4,927 results match your criteria Archives of Orthopaedic and Trauma Surgery[Journal]


Displaced distal radius fracture presenting with neuropraxia of the dorsal cutaneous branch of the ulnar nerve (DCBUN).

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

Orthopedic Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Weizmann 6, 6423906, Tel Aviv, Israel.

Nerve injuries, mostly to the median nerve, are common following distal radius fractures. Ulnar nerve injuries are rarely encountered, with only few case reports of motor or motor and sensory loss described in the literature. In this paper, we report two consecutive cases of young patients with a distal radius fracture and a pure sensory ulnar neuropathy. Read More

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http://dx.doi.org/10.1007/s00402-019-03191-xDOI Listing

Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly.

Arch Orthop Trauma Surg 2019 Apr 20. Epub 2019 Apr 20.

Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, South Korea.

Purpose: Fracture stem of the reverse total shoulder arthroplasty (RTSA) was designed for better tuberosity bone healing for the proximal bone defect of complex proximal humeral fractures (PHF). Our purpose was to compare the clinical and radiological outcomes of patients using fracture stem vs non-fracture (conventional) stem of RTSA in complex PHF of elderly patients.

Methods: Between 2008 March and 2017 June, 48 patients who had undergone an RTSA with non-fracture or fracture stem for complex PHF with a minimum 18 months of follow-up were evaluated. Read More

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http://dx.doi.org/10.1007/s00402-019-03190-yDOI Listing
April 2019
1 Read

Radiographic assessment of overlengthening of the MoPyC radial head prosthesis: a cadaveric study.

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

BG Trauma Center Ludwigshafen at the University of Heidelberg, Clinic for Trauma and Orthopaedic Surgery, Ludwig-Guttmann-Strasse 13, 67071, Ludwigshafen on the Rhine, Germany.

Introduction: The aim of this study was to evaluate a radiographic measurement method for assessment of overlengthening of the MoPyC radial head prosthesis.

Materials And Methods: Seven cadaver specimens were studied in ten stages: native specimen (1), radial head resection (2), and implantation of the MoPyC radial head prostheses (Bioprofile, Tornier, Montbonnot-Saint-Martin, France) in four increasing length (correct length, overlengthening of 1.5 mm, 3 mm, and 5 mm) with an intact medial collateral ligament (MCL 3-6) and following transection of the MCL (7-10). Read More

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http://dx.doi.org/10.1007/s00402-019-03187-7DOI Listing
April 2019
1 Read

Long-term physical functioning and quality of life after pelvic ring injuries.

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

Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Background: Pelvic ring injuries are serious injuries, often associated with substantial morbidity and mortality rates. The long-term consequences of these injuries might affect the patients' personal life. Our aim was to assess the long-term effects of pelvic ring injuries on physical functioning and quality of life (QoL) using validated patient-reported outcome measures (PROMs) and comparing these results to normative data from the general population. Read More

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http://dx.doi.org/10.1007/s00402-019-03170-2DOI Listing

 > 10-year outcome of dislocated radial fractures with concomitant intracarpal lesions as proven by MRI and CT.

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

Orthopädisch-Unfallchirurgisches Zentrum, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Ruprecht-Karls-Universität Heidelberg, Mannheim, Germany.

To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as their consequences after 1 year. Carpal lesions of different types were found in all treated cases of dislocated DRF. Read More

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http://dx.doi.org/10.1007/s00402-019-03186-8DOI Listing

Prevalence, development, and factors associated with cyst formation after meniscal repair with the all-inside suture device.

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

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka-shi, Osaka-fu, 545-8585, Japan.

Purpose: To investigate the prevalence of cyst formation after using all-inside meniscal repair device and analysed the risk factors associated with it.

Methods: Between August 2008 and September 2013, 51 menisci of 46 patients were included in the study, 46 menisci of which had concomitant anterior cruciate ligament (ACL) ruptures and had an ACL reconstruction. Magnetic resonance imaging (MRI) of the knee was performed at 3, 6, 12 and 24 months after meniscal surgery. Read More

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http://link.springer.com/10.1007/s00402-019-03176-w
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http://dx.doi.org/10.1007/s00402-019-03176-wDOI Listing
April 2019
8 Reads

Weakening of the knee ligament complex due to sequential medial release in total knee arthroplasty.

