4,881 results match your criteria Archives of Orthopaedic and Trauma Surgery[Journal]


Anterior inferior tibiofibular ligament avulsion fractures in operatively treated ankle fractures: a retrospective analysis.

Arch Orthop Trauma Surg 2019 Feb 15. Epub 2019 Feb 15.

Trauma unit, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Background: There is no consensus about the optimal treatment of anterior inferior ligament avulsion fractures of the ankle. The aim of this study is to provide insights regarding the incidence of anterior inferior ligament avulsion fractures, the association with fracture type, and correlation with treatment.

Methods: This study is a retrospective analysis in a level-1 trauma center of adult patients with an ankle fracture operated between the dates 01-01-2009 and 01-09-2017 who had a pre- and postoperative CT-scan. Read More

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http://link.springer.com/10.1007/s00402-019-03138-2
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http://dx.doi.org/10.1007/s00402-019-03138-2DOI Listing
February 2019
3 Reads

The prevalence of a prominent anterior inferior iliac spine.

Arch Orthop Trauma Surg 2019 Feb 15. Epub 2019 Feb 15.

Orthomedic Frankfurt Offenbach, Herrnstraße 57, 63065, Offenbach, Germany.

Introduction: Impingement of the prominent anterior inferior iliac spine (AIIS) against the femoral neck has recently been described as another type of impingement. The purpose of this study is to provide a distribution of AIIS types using the classification proposed by Hetsroni and thus report on the prevalence of prominent types.

Materials And Methods: A total of 400 patients were included in the study with an average age 27. Read More

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http://dx.doi.org/10.1007/s00402-019-03146-2DOI Listing
February 2019

The ACL-deficient knee and the prevalence of meniscus and cartilage lesions: a systematic review and meta-analysis (CRD42017076897).

Arch Orthop Trauma Surg 2019 Feb 13. Epub 2019 Feb 13.

Klinik für Orthopädie und Unfallchirurgie am Martin Luther Krankenhaus, Berlin, Caspar Theysstr. 27-31, 14193, Berlin, Germany.

Introduction: The purpose of this systematic review and meta-analysis was to analyze and compare the rate of secondary meniscus and cartilage lesions diagnosed at different time points of ACL reconstruction.

Materials And Methods: A systematic search for articles comparing the rate of secondary meniscus and cartilage lesions diagnosed at different time points of ACL reconstruction was performed. PubMed central was the database used for the literature review. Read More

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http://dx.doi.org/10.1007/s00402-019-03128-4DOI Listing
February 2019

An accelerometer-based navigation did not improve the femoral component positioning compared to a modified conventional technique of pre-operatively planned placement of intramedullary rod in total knee arthroplasty.

Arch Orthop Trauma Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, Chiba University, Chiba, Japan.

Introduction: Although the most commonly used method of femoral component alignment in total knee arthroplasty (TKA) is intramedullary (IM) guides, this method demonstrated a limited degree of accuracy. Because of the femoral anterior bowing, the tip of the guide rod will impinge on the anterior cortex if a long rod is inserted. We hypothesized that the pre-operative planned insertion depth of the rod could increase the accuracy of the femoral component positioning in conventional TKA (modified conventional technique). Read More

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http://dx.doi.org/10.1007/s00402-019-03147-1DOI Listing
February 2019

Intra-articular injection of mesenchymal stem cells for clinical outcomes and cartilage repair in osteoarthritis of the knee: a meta-analysis of randomized controlled trials.

Arch Orthop Trauma Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102 Heukseok-ro, Dongjak-gu, 06973, Seoul, South Korea.

Introduction: Mesenchymal stem cells (MSCs) have gained popularity for articular cartilage repair. However, efficacy of intra-articular MSCs in osteoarthritis remains unclear. In the setting of a meta-analysis of randomized controlled trials (RCTs), we aimed to investigate the efficacy of intra-articular MSCs on clinical outcomes and cartilage repair in patients with knee osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00402-019-03140-8DOI Listing
February 2019

Design and preliminary biomechanical analysis of a novel motion preservation device for lumbar spinal disease after vertebral corpectomy.

Arch Orthop Trauma Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Spine and Spinal Cord, Henan Provincial People's Hospital, No.7, the Weft Fifth Road, Jinshui District, Zhengzhou, Henan, People's Republic of China.

Objective: To design a novel prosthesis, a movable artificial lumbar complex (MALC), for non-fusion reconstruction after lumbar subtotal corpectomy and to evaluate the stability, range of motion and load-bearing strength in the human cadaveric lumbar spine.

