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A modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Mid-term results and review of the literature
ConclusionThe results of the current study were comparable to the results achieved using other minimally invasive techniques while avoiding the serious soft tissue complications encountered with open surgery. Thus, the described technique seems to be an effective and safe alternative for intra-articular calcaneal fracture fixation. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Therapeutic subclassification of type IV capitellum fracture: a new approach
ConclusionDouble arc sign on lateral X-rays of the elbow is important for diagnosis and analysis of type IV capitellar fracture. Fixation with cannulated ordinary screws using extended Kocher ’s lateral approach has given good results. Subclassification with medial screw for type B helped to anatomically reduce and stabilize type B fracture. Thus, the subclassification has a therapeutic value. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Are traumatic hip dislocations of the young and the elderly comparable: review of the literature from a recent case
We present the case of a traumatic hip dislocation in a patient of 81 years secondary to a fall from his height. No fracture occurred. The dislocation was reduced by external maneuvers 3 h after the trauma. At last follow-up of 1 year, the patient developed a secondary hip osteoarthritis despite any articular incongruence. From a review of the literature, we found that epidemiology, pathophysiology, and prognosis of traumatic dislocation of the hip in the elderly may be different than those in young subjects. Hence, we suggest that the two conditions should be separated.Level of evidence: V. Expert opinion. (Source: Eu...
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Dual mobility cup for prevention of early total hip arthroplasty dislocation in patients with neurological disorders
ConclusionThe dual mobility cup is effective in the prevention of early dislocation in patients with muscle weakness due to neurological disorders. Long-term follow-up is needed for the assessment of late dislocation, as well as the rate of loosening in this group of patients. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Bone regenerate complications during lengthening: incidence, predisposing factors, and treatment
ConclusionsInfection of the regenerate site could be anticipated and do take place in cases with severe infection and chronic osteomyelitis that led to bone resorption and bone defects. This could be simultaneously and adequately managed using the Ilizarov frame.Level of evidence: level III (retrospective study). (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Transfer of the posterior tibial tendon to a rerouted anterior tibial tendon and transfer of the flexor digitorum longus to the extensor hallucis longus through four limited incisions in cases of drop foot
ConclusionThe technique is an option for treating cases of drop foot. It avoids the problems of insufficient tendon length and uses limited incisions. The anterior transfer of the FDL to the EHL prevents drop big toe and adds to the dorsiflexion power of the PTT. However, further studies are needed to compare the technique to the conventional PTT transfer techniques. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Editorial
(Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Extraction of well-fixed extended porous-coated cementless stems using a femoral longitudinal split procedure
We present a technique of posterior femoral longitudinal split (FLS) osteotomy. This technique allows the expansion of the metaphyseal–diaphyseal region of the proximal femur facilitating extraction of well-fixed extended porous-coated stems. The extractions were performed using extended transfemoral osteotomy (ETO) and FLS osteotomy between June 2002 and March 2014. The study group, which comprised patients with well-fixed extended porous-coated stems, consisted of two men and ten women with an average age of 63.2 years. The stem was successfully removed using the FLS procedure in 8 of the 10 hips. Reimplantation surge...
Source: European Orthopaedics and Traumatology - December 1, 2015 Category: Orthopaedics Source Type: research

Management of non-united extra-articular proximal tibial fractures by combined intramedullary nail and plate
ConclusionCombined plating over nailing of non-united fractures of the proximal tibial metaphysis allows good stability, early weight bearing, and rapid union. Our good clinical results encourage using this technique in these fractures. It is technically simple and produces effective outcomes. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 30, 2015 Category: Orthopaedics Source Type: research

Anatomic healing of a humeral shaft fracture despite failure of plate fixation —locking plates are a good idea
We present a case of an elderly female patient that describes a rare outcome of bone union in a failed fixation done for a humeral shaft fracture, a situation rarely reported in literature to the best of our knowledge. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 30, 2015 Category: Orthopaedics Source Type: research

Can Khan ’s new method using MRI integrable to detect tibial plateau slope and depth as risk factors for anterior cruciate tear?
Conclusion < /h3 > We conclude that the combined method conducted by Khan et al. (Int Orthop (SICOT) 2011 35(8):1251 –1256) using conventional MRI for measurement of MTPS, LTPS, and MTPD as risk factors for ACL injury is solid and reproducible. Level of evidence: III. Diagnostic study (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 30, 2015 Category: Orthopaedics Source Type: research

Dual mobility cup for prevention of early total hip arthroplasty dislocation in patients with neurological disorders
Conclusion The dual mobility cup is effective in the prevention of early dislocation in patients with muscle weakness due to neurological disorders. Long-term follow-up is needed for the assessment of late dislocation, as well as the rate of loosening in this group of patients. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 21, 2015 Category: Orthopaedics Source Type: research

Are traumatic hip dislocations of the young and the elderly comparable: review of the literature from a recent case
We present the case of a traumatic hip dislocation in a patient of 81 years secondary to a fall from his height. No fracture occurred. The dislocation was reduced by external maneuvers 3 h after the trauma. At last follow-up of 1 year, the patient developed a secondary hip osteoarthritis despite any articular incongruence. From a review of the literature, we found that epidemiology, pathophysiology, and prognosis of traumatic dislocation of the hip in the elderly may be different than those in young subjects. Hence, we suggest that the two conditions should be separated. Level of evidence: V. Expert op...
Source: European Orthopaedics and Traumatology - November 19, 2015 Category: Orthopaedics Source Type: research

Simultaneous posterior fracture-dislocation of the shoulder and bilateral hip fracture secondary to hypocalcemic seizure: case report and literature review
(Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 18, 2015 Category: Orthopaedics Source Type: research

Persistent pain and depression after hip fracture strongly correlate with poor outcomes
Conclusion The presence of pain and depressive symptoms is associated with worsened quality of life and functional outcomes. Multimodal pain and depression treatment might be a promising tool to mitigate it. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - November 4, 2015 Category: Orthopaedics Source Type: research