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

Department of Orthopaedic Surgery, Regensburg University Medical Centre, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Germany.

Purpose: The purpose of this study was to investigate the effects of sequential medial release on the stiffness and collateral stability of the ligament complex of the knee. Irrespective of the implantation technique used, varus deformity frequently requires release of the capsular ligament complex. Yet, no data are available on how stiffness and stability of the knee ligament complex are weakened by such release. Read More

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http://dx.doi.org/10.1007/s00402-019-03181-zDOI Listing
April 2019
2 Reads

Skip corpectomy and fusion (SCF) versus anterior controllable antedisplacement and fusion (ACAF): which is better for patients with multilevel cervical OPLL?

Arch Orthop Trauma Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Orthopedic Surgery, Spine Center, Changzheng Hospital, Second Military Medical University, No. 415, Fengyang Road, Shanghai, 200003, People's Republic of China.

Background: The aim of this study was to compare the clinical efficacy and radiological outcomes of skip corpectomy and fusion (SCF) with anterior controllable antedisplacement and fusion (ACAF) for treating multilevel ossification of the posterior longitudinal ligament (OPLL).

Methods: 62 patients with multilevel OPLL who had undergone SCF or ACAF were analyzed retrospectively. Types of OPLL, occupying ratio (OR), Japanese Orthopaedic Association (JOA) score, Recovery Rate (RR), Neck Disability Index (NDI) score, Cobb's angles of C2-C7, operation time, blood loss, hospital stay, ratings for fusion assessment and complications were recorded and assessed. Read More

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http://dx.doi.org/10.1007/s00402-019-03182-yDOI Listing
April 2019
2 Reads

Post-carbon-ion radiotherapy vertebral pathological fractures in upper cervical primary malignant spinal tumors treated by occipito-cervical fusion.

Arch Orthop Trauma Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582, Japan.

Purpose: To describe the characteristic features of post-carbon-ion radiotherapy (CIRT) vertebral pathological fractures (VPFs) in upper cervical primary malignant spinal tumors (PMSTs) treated by occipito-cervical (OC) fusion.

Methods: OC fusion was performed for three consecutive patients with post-CIRT VPFs. The clinical results and imaging findings, including bone single-photon emission computed tomography (SPECT)/CT were prospectively collected. Read More

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http://dx.doi.org/10.1007/s00402-019-03183-xDOI Listing
April 2019
2 Reads

Outcomes in 385 developmental dysplastic hips requiring total hip arthroplasty.

Arch Orthop Trauma Surg 2019 May 2;139(5):723-728. Epub 2019 Apr 2.

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

Background: Patients with developmental dysplasia of the hip (DDH) require special surgical considerations for total hip arthroplasty (THA). Despite the difficulties posed by the population's anatomical abnormalities, few large evaluations of postoperative outcomes exist. This study seeks to characterize outcomes following primary THA among patients diagnosed with DDH. Read More

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http://dx.doi.org/10.1007/s00402-019-03143-5DOI Listing
May 2019
4 Reads

Intraoperative measurement of cup inclination using fluoroscopy requires a correction factor.

Arch Orthop Trauma Surg 2019 Apr 1. Epub 2019 Apr 1.

Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Introduction: Malpositioning of the cup in total hip arthroplasty (THA) is associated with dislocation, early polyethylene wear, and impingement. The direct anterior approach (DAA) THA allows for intraoperative fluoroscopy imaging (IF). The current study investigates the following research hypotheses: (1) intraoperative measurements of radiographic cup inclination (RI) are reliable and reproducible. Read More

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http://dx.doi.org/10.1007/s00402-019-03168-wDOI Listing
April 2019
4 Reads

Pavlik harness and Frejka pillow: compliance affects results of outpatient treatment.

Arch Orthop Trauma Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Orthopaedics and Traumatology, Third Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Prague, Czech Republic.

Purpose Of The Study: Outpatient treatment of hip dysplasia in newborns has excellent results. A combination of general screening with early treatment with a functional abduction device works well. Treatment with the Frejka pillow and the Pavlik harness is frequently used in our region. Read More

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http://link.springer.com/10.1007/s00402-019-03179-7
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http://dx.doi.org/10.1007/s00402-019-03179-7DOI Listing
April 2019
7 Reads

Partial two-stage exchange at the site of periprosthetic hip joint infections.