Methods: Biomechanical tests were performed on lumbar spine specimens from 15 healthy cadavers which were divided in three groups: non-fusion, fusion and intact group. The range of motion (ROM), stability and load-bearing strength were measured. Read More

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http://dx.doi.org/10.1007/s00402-018-03106-2DOI Listing
February 2019

Anterior versus posterior approach for the therapy of multilevel cervical spondylotic myelopathy: a meta-analysis and systematic review.

Arch Orthop Trauma Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Orthopedics, Hebei General Hospital, No. 348 Heping East Road, Shijiazhuang, 050051, Hebei, China.

Background: The goal of this meta-analysis is to explore the overall efficacy as well as the safety of anterior versus posterior approach for the therapy of patients with multilevel cervical spondylotic myelopathy based on qualified studies.

Methods: Three electronic databases, PubMed, Cochrane, Embase were searched updated to January 2018 to identify all relevant and qualified studies using the index words. The qualified studies were including prospective or retrospective comparative studies. Read More

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http://dx.doi.org/10.1007/s00402-018-03102-6DOI Listing
February 2019

Biomechanical comparison of two biplanar and one monoplanar reconstruction techniques of the acromioclavicular joint.

Arch Orthop Trauma Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Inselspital, Freiburgstrasse, Bern, Switzerland.

Introduction: The purpose of this proof-of-concept study was to investigate the biomechanical performance of two surgical techniques, namely (1) the double Tight-Rope fixation with an additional acromioclavicular FiberTape fixation (DTRC) and (2) the fixation of the clavicle to the acromion and coracoid in a bipodal manner (Bipod) using a Poly-Tape and FiberTape. Both techniques intend to address vertical and horizontal instability after acromioclavicular dislocation. They were compared with the commonly used (3) double Tight-Rope (DTR) technique, which only stabilizes the clavicle to the coracoid. Read More

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http://dx.doi.org/10.1007/s00402-019-03137-3DOI Listing
February 2019
2 Reads

Peroneal nerve location at the fibular head: an anatomic study using 3D imaging.

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Center for Orthopedic and Trauma Surgery, University of Cologne, Faculty of Medicine and University Hospital, Kerpener Str. 62, 50937, Cologne, Germany.

Introduction: Injuries to the peroneal nerve are a common complication in operative treatment of proximal tibial or fibular fractures. To minimize the risk of iatrogenic injury to the nerve, detailed knowledge of the anatomy of the peroneal nerve is essential. Aim of this study was to present a detailed description of the position and branching of the peroneal nerve based on 3D-images to assist preparation for surgical approaches to the fibular head and the tibial plateau. Read More

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http://dx.doi.org/10.1007/s00402-019-03141-7DOI Listing
February 2019

Standardization of torsional CT measurements of the lower limbs with threshold values for corrective osteotomy.

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Trauma Surgery, University Hospitals Leuven, 3000, Leuven, Belgium.

Introduction: Re-establishing anatomic rotational alignment of shaft fractures of the lower extremities remains challenging. Clinical evaluation in combination with radiological measurements is important in pre- and post-surgical assessment. Based on computed tomography (CT), a range of reference values for femoral torsion (FT) and tibial torsion (TT) have historically been reported, which require standardization to optimize the significant intra- and inter-observer variability. Read More

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http://dx.doi.org/10.1007/s00402-019-03139-1DOI Listing
February 2019
1 Read

Risk factors for nonunion after intramedullary nailing of subtrochanteric femoral fractures.

Arch Orthop Trauma Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Introduction: Nonunion is a common complication after intramedullary nailing of subtrochanteric femoral fractures. A more detailed knowledge, particularly of avoidable risk factors for subtrochanteric fracture nonunion, is thus desired to develop strategies for reducing nonunion rates. The aim of the present study therefore was to analyse a wide range of parameters as potential risk factors for nonunion after intramedullary nailing of subtrochanteric fractures. Read More

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http://dx.doi.org/10.1007/s00402-019-03131-9DOI Listing
February 2019

Biceps tenodesis versus tenotomy in isolated LHB lesions: a prospective randomized clinical trial.

Arch Orthop Trauma Surg 2019 Feb 6. Epub 2019 Feb 6.

Universitätsklinikum Düsseldorf, Klinik für Orthopädie, Moorenstr 5, 40225, Düsseldorf, Germany.

Introduction: Currently there exists no clear evidence concerning the surgical treatment of LHB lesions with either tenotomy or tenodesis. The aim of the study is therefore to evaluate elbow flexion and forearm supination force as well as the biceps muscle distalization according to both techniques in isolated LHB lesions.

Methods: Consecutive patients aged 40-70 years with shoulder arthroscopies for isolated SLAP or biceps pulley lesions were prospectively randomized to arthroscopic suprapectoral intraosseous LHB tenodesis or tenotomy. Read More

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http://dx.doi.org/10.1007/s00402-019-03136-4DOI Listing
February 2019

Long-term results of the reverse Total Evolutive Shoulder System (TESS).

