Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Dec 2009
Case ReportsSubcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail: a report of two cases.
Subcapital femoral neck fractures are a rare complication after fixation of an intertrochanteric fracture with a proximal femoral nail. We report 2 such cases where the patients had severe osteoporosis, based on Singh's index and pathological findings. In one case there was a technical error leading to a tip-apex distance of more than 20 mm, but osteoporosis appeared to be a more significant cause than any technical problems.
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J Orthop Surg (Hong Kong) · Dec 2009
Case ReportsTraumatic spondylolisthesis of the lumbar spine: a report of three cases.
Traumatic spondylolisthesis of the lumbar spine is uncommon and can result in canal narrowing and spinal cord injury. Early decompression promotes recovery of neurological function. ⋯ The connecting rods broke at 3 years and the patient had a residual neurological deficit. We recommend early decompression with posterior instrumentation and interbody fusion for maximum recovery of neurological function and stability of the spine.
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To evaluate the effects of a policy change from emergency to scheduled management of hip fractures in older patients. ⋯ Non-emergency management of hip fractures in older patients resulted in fewer cancellations and after-hour operations, and increased consultant supervision. Nonetheless, extra time slots for operating theatres are required to avoid an associated increase in preoperative and total length of hospital stay.
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J Orthop Surg (Hong Kong) · Dec 2009
Laminar fractures as a severity marker in burst fractures of the thoracolumbar spine.
To assess the correlation between the presence of lamina fractures, narrowing of the spinal canal, and the severity of injury. ⋯ In patients with burst fractures of the thoracolumbar spine, the presence of laminar fractures indicates a more severe injury.
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J Orthop Surg (Hong Kong) · Dec 2009
Laminoplasty after anterior spinal fusion for cervical spondylotic myelopathy.
To review outcomes of laminoplasty after anterior spinal fusion (ASF) in 8 patients with cervical spondylotic myelopathy (CSM). ⋯ Initial surgery (such as ASF) is more effective in relieving cord compromise and myelopathy. Inadequate decompression and progression of disease may necessitate secondary laminoplasty, which conferred additional benefits that 5 of our 8 patients enjoyed despite persistence of myelomalacia.