Arch Orthop Trauma Surg 2019 Mar 29. Epub 2019 Mar 29.

Zentrum für Orthopädie und Unfallchirurgie, Städtisches Klinikum Saarbrücken, Winterberg 1, 66119, Saarbrücken, Germany.

Introduction: In the past 10 years an increasing number of studies about partial two-stage exchange arthroplasty in the management of periprosthetic hip infections have been published. The aim of the present work was to systematically review the current knowledge about this procedure, and critically verify the success as well as the complications of this treatment option.

Materials-methods: A literature search was performed through PubMed until June 2018. Read More

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http://dx.doi.org/10.1007/s00402-019-03180-0DOI Listing

Sagittal profile has a significant impact on the explantability of well-fixed cemented stems in revision knee arthroplasty: a biomechanical comparison study of five established knee implant models.

Arch Orthop Trauma Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Orthopedics, Jena University Hospital, Campus Eisenberg, Klosterlausnitzer Straße 81, 07607, Eisenberg, Germany.

Background: Easy revisability is gaining increasingly in importance. The removal of well-fixed cemented stems is very demanding and is often associated with increased operative morbidity. Implant design may be here a decisive impact factor, and the best way to ascertain it is experimentally. Read More

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http://dx.doi.org/10.1007/s00402-019-03160-4DOI Listing
March 2019
1 Read

Reduced wound leakage in arthroplasty with modified wound closure: a retrospective cohort study.

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

Department of Orthopaedics, Jeroen Bosch Hospital, Henri Dunantstraat 1, 5223 GZ, Hertogenbosch, The Netherlands.

Introduction: Wound leakage has been shown to increase the risk of prosthetic joint infections (PJIs) in primary total hip (THA) and knee arthroplasty (unicondylar and total knee arthroplasty; KA). The aim of this study is to determine whether the addition of a continuous subcuticular bonding stitch to a conventional three-layer closure method reduces the incidence of prolonged wound leakage and PJIs after THA and KA.

Materials And Methods: This retrospective cohort study included all patients receiving a THA or KA. Read More

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http://dx.doi.org/10.1007/s00402-019-03178-8DOI Listing
March 2019
1 Read

Orthopedic trauma surgeon in Sierra Leone: how to keep one's head over water.

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

Universitätsklinik für Orthopädie und Traumatologie, Müllner Hauptstraße 48, Salzburg, 5020, Austria.

Purpose: Developing a guideline for orthopedic trauma surgeons working in civilian trauma hospitals in low-income countries.

Methods: This is a retrospective data analysis in a non-governmental organizational trauma hospital in Sierra Leone, Africa. Trauma victims (282), with 349 fractures, were admitted to the hospital 10/2015-01/2016. Read More

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http://dx.doi.org/10.1007/s00402-019-03171-1DOI Listing
March 2019
6 Reads

Failed periacetabular osteotomy leads to acetabular defects during subsequent total hip arthroplasty.

Arch Orthop Trauma Surg 2019 May 23;139(5):729-734. Epub 2019 Mar 23.

Department of Rehabilitation, Kansai University of Welfare Science, Kashiwara, Japan.

Background: Acetabular wall defects after periacetabular osteotomy (PAO) lead to technical difficulties when performing subsequent total hip arthroplasty (THA). There is no unified consensus regarding the solution for THA socket installation after PAO. In the current study, we performed computed tomography (CT)-based simulation of socket installation and evaluated the acetabular defect following THA after PAO and after primary osteoarthritis (OA). Read More

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http://dx.doi.org/10.1007/s00402-019-03174-yDOI Listing
May 2019
1 Read

Augmentation of plate osteosynthesis for proximal humeral fractures: a systematic review of current biomechanical and clinical studies.

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

Hospital of Trauma Surgery, University of Munich (LMU), Nussbaumstr. 20, 80336, Munich, Germany.

