Acta Orthop Traumato
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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.
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Acta Orthop Traumato · Jan 2010
Modified Fulkerson osteotomy in recurrent patellofemoral dislocations.
We evaluated the results of a modified Fulkerson technique performed for the treatment of recurrent patellofemoral dislocations. ⋯ Our results show that, with appropriate indications, the modified Fulkerson method is associated with successful results in the treatment of recurrent patellofemoral dislocations.
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Acta Orthop Traumato · Jan 2010
Functional results of conservative therapy accompanied by interscalane brachial plexus block and patient-controlled analgesia in cases with frozen shoulder.
We evaluated the efficacy of simultaneous interscalene block and catheter analgesia applied as an aid to conservative treatment in improving shoulder functions in patients with frozen shoulder. ⋯ In patients with frozen shoulder, interscalene block and continuous patient-controlled analgesia via an interscalene catheter provided sufficient analgesia and contributed to the recovery of shoulder functions through an effective and safe exercise program, with no side effects or complications. However, further studies are needed to assess the feasibility of home applications of interscalene patient-controlled analgesia to increase cost-effectiveness and patient satisfaction.
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Acta Orthop Traumato · Jan 2010
Utilization of axillary brachial plexus block in the postoperative rehabilitation of intra-articular fractures of the distal humerus.
An effective rehabilitation program is essential to prevent joint stiffness and regain range of motion after surgical treatment of intra-articular fractures of the distal humerus. We evaluated the effect of a physiotherapy program on functional results, that involved passive resistive stretching exercises performed under axillary brachial plexus block after radiographic observation of bone union of intra-articular fractures of the distal humerus treated with open reduction and internal fixation. ⋯ Following surgical treatment of intra-articular fractures of the distal humerus, a regular and pain-free physiotherapy program performed under axillary brachial plexus block on an outpatient basis increases patient compliance and enables early return to daily activities.
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Acta Orthop Traumato · Jan 2010
Locking plate fixation of three- and four-part proximal humeral fractures.
We evaluated the functional results of open reduction and internal fixation with a locking plate in patients with three- or four-part fractures of the proximal humerus. ⋯ Preservation of humeral head vascularity through minimal soft tissue dissection, fixation with a locking plate, and early postoperative motion were effective in decreasing potential complications following surgical treatment of three- and four-part proximal humeral fractures. The degree of fracture comminution and age of the patients affect functional results significantly.