Arch Orthop Trauma Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedics and Trauma Surgery, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Introduction: Latest trends in shoulder replacement aim at bone stock preservation. Long-term results of stemless anatomical total shoulder implants compare favourably with stemmed designs in terms of function and survivorship. The Total Evolutive Shoulder System (TESS) has been one of the first designs offering a stemless implant not only for anatomical but also for reverse total shoulder arthroplasty with optional short stem attachment in cases with poor bone quality. Read More

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http://dx.doi.org/10.1007/s00402-019-03135-5DOI Listing
February 2019
1 Read

Investigation of thermally induced damage to surrounding nerve tissue when using curettage and cementation of long bone tumours, modelled in cadaveric porcine femurs.

Arch Orthop Trauma Surg 2019 Feb 4. Epub 2019 Feb 4.

Avon Orthopaedic Centre, Southmead Hospital, North Bristol NHS Trust, Brunel Building, Southmead Road, Bristol, BS10 5NB, UK.

Introduction: Curettage with cement augmentation is a technique used in the treatment of bone tumours. Thermal energy released during the cement polymerisation process can damage surrounding tissues. This study aims to record temperature changes at various sites on and around bone during the cementing process. Read More

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http://dx.doi.org/10.1007/s00402-019-03129-3DOI Listing
February 2019

The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma.

Arch Orthop Trauma Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Trauma-, Hand-, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.

Introduction: Several different systems of classification have been developed to understand the complexity of pelvic ring fractures, to facilitate communication between physicians and to support the selection of appropriate therapeutic measures. The purpose of this study was to measure the inter- and intraobserver reliability of Tile AO, Young and Burgess, and FFP classification in pelvic ring fractures. The Rommens classification system (FFP) is analyzed for the first time. Read More

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http://dx.doi.org/10.1007/s00402-019-03123-9DOI Listing
February 2019

Impact of closed suction drainage after surgical fixation of acetabular fractures.

Arch Orthop Trauma Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Orthopaedic Surgery, Emory University School of Medicine, 57 Executive Park South, Atlanta, GA, 30329, USA.

Introduction: The purpose of the present study was to evaluate the prevalence of closed suction drainage after a Kocher-Langenbeck (K-L) approach for surgical fixation of acetabular fractures and to determine the impact of closed suction drainage on patient outcomes.

Methods: This retrospective study reports on 171 consecutive patients that presented to a single level I trauma center for surgical fixation of an acetabular fracture. Medical records were reviewed to evaluate the use of closed suction drains. Read More

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http://dx.doi.org/10.1007/s00402-019-03110-0DOI Listing
January 2019

High complication and revision rates after total femoral replacement: a retrospective single center analysis of indication, function, and complication.

Arch Orthop Trauma Surg 2019 Jan 28. Epub 2019 Jan 28.

Trauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.

Introduction: Total femoral replacement (TFR) is a limb salvage procedure performed for large bony defects. However, it is often associated with major complications and reduced function. Data on limb preservation rates and functional outcomes after TFR are limited. Read More

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http://dx.doi.org/10.1007/s00402-019-03130-wDOI Listing
January 2019
1 Read

Biomechanical comparison of the proximal interphalangeal joint arthrodesis using a compression wire.

Arch Orthop Trauma Surg 2019 Jan 25. Epub 2019 Jan 25.

Center for Hand-and Functional Microsurgery, University Medicine Greifswald, Sauerbruchstraße, 17475, Greifswald, Germany.

Introduction/aim: Arthrodesis of the proximal interphalangeal joint of the finger is a common procedure for the treatment of osteoarthritis. The aim of this biomechanical study was to compare the primary stability of one, respectively, two compression wires to intraosseous wiring and tension band wiring for the arthrodesis.

Materials And Methods: The stability of the arthrodesis was tested by applying flexion (n = 11) and extension (n = 10) force with 10° bending. Read More

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http://dx.doi.org/10.1007/s00402-019-03119-5DOI Listing
January 2019
1 Read

Does unicompartmental knee arthroplasty have worse outcomes in spontaneous osteonecrosis of the knee than in medial compartment osteoarthritis? A systematic review and meta-analysis.

Arch Orthop Trauma Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, 20, Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, South Korea.

Introduction: The role of unicompartmental knee arthroplasty (UKA) in spontaneous osteonecrosis of the knee (SONK) remains controversial, even though SONK involves only one compartment of the knee joint. We aimed to compare the survival rate and clinical outcomes of UKA in SONK and medial compartment osteoarthritis (MOA) via a meta-analysis of previous studies.