Introduction: Secondary dislocation due to loss of fixation is the most common complication after plate fixation of proximal humeral fractures. A wide range of different techniques for augmentation has been described to improve the primary and secondary stability. Nevertheless, comparative analyses on the specific advantages and limitations are missing. Read More

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http://dx.doi.org/10.1007/s00402-019-03162-2DOI Listing
March 2019
1 Read

Multiple intravenous tranexamic acid doses in total knee arthroplasty without tourniquet: a randomized controlled study.

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

Department of Orthopaedic Surgery, Medical School, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100, Alexandroupolis, Greece.

Background: Tranexamic acid (TXA) is widely used in the orthopedic field and particularly in total knee arthroplasty (TKA). Its efficacy and safety in reducing the blood loss in TKA have been well-documented in the current literature. Little data regarding TKA without tourniquet and TXA exist. Read More

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http://dx.doi.org/10.1007/s00402-019-03173-zDOI Listing
March 2019
1 Read

Incidental identification of vertebral compression fractures in patients over 60 years old using computed tomography scans showing the entire thoraco-lumbar spine.

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

Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Santiago, Chile.

Introduction: Vertebral compression fractures (VCF) are frequently asymptomatic; incidental diagnosis is a valuable opportunity to identify low bone mass and to start treatment. We aimed to determine the proportion of patients over 60 years old evaluated with chest plus abdominal and pelvic computed tomography (CT) scans, allowing visualization of the entire thoraco-lumbar spine, who incidentally present VCF.

Materials And Methods: We evaluated 300 patients over 60 years old who under went chest plus abdominal and pelvic CT scans. Read More

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http://dx.doi.org/10.1007/s00402-019-03177-9DOI Listing
March 2019
3 Reads

The influence of screw length on predicted cut-out failures for proximal humeral fracture fixations predicted by finite element simulations.

Arch Orthop Trauma Surg 2019 Mar 20. Epub 2019 Mar 20.

AO Research Institute Davos, Clavadelerstrasse 8, 7270, Davos, Switzerland.

Background: The aim of this study was to identify the effect of screw length on predictions of fixation failure in three-part proximal humeral fractures using a finite element-based osteosynthesis modelling toolkit.

Methods: A mal-reduced unstable three-part AO/OTA 11-B3.2 fracture with medial comminution was simulated in forty-two digitally processed proximal humeri covering a spectrum of bone densities and fixed with the PHILOS plate using three distal and six proximal locking screws. Read More

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http://dx.doi.org/10.1007/s00402-019-03175-xDOI Listing

RATeS (Re-Admissions in Trauma and Orthopaedic Surgery): a prospective regional service evaluation of complications and readmissions.

Authors:
Alex E Ward

Arch Orthop Trauma Surg 2019 Mar 20. Epub 2019 Mar 20.

South Yorkshire Surgical Research Group (SYSuRG), Sheffield Medical School, South Yorkshire, S10 2RX, UK.

Introduction: All the surgeries carry risks, which may lead to readmission at a later date. At present, there is limited Trauma and Orthopaedic (T&O) specific data in the literature. As a result, a prospective regional service evaluation aimed to discover the current complication and readmission rates across all T&O procedures and identify any factors associated with these outcomes. Read More

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http://dx.doi.org/10.1007/s00402-019-03144-4DOI Listing

A surgical algorithm for the management of recalcitrant distal femur nonunions based on distal femoral bone stock, fracture alignment, medial void, and stability of fixation.

Arch Orthop Trauma Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Orthopaedics and Trauma, Ganga Medical Centre and Hospitals Pvt. Ltd, 313, Mettupalayam Road, Coimbatore, India.

Background: Recalcitrant distal femur nonunions (RDFN) are a challenge in management due to factors including poor bone stock, multiple surgeries, metaphyseal bone loss, and joint contractures. There are no specific guidelines in the management of cases of RDFN. Based on our experience, we devised an algorithm and we present the results of 62 cases of RDFN managed following it. Read More

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http://dx.doi.org/10.1007/s00402-019-03172-0DOI Listing

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

Arch Orthop Trauma Surg 2019 Mar 20. Epub 2019 Mar 20.

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

The shared first authorship of Christian Egloff, MD and Lukas Huber was always planned and correctly acknowledged. Read More

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http://dx.doi.org/10.1007/s00402-019-03169-9DOI Listing

Modular tumor prostheses: are current stem designs suitable for distal femoral reconstruction? A biomechanical implant stability analysis in Sawbones.

