Orthop Traumatol Sur
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Orthop Traumatol Sur · Feb 2015
The keyhole technique for arthroscopic tenodesis of the long head of the biceps tendon. In vivo prospective study with a radio-opaque marker.
In some clinical situations such as when the Long Head of the Biceps (LHB) is unstable or with an "hourglass biceps", treatment is required. Tenodesis is an alternative to tenotomy to prevent the Popeye sign. Although sutures, anchors or interference screws may be used, they all have complications and drawbacks. Moreover, the number of failures is underestimated because it only considers the visible deformities of the arm. MRI provides more accurate assessment, but is more expensive. We hypothesized that Froimson's "keyhole technique" which has been described in open surgery could be performed arthroscopically with similar clinical outcomes to conventional techniques and without the complications or drawbacks. We also propose an objective and less expensive assessment of treatment failure. ⋯ IV.
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Orthop Traumatol Sur · Feb 2015
Survey of French spine surgeons reveals significant variability in spine trauma practices in 2013.
In France, attempts to define common ground during spine surgery meetings have revealed significant variability in clinical practices across different schools of surgery and the two specialities involved in spine surgery, namely, neurosurgery and orthopaedic surgery. ⋯ Clinical practice regarding spine trauma varies widely in France. Little published evidence is available on which to base recommendations that would diminish this variability.
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Orthop Traumatol Sur · Feb 2015
Medial patellofemoral ligament reconstruction: clinical and radiographic results in a series of 90 cases.
Among the numerous techniques available, medial patellofemoral ligament (MPFL) reconstruction is increasingly used for the surgical treatment of objective patellar instability. The main objective of the present study was to assess efficacy in preventing recurrence of patellar dislocation and in correcting radiographic patellar tilt. The study hypothesis was that MPFL reconstruction, isolated or with associated bone surgery, by restoring "favorable" graft anisometry, provides a good trade-off between patellar stability and absence of postoperative stiffness. ⋯ Level IV. Retrospective case series study.
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Orthop Traumatol Sur · Feb 2015
Prognostic factors for the recurrence of myxoid liposarcoma: 20 cases with up to 8 years follow-up.
Myxoid liposarcomas (MLS) are the second most common type of liposarcoma. Although some MRI findings are distinctively characteristics of MLS, the diagnosis can be tricky in tumors with a large portion of round cells (RC). Known predictors of an unfavorable outcome include age, tumor size, high RC content and positive resection margins. The goal of this retrospective study was to define prognostic factors for recurrence, with special emphasis on the percentage of RCs and medical care provided in a non-specialized center. ⋯ Prognostic factors for the recurrence of myxoid liposarcomas have been identified. MRI analysis is not definitive and must be supplemented by a biopsy.
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Orthop Traumatol Sur · Feb 2015
Efficacy of arthroscopic treatment for resolving infection in septic arthritis of native joints.
Septic arthritis is a diagnostic and therapeutic emergency that threatens both life and function. The primary objective of this study was to assess the efficacy on the infectious process of arthroscopic treatment in patients with septic arthritis of native joints. The secondary objective was to identify factors predicting failure to achieve infection resolution after arthroscopic treatment. We hypothesised that arthroscopy was the appropriate treatment strategy. ⋯ IV. Retrospective study.