Orthop Traumatol Sur
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Orthop Traumatol Sur · May 2016
Randomized Controlled TrialAdult diaphyseal both-bone forearm fractures: A clinical and biomechanical comparison of four different fixations.
Although there have been a small number of studies reporting single bone fixation of either radius or ulna as well as hybrid fixation, the paucity of data for the hybrid fixation method still remains. ⋯ Level II, prospective randomised study.
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Orthop Traumatol Sur · May 2016
Limited distal clavicle excision of acromioclavicular joint osteoarthritis.
Resection of the distal aspect of clavicle has a well-documented treatment modality in case of acromioclavicular joint osteoarthritis resistant to conservative treatment. ⋯ IV (Retrospective study).
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Orthop Traumatol Sur · May 2016
Conversion of external fixation to open reduction and internal fixation for complex distal radius fractures.
Distal radius fractures are common injuries treated in a multitude of ways. One treatment paradigm not extensively studied is initial treatment by external fixation (EF) followed by conversion to open reduction internal fixation (ORIF). Such a paradigm may be beneficial in damage control situations, when there is extensive soft tissue injury, or when appropriate personnel/hospital resources are not available for immediate internal fixation. ⋯ IV, retrospective case series.
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Orthop Traumatol Sur · May 2016
Distal radius fracture malunion: Importance of managing injuries of the distal radio-ulnar joint.
Distal radius malunion is a major complication of distal radius fractures, reported in 0 to 33% of cases. Corrective osteotomy to restore normal anatomy usually provides improved function and significant pain relief. We report the outcomes in a case-series with special attention to the potential influence of the initial management. ⋯ In our case-series study, 3 (25%) patients required revision surgery for persistent loss of supination. The main error in these patients was failure to perform a complementary procedure on the distal radio-ulnar joint despite postoperative joint incongruity. This finding and data from a literature review warrant a high level of awareness that distal radio-ulnar joint congruity governs the outcome of corrective osteotomy for distal radius malunion.
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Orthop Traumatol Sur · May 2016
No effect of femoral offset on bone implant micromotion in an experimental model.
In total hip replacement (THR), the femoral offset (FO) is assessed preoperatively, and the surgeon must determine whether to restore, increase, or decrease the FO based on experience and the patient's clinical history. The FO is known to influence the abductor muscle strength, range of motion (ROM), gait, and hip pain after THR; however, the true effect of FO on bone implant micromotion is unclear. Therefore, we investigated to assess: (1) the muscle loading response during gait, (2) whether FO affects bone implant micromotion during gait. ⋯ IV, biomechanical study.