Arch Orthop Trauma Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstrasse 33, 35392, Giessen, Germany.

Introduction: High loosening rates after distal femoral replacement may be due to implant design not adapted to specific anatomic and biomechanical conditions.

Materials And Methods: A modular tumor system (MUTARS, Implantcast GmbH) was implanted with either a curved hexagonal or a straight tapered stems in eight Sawbones in two consecutively generated bone defect (10 cm and 20 cm proximal to knee joint level). Implant-bone-interface micromotions were measured to analyze main fixation areas and to characterize the fixation pattern. Read More

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http://link.springer.com/10.1007/s00402-019-03158-y
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http://dx.doi.org/10.1007/s00402-019-03158-yDOI Listing
March 2019
2 Reads

Denosumab treatment for giant-cell tumor of bone: a systematic review of the literature.

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

Musculoskeletal Oncology Division, Department of Orthopedics, Miller School of Medicine, University of Miami, Miami, FL, USA.

Background: Denosumab is a human monoclonal antibody (mAb) that specifically inhibits tumor-associated bone lysis through the RANKL pathway and has been used as neoadjuvant therapy for giant-cell tumor of bone (GCTB) in surgical as well as non-surgical cases. The purpose of this systematic review of the literature, therefore, is to investigate: (1) demographic characteristics of patients affected by GCTBs treated with denosumab and the clinical impact, as well as, possible complications associated with its use (2) oncological outcomes in terms of local recurrence rate (LRR) and development of lung metastasis, and (3) characteristics of its treatment effect in terms of clinical, radiological, and histological response.

Methods: A systematic review of the literature was conducted using PubMed, EMBASE, and COCHRANE search including the following terms and Boolean operators: "Denosumab" AND "primary bone tumor", "denosumab" AND "giant cell tumor", "denosumab" AND "treatment", and finally, "denosumab" AND "giant cell tumor" AND "treatment" since 2000. Read More

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http://dx.doi.org/10.1007/s00402-019-03167-xDOI Listing

Fusion rates for odontoid fractures after treatment by anterior odontoid screw versus posterior C1-C2 arthrodesis: a meta-analysis.

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

Orthopedics Department, Tian Jin 4th Center Hospital, Tianjin, 300000, China.

Objective: For odontoid fractures, surgical treatment approaches including anterior odontoid screw fixation approach and the posterior C1-C2 arthrodesis approach are generally adopted in practice. However, the choice of different surgical procedures remains controversial. In addition to surgical technique, the fusion rate is an important factor contributing to the clinical efficacy. Read More

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http://dx.doi.org/10.1007/s00402-019-03164-0DOI Listing

Staphylococcal resistance profiles in deep infection following primary hip and knee arthroplasty: a study using the NJR dataset.

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

Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.

Introduction: This study aimed to (1) report the rates of resistance against a variety of antibiotics for pure Staphylococcal infections, and (2) examine the impact of ALBC use at primary surgery has on resistance patterns for patients undergoing first-time revision of primary hip and knee arthroplasty for indication of infection.

Materials And Methods: Data from the National Joint Registry database for England and Wales were linked to microbiology data held by Public Health England to identify a consecutive series of 258 primary hip and knee arthroplasties performed between April 2003 and January 2014 that went on to have a revision for Staphylococcal deep periprosthetic infection. Multivariate binary logistic regression was used to study predictors of microorganism resistance to a range of antimicrobials. Read More

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http://link.springer.com/10.1007/s00402-019-03155-1
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http://dx.doi.org/10.1007/s00402-019-03155-1DOI Listing
March 2019
3 Reads

Occurrence of never events after total joint arthroplasty in the United States.

Authors:
Allen J Tsai

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

College of Medicine, Northeast Ohio Medical University College of Medicine, 4209 St. Rt. 44, Rootstown, OH, 44272, USA.

Background: Total joint arthroplasty (TJA) is a major orthopedic procedure associated with substantial morbidity and mortality. Never events (NEs) are harmful hospital-acquired conditions (HACs) that are preventable.

