Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2001
ReviewImmobilisation for acute ankle sprain. A systematic review.
The variation of practice with respect to the treatment of the acutely sprained ankle suggests a lack of evidence-based management strategies for this problem. The objective of this review was to assess the effectiveness of the various methods of immobilisation for acute ankle sprain. An electronic database search was conducted using MEDLINE, EMBASE, BIOSIS, CINAHL, Cochrane Controlled Trial Register and Current Contents. ⋯ Sensitivity analysis showed that a non-concealed treatment allocation did not influence the statistical significance of the overall results. Based on our results, functional treatment currently seems a more appropriate treatment and should be encouraged. Concerning effectiveness, immobilisation, if necessary, should be restricted to certain patients and for short time periods.
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Arch Orthop Trauma Surg · Sep 2001
Case ReportsLate detachment modular femoral component after primary total hip replacement.
Three years after total hip replacement surgery, a patient's modular femoral head separated from the stem portion of a primary total hip replacement while the patient was rising from a chair. The modular femoral head was in a polyethylene acetabular socket. ⋯ The use of modular components greatly increases the flexibility during primary or revision total hip arthroplasty, but introduces the risks of component dissociation and intraoperative errors in matching. We report an unusually late dislocation of a primary modular total hip replacement.
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Arch Orthop Trauma Surg · Sep 2001
Case ReportsImaging features of intraosseous lipomas of the calcaneus.
We report two cases of intraosseous lipoma arising in the calcaneus of a 36-year-old and a 22-year-old women complaining of heel pain. Plain radiographs and computed tomography scans revealed cystic lesions in the calcaneus triangle. ⋯ Curettage and bone grafting were performed. There was no recurrence identified on plain radiographs 2 years following the surgery.
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Arch Orthop Trauma Surg · Sep 2001
Case ReportsThe 5-year survival following the marginal resection of a primary leiomyosarcoma of the distal femur and a stump fracture.
In this case, we present a 5-year follow-up of a 3-fault-affected primary leiomyosarcoma of the distal femur (spontaneous fracture treated by osteosynthesis; marginal resection; stump fracture after adequate trauma) with an extended local recurrence but without metastasis.
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Arch Orthop Trauma Surg · Sep 2001
Case ReportsSkeletal cystic angiomatosis with severe hip joint deformation resembling massive osteolysis.
An aggressive destruction pattern resulting in joint deformation has not been described in skeletal cystic angiomatosis (SCA) so far. We present the case of a 6-year-old boy with such findings strongly resembling Gorham's disease (massive osteolysis). Since the prognosis of the latter entity tends to be less favorable than in SCA, particularly SCA without extraskeletal involvement, careful differentiation of both disorders appears to be important.