Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Feb 2020
Review Case ReportsAvascular necrosis of the femoral head after single steroid intra-articular injection.
Femoral head avascular bone necrosis (AVN) is the loss of blood supply to the bone tissue of femoral head that results in cellular death. This condition causes a significant limitation in patient daily life activities and has a poor functional outcome. Long-term steroid intake was established as a cause of AVN. ⋯ To best of our knowledge, this is the fifth case of AVN of femoral head AVN after single intra-articular steroid injection. We reviewed all cases of AVN of femoral head after single steroid injection. Intra-articular steroid injection can cause femoral head AVN, and the patient receiving these injections should be aware about this rare but significant complication that results in poor functional outcome and significant morbidity.
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Eur J Orthop Surg Tr · Feb 2020
Outcomes of knee replacement in patients with posttraumatic arthritis due to previous tibial plateau fracture.
Tibial plateau fractures are routinely treated with open reduction internal fixation (ORIF); however, the long-term results of ORIF are unclear. The purpose of the current study is to evaluate outcomes in these patients, including: the rate of conversion of ORIF to total knee arthroplasty (TKA), the relationship between elevated inflammatory markers after the initial ORIF and subsequent infection in TKA, and the rationale behind performing the conversion to TKA in one step versus two steps. ⋯ Level III, Retrospective study.
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Eur J Orthop Surg Tr · Feb 2020
Risk factors for death and amputation in acute leg compartment syndrome.
The primary objective of this study is to determine whether time from injury to fasciotomy is associated with increased risk for death or limb amputation in patients with acute leg compartment syndrome. The secondary objective of this study is to identify other risk factors for death or limb amputation in patients with acute leg compartment syndrome. ⋯ Level III Prognostic.
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Eur J Orthop Surg Tr · Feb 2020
Influence of vitamin C on the incidence of CRPS-I after subacromial shoulder surgery.
The primary aim of this study was to determine whether postoperative administration of vitamin C (VC) is associated with reduced risk of complex regional pain syndrome type I (CRPS-I) after subacromial shoulder surgery (SaSS). The secondary objective of the study was to identify risk factor for the development of CRPS-I after SaSS. ⋯ Retrospective comparative study.