Orthop Traumatol Sur
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Orthop Traumatol Sur · Feb 2010
Multicenter StudyCommon peroneal nerve palsy complicating knee dislocation and bicruciate ligaments tears.
The occurrence rate of common peroneal nerve (CPN) palsy associated with knee dislocation or bicruciate ligament injury ranges from 10 to 40%. The present study sought first to describe the anatomic lesions encountered and their associated prognoses and second to recommend adequate treatment strategy based on a prospective multicenter observational series of knee ligament trauma cases. ⋯ Level IV, prospective study.
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Orthop Traumatol Sur · Feb 2010
Type C periprosthetic fractures treated with locking plate fixation with a mean follow up of 2.5 years.
Type C periprosthetic femoral fractures present fixation problems related to the extent of the fracture and the quality of the bone stock. ⋯ Level IV, prospective therapeutic study.
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Orthop Traumatol Sur · Feb 2010
Importance of screw position in intertrochanteric femoral fractures treated by dynamic hip screw.
Tip-apex distance greater than 25 mm is accepted as a strong predictor of screw cut-out in patients with intertrochanteric femoral fracture treated by dynamic hip screw. The aim of this retrospective study was to evaluate the position of the screw in the femoral head and its effect on cut-out failure especially in patients with inconvenient tip-apex distance. ⋯ IV, retrospective series.
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The decrease of patellar height following opening-wedge proximal tibial osteotomy can affect function, and subsequent total knee arthroplasty may be more difficult and give poorer results. ⋯ Retrospective, level IV.
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Orthop Traumatol Sur · Dec 2009
Comparative StudyPelvic ring fractures internal fixation: iliosacral screws versus sacroiliac hinge fixation.
Pelvic ring fractures are severe injuries whose functional results depend on the quality of reduction. Numerous internal fixation alternatives have been described, but the biomechanical studies comparing them remain rare. ⋯ The results of this study show that a Tile C.1.2-type injury to the pelvic ring can be treated as effectively with ISS or SIF when combined anterior and posterior fixations are performed. SIF therefore seems reliable and its continued use is justified. The long-term clinical outcomes should nevertheless be evaluated, notably on the younger population, more often affected by this type of injury.