Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · May 2018
"Clothesline technique" for proximal tibial shaft fracture fixation using conventional intramedullary nail: a simple, useful, and inexpensive technique to prevent fracture malalignment.
Treatment of proximal tibial shaft fractures is always challenging. Despite the development of modern techniques, the literature still shows high complication rates, especially regarding proximal fragment malalignment. ⋯ Unlike in tibial shaft fractures, nails do not reduce proximal tibial fractures due to the medullary canal width. This study aims to describe a simple, useful, and inexpensive technique to prevent valgus and extension deformities when treating proximal tibial fractures using conventional nails: the so-called clothesline technique.
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Eur J Orthop Surg Tr · May 2018
Intraoperative radiation exposure in spinal scoliosis surgery for pediatric patients using the O-arm® imaging system.
The O-arm® navigation system allows intraoperative CT imaging that can facilitate highly accurate instrumentation surgery, but radiation exposure is higher than with X-ray radiography. This is a particular concern in pediatric surgery. The purpose of this study is to examine intraoperative radiation exposure in pediatric spinal scoliosis surgery using O-arm. ⋯ As the fused range became wider, several scans were required for O-arm, and the total radiation exposure became roughly the same as that in preoperative CT. Use of O-arm in our original protocol can contribute to reduction in radiation exposure.
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Eur J Orthop Surg Tr · May 2018
Appropriateness of patients transferred with orthopedic injuries: experience of a level I trauma center.
Trauma patients are frequently transferred to a higher level of care for specialized orthopedic care. Many of these transfers are not necessary and waste valuable resources. The purpose of this study was to quantify our own experience and to assess the appropriateness of orthopedic transfers to a level I trauma center emergency department. ⋯ Inappropriate transfers create a significant medical burden to our health care system using valuable resources. Our study found similar results of inappropriate transfers compared to previous studies. However, we did not find a relationship between insurance status or nights/weekends and transfer appropriateness.
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Eur J Orthop Surg Tr · May 2018
Outcome of osteosynthesis for periprosthetic fractures after total knee arthroplasty: a retrospective study.
Incidence of periprosthetic fractures around knee is going to rise in near future due to dramatic increase in total knee arthroplasty (TKA). Our study is a retrospective case series describing the outcome of osteosynthesis for periprosthetic fractures after TKA. ⋯ Osteosynthesis for periprosthetic fractures around knee with locked compression plate gives promising results. Fractures involving patella are associated with inferior functional outcome. Understanding the fracture pattern and bone stock available for fixation with correct choice of implant and correct surgical technique gives promising outcome in periprosthetic fractures around knee.