Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Aug 2015
Minimally invasive plate osteosynthesis for proximal humeral fractures.
To report the outcome after minimally invasive plate osteosynthesis (MIPO) through the deltoid-splitting approach for proximal humeral fractures. ⋯ MIPO for fixation of proximal humeral fractures using a locking plate is safe and effective in enabling an early return of shoulder function.
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J Orthop Surg (Hong Kong) · Aug 2015
Intra-operative fractures in cementless bipolar hemiarthroplasty.
To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. ⋯ Surgeons should be familiar with the size difference in trial and actual implants used in bipolar hemiarthroplasty in order to better estimate the extent of broaching required. In most patients with an intra-operative fracture, the one-year outcome was not compromised, despite the poorer short-term outcome.
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J Orthop Surg (Hong Kong) · Apr 2015
Review Case ReportsInferior dislocation of the hip: a case report and literature review.
We report on a 17-year-old man who underwent open reduction and internal fixation for an inferior dislocation of the right hip and displaced fractures of the right femoral head and neck, and antegrade intramedullary nailing for a displaced fracture of the left femoral shaft. In addition, 13 men and 4 women aged 5 to 56 (mean, 23) years with 16 unilateral and one bilateral inferior dislocation of the hip were reviewed from the literature.
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J Orthop Surg (Hong Kong) · Apr 2015
Randomized Controlled Trial Comparative StudyPlatelet-rich plasma versus corticosteroid injection for recalcitrant lateral epicondylitis: clinical and ultrasonographic evaluation.
To evaluate the clinical and ultrasonographic changes in the morphology and vascularity of the common extensor tendon after injecting platelet-rich plasma (PRP) or corticosteroid (CS) for recalcitrant lateral epicondylitis (LE). ⋯ PRP appeared to enable biological healing of the lesion, whereas CS appeared to provide short-term, symptomatic relief but resulted in tendon degeneration.
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To evaluate our hospital protocol of low-dose vitamin K titration for preoperative warfarin reversal for early hip fracture surgery. ⋯ The low-dose intravenous vitamin K protocol is safe and effective in reversing warfarin within 18 hours. Hip fracture surgery within 36 to 48 hours of admission improves morbidity and mortality.