Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
-
The outcome after displaced intra-articular calcaneal fractures is influenced by the condition of the surrounding soft tissues. To avoid secondary soft tissue complications after surgical treatment, several less-invasive procedures for reduction and fixation have been introduced. The percutaneous technique according to Forgon and Zadravecz is suitable for all types of displaced intra-articular calcaneal fractures and was therefore introduced in our clinic. The aim of this study was to evaluate the long-term outcome of percutaneous treatment according to Forgon and Zadravecz in patients with displaced intra-articular calcaneal fractures. ⋯ Compared with the outcome of historic controls from randomized trials and meta-analyses, this study indicates favorable results for the percutaneous technique compared with the open technique. Despite similar rates of postoperative infection and secondary arthrodesis, the total outcome scores and preserved subtalar motion are overall good to excellent.
-
An ideal dural substitute that enables watertight closure, has sufficient strength, and can be absorbed without remnant materials that induce inflammation, adhesion, and infection is not available. The purpose of this study was to evaluate the efficacy of a bioabsorbable polyglycolic acid (PGA) mesh and fibrin glue as a substitute for dural repair. ⋯ The use of PGA mesh and fibrin glue for the repair of dura mater is a useful method of preventing CSF leakage in spinal surgery.
-
Osteotomy as a treatment for bilateral osteoarthritis of the hip is controversial because of deterioration of the contralateral side. We tried to not cause the contralateral hip to deteriorate even more while curing osteoarthritis by simple methods (release of iliopsoas and adductor longus muscle tendons and lateral transfer of the greater trochanter; Maquet's operation) during the rehabilitation period of Pauwels' valgus osteotomy. ⋯ Bilateral simultaneous femoral osteotomies for the late stages of osteoarthritis could be an alternative to bilateral total hip arthroplasties.
-
The thrust plate prosthesis is an implant with a metaphyseal fixation at the proximal femur that transmits the load forces of the hip onto the femoral neck. ⋯ The thrust plate prosthesis shows midterm results comparable to those of the cementless stemmed prosthesis and supplies advantages, especially for younger patients with femoral head necrosis, because of its metaphyseal bone-preserving fixation.