Methods: Information on hospital admissions with TJA was collected from the National Inpatient Sample (NIS) from 2003 to 2012. Read More

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http://link.springer.com/10.1007/s00402-019-03156-0
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http://dx.doi.org/10.1007/s00402-019-03156-0DOI Listing
March 2019
7 Reads

Minimal invasive posterior correction of Lenke 5C idiopathic scoliosis: comparative analysis of minimal invasive vs. open surgery.

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

Department of Orthopedics and Traumatology, Wrocław Medical University, ul. Borowska 213, 50-556, Wrocław, Poland.

Introduction: Surgical management of adolescent idiopathic scoliosis in spite of usually favourable outcomes is still a major operation. Therefore, efforts are being undertaken to minimalize the procedure, reduce the surgical trauma and postoperative convalescence. The study was designed to compare posterior minimal invasive surgery using navigation based on intraoperative 3D imaging and standard open instrumented fusion in Lenke 5C idiopathic scoliosis treatment. Read More

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http://dx.doi.org/10.1007/s00402-019-03166-yDOI Listing

Does the critical shoulder angle decrease after anterior acromioplasty?

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

Clinique du Sport-CCOS, 2 Rue Georges Negrevergne, 33700, Mérignac, France.

Introduction: No clinical studies to date have analyzed the critical shoulder angle (CSA) following anterior acromioplasty. Our study's main objective was to measure the change in the CSA after acromioplasty.

Materials And Methods: Ninety patients were included in this retrospective series. Read More

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http://dx.doi.org/10.1007/s00402-019-03163-1DOI Listing

Surgical fixation of pilon injuries: a comparison of the anterolateral and posterolateral approach.

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

Department of Orthopaedic Surgery, St. Luke's University Health Network, 801 Ostrum Street Bethlehem, Fountain Hill, PA, 18015, USA.

Purpose: This study looks to compare patient outcomes in those with pilon fractures fixed with the anterolateral approach versus those with the posterolateral approach.

Methods: 135 patient charts of those with surgically treated pilon fractures over a 7-year period were retrospectively reviewed, recording demographic information, fracture description, surgical intervention timeline, operative outcomes, patient outcomes, and complication rates.

Results: Of the 44 included patients (32 anterolateral and 12 posterolateral), most were older than 40 years of age (65. Read More

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http://dx.doi.org/10.1007/s00402-019-03145-3DOI Listing

Fifty top-cited classic papers in orthopaedic oncology: a bibliometric analysis.

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

Department of Orthopaedics and Traumatology, Kartal Dr. Lütfi Kırdar Research and Training Hospital, University of Health Sciences, Şemsi Denizer Street, E-5 Highway, Cevizli Region, Kartal, Istanbul, Turkey.

Introduction: Citation analysis has been used to evaluate the impact of papers in medicine. There has been multitude of orthopaedic oncology-related papers in literature, to our knowledge no citation analysis of orthopaedic oncology papers has been performed. We identified the 50 most-cited orthopaedic oncology papers and evaluated these papers in terms of their time of publication, source journals, countries, institutions, authors, and main topics. Read More

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http://dx.doi.org/10.1007/s00402-019-03165-zDOI Listing

Long-term outcome after surgical treatment of intra-articular tibial plateau fractures in skiers.

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

Department of Trauma Surgery, Davos Hospital, Davos, Switzerland.

Introduction: Tibial plateau fractures occur frequently during downhill skiing. There is a lack of information about the outcome and development of posttraumatic osteoarthritis after internal fixation of such fractures at long-term follow-up in skiers.

Materials And Methods: A population of 83 skiers was followed up in a case series after internal fixation of intra-articular tibial plateau fractures AO-OTA 41 B1-B3 and C1-C3. Read More

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http://dx.doi.org/10.1007/s00402-019-03150-6DOI Listing
March 2019
1 Read

Correlation of histological and microbiological findings in septic and aseptic knee implant failure.

Arch Orthop Trauma Surg 2019 May 11;139(5):717-722. Epub 2019 Mar 11.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal and Clinical Laboratory Services, University of Oxford, Nuffield Orthopaedic Centre, OX3 7HE, Oxford, UK.

Introduction: The Musculoskeletal Infection Society (MSIS) has defined specific clinical and laboratory criteria for the diagnosis of periprosthetic joint infection (PJI). In this study we assessed the diagnostic utility of MSIS microbiological and histological criteria for PJI in 138 cases of septic and aseptic knee implant failure.

