Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Apr 2015
Clinical Trial[Corrective arthrodesis of midfoot Charcot neuroosteoarthropathy with internal fixation].
The goal of treatment is a plantigrade, stable, ulcer-free foot which can be addressed with diabetes-adapted insoles and/or DNOAP shoes. ⋯ High rate of surgical complications (e.g., infection, implant failure, non-union, loss of correction, reulceration), in particular, in cases of inadequate indication or insufficient primary stability.
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Oper Orthop Traumatol · Apr 2015
Clinical Trial[Suturing and refixation of the medial collateral ligament in severe acute medial instability of the knee].
Restoration of the medial stability after acute lesion of the medial collateral ligament (MCL) and of the posteromedial complex in case of a high grade instability of the MCL. Stabilization against valgus stress and prevention of an increased posterior drawer in case of a lesion of the posterior oblique ligament (POL). ⋯ Between 2010 and 2013, 34 cases of acute medial instability were treated. According to the injury pattern, some procedures were isolated MCL refixations, while others were combined procedures. While 25 patients showed a concomitant ACL injury, 13 patients had combined PCL and ACL injury. Postoperatively all medial instabilities had improved. Revision surgery was performed in 3 cases due to postoperative arthrofibrosis.