Eur J Orthop Surg Tr
-
Eur J Orthop Surg Tr · Jul 2015
Comparative StudyNailing or plating for subtrochanteric femoral fractures: a non-randomized comparative study.
The aim of the present study was to compare the outcomes of reverse less invasive stabilization system for distal femur (LISS-DF) plates and proximal femoral nail antirotation (PFNA) in the treatment of patients with subtrochanteric fracture. ⋯ This study demonstrated that in the reverse LISS-DF-treated group, the mean time for bone union was longer and weight bearing was delayed. Considering the surgical technique, minimal surgical approach, reduced amount of blood transfusion and superior functional results following surgery, we concluded that the PFNA system offers advantages over reverse LISS-DF plating in the treatment of subtrochanteric femur fractures.
-
Eur J Orthop Surg Tr · Jul 2015
Relevance of using a compressive preload in the cervical spine: an experimental and numerical simulating investigation.
Simulating compressive action of muscles, a follower load attends to reproduce a more physiological biomechanical behaviour of the cervical spine. Only few experimental studies reported its influence on kinematics and intradiscal pressure in the cervical spine. ⋯ Although the follower load represents an attractive option to apply compressive preload during experimental tests, we found that this method could affect the native biomechanical behaviour of spine specimen depending on which movement was considered. Only minimal effects were observed in FE, whereas significant changes in kinematics and intradiscal pressures were observed for AR and LB.
-
Eur J Orthop Surg Tr · Jul 2015
Two-level anterior cervical discectomy and fusion using self-locking stand-alone polyetheretherketone cages with two anchoring clips placed in the upper and lower vertebrae, respectively.
Anterior cervical discectomy and fusion (ACDF) is a widely accepted surgical procedure for the treatment of cervical degenerative disk diseases (CDDD). The purpose of our study was to investigate the reliability and efficacy of ACDF using self-locking stand-alone polyetheretherketone (PEEK) cages, with two anchoring clips placed in the upper and lower vertebrae, respectively. ⋯ ACDF using a self-locking stand-alone PEEK cage with two anchoring clips placed in the upper and lower vertebrae, respectively, could be considered a safe and effective substitute for fusion in patients with two-level CDDD; it can effectively restore the intervertebral height, facilitate radiologic follow-up, cause few complications, and lead to satisfactory outcomes.
-
Eur J Orthop Surg Tr · Jul 2015
Comparative StudyIs it possible to eliminate the plate-related problems and still achieve satisfactory outcome after multilevel anterior cervical discectomy?
Stand-alone cage-assisted anterior cervical discectomy and fusion (ACDF) has proved to be safe and effective procedure for treatment of mono-segmental cervical degenerative stenosis (CDS). However, the success rate has reported to decline as the number of levels increases. The aim of this prospective study was to evaluate the short-term results of multilevel ACDF using stand-alone polyetheretherketone (PEEK) cages. ⋯ With proper patient selection, meticulous surgical technique and strict post-operative cervical bracing, the less-invasive indirect anterior cervical decompression technique augmented with stand-alone PEEK cage-assisted ACDF is an efficient and safe method for the treatment of multilevel CDS.
-
Eur J Orthop Surg Tr · Jul 2015
Responsiveness of depression and its influence on surgical outcomes of lumbar degenerative diseases.
To demonstrate the responsiveness of depression after surgery for lumbar degenerative disease and to verify the impact of this condition on surgical outcomes. ⋯ Most patients with depression in the preoperative recover within 1 year postoperatively. Responsiveness of depression is associated with surgical outcomes. The presence of depression after the surgical treatment, independent of when it starts, had a major negative impact on prognosis.