Materials And Methods: Intra-operative samples from 60 cases of knee septic implant failure (SIF) and 78 cases of aseptic implant failure (AIF), defined on the basis of clinical, laboratory and operative findings/surgical management, were analysed microbiologically and histologically. Read More

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http://dx.doi.org/10.1007/s00402-019-03159-xDOI Listing

Mediolateral coronal laxity does not correlate with knee range of motion after total knee arthroplasty.

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

Niigata University Crisis Management Office, Niigata University Hospital, Niigata University Graduate School of Medical and Dental Sciences, 1 Asahimachi Dori, Niigata, Niigata, 951-8520, Japan.

Introduction: It remains controversial whether coronal laxity after total knee arthroplasty (TKA) is a critical factor in determining clinical outcomes such as knee range of motion (ROM). The purpose of this study was to evaluate the correlation between postoperative ROM and coronal laxity, which was defined as the angular motion from the neutral, unloaded position to the loaded position, in patients with medial knee osteoarthritis undergoing TKA.

Materials And Methods: Preoperative and 1-year postoperative coronal laxity were assessed using radiographs by applying a force of 150 N with an arthrometer. Read More

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http://dx.doi.org/10.1007/s00402-019-03161-3DOI Listing
March 2019
1 Read

Comparison of infection eradication rate of using articulating spacers containing bio-inert materials versus all-cement articulating spacers in revision of infected TKA: a systematic review and meta-analysis.

Arch Orthop Trauma Surg 2019 May 8;139(5):695-707. Epub 2019 Mar 8.

Department of Orthopaedics, Zhujiang Hospital, Southern Medical University, 253 Industrial Avenue, Haizhu, Guangzhou, 510282, Guangdong, China.

Purpose: To assess the infection eradication rate when using two types of articulating spacers (prosthetic articulating spacers and all-cement articulating spacers) in two-stage revision of infected total knee arthroplasty (TKA).

Methods: We comprehensively searched PubMed, Embase, and the Cochrane Library databases and performed a systematic review and meta-analysis of retrospective comparative studies assessing two types of articulating spacers. A quality assessment of the included studies was performed following the STROBE statement. Read More

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http://dx.doi.org/10.1007/s00402-019-03121-xDOI Listing

Decrease surgery time by using an alternative lateral parapatellar approach for tibia shaft fracture nailing.

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

Department of Trauma Surgery, Kantonsspital Graubünden, Loestrasse 170, 7000, Chur, Switzerland.

Introduction: Medial parapatellar or transpatellar ligament approaches are commonly used for nail osteosynthesis in tibia shaft fractures. The lower leg is normally in a hanging position to allow guide wire insertion and reaming of the tibia. However, this position complicates fracture reduction and retention, as well as image intensification throughout the procedure. Read More

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http://dx.doi.org/10.1007/s00402-019-03154-2DOI Listing

Simultaneous vs staged bilateral total knee arthroplasty: a propensity-matched case-control study from nine fast-track centres.

Arch Orthop Trauma Surg 2019 May 6;139(5):709-716. Epub 2019 Mar 6.

The Lundbeck Foundation Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.

Introduction: Limited data exist on patient safety after simultaneous vs staged bilateral total knee arthroplasty (TKA) in matched groups. Hence, the aim of this study was to compare length of stay (LOS), in-hospital complications, 30-day readmissions and mortality after simultaneous and staged bilateral TKA in matched patients.

Patients And Methods: A retrospective case-control study of prospectively collected data in nine centres from February 2010 to November 2015. Read More

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http://dx.doi.org/10.1007/s00402-019-03157-zDOI Listing
May 2019
6 Reads

Clinical outcomes and survival rate of autologous chondrocyte implantation with and without concomitant meniscus allograft transplantation: 10- to 15-year follow-up study.

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

Department of Orthopaedic Surgery, Kyung Hee University Hospital, 23, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, Republic of Korea.

Purpose: The purpose of this study was to compare the clinical outcomes and survival rate of autologous chondrocyte implantation (ACI) with or without concomitant meniscus allograft transplantation (MAT).

