Orthop Traumatol Sur
-
Orthop Traumatol Sur · Dec 2013
Randomized Controlled Trial Comparative StudyIs multimodal analgesia as effective as postoperative patient-controlled analgesia following upper extremity surgery?
The present prospective study compared the clinical outcomes between a multimodal analgesia group and a patient-controlled analgesia (PCA) group for postoperative pain control in upper extremities surgery. ⋯ Perioperative pain management following upper extremity surgery through the multimodal analgesia could be an acceptable alternative method that can provide good results.
-
Orthop Traumatol Sur · Dec 2013
Multicenter Study Comparative StudyThe introduction of a new MRI index to evaluate sagittal patellofemoral engagement.
Patella alta is one of the primary factors of patellofemoral instability and its importance lies in the reduced engagement between patella and trochlea during the early degrees of flexion. The evaluation of patellar height is based on conventional x-rays, CT scan and, more recently, MRI. The objective of this multicentric prospective study is to describe a novel index to assess in the sagittal plane the functional engagement between patella and trochlea. ⋯ The present study introduces a new method to measure the SPE with the use of MRI. The evaluation of the functional engagement of the patella with the femoral trochlea in the sagittal plane can serve as a supplementary tool to the existing methods of evaluating patellar height, and may help to better identify the cases where inadequate engagement is recorded despite the absence of patella alta, so that the need for tibial tuberosity osteotomy may be re-assessed.
-
Orthop Traumatol Sur · Dec 2013
ReviewConsensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy.
Ankle sprains are the most common injuries sustained during sports activities. Most ankle sprains recover fully with non-operative treatment but 20-30% develop chronic ankle instability. ⋯ This paper summarises a consensus on identifying which patients may require surgery, the optimal surgical intervention along with treatment of concomitant pathology given the evidence available today. It also discusses the role of arthroscopic treatment and the anatomical basis for individual procedures.
-
Orthop Traumatol Sur · Dec 2013
Lumbar-sacral fusion by a combined approach using interbody PEEK cage and posterior pedicle-screw fixation: clinical and radiological results from a prospective study.
This prospective series evaluated the clinical and radiological results of a circumferential lumbar fusion achieved by a combined approach in one stage (anterior then posterior) using interbody PEEK cages and posterior pedicle-screw fixation. ⋯ The combined procedure meets the requested criteria for a lumbar fusion in terms of clinical and functional results, fusion rates, and restoration of segmental lordosis. It cumulates the advantages of the anterior and posterior approach performed alone and should be considered by surgeons before realizing a lumbar fusion.
-
The outcomes of surgically treated acetabular fractures are dependent on many factors. The purpose of this retrospective study is to evaluate these factors in a group of patients operated on by a single surgeon in one institute. ⋯ Poor reduction, associated injuries, fracture displacement of >20mm, joint dislocation and late surgery definitely carry poor prognosis in predicting the outcome of surgically treated acetabular fractures.