Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Dec 2013
Transpedicular closing wedge osteotomy in the treatment of thoracic and lumbar kyphotic deformity with different etiologies.
Transpedicular closing wedge osteotomy (CWO) has become popular in correcting thoracic and lumbar kyphotic deformity (TLKD). Our study aims to evaluate the efficacy of CWO in treating TLKD of different etiologies. CWO was performed on 25 patients with thoracic and lumbar kyphosis, of whom 10 had ankylosing spondylitis, 10 had post-traumatic thoracolumbar fractures, and 5 had tuberculosis. ⋯ Pre- and postoperative mean ODI was 61.8 and 27.32 receptively. Six complications were registered in six patients. Pedicle subtraction osteotomy is an effective and safe surgical method to correct thoracic and lumbar kyphosis of different etiologies.
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Eur J Orthop Surg Tr · Dec 2013
Percutaneous retrograde intramedullary single wire fixation for metacarpal shaft fracture of the little finger.
This study aimed to evaluate the anatomic and functional outcome of retrograde intramedullary single wire fixation for metacarpal shaft fractures of the little finger. Forty consecutive patients with closed metacarpal shaft fractures of the little finger who have been treated with retrograde intramedullary single wire fixation were evaluated. Fracture union and angulation were analyzed radiologically, and clinical evaluations were performed including the percentage of total active motion (%TAM), disabilities of the arm, shoulder and hand (DASH) score, and complications. ⋯ There were two cases of pin migration as intermediate complications. A closed reduction with subsequent percutaneous retrograde K-wire fixation produced good radiological and functional results. We recommend this minimally invasive technique which provides adequate fixation of displaced little finger metacarpal shaft fractures with good functional results and low morbidity.
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Eur J Orthop Surg Tr · Dec 2013
Comparative StudyArthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures.
Purpose of this case-control study was to evaluate the feasibility and advantages of arthroscopically assisted reduction and internal fixation of isolated medial malleolar fractures and compare the outcomes with conventional open reduction and internal fixation. ⋯ Case-control study, Level III.
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Eur J Orthop Surg Tr · Dec 2013
The treatment of femoral neck fractures: results using cephalocervical screws with sliding mechanism.
A new device for the treatment of femoral neck fractures that uses 2 cephalocervical screws in a sliding mechanism allowing linear intraoperative and postoperative compression has been developed. The purpose of this retrospective study was to determine the results using this device for the treatment of stable and unstable femoral neck fractures. ⋯ The Dual SC screw device appears to be a reliable implant for the treatment of femoral neck fractures. Its design contributes to overcome the implant failures such as a medial migration, cut-out, or back-out; besides, the union rate of this implant was considered superior to that of existing systems. If the early shortening of the neck occurs after this surgery, the surgeons should be considered to keep them partially weight bearing or choose a replacement procedure for such patients.