Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Jun 2016
Clinical TrialTrochanteric fragility fractures : Treatment using the cement-augmented proximal femoral nail antirotation.
Use of standardized cement augmentation of the proximal femur nail antirotation (PFNA) for the treatment of trochanteric fragility fractures, which are associated with high morbidity and mortality, to achieve safer conditions for immediate full weight-bearing and mobilization, thus, improving preservation of function and independency of orthogeriatric patients. ⋯ A total of 110 patients older than 65 years underwent the procedure. Of the 72 patients available for follow-up (average age 85.3 years), all fractures healed after an average of 15.3 months. No complications related with cement augmentation were observed. Approximately 60 % of patients achieved the mobility level prior to trauma.
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Anatomic reconstruction of the posterior facet by primary stabilization of the calcaneal fracture with a locking nail. ⋯ A total of 107 calcaneal fractures treated with the C-Nail between 2011 and 2014 were evaluated according to the AOFAS score 6 months and 1 year after surgery. The measured values were on average 93.0 (range 65-100) points at 6 months and 94.1 (range 75-100) points 12 months after the surgery. Böhler's angle with initial traumatic values of 6.2° (-30 to +13°) improved postoperatively to 31.8°, after 3 months slightly decreased to 29.6°, and after 12 months to 28.3°. There were 2 cases of superficial wound necrosis (1.9 %) and 1 case a deep infection (0.93 %) with need of early C-Nail removal.
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Oper Orthop Traumatol · Jun 2016
Clinical TrialArthroscopic popliteus bypass graft for posterolateral instabilities of the knee : A new surgical technique.
An arthroscopic technique for the reconstruction of the posterolateral corner combined with posterior cruciate ligament (PCL) reconstruction was developed. ⋯ Low complication risk and good and excellent clinical results after arthroscopic posterolateral corner reconstruction.