Methods: Patients who underwent ACI of the medial or lateral femoral condyle with or without concomitant MAT were retrospectively reviewed. There were 14 patients (mean age, 31. Read More

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http://dx.doi.org/10.1007/s00402-019-03148-0DOI Listing

Synovitis as a concomitant disease in shoulder pathologies.

Arch Orthop Trauma Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Introduction: Shoulder pathologies are often accompanied by rotator interval synovitis. This phenomenon is poorly described in the literature so far. The aim of the study was to analyze the occurrence of macroscopically visible synovial reaction in the rotator interval in patients with chronic shoulder pathologies and to perform a histopathological evaluation. Read More

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http://link.springer.com/10.1007/s00402-019-03152-4
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http://dx.doi.org/10.1007/s00402-019-03152-4DOI Listing
March 2019
5 Reads

Assessments of activities of daily living after arthroscopic SLAP repair with knot-tying versus knotless suture anchors.

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

Department of Sporttraumatology-Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany.

Purpose: The clinical influence of knot-tying or knotless anchor systems for the arthroscopic repair of SLAP lesions (superior labrum lesion from anterior to posterior) remain unclear.

Materials And Methods: In a retrospective cohort analysis, 61 of 78 (78.2%) patients with isolated symptomatic SLAP II lesions were examined with a minimum of 24 months after arthroscopic SLAP repair compared to a control group: 28 patients with knot-tying anchors (group I, G1; 28. Read More

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http://dx.doi.org/10.1007/s00402-019-03151-5DOI Listing
February 2019

Primary versus revision arthroscopically-assisted acromio- and coracoclavicular stabilization of chronic AC-joint instability.

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

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Background: A gracilis tendon autograft with TightRope-augmentation can be used for arthroscopically-assisted acromioclavicular (AC)- and coracoclavicular (CC-)stabilization of chronic bidirectional AC-joint instability after failed primary treatment. The impact of failed initial treatment on postoperative outcome is unclear. Hence, the purpose of this study was to evaluate it. Read More

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http://dx.doi.org/10.1007/s00402-019-03153-3DOI Listing
February 2019
2 Reads

Cement augmentation of the proximal humerus internal locking system in elderly patients: a multicenter randomized controlled trial.

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

Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.

Introduction: Cement augmentation of the proximal humerus internal locking system (PHILOS) screws might reduce complication rates in osteoporotic bones. This study compared the risk of mechanical failure during the first year after PHILOS™ treatment of proximal humerus fractures (PHF) without (control group) and with (augmented group) screw augmentation. Secondary objectives were to report shoulder functions, quality of life (QoL), adverse events (AEs), and reoperation rates. Read More

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http://dx.doi.org/10.1007/s00402-019-03142-6DOI Listing
February 2019
2 Reads

High incidence of early periprosthetic joint infection following total hip arthroplasty with concomitant or previous hardware removal.

Arch Orthop Trauma Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Orthopaedics, Rijnstate Ziekenhuis, Wagnerlaan 55, 6815 AD, Arnhem, The Netherlands.

Introduction: Hardware removal preceding total hip arthroplasty may increase the risk of prosthetic joint infection (PJI). Whether hardware removal and total hip arthroplasty (THA) should be performed in a single- or two-stage procedure remains controversial. In this comparative retrospective study, the incidence of PJI following either single- or two-stage THA with hardware removal was assessed in a consecutive series. Read More

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http://dx.doi.org/10.1007/s00402-019-03149-zDOI Listing
February 2019

The outcomes of total knee arthroplasty in morbidly obese patients: a systematic review of the literature.

Arch Orthop Trauma Surg 2019 Apr 16;139(4):553-560. Epub 2019 Feb 16.

Royal London Hospital, Barts Health NHS Trust, Whitechapel, London, E1 1BB, UK.

Introduction: The increasing prevalence of obesity has led to an increase in total knee arthroplasties (TKAs) being undertaken in patients with a higher body mass index (BMI). TKA in morbidly obese patients can be technically challenging due to numerous anatomical factors and patient co-morbidities. The long-term outcomes in this patient group are unclear. Read More

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http://dx.doi.org/10.1007/s00402-019-03127-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420900PMC
April 2019
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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
7 Reads
1.310 Impact Factor

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
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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
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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 Apr 13;139(4):561-567. 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
April 2019
3 Reads