Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2013
Is posterior synovial plica excision necessary for refractory lateral epicondylitis of the elbow?
Arthroscopic treatments for lateral epicondylitis including débridement of the extensor carpi radialis brevis (ECRB) origin (Baker technique) or resection of the radiocapitellar synovial plica reportedly improve symptoms. However the etiology of the disease and the role of the plica remain unclear. ⋯ The addition of débridement of the posterior synovial fold did not appear to enhance either pain relief or function compared with the classic Baker technique without decortication.
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Clin. Orthop. Relat. Res. · Jan 2013
Surgical technique: vastus medialis and vastus lateralis as flap transfer for knee extensor mechanism deficiency.
Loss of the quadriceps tendon, patella, and patellar tendon leaves a major anterior defect that is difficult to close and compromises knee extension strength. Gastrocnemius muscle transfer does not sufficiently cover such major defects. This paper describes a new surgical technique that addresses these defects and the results of eight cases of revision TKA managed with this new technique. ⋯ The vastus medialis and vastus lateralis muscles provide adequate coverage for anterior soft tissue deficits of the knee.
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Clin. Orthop. Relat. Res. · Dec 2012
Randomized Controlled Trial Comparative StudyHemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial.
Four-part fractures of the proximal humerus account for 3% of all humeral fractures and are regarded as the most difficult fractures to treat in the elderly. Various authors recommend nonoperative treatment or hemiarthroplasty, but the literature is unclear regarding which provides better quality of life and function. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Dec 2012
To what degree do shoulder outcome instruments reflect patients' psychologic distress?
Psychologic distress contributes to symptom severity in patients with several musculoskeletal disorders. While numerous shoulder outcome instruments are used it is unclear whether and to what degree psychologic distress contributes to the scores. ⋯ Level II, prognostic study. See Instructions for Authors for a complete description of levels of evidence.