Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Apr 2012
Case ReportsRecurrent shoulder dislocations secondary to coracoid process fracture: a case report.
Coracoid process fracture is easily missed in recurrent anterior shoulder dislocation. We report one such case in a 48-year-old man. Radiology revealed the Bankart lesion and the Hill-Sachs lesion only; the coracoid process fracture was discovered intra-operatively. ⋯ This fragment was routed with attached short head of biceps and coracobrachialis through the lower one third of the subscapularis, before homing it and fixing it to the proximal coracoid fragment. This extraarticular repair resulted in less stiffness than any intra-articular procedure. At the 2-year follow-up, the patient had had no further shoulder dislocation.
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J Orthop Surg (Hong Kong) · Apr 2012
Comparative StudyAcutrak versus Herbert screw fixation for scaphoid non-union and delayed union.
To compare the treatment outcome of Acutrak versus Herbert screw fixation for scaphoid non-union and delayed union. ⋯ The Acutrak screw enabled more accurate screw placement and achieved higher union rates and modified Mayo wrist scores than the Herbert screw did.
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J Orthop Surg (Hong Kong) · Apr 2012
Comparative StudyContinuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty.
To compare total knee arthroplasty (TKA) patients who received continuous femoral nerve block (FNB) with local anaesthetics through a catheter versus patient-controlled analgesia (PCA) with intravenous morphine. ⋯ Both FNC and PCA provide reliable pain control.
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J Orthop Surg (Hong Kong) · Apr 2012
Closed reduction and percutaneous screw fixation for tibial plateau fractures.
To evaluate treatment outcomes of closed reduction and percutaneous screw fixation for tibial plateau fractures. ⋯ Closed reduction and percutaneous screw fixation for tibial plateau fractures is minimally invasive. It reduces the length of hospital stay and costs, enables early mobilisation with minimal instrumentation, and achieves satisfactory outcomes.
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J Orthop Surg (Hong Kong) · Apr 2012
Minimally invasive plate osteosynthesis for tibial plateau fractures.
To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis (MIPO) for tibial plateau fractures. ⋯ MIPO for tibial plateau fractures achieved good outcome with minimal soft-tissue complications. Older age was the predictor of unacceptable outcome.