Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology
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Multicenter Study Comparative Study
A prospective multi-center study of intramedullary nailing vs casting of stable tibial shaft fractures.
The purpose of this study was to determine optimal treatment of stable tibial shaft fractures using intramedullary nailing (IMN) or casting. ⋯ Level-II prognostic.
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The aim of total knee arthroplasty is, amongst others, the reconstruction of a physiological axis of the leg with a tibiofemoral angle in the frontal plane of an average of 6°. The aim of this study is to clarify how much of the bone length on the femur and tibia has to be reproduced on anteroposterior (AP) knee radiographs in order to determine the leg's alignment after a total knee arthroplasty. ⋯ Level 2.
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There are many methods of treating Legg-Calvé-Perthes disease, including operative and nonoperative methods. Femoral varus osteotomy is one of the surgical methods used to treat this disease, and it involves changing the alignment of the proximal femur to improve containment of the femoral epiphysis in the acetabulum. The aims of this study were to evaluate the results of femoral varus osteotomy for the treatment of Perthes disease according to various classification and grading schemes, as well as to compare the results to those obtained using other methods of treatment reported in the literature. ⋯ Level IV.
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Symptomatic osteoarthritis (OA) of the knee develops often in association with anterior cruciate ligament (ACL) deficiency. Two distinct pathologies should be recognised while considering treatment options in patients with end-stage medial compartment OA and ACL deficiency. Patients with primary ACL deficiency (usually traumatic ACL rupture) can develop secondary OA (typically presenting with symptoms of instability and pain) and these patients are typically young and active. ⋯ On the other hand, younger patients with higher functional demands are likely to benefit from a simultaneous or staged ACL reconstruction in addition to UKA to regain knee stability. These procedures tend to be technically demanding. The main aim of this review was to provide a synopsis of the existing literature and outline an evidence-based treatment algorithm.