Orthop Traumatol Sur
-
Distal humeral fractures represent 2% of all adult elbow fractures. Injury mechanisms include high-energy trauma with skin involvement, and low energy trauma in osteoporotic bone. Treatment goals are anatomical restoration in young, high-demand patients and quick recovery of activities of daily living in the elderly. ⋯ Elbow arthroplasty may be indicated in selected patients, having severely communited distal humerus fractures and osteoporotic bone. Open fractures make fixation and wound management more challenging and unfortunately have poorer outcomes. Other complications are elbow stiffness, non-union, malunion and heterotopic ossification.
-
Post-traumatic osteoarthritis of the elbow is an uncommon condition in which the clinical manifestations are often at variance with the radiological findings. In symptomatic forms, pain and stiffness are variably combined. ⋯ Post-traumatic elbow osteoarthritis raises difficult therapeutic problems in young patients. The goal of treatment is to obtain a low level of pain with sufficient motion range to ensure good function, while preserving future surgical options and delaying elbow arthroplasty to the extent possible.
-
Orthop Traumatol Sur · Feb 2014
Long-term quality of life after en-bloc vertebrectomy: 25 patients followed up for 9 years.
Assess quality-of-life results in patients who have undergone extensive curative surgery for spinal tumor and compare them to the general population in France. ⋯ Level IV; retrospective clinical study.
-
Orthop Traumatol Sur · Feb 2014
EOS analysis of lower extremity segmental torsion in children and young adults.
Lower limb torsion varies substantially among healthy children during growth. Values reported in the literature to date have been obtained using semi-quantitative clinical or 2D measurement methods. Quantitative 3D measurement would help determine the physiological range of lower limb torsion. Low-dose stereoradiography with 3D reconstruction provides a good alternative. Its use increases in pediatrics because of radiation minimization. Previous studies have shown accurate and reproducible results of lower limbs reconstruction in adults and children but the torsional parameters haven't been measured yet. The present study reports the values of lower limb segmental torsion and its course during growth in a cohort of healthy children and young adults using the EOS low-dose biplanar X-ray. ⋯ Level IV.
-
Orthop Traumatol Sur · Feb 2014
Grammont reversed prosthesis for acute complex fracture of the proximal humerus in an elderly population with 5 to 12 years follow-up.
The aim of this retrospective study was to analyze outcome in 23 cases of Delta III reverse ball-and-socket total shoulder prosthesis implantation for acute complex fractures of the proximal humerus in an elderly population with poor bone quality. In this type of population, this procedure could respond to the difficulties of a reliable and efficient re-fixation of the tubercles. ⋯ For acute complex fractures of the proximal humerus in elderly subjects with poor bone quality, when effective and reliable re-fixation of the tubercles is difficult or impossible, the reverse ball-and-socket shoulder prosthesis is a possible alternative providing good functional outcome except for rotations, but with the risk of inferior scapular notching. Although not problematic in the medium term, these notches may contribute to glenoid loosening with bone loss in the long term. Nevertheless, this procedure seems to improve the status of patients with such fractures.