Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2014
Relationship between axillary nerve and percutaneously inserted proximal humeral locking plate: a cadaver study.
The aim of this study was to investigate the relationship between the axillary nerve and the percutaneously inserted proximal humeral locking plate and to evaluate the risk of axillary nerve injury during percutaneous plate insertion. ⋯ There is a risk of axillary nerve injury during percutaneous plate insertion. It must be ensured that the plate is inserted under the deltoid fascia during the surgery. The axillary nerve must be visible during application of the screws due to the impossibility of knowing which holes cross the axillary nerve.
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Acta Orthop Traumato · Jan 2014
Flexion-adduction-external rotation method for shoulder dislocations.
The aim of this prospective study was to assess the effectiveness of the flexion-adduction-external rotation method in the reduction of acute anterior shoulder dislocations. ⋯ The forward flexion-adduction-external rotation method is an effective and comfortable reduction method for the treatment of shoulder dislocation or fracture-dislocation.
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Acta Orthop Traumato · Jan 2014
Comparative StudyEffects of bone drilling on local temperature and bone regeneration: an in vivo study.
The aim of this study was to examine the influence of bone drilling on local bone temperature and bone regeneration and determine optimal drilling speed and pressure in an animal model. ⋯ Our results suggested that lower drilling speed with higher pressure is necessary for better bone regeneration. The optimal drilling speed is 230 rpm and optimal drilling pressure 20 N.
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Acta Orthop Traumato · Jan 2014
Comparative StudyFactors associated with severe postoperative pain in patients with total hip arthroplasty.
The aim of this study was to determine the risk factors for the development of postoperative pain following total hip arthroplasty, particularly those connected with psychological distress and personality traits. ⋯ Patients with severe anxiety, depression and Type D personality appear to be at risk of developing severe postoperative pain. In addition, female gender and the intensity of pain immediately after procedure were found to be important risk factors.
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Acta Orthop Traumato · Jan 2014
Randomized Controlled Trial Comparative StudyA comparison of epidural analgesia and local infiltration analgesia methods in pain control following total knee arthroplasty.
The aim of this study was to compare the effects of epidural analgesia with infiltration analgesia in postoperative pain control for total knee arthroplasty. ⋯ Although the analgesic effect of local infiltration is provided later than by epidural analgesia, the same level of pain control can be achieved with initial additional analgesia. Local infiltration is superior to epidural analgesia in respect of few side effects and early mobilization.