Materials And Methods: MEDLINE, Embase, and Cochrane Library were searched up to January 2018 with keywords related to SONK and knee arthroplasty. Read More

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http://link.springer.com/10.1007/s00402-019-03125-7
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http://dx.doi.org/10.1007/s00402-019-03125-7DOI Listing
January 2019
4 Reads

A residual intra-articular varus after medial opening wedge high tibial osteotomy (HTO) for varus osteoarthritis of the knee.

Arch Orthop Trauma Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopedic Surgery, Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Purpose: Varus deformity of knee osteoarthritis was formed by both intra-articular and extra-articular pathologies. Such intra-articular deformities could not be fully corrected by a medial open-wedge high tibial osteotomy (HTO), which was performed as an extra-articular procedure. Therefore, the purpose of this study was to investigate whether any residual varus was left inside the joint after HTO in the patients with knee osteoarthritis, and a correlation of the residual varus could be traced. Read More

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http://link.springer.com/10.1007/s00402-018-03104-4
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http://dx.doi.org/10.1007/s00402-018-03104-4DOI Listing
January 2019
4 Reads

Factors predicting the 1-year outcome of collagenase treatment for Dupuytren's disease.

Arch Orthop Trauma Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Plastic and Hand Surgery, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Introduction: Several studies have investigated the clinical outcome after collagenase treatment for Dupuytren's disease in terms of range of motion of the affected finger. However, good objective clinical outcome defined by a small remaining flexion contracture does not necessarily translate into satisfactory patient-subjective hand function. The aim of the present study was to identify predictors of patient-reported as well as objective clinical outcome in patients 1 year after collagenase treatment for Dupuytren's disease. Read More

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http://dx.doi.org/10.1007/s00402-019-03120-yDOI Listing
January 2019
5 Reads

Primary stability of total hip stems: does surgical technique matter?

Arch Orthop Trauma Surg 2019 Jan 22. Epub 2019 Jan 22.

Orthoclinic, Holsteiner Chaussee 305, 22457, Hamburg, Germany.

Background: With this preliminary study we hypothesized a modified implantation technique may lead to higher primary stability than the conventional one.

Methods: In the conventional technique we used a sharp spoon to open the femoral cavity. Subsequently the opening was extended by increasing sizes of a sensing device to approve the final size. Read More

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http://dx.doi.org/10.1007/s00402-019-03124-8DOI Listing
January 2019

The traumatic acromion fracture: review of the literature, clinical examples and proposal of a treatment algorithm.

Arch Orthop Trauma Surg 2019 Jan 22. Epub 2019 Jan 22.

Department of Orthopaedic Surgery and Traumatology, Cantonal Hospital Frauenfeld, Pfaffenholzstrasse 4, 8501, Frauenfeld, Switzerland.

Purpose: Traumatic acromion fractures are rare and typically occur in patients with multiple fractures, which often delays diagnosis. Limited guidance exists on the treatment of these fractures. We present a review of the literature from the last 20 years and describe our experience in treating five patients-two conservatively and three with open reduction and internal fixations (ORIF). Read More

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http://dx.doi.org/10.1007/s00402-019-03126-6DOI Listing
January 2019

MRI in patients with Haglund's deformity and its influence on therapy.

Arch Orthop Trauma Surg 2019 Jan 21. Epub 2019 Jan 21.

Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Marburg, Baldinger Straße, 35043, Marburg, Germany.

Introduction: Heel pain is one of the common reasons why patients consult orthopaedic surgeons in an outpatient setting. The dorsal heel pain is often caused by a Haglund's deformity which is an exostosis of the posterior superior calcaneus. It often leads to Haglund's syndrome with calcaneal bursitis and Achilles tendinosis. Read More

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http://dx.doi.org/10.1007/s00402-019-03122-wDOI Listing
January 2019
2 Reads

Immunohistochemical examination in arthrofibrosis of the knee joint.

Arch Orthop Trauma Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Knee, Hip and Shoulder Surgery, Schön Clinik Munich-Harlaching, Academic Teaching Hospital of the Paracelsus Private Medical University Salzburg, Strubergasse 21, 5020, Salzburg, Austria.

Introduction: Arthrofibrosis (AF) is the result of increased cell proliferation and synthesis of matrix proteins (collagen I, III, and VI). Especially after invasive knee surgery, e.g. Read More

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http://link.springer.com/10.1007/s00402-019-03115-9
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http://dx.doi.org/10.1007/s00402-019-03115-9DOI Listing
January 2019
5 Reads

Radial head replacement versus reconstruction for the treatment of the terrible triad injury of the elbow: a systematic review and meta-analysis.

Arch Orthop Trauma Surg 2019 Jan 17. Epub 2019 Jan 17.

Clinical Division of Orthopaedic Surgery, Department of Orthopaedic Surgery, University Hospitals Leicester, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.

