Orthop Traumatol Sur
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Orthop Traumatol Sur · Dec 2010
CT evaluation of torsional malalignment after intertrochanteric fracture fixation.
Trochanteric fractures are commonly stabilized either by intramedullary nailing or plate and screw fixation after reduction on the orthopaedic surgical table under radiological guidance. ⋯ Level III. Prospective diagnostic study with no control group.
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Osteotomies to address lower extremity post-traumatic deformities are more complex than standard osteotomies performed for congenital deformities, standard osteotomies and their outcomes are not well known. We performed a multicentric retrospective study of these cases. We hypothesized that osteotomy without total knee replacement to correct fracture malunion deformities can provide long-term relief from athritic pain. ⋯ Level 4; non controlled, retrospective study.
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Orthop Traumatol Sur · Dec 2010
Acute compartment syndrome of the leg: pressure measurement and fasciotomy.
Compartment syndrome involves a conflicting situation between an unyielding space, the compartment, and its increasing tissue content secondary to traumatic ischemia. Rapidly irreversible damages occur without treatment. ⋯ In practice, two schematic situations can be distinguished, which do not cover the many different cases: leg compartment syndrome without a fracture in which the four leg compartments are affected and which requires a fasciotomy using two surgical approaches, the lateral and the medial; leg compartment syndrome associated with a fracture: fasciotomy of the four compartments may be performed by a single lateral approach distant from the fracture site and its fixation hardware. It should be noted that this approach is easy, effective and safe.
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Orthop Traumatol Sur · Nov 2010
Proximal tibial derotation osteotomy for torsional tibial deformities generating patello-femoral disorders.
Torsional abnormalities of the leg may cause instability and pain in the patellofemoral joint. Although derotation osteotomies seem logical to address these conditions, there are very few surgical results reported in the literature. ⋯ level IV. Retrospective study.
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Orthop Traumatol Sur · Oct 2010
Comparative StudyDistal leg fractures: How critical is the fibular fracture and its fixation?
Extra-articular distal tibia fractures include a tibial fracture line located partially or totally in the metaphyseal bone and a fibular fracture in variable areas or sometimes absent. There is no consensus in the literature on the conduct to address the fibula fracture. The main objective of this study was to assess its impact on tibial reduction and union. ⋯ Level IV (prospective cohort study).