Orthop Traumatol Sur
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Orthop Traumatol Sur · Feb 2016
ReviewPathological fractures in children: Diagnosis and treatment options.
A fracture is defined as pathological when it arises in a bone tissue that has been modified and reshaped by a local or systemic pathological process. In children, pathological fractures can be secondary to several conditions, ranging from metabolic diseases to tumors, infections or neuromuscular pathologies. History, clinical examination and radiologic assessment are essential to making a diagnosis, to identifying the underlying cause and to planning the right treatment of a pathological fracture. ⋯ The objective of this work is to present the diagnostic approach and the course to follow when a child presents with a pathological fracture. The most common causes of pathological fractures, as well as their characteristics, will be described. Pathological fractures occurring in osteogenesis imperfecta and in abused children as well as stress fractures will not be discussed.
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Orthop Traumatol Sur · Feb 2016
Kinematic TKA using navigation: Surgical technique and initial results.
Kinematic alignment for total knee arthroplasty (TKA) may be one way of improving outcomes. Previous studies have either used patient-specific instrumentation, which adds cost, or standard instrumentation, which provides no intraoperative feedback on resection alignment. ⋯ IV (retrospective case series review).
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Orthop Traumatol Sur · Feb 2016
Postoperative pain after arthroscopic versus open rotator cuff repair. A prospective study.
Although the arthroscopic technique is becoming the gold standard for rotator cuff tendon repair, there is no proof that this technique results in less postoperative pain compared to open repair. The aim of this study was to prospectively compare the postoperative pain level after arthroscopic or open rotator cuff repair and to define factors that could influence its course. ⋯ II.
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Orthop Traumatol Sur · Dec 2015
Randomized Controlled TrialEfficacy of multimodal analgesia injection combined with corticosteroids after arthroscopic rotator cuff repair.
Although arthroscopic rotator cuff repair is minimally invasive, there is still considerable postoperative pain, especially during the first 48 hours. The present study assessed the short-term efficacy and safety of multimodal analgesic (MMA) injection associated to corticosteroids in arthroscopic rotator cuff tear surgery. ⋯ 2.
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Orthop Traumatol Sur · Dec 2015
Multicenter Study Comparative StudyIs coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V)?
The primary objective was to evaluate correlations linking anatomical to functional outcomes after endoscopically assisted repair of acute acromioclavicular joint dislocation (ACJD). ⋯ II, prospective non-randomised comparative study.