Introduction: The terrible triad injury of the elbow (TTIE) remains challenging to manage and has been associated with high complication rates and poor outcomes. There is a trend towards performing radial head replacement (REP) in preference to radial head reconstruction (REC) as arthroplasty provides early stability and may allow mobilisation sooner, potentially resulting in a better functional outcome. This systematic review compares the outcome of patients with TTIE treated with either REC or REP. Read More

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http://link.springer.com/10.1007/s00402-019-03111-z
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http://dx.doi.org/10.1007/s00402-019-03111-zDOI Listing
January 2019
9 Reads

Dynamic intraligamentary stabilization of anterior cruciate ligament repair: hardware removal has no effect on knee laxity at 2-year follow-up.

Arch Orthop Trauma Surg 2019 Jan 16. Epub 2019 Jan 16.

Sonnenhof Orthopaedic Center, Buchserstrasse 30, 3006, Bern, Switzerland.

Introduction: Dynamic intraligamentary stabilization (DIS) stabilizes the knee joint during anterior cruciate ligament (ACL) healing. After 6 months, tibial hardware removal is offered to the patients if local discomfort at the implant site is present.

Aim: This study compared knee laxity and functional scores 2 years after DIS between patients with and without hardware removal. Read More

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http://dx.doi.org/10.1007/s00402-019-03113-xDOI Listing
January 2019
1 Read

Open versus arthroscopic acromioclavicular joint resection: a systematic review and meta-analysis.

Arch Orthop Trauma Surg 2019 Jan 14. Epub 2019 Jan 14.

University of Texas Health Science Center, San Antonio, TX, USA.

Introduction: The purpose of this study was to perform a meta-analysis comparing open and arthroscopic surgical techniques for distal clavicle resection.

Methods: A systematic review of Medline, Embase, Scopus, and Google Scholar identified relevant publications in the English and German literature between 1997 and 2017. All included studies were levels I-IV, describing both treatments, with a minimum of 12 month follow-up, had at least one validated outcome score and documented patient recruitment, study design, demographic details, and surgical technique. Read More

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http://dx.doi.org/10.1007/s00402-019-03114-wDOI Listing
January 2019
2 Reads

No added value using SPECT/CT to analyze persistent symptoms after anterior cruciate ligament reconstruction.

Arch Orthop Trauma Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Clinical Research, University of Basel, Schanzenstr. 55, 4056, Basel, Switzerland.

Purpose: To evaluate the diagnostic and clinical value of SPECT/CT compared to the standard algorithm for patients with persistent symptoms after anterior cruciate ligament reconstructions. The standard algorithm uses clinical information, conventional radiographs, MRI and CT scan, while the trial algorithm uses the same information but SPECT/CT in addition.

Methods: In a diagnostic comparative trial three experienced surgeons evaluated 23 consecutive patients with persistent symptoms after ACL reconstruction using first standard and second the trial algorithm with a time interval. Read More

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http://dx.doi.org/10.1007/s00402-019-03117-7DOI Listing
January 2019
1 Read

Is intravenous tranexamic acid effective and safe during hip fracture surgery? An updated meta-analysis of randomized controlled trials.

Arch Orthop Trauma Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopedics, The Third Hospital of Mianyang (Sichuan Mental Health Center), No. 190 The East Jiannan Road, Mianyang, 621000, China.

Introduction: The efficacy and safety of intravenous (IV) tranexamic acid (TXA) during hip fracture surgery remain controversial. This meta-analysis aimed to assess the efficacy of IV-TXA administration during hip fracture surgery for reducing the transfusion requirement and blood loss as well as its safety regarding the risk of thrombolysis.

Materials And Methods: PubMed, EMBASE, Web of Science, and the Cochrane Library Database were systematically searched for randomized controlled trials (RCTs) that focused on the efficacy and safety of IV-TXA in patients during hip fracture surgery. Read More

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http://dx.doi.org/10.1007/s00402-019-03118-6DOI Listing
January 2019
1 Read

Acute atraumatic carpal tunnel syndrome due to flexor tendon rupture following palmar plate osteosynthesis in a patient taking rivaroxaban.

Arch Orthop Trauma Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany.

Introduction: Few case reports describe the development of a hematoma under oral anticoagulation as the cause of an atraumatic carpal tunnel syndrome.

Case Report: A 76 years old woman presented an acute atraumatic carpal tunnel syndrome of her left hand under oral anticoagulation with rivaroxaban due to atrial fibrillation. 12 years ago, palmar plate osteosynthesis of a distal radius fracture had been performed on the affected wrist. Read More

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http://dx.doi.org/10.1007/s00402-019-03116-8DOI Listing
January 2019
3 Reads

The Extension-Thickness-Damage (ETD) score: a pre-operative hip MR arthrography-based classification to predict type of labrum surgery.

