Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2015
Observational StudyEarly inflammatory response in polytraumatized patients: Cytokines and heat shock proteins. A pilot study.
In the initial phases after polytrauma there is an hyperinflammatory state that sometimes leads to multiple organ dysfunction syndrome (MODS) and death, and that appears to be responsible for posttraumatic immunosuppression; among the trigger endogenous stimuli, heat shock proteins (HSPs) have been proposed. The objectives of this study were to analyze if some inflammatory mediators can be considered prognostic biomarkers of outcome, and the possible role of HSPA1A in posttraumatic immunosuppression. ⋯ case-control study.
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Orthop Traumatol Sur · Sep 2015
Review Meta AnalysisLocal infiltration analgesia versus femoral nerve block in total knee arthroplasty: a meta-analysis.
Local infiltration analgesia (LIA) and femoral nerve block (FNB) are both used for the pain management after total knee arthroplasty (TKA). Controversy still remains regarding the optimal technique for pain relief in patients undergoing TKA. The purpose of this meta-analysis was to compare the analgesia achieved with LIA and the one from FNB following TKA. ⋯ Level II, meta-analysis and systematic review.
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Orthop Traumatol Sur · Sep 2015
Pressure algometry is a useful tool to quantify pain in the medial part of the knee: an intra- and inter-reliability study in healthy subjects.
Pain quantification is essential for diagnostic and pain monitoring purposes in disorders around the knee. Pressure algometry is a method described to determine pressure pain threshold (PPT) by applying controlled pressure to a given body point. The purpose of this study was to determine the reliability of this method when it was applied to the medial part of the proximal tibia metaphysis and to evaluate the PPT levels between genders. ⋯ Level III. Prospective study.
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Orthop Traumatol Sur · Sep 2015
Feasibility of a reduction protocol in the emergency department for diaphyseal forearm fractures in children.
Diaphyseal forearm fractures are very common pediatric traumas. At present, distal radius metaphyseal fractures are often successfully treated with closed reduction by emergency physicians. However, the management of diaphyseal fractures remains controversial. The purpose of this study was to analyze the results of diaphyseal forearm fractures in the emergency department (ED) in children. ⋯ Level IV. Retrospective study.
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Orthop Traumatol Sur · Sep 2015
Reconstruction of femoral bone loss with a monoplane external fixator and bone transport.
Treatment of femoral bone loss is difficult. Ilizarov described the bone lengthening technique using a circular external fixator, but this technique is uncomfortable on the femur because of the circular fixator. We have therefore opted for use of a monoplane external fixator to treat femoral bone loss with bone lengthening. The objectives of this study were to determine whether (1) bone union can be obtained with a monoplane external fixator; (2) infections can be treated; (3) the lower limb axes and alignment can be controlled; and (4) patient satisfaction is high. ⋯ IV, retrospective study.