Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2014
Reduced blood loss with ligation of medial circumflex pedicle during total hip arthroplasty with minimally invasive posterior approach.
A total hip arthroplasty procedure can lead to significant perioperative blood loss due to bleeding from the medial circumflex pedicle. When either the anterior or posterior approach is used, haemostasis of this pedicle, which is typically performed with electrocautery without dissection, can be inadequate. The purpose of this study was to evaluate the efficacy of a novel surgical technique in which the pedicleis is directly ligated. ⋯ In the ligation group, the pedicle was identified in front of the upper-third of the quadratus femoris and ligated. The mean postoperative blood loss in the ligation group (293.4±34.8 mL) was significantly less than in the control group (419.0±36.8 mL) (P<0.05). Pedicle ligation is a simple procedure that reduces blood loss during total hip arthroplasty.
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Orthop Traumatol Sur · Apr 2014
Management of traumatic labral tear in acetabular fractures with posterior wall component.
Posterior labral tear is frequently encountered in acetabular fractures with posterior wall component (AFPWC). However, there has been very little information in the literature on the type and management of traumatic labral tears in AFPWC. ⋯ Level IV, therapeutic case series.
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Distal humeral fractures represent 2% of all adult elbow fractures. Injury mechanisms include high-energy trauma with skin involvement, and low energy trauma in osteoporotic bone. Treatment goals are anatomical restoration in young, high-demand patients and quick recovery of activities of daily living in the elderly. ⋯ Elbow arthroplasty may be indicated in selected patients, having severely communited distal humerus fractures and osteoporotic bone. Open fractures make fixation and wound management more challenging and unfortunately have poorer outcomes. Other complications are elbow stiffness, non-union, malunion and heterotopic ossification.
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Post-traumatic osteoarthritis of the elbow is an uncommon condition in which the clinical manifestations are often at variance with the radiological findings. In symptomatic forms, pain and stiffness are variably combined. ⋯ Post-traumatic elbow osteoarthritis raises difficult therapeutic problems in young patients. The goal of treatment is to obtain a low level of pain with sufficient motion range to ensure good function, while preserving future surgical options and delaying elbow arthroplasty to the extent possible.
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Orthop Traumatol Sur · Feb 2014
Long-term quality of life after en-bloc vertebrectomy: 25 patients followed up for 9 years.
Assess quality-of-life results in patients who have undergone extensive curative surgery for spinal tumor and compare them to the general population in France. ⋯ Level IV; retrospective clinical study.