Orthop Traumatol Sur
-
Orthop Traumatol Sur · Feb 2019
Multicenter Study Comparative StudyTibial plateau fracture management: ARIF versus ORIF - clinical and radiological comparison.
Arthroscopy has enabled minimally invasive procedures to be developed to treat tibial plateau fracture. The aim of the present study was to assess and compare clinical and radiological results between arthroscopically assisted reduction and internal fixation (ARIF) and open reduction and internal fixation (ORIF) procedures. The study hypothesis was that, in selected tibial plateau fractures, ARIF provides (1) clinical results comparable to those of ORIF, and (2) satisfactory reduction and stable fixation. ⋯ III, retrospective comparative study.
-
Orthop Traumatol Sur · Feb 2019
Comparative StudyCompared efficiency of trauma versus scheduled orthopaedic surgery operating rooms in a university hospital.
The objective of this study was to contribute to an OR efficiency optimisation effort by comparing a trauma OR versus a scheduled surgery OR in a lower limb orthopaedic surgery department. ⋯ II, prospective cohort study.
-
Orthop Traumatol Sur · Feb 2019
Use of intramedullary nailing in poor sanitary conditions: French Military Medical Service experience.
Intramedullary (IM) nailing is the gold standard for treating long bone fractures in developed countries because of its minimally-invasive application and good biomechanical properties. In precarious conditions, external fixation or open plate fixation are often performed because surgeons do not have the means to carry out IM nailing. However, these procedures can lead to infection-related complications and mechanical failures. The aim of our study was to describe the outcomes and postoperative complications of IM nailing of closed, long bone fractures in patients operated in a French front-line combat surgical unit (role 2+). Our hypothesis was that IM nailing is a reliable technique with low morbidity for the initial treatment of long bone fractures, even in precarious situations. ⋯ II, low-powered prospective study.
-
Orthop Traumatol Sur · Feb 2019
The reliability of a Garden, AO and simple II stage classifications for intracapsular hip fractures.
Successful treatment starts by accurate classification of pathology, but there is no conclusive, reliable and universally accepted method for classification of intracapsular femoral neck fractures. As a perfect classification should have high intra- and interobserver agreement, this study aims to access reliability of three classification systems: Garden, AO and simple II stage classification. ⋯ IV, Retrospective study.
-
Orthop Traumatol Sur · Feb 2019
ReviewHemiarthroplasty or total hip arthroplasty in recent femoral neck fractures?
The optimal treatment of recent femoral neck fractures remains debated. The available options are internal fixation, hemiarthroplasty (HA) and total hip arthroplasty (THA). There is a consensus in favour of internal fixation in younger patients. ⋯ When performing HA, the posterior approach should be avoided given the risk of instability. For THA, in contrast, the posterior approach is a reliable option in the hands of an experienced surgeon using a dual-mobility cup. Cement fixation of the stem is recommended to minimise the risk of peri-prosthetic fracture.