Journal of orthopaedics
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Journal of orthopaedics · Jul 2020
The influence of post-operative knee coronal alignment parameters on long-term patient-reported outcomes after closed-wedge high tibial osteotomy.
Both intra-articular and extra-articular knee alignment pathologies can affect clinical outcomes after high tibial osteotomy. The purpose of this study was to investigate post-operative knee coronal alignment parameters that affect long-term patient-reported outcomes after closed-wedge high tibial osteotomy (CW-HTO). ⋯ Level Ⅳ, Retrospective cohort study.
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Journal of orthopaedics · Jul 2020
EditorialReopening phase in Covid19 pandemic and it's changes for Orthopaedic Surgeons - A German perspective.
Covid-19 is affecting our societies for more than just one, two or three months, maybe for even longer depending on where we live. In Germany, where I am located we have meanwhile ended the lockdown phase and started reopening. In this Editorial, I will try to describe the different aspects of the changes for an Orthopaedic Surgeon in this second phase of reopening. ⋯ Protests and conspiracy theories are numerous and it is our mission as educated scientists to inform as many people around us as possible about the facts. Overall, it has to be stated, that all parts of our lives as Orthopaedic Surgeons remain affected by the Covid-19 pandemic. Life became better in a lot of ways; however, it is still a long way back to normal and we need to be patient.
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Journal of orthopaedics · Jul 2020
ReviewTriaging Spine Surgery and Treatment during the COVID-19 Pandemic.
To utilize evidence-based medicine to help determine guidelines for spinal surgery during the Covid-19 era. ⋯ Spinal surgery during the COVID-19 pandemic is an intricate challenging decision-making process, involving clinical, sociologic and economic factors.
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Journal of orthopaedics · Jul 2020
ReviewFlexible intramedullary nailing in the treatment of forearm fractures in children and adolescents, a systematic review.
Forearm fractures are common injuries among children and adolescents. Traditionally, they were managed conservatively with closed reduction and cast immobilization. The last decade there is an increasing trend towards operative treatment. The treatment modalities available include plate and screws, flexible intramedullary nailing and external fixation devices - rarely used nowadays. The aim of this systematic review is to investigate the indications of flexible intramedullary nailing in the childhood population, to compare its results with plating and to provide detailed information considering technical pitfalls and complications that may be encountered. ⋯ Flexible nails are excellent implants combining stability and elasticity. The procedure of passing the nails across radius and ulna is relatively simple, requiring a small learning curve. Flexible intramedullary nailing is an excellent treatment modality for the treatment of forearm fractures in children and adolescents.
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Journal of orthopaedics · Jul 2020
ReviewIt is time for a more cautious approach to surgical diathermy, especially in COVID-19 outbreak: A schematic review.
Many surgeons are unaware of the risks posed by the surgical diathermy. Apart from the numerous chemicals, surgical smoke had been shown to harbour intact bacterial and virus particles especially COVID-19 in the current time. ⋯ Many chemical and biological particles have been found in surgical smoke. It is highly recommended to follow the standardised guidelines for surgical smoke safety. Surgical smoke carries full virus particle(such as COVID-19 virus), it is strongly recommended to minimise or avoid electrocautery during the COVID-19 outbreak.