Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
-
Multicenter Study
Clinical effects of internal fixation for ulnar styloid fractures associated with distal radius fractures: A matched case-control study.
Ulnar styloid fractures are often associated with distal radius fractures. However, controversy exists regarding whether to treat ulnar styloid fractures. This study aimed to evaluate clinical effects of internal fixation for ulnar styloid fractures after distal radius fractures were treated with the volar locking plate system. ⋯ We revealed that there was no need to fix ulnar styloid fractures when distal radius fractures were treated via open reduction and internal fixation with a volar locking plate system.
-
The aim of the present study was to identify the clinical and radiologic factors affecting functional outcomes in patients with a distal radius fractures (DRFs) treated by volar locking plate fixation. ⋯ Because the ulnar variance after surgery is the modifiable factor in contrast with other factors such as diabetes and age, surgeons should pay attention to restore ulnar variance to improve functional outcomes during volar locking plate fixation in patients with distal radius fractures.
-
Controlled Clinical Trial
A population approach to analyze the effectiveness of a back extension exercise "One Stretch" in patients with low back pain: A replication study.
We examined the effectiveness of an intervention using a standing back extension exercise called "One Stretch", based on the McKenzie method, in improving or preventing low back pain and disability in Japanese care workers. ⋯ The population approach about the exercise "One Stretch" led to better compliance with the exercise, and was effective for improving or preventing low back pain and in decreasing the likelihood of having a medical consultation for low back pain.
-
The treatment of established orthopaedic infection is challenging. While the main focus of treatment is wide surgical debridement, systemic and local antibiotic administration are important adjuvant therapies. Several reports have described the clinical use of antibiotic-impregnated calcium phosphate cement (CPC) to provide local antibiotic therapy for bone infections. However, these were all individual case reports, and no case series have been reported. We report a case series treated by a single surgeon using antibiotic-impregnated CPC as part of a comprehensive treatment plan in patients with established orthopaedic infection. ⋯ Implantation of antibiotic-impregnated CPC is an option to provide local antibiotic therapy as part of a comprehensive treatment plan.
-
To review the results of the treatment of post-traumatic chronic osteomyelitis of lower limbs by bone transport technique using mono-lateral external fixator. ⋯ 1. Bone transport technique using mono-lateral external fixator is an effective method for the treatment of post-traumatic chronic osteomyelitis. 2. Early BGPO intervention after bone transport is a feasible method to shorten the external fixation time and the total duration of treatment.