Arch Orthop Trauma Surg 2019 Jan 10. Epub 2019 Jan 10.

Hip Department, Orthopedics and Trauma, IRCCS Policlinico San Donato, Via Morandi 30, San Donato Milanese, 20097, Italy.

Introduction: Hip magnetic resonance arthrography (MRA) is the pre-operative imaging modality of choice in patients with labral damage, with several classifications of labral tears having been reported based on MRA findings. Nevertheless, none of the available classification systems allows the surgeon to predict before surgery how a labral tear could be treated. Our purpose was to develop a new MRA-based scoring system of labral tears to predict before surgery the treatment option more suitable for labral tears. Read More

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http://link.springer.com/10.1007/s00402-019-03112-y
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http://dx.doi.org/10.1007/s00402-019-03112-yDOI Listing
January 2019
5 Reads

Four questions to identify patients with ASA III or higher.

Arch Orthop Trauma Surg 2019 Jan 7. Epub 2019 Jan 7.

Adult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, 535 E 70th Street, New York, NY, 10021, USA.

Background: Increased age, obesity, and American Society of Anesthesiologists (ASA) Physical Status class III and IV have been reported as predictors for mortality and perioperative complications. High-volume institutions rely on central referral services as first contact point for patients. The current study reports on a simple four-step questionnaire to identify patients with ASA-physical status class III and IV to improve referral processes and optimize perioperative work ups. Read More

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http://link.springer.com/10.1007/s00402-018-3078-7
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http://dx.doi.org/10.1007/s00402-018-3078-7DOI Listing
January 2019
5 Reads

Factors influencing femoral neck fracture healing after internal fixation with dynamic locking plate.

Arch Orthop Trauma Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Trauma Surgery, University Hospital of L. Pasteur, Rastislavova 43, 041 90, Košice, Slovakia.

Introduction: The purpose of this study was to determine factors that affect the early failure of femoral neck fracture healing after internal fixation with a dynamic locking plate implant.

Patients And Methods: Retrospective analysis of all cases of femoral neck fracture (FNF) primarily treated with dynamic locking plate implant from 04/2014 to 04/2017 with a minimum of 6 month follow-up. For the purpose of the study age, sex and time from admission to surgery were retrieved from the hospital medical database. Read More

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http://dx.doi.org/10.1007/s00402-018-03103-5DOI Listing
January 2019
2 Reads

Tobacco use predicts poorer clinical outcomes and higher post-operative complication rates after open elbow arthrolysis.

Arch Orthop Trauma Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui, Shanghai, 200233, People's Republic of China.

Introduction: Tobacco use is a worldwide public health problem, and has been found to be a predisposing factor for adverse functional outcomes and increased postoperative complication rates after various orthopedic operations. The purpose of this study was to determine the potential impact of tobacco use on open arthrolysis for post-traumatic elbow stiffness.

Materials And Methods: A database search identified 145 patients with open arthrolysis performed for post-traumatic elbow stiffness; these were divided into three groups: current tobacco users (37), former users (28), and nonusers (80). Read More

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http://link.springer.com/10.1007/s00402-018-03109-z
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http://dx.doi.org/10.1007/s00402-018-03109-zDOI Listing
January 2019
6 Reads
1.310 Impact Factor

The relationship between global spinal alignment and pelvic orientation from standing to sitting following pedicle subtraction osteotomy in ankylosing spondylitis patients with thoracolumbar kyphosis.

Arch Orthop Trauma Surg 2019 Jan 4. Epub 2019 Jan 4.

Spine Surgery, Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.

Introduction: To investigate the relationship between the spinal sagittal alignment and arc of pelvic motion from standing to sitting in ankylosing spondylitis (AS) patients with thoracolumbar kyphosis following pedicle subtraction osteotomy (PSO).

Materials And Methods: AS patients who underwent PSO for thoracolumbar kyphosis from January 2016 to July 2018 were recruited. EOS standing and sitting images were obtained pre- and postoperatively. Read More

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http://link.springer.com/10.1007/s00402-018-03107-1
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http://dx.doi.org/10.1007/s00402-018-03107-1DOI Listing
January 2019
8 Reads

Flexor tendon repair with a polytetrafluoroethylene (PTFE) suture material.

Arch Orthop Trauma Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of Plastic and Hand Surgery, University of Erlangen Medical Center, Erlangen, Germany.

Background: There is a consensus that after a flexor tendon repair an aggressive rehabilitation protocol with early active motion can improve functional outcome, provided that the combination of material and suturing technique can meet the higher biomechanic demands. Bearing this in mind we evaluated a polytetrafluoroethylene (PTFE) suture (SERAMON, Serag-Wiessner) as a possible material for flexor tendon repair.

