Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2012
Comparative StudyIndications and results for the Exogen™ ultrasound system in the management of non-union: a 59-case pilot study.
This pilot series sought to assess the use of external ultrasound stimulation (Exogen™) in the treatment of femoral or tibial non-union. ⋯ Level IV. Retrospective therapeutic study.
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Orthop Traumatol Sur · Apr 2012
Comparative StudyMedial facet patelloplasty in patellar instability associated with patellofemoral dysplasia: a report of 26 cases.
Numerous procedures may be used in the surgical treatment of patellar instability. We have noticed that certain types of patellar instability result in a bulge (or protrusion) of the distal medial facet of the patella which can hinder recentering in the trochlear groove. ⋯ Level IV, retrospective cohort study.
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Orthop Traumatol Sur · Apr 2012
Comparative StudyHarvest of cortico-cancellous intramedullary femoral bone graft using the Reamer-Irrigator-Aspirator (RIA).
The "Reamer-Irrigator-Aspirator" (RIA) is a device that provides continuous irrigation and aspiration during intramedullary reaming of long bones. The RIA system is first used to collect the reaming material from medullary cavities, a thick paste of finely morselized osseous particles containing significantly elevated levels of stem cells and growth factors as reported by quantitative analyses. The volume of bone graft material available from an adult femur corresponds to the amount of cancellous bone graft obtained from both the anterior and posterior iliac crests. ⋯ The elective indications for RIA bone grafting are filling of bone defects in the epiphyseal and metaphyseal regions. Diaphyseal defects may also be managed using the RIA system provided the graft is placed in a constrained system (induced membrane) to prevent dispersion of the graft into the surrounding soft tissues and is aerated with a porous material to promote its revascularization. Other RIA indications include debriding intramedullary infections and reaming for intramedullary nailing of long bone fractures to reduce the risk of fat embolization.
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Orthop Traumatol Sur · Apr 2012
Comparative StudyReliability of locked plating in tibial plateau fractures with a medial component.
Tibial plateau fractures are notoriously difficult to manage, particularly when there is a medial or posteromedial component. We report a retrospective analysis of our experience with consecutive tibial plateau fractures including a medial component that were managed using a single lateral locking plate. ⋯ Level IV, noncomparative retrospective study.
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Orthop Traumatol Sur · Apr 2012
Comparative Study Clinical TrialDoes fibrin sealant use in total knee replacement reduce transfusion rates? A non-randomised comparative study.
Studies assessing fibrin sealants use during total knee replacement (TKR) have produced inconsistent results. We evaluated fibrin sealant therapy in TKR procedures performed without tourniquet and without postoperative drains. ⋯ Level III (before-after therapeutic study).