Minimally invasive open reduction and fixation of avulsed tibial insertion of posterior cruciate ligament
Conclusions The presented minimally invasive posterior knee approach is easy and safe with adequate exposure of PCL avulsion fracture. Fixation technique by pull-out sutures is a reliable method of fixation of this kind of fractures that avoids the complications of metal hardware and subsequent need for removal. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - October 24, 2015 Category: Orthopaedics Source Type: research

Anticoagulation and injurious falls in the elderly: a review
Abstract The proportion of elderly people in the Western population is projected to reach 25 % by 2040. Trauma is the fifth most common cause of mortality in this patient population, predominantly due to traumatic brain injury (TBI). This paper will review the current knowledge relating to fall-related mortality as a result of TBI in elderly patients on oral anticoagulation (OAC). The literature suggests that age is an independent significant determinant of mortality risk, and the use of warfarin is also associated with increased relative risk of TBI-related mortality. However, some studies have reported...
Source: European Orthopaedics and Traumatology - October 23, 2015 Category: Orthopaedics Source Type: research

Bone regenerate complications during lengthening: incidence, predisposing factors, and treatment
Conclusions Infection 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 - October 2, 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
Conclusion The 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 - September 21, 2015 Category: Orthopaedics Source Type: research

Internal fixation of intertrochanteric fractures using the percutaneous compression plate: the event of cutting out and its prediction by the tip-apex-distance
Conclusions In conclusion, all three measurements provide similar results and are suitable to predict the risk of cutting out of the cephalic screws. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 14, 2015 Category: Orthopaedics Source Type: research

The effect of tibial component alignment on periprosthetic bone remodeling after total knee arthroplasty
Conclusion Marked tibial component malalignment more than 15° significantly alters periprosthetic bone remodeling after total knee arthroplasty; however, the effect of this abnormal remodeling on prosthetic survival needs longer follow-up. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 11, 2015 Category: Orthopaedics Source Type: research

Clinical outcome after implant-free ACL reconstruction with hamstring tendon graft
Conclusion This study showed that arthroscopic ACL reconstruction with quadruple hamstring tendon graft using all press-fit technique with bone plugs is a reliable, cost-effective technique with fast bone-to-bone healing, and ease for revision surgery. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 3, 2015 Category: Orthopaedics Source Type: research

Acute unstable acromioclavicular joint injuries: quality of life comparison between patients managed operatively with a coracoclavicular suspension device arthroscopically placed versus patients managed non-operatively
Conclusion Patients with acute unstable ACJ injuries managed operatively with a coracoclavicular suspension device arthroscopically placed have a better quality of life in terms of the physical SF36, DASH, and Constant score, than patients managed non-operatively, 24 months or more after shoulder injury. Although the global satisfaction is not different between groups, the prevalence of scapular dyskinesis is greater in the group of patients managed non-operatively and the scapular dyskinesis is significantly associated to a higher pain. Level of evidence: level III, retrospective c...
Source: European Orthopaedics and Traumatology - September 2, 2015 Category: Orthopaedics Source Type: research

Short oblique tibial shaft fracture combined with anterior cruciate ligament tear and posteromedial plateau fracture
(Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - August 19, 2015 Category: Orthopaedics Source Type: research

A knee-ankle-foot orthosis in treatment of talipes equino varus (TEV) with better patient compliance
Conclusion Our described orthosis provides simple, safe, and effective brace that is also comfortable for the child. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - August 13, 2015 Category: Orthopaedics Source Type: research

Fracture dislocation of the elbow with concomitant fractures of the lateral condyle and medial epicondyle—a case report
Abstract Fractures in combination with elbow dislocations are a common occurrence in the paediatric age group, but concomitant medial and lateral injuries are rare. We have described a fracture dislocation of elbow in a 13 year old with associated medial epicondyle and lateral condyle fractures. The elbow was unstable after closed reduction. Open reduction and internal fixation of both the medial and lateral fractures was required. The patient had made good progress when reviewed at 12 weeks post operatively. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - August 9, 2015 Category: Orthopaedics Source Type: research

A modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Mid-term results and review of the literature
Conclusion The 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 - August 5, 2015 Category: Orthopaedics Source Type: research

Simple articular extension did not affect the excellent results of MIPO in treating distal tibia fractures after 5 years
Conclusions After 5 years follow-up, MIPO was an excellent option for the challenging distal tibia fractures even with simple articular extension. With absence of OA, high percentage of the patients could keep excellent functional results, job, and activity. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - August 1, 2015 Category: Orthopaedics Source Type: research

Blood-pressure changes and outcomes associated with cemented bipolar hemiarthroplasty for displaced femoral-neck fractures
Conclusions Cemented bipolar hemiarthroplasty for displaced femoral-neck fracture in elderly patients leads to hypotension, unchanged arterial oxygen saturation, favorable clinical outcomes, and acceptable stem subsidence. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - July 7, 2015 Category: Orthopaedics Source Type: research

Therapeutic subclassification of type IV capitellum fracture: a new approach
Conclusion Double 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 - July 7, 2015 Category: Orthopaedics Source Type: research