Materials And Methods: 40 flexor tendons were harvested from fresh cadaveric upper extremities. Read More

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http://dx.doi.org/10.1007/s00402-018-03105-3DOI Listing
January 2019
3 Reads

Correction to: Reconstruction of AAOS type III and IV acetabular defects with the Ganz reinforcement ring: high failure in pelvic discontinuity.

Arch Orthop Trauma Surg 2019 Jan;139(1):147

Department of Orthopedic Surgery, Inselspital, Bern University Hospital, Freiburgstrasse, 3010, Bern, Switzerland.

The author would like to correct the errors in the publication of the original article. The corrected details are given below for your reading. Read More

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http://dx.doi.org/10.1007/s00402-018-3101-zDOI Listing
January 2019
2 Reads

Risk of extrapelvine vascular injuries in osteosynthesis with gliding hip screws.

Arch Orthop Trauma Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Traumatology and Sports Injuries, Paracelsus Medical University Salzburg, Müllner Hauptstrasse 48, 5020, Salzburg, Austria.

Background: Dynamic hip screw (DHS) osteosynthesis represents one of the most frequently performed fixation methods in orthopedic practice. The purpose of this study was to determine the potential risk of vascular damage by DHS side-plate screws (PS) and plunging instruments for individual femoral vessels and screw positions.

Methods: In ten hemipelvic/leg specimens mounted with a large femur distractor, a DHS system with a four-hole side-plate was inserted. Read More

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http://link.springer.com/10.1007/s00402-018-3077-8
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http://dx.doi.org/10.1007/s00402-018-3077-8DOI Listing
December 2018
13 Reads

Rotator cuff repair is more painful than other arthroscopic shoulder procedures.

Arch Orthop Trauma Surg 2018 Dec 17. Epub 2018 Dec 17.

Department of Anaesthesiology, IIS Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.

Aim: To evaluate the influence of the specific procedure performed and other variables on the intensity of acute postoperative pain following outpatient shoulder arthroscopy.

Methods: One hundred patients undergoing outpatient shoulder arthroscopy under single-shot interscalene block plus general anaesthesia were prospectively studied. Acetaminophen with ibuprofen was prescribed for postoperative pain control and tramadol HCl as rescue medication. Read More

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http://dx.doi.org/10.1007/s00402-018-3100-0DOI Listing
December 2018
3 Reads

Pathoanatomy of Maisonneuve fracture based on radiologic and CT examination.

Arch Orthop Trauma Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

Introduction: Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there is still a lack of information about the epidemiology and the extent of all associated injuries. The aim of study is to describe MF pathoanatomy on the basis of radiographs, CT scans and intraoperative findings.

Materials And Methods: The study comprised 54 adult patients. Read More

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http://dx.doi.org/10.1007/s00402-018-3099-2DOI Listing
December 2018
3 Reads

Low dislocation rate of Saturne/Avantage dual-mobility THA after displaced femoral neck fracture: a cohort study of 966 hips with a minimum 1.6-year follow-up.

Arch Orthop Trauma Surg 2018 Dec 13. Epub 2018 Dec 13.

University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Building 8, Entrance N, 1st floor, Laegaardvej 12, 7500, Holstebro, Denmark.

Introduction: Dislocation is a serious and common complication and a great concern with the use of total hip arthroplasty (THA) when treating displaced femoral neck fracture (FNF). Dual-mobility (DM) THA might reduce the dislocation risk. We aim to report the dislocation and revision rate of primary DM THA in patients with displaced FNF. Read More

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http://link.springer.com/10.1007/s00402-018-3093-8
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http://dx.doi.org/10.1007/s00402-018-3093-8DOI Listing
December 2018
12 Reads

To fuse or not to fuse: a survey among members of the German Spine Society (DWG) regarding lumbar degenerative spondylolisthesis and spinal stenosis.

Arch Orthop Trauma Surg 2018 Dec 12. Epub 2018 Dec 12.

Orthopedic Department, University Hospital Jena, Campus Waldkliniken Eisenberg, Klosterlausnitzer Str. 81, 07607, Eisenberg, Germany.

Introduction: Surgical treatment methods for degenerative spondylolisthesis (decompression versus decompression and fusion) have been critically debated. The medical care situation is almost unknown for either treatment. Therefore, the aim of the present study was to provide information regarding the use of parameters for decision-making and the employment of surgical techniques. Read More

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http://link.springer.com/10.1007/s00402-018-3096-5
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http://dx.doi.org/10.1007/s00402-018-3096-5DOI Listing
December 2018
8 Reads

Donor site complications following anterior iliac crest bone graft for treatment of distal radius fractures.

