Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jul 2012
Multicenter Study Clinical TrialA multicentre case series of tibia fractures treated with the Expert Tibia Nail (ETN).
The aim of this study was to present clinical experience and outcomes of intramedullary nailing of proximal, midshaft and distal tibia fractures with the Expert Tibia Nail (ETN; Synthes GmbH, Switzerland), an implant offering a wide range of proximal and distal locking options in multiple planes to increase stability of the implant and bone construct. ⋯ Intramedullary ETN fixation of tibia fractures results in low rates of delayed union, primary and secondary malalignment, implant-related complications, and secondary surgery. Fibula plating had a negative effect on the healing of the tibia.
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Arch Orthop Trauma Surg · Jul 2012
Clinical TrialProprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study.
This prospective study evaluated the development of proprioception over the course of 3 years after shoulder arthroplasty. ⋯ In conclusion, proprioception that was measured by an AAR test remained unchanged or deteriorated 3 years after shoulder arthroplasty. The postoperative deterioration of proprioception was more distinctive in HEMI than in TSA group.
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Arch Orthop Trauma Surg · Jul 2012
Is proximal femoral nailing a good procedure for teaching in orthogeriatrics?
Proximal femoral nailing is a common operation in orthogeriatrics and a highly standardized procedure. For teaching purposes, this operation is often performed by residents and supervised by attending physicians. The objective of this study is to investigate if teaching this operation influences the surgical in-house complication rate. ⋯ We conclude that proximal femoral nailing is an operation suitable for teaching purposes. However, patients between 71 and 80 years of age seem to be at an increased risk for cut-out if operated by a resident.
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Arch Orthop Trauma Surg · Jul 2012
Case ReportsKlippel-Trenaunay syndrome: a rare cause of disabling pain after a femoral fracture.
Klippel-Trenaunay syndrome (KTS) is characterized by a cutaneous vascular nevus of the involved extremity, as well as bone and soft tissue hypertrophy of the extremity and venous malformations. We present the case of a 52-year-old man with a femoral fracture and a history of haemangiomas, limb bone hypertrophy and varicosity. ⋯ According to our knowledge, this is the second case of KTS managed for femoral fracture. Unlike the previous report in literature, in this case a severe disabling neuropathic pain complicated the clinical management.
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Arch Orthop Trauma Surg · Jul 2012
The Humerusblock NG: a new concept for stabilization of proximal humeral fractures and its biomechanical evaluation.
The Humerusblock NG represents a new semi-rigid angular stable fixation device for minimally invasive stabilization of proximal humeral fractures. This study evaluates the function and stability of the Humerusblock NG and its biomechanical properties on the basis of two different fracture models under cyclic loading. ⋯ Basic science study.