Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Apr 2018
The smartphone inclinometer: A new tool to determine elbow range of motion?
There are easily accessible tools on smartphones (APP) for measuring elbow range of motion (ROM). The purpose of this study is to evaluate the validity of a particular APP in determining elbow ROM in comparison with the commonly used goniometer (GON), surgeon estimation of range (EST) and measurement on X-ray (XR). ⋯ III, Retrospective review of a prospective cohort of elbow fracture patients: Diagnostic Study.
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Eur J Orthop Surg Tr · Apr 2018
Review Meta AnalysisRisk of revision and dislocation in single, dual mobility and large femoral head total hip arthroplasty: systematic review and network meta-analysis.
Postoperative dislocation is a challenging complication after total hip arthroplasty (THA) that affects patient outcome worldwide. Instability is one of the main complications with rates exceeding 20% in some series. Currently, alternative acetabular components are available with dual mobility (DMTHA) bearing surfaces and larger femoral head size that may reduce the risk of dislocation, yet provide the functional benefit of standard single mobility (STHA) bearing surface THA. ⋯ We recommend using dual mobility and big head as an implant for safety in THA. However, there were only two studies that reported long-term survivorship (more than 5 years, with follow-up of 5-15 years). Further research that assesses long-term survivorship is necessary to further evaluate which implants are the best for THA.
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Eur J Orthop Surg Tr · Apr 2018
Review Meta Analysis Comparative StudyComparative outcomes of combined corticosteroid with low volume compared to high volume of local anesthetic in subacromial injection for impingement syndrome: systematic review and meta-analysis of RCTs.
Subacromial impingement syndrome (SIS) is one of the most frequent pathologies of the shoulder, which may cause serious restriction of daily activities and lifestyle changes. Corticosteroid injection (CI) into the subacromial space is a palliative treatment option. Currently, there have been no studies that compare between the different volumes of CI injection. ⋯ However, there are no statistically significant differences between groups. Larger, randomized noninferiority or equivalent trial studies are needed to confirm these findings as the current literature is still insufficient. Level of evidence I.
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Eur J Orthop Surg Tr · Apr 2018
Evaluation of inter- and intra-observer reliability of current classification systems for subtrochanteric femoral fractures.
To evaluate the inter- and intra-observer reliability of the Russell Taylor, Seinsheimer and AO classification systems, and to investigate whether or not the experience of the surgeon had any effect on the classification. ⋯ As both the Russell Taylor and Seinsheimer classifications were found to be more reliable and reproducible than the AO classification for subtrochanteric femoral fractures, they can be considered to be more valuable in clinical practice and communication. The experience of the surgeons was not found to have any significance in the evaluation of these three classification systems in these types of fractures.