractures in the elderly patients.