Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Aug 2020
EditorialReflections from London's Level-1 Major Trauma Centres during the COVID crisis.
Emergence of the Covid-19 pandemic resulted in dramatic changes in global healthcare provision. Resources were redirected across all healthcare sectors to support the treatment of viral pneumonia with resultant effects on other essential services. We describe the impact of this on the provision of major trauma care in a major capital city.
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Eur J Orthop Surg Tr · Aug 2020
Does overcorrection cause any negative effect on pediatric missed Monteggia lesion?
To evaluate the outcome of different types of ulna osteotomy in missed Monteggia fracture with a particular interest in anatomical correction and overcorrection techniques. The outcome between the two groups were compared on aspects of (1) clinical outcome (2) radiologic outcome. ⋯ The postoperative result of overcorrection ulna osteotomy showed significant inferiority in radiologic outcome compared to anatomical correction. Overcorrection of ulna osteotomy could be associated with posterior dislocation of radial head.
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Eur J Orthop Surg Tr · Aug 2020
ReviewTotal hip arthroplasty by direct anterior approach in the lateral position for the treatment of ankylosed hips.
To investigate the clinical efficacy of total hip arthroplasty (THA) via the direct anterior approach (DAA) for the treatment of hip ankylosis in the lateral position. ⋯ THA via the DAA for the treatment of hip ankylosis in the lateral position was safe and effective and had the advantage of reduced trauma, quicker recovery of hip function, lower incidence of postoperative dislocation and ability to expose the acetabulum fully and fit the prosthesis properly, providing satisfactory clinical efficacy.
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Eur J Orthop Surg Tr · Aug 2020
Evaluation of callus formation in distal femur fractures after carbon fiber composite versus stainless steel plate fixation.
Carbon-fiber-reinforced polyetheretherketone (CFR) composite plates have a more favorable stress modulus than stainless steel (SS) plates that may confer an advantage to bridge plating. The purpose of this study was to compare callus formation after CFR and SS plating of distal femur fractures. ⋯ Therapeutic level III.
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Eur J Orthop Surg Tr · Aug 2020
Factors associated with myonecrosis at time of fasciotomy in acute leg compartment syndrome.
The objective of this study is to determine factors associated with myonecrosis at the time of fasciotomy in patients with acute leg compartment syndrome. ⋯ Myonecrosis is associated with patient-related factors. Younger age by 10 years is associated with a 1.3 times increase and diabetes mellitus with a 3-time increase in the odds of myonecrosis. Serum creatine kinase at presentation greater than 2405 U/L denotes an almost 3 times increase in odds of myonecrosis and may be useful for preoperative counseling.