Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Jul 2014
Revision allograft reconstruction of the lateral collateral ligament complex in elbows with previous failed reconstruction and persistent posterolateral rotatory instability.
Primary reconstruction of the lateral collateral ligament complex (LCLC) using graft tissue restores elbow stability in many, but not all, elbows with acute or chronic posterolateral rotatory instability (PLRI). Revision reconstruction using a tendon allograft is occasionally considered for persistent PLRI, but the outcome of revision ligament reconstruction in this setting is largely unknown. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Jul 2014
Multicenter Study Comparative StudyComparative study of simple and complex open elbow dislocations.
Open elbow dislocations are rare injuries. Most of the evidence related to these dislocations is found in case reports or in series with closed injuries. We reviewed the experiences of three centers in the treatment of open elbow dislocations. ⋯ Level IV, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Jul 2014
Multicenter StudyAre there risk factors for complications of perforator-based propeller flaps for lower-extremity reconstruction?
Conventional pedicled flaps for soft tissue reconstruction of lower extremities have shortcomings, including donor-site morbidity, restricted arc of rotation, and poor cosmetic results. Propeller flaps offer several potential advantages, including no need for microvascular anastomosis and low impact on donor sites, but their drawbacks have not been fully characterized. ⋯ Level IV, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Jul 2014
Terrible triad injuries of the elbow: does the coronoid always need to be fixed?
The "terrible triad" of the elbow is a complex injury that can lead to pain, stiffness, and posttraumatic arthritis if not appropriately treated. The primary goal of surgery for these injuries is to restore stability of the joint sufficient to permit early motion. Although most reports recommend repair and/or replacement of all coronoid and radial head fractures when possible, a recent cadaveric study demonstrated that type II coronoid fractures are stable unless the radial head is removed and not replaced. ⋯ Level IV, therapeutic study. See Guidelines to Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Jul 2014
The effect of resident participation on short-term outcomes after orthopaedic surgery.
The influence of resident involvement on short-term outcomes after orthopaedic surgery is mostly unknown. ⋯ Level II, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.