Journal of orthopaedics
-
Journal of orthopaedics · May 2020
Combined technique with hydroxyapatite coated intramedullary nails in treatment of anterolateral bowing of congenital pseudarthrosis of tibia.
The goal of this study is to evaluate the treatment outcomes of anterolateral bowing and residual deformities of distal tibia in patients with CPT using circular external fixation and hydroxyapatite coated flexible intramedullary nailing without excision of affected part of tibia. ⋯ Correction of anterolateral bowing or residual deformity in children with CPT is indicated. Association of external fixation with intramedullary nailing/rodding left in situ after frame removal ensure stability and accuracy of deformity correction. Biological methods of stimulation of bone formation in dysplastic zone are obligatory to ensure bone union. Intramedullary nailing with composite hydroxyapatite-coated surface provides mechanical and biological advantages in patients with CPT.
-
Journal of orthopaedics · May 2020
Suprascapular nerve block versus interscalene block for analgesia after arthroscopic rotator cuff repair.
To retrospectively compare the efficacy of suprascapular nerve block (SSNB) versus interscalene block (ISB) for analgesia after arthroscopic rotator cuff repair (ARCR). ⋯ There were no significant differences between SSNB and ISB in the duration of analgesia and the VAS pain scores after ARCR.
-
Journal of orthopaedics · Mar 2020
Accuracy and reliability of spinal navigation: An analysis of over 1000 pedicle screws.
To estimate the rate of pedicle screw malpositioning associated with placing pedicle screws using intraoperative computed tomography (CT)-guided spinal navigation. ⋯ Using O-arm-based intra-operative three-dimensional scans for navigation can improve the reliability, accuracy, and safety of pedicle screw placement, reducing the risk for reoperation and hospitalization due to implant-related complications. Further improvement may be achieved by adequate consideration of potential sources of errors.
-
Journal of orthopaedics · Mar 2020
Dual plate fixation results in improved union rates in comminuted distal femur fractures compared to single plate fixation.
The treatment of distal femur fractures with extensive metaphyseal comminution is frequently complicated by high rates of nonunion and varus collapse. Dual plating with lateral and medial locking plates for these types of fractures has shown promising results in the recent literature. We hypothesize that dual plating of comminuted distal femur fractures leads to higher union rates and lower revision rates compared to an isolated lateral locking plate. ⋯ Level 3. Retrospective Cohort Study.
-
Journal of orthopaedics · Mar 2020
Fracture-related infections in HIV infected patients: A systematic review and meta-analysis.
To conduct a systematic review and meta-analysis comparing the incidence of fracture-related infections (FRI) following surgical management of closed and open fractures in HIV-positive and HIV-negative patients. ⋯ While there are few large prospective studies, the available data suggests that before the introduction antiretroviral therapy HIV infection was associated with a greater risk of FRI. In the post-antiretroviral era HIV infected patients did not show an increased risk of FRI.