Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2010
Clinical TrialProspective analysis of surgical outcomes in patients undergoing decompressive laminectomy and posterior instrumentation for degenerative lumbar spinal stenosis.
The aim of this study was to evaluate the outcome of wide surgical decompression and concomitant posterior instrumentation in patients with degenerative lumbar spinal stenosis. ⋯ Most patients with degenerative lumbar spinal stenosis benefit from decompressive surgery. Patients with long-standing preoperative symptoms and concomitant diseases often have poor results and are less satisfied with the postoperative outcome.
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Acta Orthop Traumato · Jan 2010
Calcium phosphate cement augmentation in the treatment of depressed tibial plateau fractures with open reduction and internal fixation.
We aimed to evaluate the clinical and radiological outcomes of open reduction and internal fixation augmented with calcium phosphate cement (CPC) in the treatment of depressed tibial plateau fractures. ⋯ CPC is a safe biomaterial with many advantages in augmenting the open reduction and internal fixation of depressed tibial plateau fractures, including elimination of morbidity associated with bone graft harvesting, the unlimited supply of bone substitute, the optimum filling of irregular bone defects, and shortening of the postoperative full weight-bearing time.
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Acta Orthop Traumato · Jan 2010
Functional outcome and complications following PHILOS plate fixation in proximal humeral fractures.
Proximal humeral fractures account for approximately 5% of all fractures. New plating techniques have been developed to improve stability. The purpose of this study was to evaluate functional outcome following plate fixation with the Proximal Humeral Internal Locking System (PHILOS) and to analyze potential implant-related complications. ⋯ Our results demonstrate that the PHILOS plate provides sufficient fracture stabilization in the treatment of proximal humeral fractures of elderly patients.
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Acta Orthop Traumato · Jan 2010
The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration.
We investigated the relationship between the lumbosacral morphology and degree of intervertebral disc degeneration in a large sample of young patients. In addition, the relation between various morphological parameters (sacral table angle and sacral kyphosis) and lumbar disc herniation or degeneration was also evaluated. ⋯ The degree and risk of intervertebral disc degeneration and herniation increases in parallel to the decrease in sacral kyphosis and lumbar lordosis, and to the increase in sacral surface angle.
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Acta Orthop Traumato · Jan 2010
Case ReportsReverse floating first metatarsal and floating third metatarsal with Lisfranc fracture dislocation: an unusual injury.
A 25-year-old man complained of severe pain in the right foot after a traffic accident. There was a wound on the medial aspect of the foot extending over the length of the first metatarsal. There was no sign of vascular compromise and sensations were intact. ⋯ Full weight bearing was started at 10 weeks. The patient returned to his activities with only minimal discomfort. This is the first reported case of plantar Lisfranc dislocation and reverse floating first metatarsal.