Journal of orthopaedic surgery (Hong Kong)
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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.
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J Orthop Surg (Hong Kong) · Dec 2009
Intramedullary nailing and plate osteosynthesis for fractures of the distal metaphyseal tibia and fibula.
To assess the results of concurrent intramedullary nailing plus plate osteosynthesis for fractures of the distal tibia and fibula. ⋯ Concurrent intramedullary nailing and plate osteosynthesis for fractures of the distal tibia and fibula is effective in preventing malalignment. Plate osteosynthesis for the fibula provides additional stability even when a single distal locking bolt is used to fix the intramedullary nail to the tibia.
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J Orthop Surg (Hong Kong) · Aug 2009
Randomized Controlled Trial Comparative StudyLocked intramedullary nailing versus dynamic compression plating for humeral shaft fractures.
PURPOSE. To compare functional outcomes, union and complication rates in patients treated with locked intramedullary nailing or dynamic compression plating for humeral shaft fractures. METHODS. 32 men and 2 women with humeral shaft fractures were randomised to undergo locked antegrade intramedullary nailing (IMN, n=16) or dynamic compression plating (DCP, n=18). ⋯ In the DCP group, one underwent re-operation for implant failure; one had a superficial infection; and one developed adhesive capsulitis. CONCLUSION. The complication rate was higher in the IMN group, whereas functional outcomes were good with both modalities.
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J Orthop Surg (Hong Kong) · Aug 2009
Case ReportsSpontaneous spinal epidural haematomas and the prognostic implications of interval to surgical decompression: a report of two cases.
Spontaneous spinal epidural haematomas (SSEHs) are rare causes of spinal cord compression. We present 2 cases of thoracic SSEHs with similar magnetic resonance imaging (MRI) features. Patient 1 was on long-term oral anticoagulants and patient 2 had uncontrolled hypertension. ⋯ Both had recovered their lower limb power, but neurological recovery was greater for patient 2. In patients with bleeding diatheses or uncontrolled hypertension, acute SSEHs must be suspected when they present with atraumatic back pain and signs of spinal cord compression. The interval to surgical decompression greatly influences the prognosis for neurological recovery.
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J Orthop Surg (Hong Kong) · Aug 2009
Correlation of low back pain to a high-intensity zone of the lumbar disc in Indian patients.
To assess the correlation between low back pain and a high-intensity zone (HIZ) of the lumbar disc in Indian patients. ⋯ The presence of an HIZ is not diagnostic of a disrupted and painful disc, and should be interpreted together with other prevailing symptoms and clinical findings.