Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · May 2012
ReviewSystematic review of the complications of plate fixation of clavicle fractures.
The number of displaced midshaft clavicle fractures treated surgically is increasing and plate fixation is often the treatment modality of choice. The study quality and scientific levels of evidence at which possible complications of this treatment are presented vary greatly in literature. ⋯ The quantity of relevant high evidence studies is low. With low nonunion and malunion rates, plate fixation can be a safe treatment option for acute dislocated midshaft clavicle fractures, but complications related to the implant material requiring a second operation are frequent. Future prospective trials are needed to analyse the influence of various plate types and plate position on implant-related complications.
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Arch Orthop Trauma Surg · May 2012
Randomized Controlled TrialDiagnosis of discogenic low back pain in patients with probable symptoms but negative discography.
The purpose of the current study was to determine, whenever the patients complained of probable symptoms of discogenic low back pain and had obvious disc pathological changes on magnetic resonance imaging (MRI) but showed negative in discography, whether we could absolutely exclude the diagnosis of discogenic pain or not. ⋯ The study indicated that negative discography in patients with probable symptoms of discogenic low back pain cannot absolutely exclude the diagnosis of discogenic pain. Patients of this kind may suffer from other diseases, but we cannot ignore the existence of discogenic pain.
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Arch Orthop Trauma Surg · May 2012
Comparative StudyAll-pedicle-screw versus hybrid hook-screw instrumentation for posterior spinal correction surgery in adolescent idiopathic scoliosis: a curve flexibility matched-pair study.
Comparisons of all-pedicle-screw (PS) and hybrid hook-screw (HS) instrumentation for the treatment of adolescent idiopathic scoliosis (AIS) have produced conflicting results. The aim of this study was to compare all-pedicle-screw and hybrid hook-screw instrumentation for the treatment of AIS using a matched-pair study design in which preoperative flexibility was matched. ⋯ All-pedicle-screw and hybrid hook-screw instrumentations are comparable with regard to curve correction, but all-pedicle screw instrumentation reduces blood loss during surgery and shortens the operation time, which may help shorten healing time.
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Arch Orthop Trauma Surg · May 2012
Retraction Of PublicationRetraction note: Outcomes of length-stable fixation of femoral neck fractures.