Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Oct 2019
Comparative StudyThe impact of proximal femoral nail type on clinical and radiological outcomes in the treatment of intertrochanteric femur fractures: a comparative study.
The aim of the study was to compare three different proximal femoral nails in terms of functional and radiological outcomes in patients treated with closed reduction and internal fixation for intertrochanteric femur fractures (IFFs). ⋯ PFNA-II is a better option than Profin and InterTAN in the treatment of IFFs when the surgical parameters and functional and radiological results were evaluated as a whole.
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Eur J Orthop Surg Tr · Oct 2019
Randomized Controlled TrialPre-operative intravenous steroid improves pain and joint mobility after total knee arthroplasty in Chinese population: a double-blind randomized controlled trial.
This study aims to investigate the effect of pre-operative intravenous methylprednisolone on post-operative pain control and joint mobility in Chinese patients undergoing single primary total knee arthroplasty. ⋯ Pre-operative intravenous methylprednisolone improves post-operative pain and joint mobility after total knee arthroplasty up to 30 h after operation. It results in a higher patients' satisfaction. It can act as an effective adjunct in the multimodal analgesic regime.
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Eur J Orthop Surg Tr · Oct 2019
Comparative StudyComparison of the AOSpine subaxial cervical spine injury classification system and the Allen classification.
The AOSpine group has launched a new subaxial cervical spine injury system (AOSCIS) based on morphology. The objective of this study was to use the AOSCIS and compare it to the widely used Allen classification (AC) based on mechanics for subaxial cervical spine injury. Twenty-two consecutive patients with subaxial cervical spine injury who received posterior cervical fixation in our hospital were included in this study. ⋯ All of six patients with DISH were classified as AOSCIS C and CE3, DE2, or DF3. AOSCIS and AC are correlated. Conducting an evaluation using both systems helps us to better comprehend subaxial cervical spine injuries.
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Eur J Orthop Surg Tr · Oct 2019
Comparative StudyAdditive effect of continuous adductor canal block and liposomal bupivacaine periarticular injection in total knee arthroplasty.
Novel methods of postoperative analgesia for total knee arthroplasty (TKA) have demonstrated improved functional outcomes and decreased narcotic consumption. These approaches include continuous adductor canal blocks (CACB) and periarticular injection (PAI). There is a lack of current understanding regarding the effect of these modalities on narcotic usage, functionality, and pain when both PAI and CACB are utilized compared to PAI alone. ⋯ Here we identify an additive effect when utilizing both PAI and CACB for postoperative TKA analgesia. Our findings demonstrate significant decrease in patient total narcotic usage, pain scores, and an increase in walking distance when utilizing PAI and CACB compared with PAI alone. This analgesic technique may help reduce patients' narcotic use while also increasing functional outcomes.
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We present a familial case of valgus slipped capital femoral epiphysis (SCFE). Charts of members of the same family having the condition were retrieved. Clinical and radiological examinations were conducted after 10 years of the initial presentation and treatment. ⋯ The review of the literature demonstrated that varus SCFE has a strong familial tendency. Our case series would suggest that, as in the classical SCFE, genetic inheritance could also be a contributing factor to valgus SCFE. Future radiological studies are needed to look for the true incidence of valgus SCFE in first- and second-degree relatives.