Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2019
Superior capsular reconstruction for irreparable supraspinatus tendon tears using the long head of biceps: A biomechanical study on cadavers.
The superior articular capsule complements the rotator cuff's function in shoulder stability. With irreparable rotator cuff tears, superior capsular reconstruction (SCR) improves dynamic glenohumeral (GH) joint kinematics. We present a novel method of SCR in cadaveric shoulders using the long head of bicep (LHB) tendon instead of previously explored fascia lata autograft, thereby reducing harvest site and suture anchor associated complications. ⋯ Basic science study, biomechanical testing.
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Orthop Traumatol Sur · Apr 2019
Outcomes and function of conoid ligament on the basis of postoperative radiographic findings of arthroscopic stabilization for the distal clavicle fractures.
Distal clavicle fractures are divided into three types according to Neer's classification. These fractures are usually treated with a sling to immobilize the upper extremity, however, the treatment of type 2 fractures remain controversial. We focused on the anatomical basis of these fractures in which disruptions in the conoid ligament led to the distraction between the two bony fragments. In this study, we report an arthroscopic procedure for conoid ligament reconstruction and its therapeutic outcomes, and discuss the function of the reconstructed conoid ligament. ⋯ 4, retrospective cohort study.
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Orthop Traumatol Sur · Apr 2019
Multicenter StudyAre French orthopedic and trauma surgeons affected by burnout? Results of a nationwide survey.
Burnout is a pathology that can affect care-giving professionals. It associates emotional exhaustion (EE), depersonalization (DP) and impaired personal accomplishment (PA). Surgery entails great responsibility and frequently heavy workloads, incurring risk of burnout. Data, however, are not available for French orthopedic and trauma surgeons. We therefore conducted a prospective survey to 1) assess burnout prevalence in French orthopedic surgeons, and 2) investigate risk factors and protective factors. ⋯ Level IV, prospective descriptive transverse study without control group.
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Orthop Traumatol Sur · Apr 2019
Risk factors for secondary displacement in conservatively treated isolated greater tuberosity fractures: An analysis of 82 cases.
The optimal treatment of isolated fractures of the greater tuberosity is an important topic of current surgical research. While non-displaced fractures are amenable to conservative treatment, displacement of the fragment can result in rotator cuff malfunction and impingement. For the present study, risk factors predicting secondary fragment displacement were analyzed. ⋯ III, Retrospective comparative study.
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Orthop Traumatol Sur · Apr 2019
Is the Charlson comorbidity index a good predictor of mortality and adverse effects in proximal humerus fractures?
Proximal humerus fractures (PHF) are frequent in elderly patients. This population also suffers from a series of associated comorbidities, and PHF increases morbidity and mortality. The Charlson Comorbidity Index (CCI) is a tool used for calculating comorbidity and therefore the mortality risk. ⋯ IV, retrospective observational study.