Arch Orthop Trauma Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Anesthesiology and Operative Intensive Care, University Medical Center Mannheim, Medical Faculty Mannheim of Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

Introduction: In distal radius fractures with metaphyseal comminution, bone grafting or the use of a bone substitute may be necessary. Harvesting autologous iliac crest bone graft for other orthopedic procedures has complications. The aim of this study was to evaluate the complication rate after harvesting a small amount of bone as used for the treatment of radius fractures. Read More

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http://dx.doi.org/10.1007/s00402-018-3098-3DOI Listing
December 2018
2 Reads

Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study.

Arch Orthop Trauma Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Traumatology, Trauma Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229, HX, Maastricht, The Netherlands.

Introduction: A Dutch survey among orthopedic surgeons and trauma surgeons showed that almost 90% of the surgeons do not follow protocols regarding the weight bearing aftercare for tibial plateau fractures. Clinical studies comparing permissive weight bearing (PWB) versus restricted weight bearing (RWB) after surgically treated tibial plateau fractures are not available. The aim of this study was to inventory potential differences in quality of life and pain, and number of complications in patients with surgically treated tibial plateau fractures who followed a PWB regime, relative to those that followed a RWB regime. Read More

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http://dx.doi.org/10.1007/s00402-018-3088-5DOI Listing
December 2018
3 Reads

Treatment of scaphoid waist nonunion by one, two headless compression screws or plate with or without additional extracorporeal shockwave therapy.

Arch Orthop Trauma Surg 2019 Feb 6;139(2):281-293. Epub 2018 Dec 6.

AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria.

Introduction: Scaphoid nonunion remains challenging for hand surgeons. Several treatment options are available such as: non-vascularized or vascularized bone grafting, with or without additional stabilization. In the last few decades, extracorporeal shockwave therapy (ESWT) has become an established procedure for treating delayed and nonunions. Read More

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http://dx.doi.org/10.1007/s00402-018-3087-6DOI Listing
February 2019
3 Reads

The accuracy of digital templating in uncemented total hip arthroplasty.

Arch Orthop Trauma Surg 2019 Feb 6;139(2):263-268. Epub 2018 Dec 6.

Department of Orthopaedics and Traumatology, Medical University of Graz, Auenbruggerplatz 5, 8036, Graz, Austria.

Introduction: Preoperative planning is an essential part of total hip arthroplasty (THA). It facilitates the surgical procedure, helps to provide the correct implant size and aims at restoring biomechanical conditions. In recent times, surgeons rely more and more on digital templating techniques. Read More

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http://dx.doi.org/10.1007/s00402-018-3080-0DOI Listing
February 2019
3 Reads

The effects of radiosynoviorthesis in pigmented villonodular synovitis of the knee.

Arch Orthop Trauma Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.

Introduction: Tenosynovial giant-cell tumor also known as pigmented villonodular synovitis (PVS) is a benign but aggressive synovial proliferative disease most often affecting the knee joint. The mainstay of therapy is surgical resection. Due to a high rate of local recurrence, radiosynoviorthesis (RSO) is used as an adjuvant method in many cases. Read More

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http://dx.doi.org/10.1007/s00402-018-3097-4DOI Listing
December 2018
4 Reads

Prevention of postoperative bleeding in hip fractures treated with prosthetic replacement: efficacy and safety of fibrin sealant and tranexamic acid. A randomised controlled clinical trial (TRANEXFER study).

Arch Orthop Trauma Surg 2018 Dec 11. Epub 2018 Dec 11.

Public Health and Clinical Epidemiology Service-Iberoamerican Cochrane Centre, IIB Sant Pau. CIBERESP, Barcelona, Spain.

Introduction: We assessed the efficacy of fibrin sealant (FS) and tranexamic acid (TXA) administered topically in patients with a hip fracture treated with prosthetic replacement.

Materials And Methods: Parallel, multicentre, open label, randomised, clinical trial. We compared three interventions to reduce blood loss: (1) 10 ml of FS, (2) 1 g of topical TXA, both administered at the end of the surgery, and (3) usual haemostasis (control group). Read More

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http://dx.doi.org/10.1007/s00402-018-3089-4DOI Listing
December 2018
3 Reads

Accuracy of magnetic resonance imaging (MRI) for subscapularis tear: a systematic review and meta-analysis of diagnostic studies.

Arch Orthop Trauma Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Rua Dr. Ovídio Pires de Campos 333, 3rd Floor, São Paulo, SP, 05403-010, Brazil.

Introduction: The accuracy of MRI for subscapularis tear is lower than that of overall rotator cuff tears. Until now, no systematic reviews and meta-analysis have been conducted to compile these data. The purpose of this study was to determine, through a systematic review and meta-analysis, the diagnostic accuracy of MRI in the detection of subscapularis tendon tears. Read More

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http://dx.doi.org/10.1007/s00402-018-3095-6DOI Listing
December 2018
5 Reads