Eur J Orthop Surg Tr
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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.
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Eur J Orthop Surg Tr · Oct 2019
Kuntscher's nail removal techniques: an illustrative walk-through its journey.
The use of Kuntscher nail for femur fracture dates back to World War 2. Since then, the technique of intramedullary nailing has evolved and the use of Kuntscher nail has become almost obsolete. ⋯ Up till now, no systematic analysis has been performed evaluating the available literature. We have planned a systematic review to evaluate and explore the various indications and techniques of K nail removal.
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Eur J Orthop Surg Tr · Aug 2019
Negative prognostic factors in surgical treatment for trimalleolar fractures.
Trimalleolar fractures are a common injury of the ankle that require surgical treatment to obtain an anatomic reduction of both malleoli and stabilization of the syndesmosis. This study aims to report the outcomes of surgical treatment for trimalleolar fractures, identifying the risk factors determining a worse result. ⋯ Surgical treatment for trimalleolar fractures needs accurate preoperative planning. Age over 61 years, BMI > 40, ASA > 1, type C fracture, and fracture dislocation were considered as negative prognostic fractures.