Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Mar 2012
Risk factors for peroneal nerve injury and recovery in knee dislocation.
Acute knee dislocation is rare but has a high rate of associated neurovascular injuries and potentially limb-threatening complications. These include the substantial morbidity associated with peroneal nerve injury: neuropathic pain, decreased mobility, and considerably reduced function, which not only impairs patient function but complicates treatment. ⋯ Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Mar 2012
Endoprostheses last longer than intramedullary devices in proximal femur metastases.
The proximal femur is the most common site of surgery for bone metastases, and stabilization may be achieved through intramedullary fixation (IMN) or endoprosthetic reconstruction (EPR). Intramedullary devices are less expensive, less invasive, and may yield improved function over endoprostheses. However, it is unclear which, if either, has any advantages. ⋯ Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Mar 2012
Partial tibial nerve transfer to the tibialis anterior motor branch to treat peroneal nerve injury after knee trauma.
Injuries to the deep peroneal nerve result in tibialis anterior muscle paralysis and associated loss of ankle dorsiflexion. Nerve grafting of peroneal nerve injuries has led to poor function; therefore, tendon transfers and ankle-foot orthotics have been the standard treatment for foot drop. ⋯ Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.