Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2013
Review Comparative StudyUnstable odontoid fracture: surgical strategy in a 22-case series, and literature review.
Surgical treatment of unstable odontoid fracture (type II OBAR or HTAL) has progressed, with a range of techniques, the specificities of which need to be known so as to determine their respective roles in the therapeutic arsenal now available. A retrospective study of 22 patients operated on in our center for odontoid fracture between 2005 and 2010 examined the operative techniques employed and analyzed results in the light of the literature, so as to construct an updated decision tree. Two populations could be distinguished: elderly victims of simple fall (mean age, 82.1 years), and younger victims of high-energy trauma (mean age, 42.6 years). ⋯ In second intention, transarticular C1-C2arthrodesis may be performed on an anterior or posterior approach, depending on local vertebral artery anatomy. Harms' posterior C1-C2 arthrodesis allows fixation of non-reduced fractures. Occipitocervical arthrodesis is a last resort, as the associated morbidity rate is higher.
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Orthop Traumatol Sur · Sep 2013
Cervical spine injuries from diving accident: a 10-year retrospective descriptive study on 64 patients.
Ninety percent of the lesions resulting from diving injuries affect the cervical spine and are potentially associated with spinal cord injuries. The objective is to determine the most frequent lesion mechanisms. Evaluate the therapeutic alternatives and the biomechanical evolution (kyphotic deformation) of diving-induced cervical spine injuries. Define epidemiological characteristics of diving injuries. ⋯ Level IV, retrospective study.
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Orthop Traumatol Sur · Sep 2013
Comparative StudyMinimally invasive fixation of type B and C interprosthetic femoral fractures.
Interprosthetic femoral fractures are rare and raise unresolved treatment issues such as the length of the fixation material that best prevents secondary fractures. Awareness of the advantages of locked-plate fixation via a minimally invasive approach remains limited, despite the potential of this method for improving success rates. ⋯ Level IV.
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Orthop Traumatol Sur · Sep 2013
Promising results after the treatment of simple and complex distal humerus type C fractures by angular-stable double-plate osteosynthesis.
The aim of this study was to evaluate the functional results and complications following open reduction and internal fixation of distal humerus type C fractures (AO classification) using an anatomically precontoured, angular-stable double-plate system. ⋯ Level IV Retrospective study.