Journal of orthopaedic surgery (Hong Kong)
-
J Orthop Surg (Hong Kong) · Aug 2008
Comparative StudyConventional muscle-reflection approach versus mini-incision muscle-splitting approach in dynamic hip screw fixation.
To compare the short-term results of conventional versus mini-incision approaches to dynamic hip screw (DHS) fixation. ⋯ The short-term clinical outcome of mini-incision DHS fixation for geriatric pertrochanteric fractures was favourable.
-
J Orthop Surg (Hong Kong) · Aug 2008
Comparative StudyTwin hook fixation for proximal femoral fractures.
To report results of twin hook fixation for proximal femoral fractures in comparison to those fixed with the conventional lag screw. ⋯ Using the twin hook system requires more surgical skill than using the sliding hip screw, because failure to insert the pin into the centre of the femoral head risks intra-articular perforation by the hooks.
-
J Orthop Surg (Hong Kong) · Aug 2008
Effect of the Deyo score on outcomes and costs in shoulder arthroplasty patients.
To evaluate the effect of preoperative comorbidity status (defined by the Deyo index) on hospital mortality, postoperative complications, length of hospital stay, and hospital costs for shoulder arthroplasty patients. ⋯ The Deyo score was a predictor of outcomes and costs in the shoulder arthroplasty population. By identifying relevant factors, health care providers can better determine who should be referred for shoulder arthroplasty and what should be considered when assessing risks and benefits.
-
J Orthop Surg (Hong Kong) · Aug 2008
Mini-incision dynamic condylar screw fixation for comminuted subtrochanteric hip fractures.
To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. ⋯ Results of indirect reduction and mini-incision DCS fixation for comminuted subtrochanteric femoral fractures are favourable. Proper planning and execution of the technique is required to achieve good functional outcomes and avoid complications. Preservation of vascularity of the medial fragments leads to rapid callus formation and early union and hence avoids implant failure and secondary bone grafting.