Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Oct 2014
Comparative StudyA comparison of the functional and radiological results of Paris plaster cast and ulnar gutter splint in the conservative treatment of fractures of the fifth metacarpal.
In the treatment protocol of fractures of the fifth metacarpal, closed reduction and immobilization is generally recommended. This study aimed to compare the radiological and functional results of short-arm plaster cast and a forearm U-splint. ⋯ No superiority was seen in the clinical and radiological results of the two different treatment protocols applied to fractures of the fifth metacarpal. However, when the complications created by a plaster cast and pressure wounds are taken into consideration, the application of a short-arm U-splint can be said to be a better option.
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Eur J Orthop Surg Tr · Oct 2014
The effect of inferomedial screw on postoperative shoulder function and mechanical alignment in proximal humerus fractures.
The aim of the study was to evaluate the clinical and radiologic results of locking plate fixation with or without inferomedial screw (IMS) in surgically treated proximal humerus fractures. ⋯ Use of inferomedial screw running through the medial curvature of surgical neck prevents varus deformity and improves functional outcome after surgical treatment for proximal humerus fractures.
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Eur J Orthop Surg Tr · Oct 2014
Paediatric lateral humeral condyle fractures: internal oblique radiographs alter the course of conservative treatment.
At first presentation of paediatric humeral lateral condyle fractures, radiological methods such as computerised tomography, ultrasonography, magnetic resonance imaging, arthrography, and internal oblique radiography are used to determine stability. Very few studies show which radiological method should be used to evaluate displacement at follow-up for conservatively treated patients. This study aimed to show that internal oblique radiography is a simple, effective method to determine the subsequent development of fracture displacement in patients with an initially non-displaced or minimally displaced fracture. ⋯ Internal oblique radiography is the best imaging showing subsequent fracture displacement in initially non-displaced or minimally displaced humerus lateral condyle fractures. At the first week follow-up, anteroposterior and particularly internal oblique radiographs should be taken of conservatively treated patients.
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Eur J Orthop Surg Tr · Oct 2014
Return to activity following fasciotomy for chronic exertional compartment syndrome.
Diagnosis of chronic exertional compartment syndrome (CECS) is relatively rare but has been well documented in athletes. There are, however, few reports regarding return to athletic activity after surgery among elite-level athletes. We hypothesized that a majority of elite-level athletes would successfully return to their previous level of competition following fasciotomy for CECS. ⋯ Eleven patients (84.6%) were able to return to their previous elite level of sport participation at a mean of 10.6 weeks following surgical fasciotomy. Patients who had four-compartment release had a more than 3.5 week average longer return to full sporting activities (p = 0.011). Fasciotomy is effective in allowing elite athletes with CECS to return to sport.
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Eur J Orthop Surg Tr · Oct 2014
Cephalomedullary fixation for intertrochanteric fractures: an operative technical tip.
Intertrochanteric fracture is the most common hip fractures in elderly population. Cephalomedullary fixation, including proximal femoral nail antirotation (PFNA) and gamma nail, is commonly used in the treatment of intertrochanteric fractures. One of difficulties encountered in operation is insertion of the guide wire to femoral head. ⋯ Through this way, the lag screw and helical blade get a good purchase that docked at femoral calcar. After that, the rod of nail was pulled back a little to make the wire in the middle of the tack hole, which can facilitate the insertion of the PFNA blade or lag screw. Our experience demonstrated that this surgical technique reduced the intraoperative risk for patients.