Orthop Traumatol Sur
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Orthop Traumatol Sur · Oct 2011
Vertebral body cage use in thoracolumbar fractures: outcomes in a prospective series of 23 cases at 2 years' follow-up.
One objective of surgery in thoracolumbar spine fracture is to restore correct and lasting spinal statics. This may involve vertebral body replacement using an anterior approach. We here report results on a prospective series of 23 trauma patients managed by vertebral body replacement using an expandable cage. ⋯ Results were satisfactory with this technique, comparable to those reported in the literature. The development of minimally invasive approaches and improved instrumentation procedures optimize surgery and enhance anterior reconstruction tolerance. Lasting restoration of sagittal spinal curvature improves trauma patients' functional recovery.
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Orthop Traumatol Sur · Oct 2011
Periprosthetic femoral fractures treated by locked plating: feasibility assessment of the mini-invasive surgical option. A prospective series of 36 fractures.
The treatment of periprosthetic femoral fractures by conventional plating is associated with problems related to fracture union and eventual refracture. Additionally, locking nailing cannot be used in all cases because of the risk of malunion. To resolve these issues, locking plates have been proposed to combine the advantages of closed reduction and internal fixation while achieving a higher quality reduction with plate fixation. ⋯ Locking compression plates associated with a mini-invasive surgical approach result in a high rate of union (35/36) with no significant misalignment (only 5/36 cases of misalignment of more than 5°), no refractures (n=0) and a low rate of mechanical failure (3/36) while allowing full weight bearing in most cases (20/36). Locking plates for periprosthetic femoral fractures allow patients to begin walking again, with stable intermediate term results.
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Orthop Traumatol Sur · Oct 2011
Comment LetterComments on: "Proximal tibial derotation osteotomy for torsional distal deformities generating patella-femoral disorders" by N. Fouilleron, E. Marchetti, G. Autissier, F. Gougeon, H. Migaud and J. Girard, published in Orthop Traumatol Surg Res 2010;96:785-92.
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Orthop Traumatol Sur · Sep 2011
Total hip arthroplasty dislocation rate following isolated cup revision using Hueter's direct anterior approach on a fracture table.
Instability is a major complication after revision total hip arthroplasty. Studies in the literature have shown that the dislocation rate after primary arthroplasties by anterior approach on a fracture table is satisfactory, but the rate of instability following revision surgery is not known. ⋯ Level IV; retrospective study.
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Orthop Traumatol Sur · Sep 2011
Randomized Controlled Trial Comparative StudyDorsally displaced extra-articular distal radius fractures fixation: Dorsal IM nailing versus volar plating. A randomized controlled trial.
Fractures of the distal radius are very common and mainly occur in the elderly. There has been an increasing use of locked volar plate fixations which report satisfactory results. However, some authors advocate the use of nail fixation. ⋯ Level II, prospective, randomized of low-level.