European Orthopaedics and Traumatology European Orthopaedics and Traumatology RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Percutaneous versus conventional approach for antegrade femoral nailing, which technique should be the standard one?
Conclusions Many advantages, surgical, cosmetic, functional, and economic, were encountered for the PA. We announced the PA to be the standard approach for antegrade femoral nailing at the authors’ institutes. An international multicenter randomized comparative study is recommended. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - May 24, 2015 Category: Orthopaedics Source Type: research

Severely comminuted proximal femoral fractures: one implant may not solve the problem
Conclusions Sometimes, one implant may not satisfy the surgeon, offer a stable fixation, or solve the patient’s problem. This protected fixation represents a frequent option in revision surgery. But, in primary fixation, it has to be reserved to special types of fractures, with them high failure is suspected. It offers a protected stable fixation that can withstand the stresses. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - May 13, 2015 Category: Orthopaedics Source Type: research

A modified less invasive double first-metatarsal osteotomy for severe hallux valgus
Conclusions The modified double metatarsal osteotomy technique provides a simple, reproducible, and effective alternative for correction of all components of severe HV deformity in a less invasive manner. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - May 3, 2015 Category: Orthopaedics Source Type: research

Aetiology of hyponatraemia after hip fracture
In this study, we report the prevalence and aetiology of hyponatraemia after surgery for hip fracture. We conducted a retrospective analysis of 144 consecutive patients who underwent surgery after sustaining a hip fracture. Data were collected from medical case records, operative notes and electrolyte results. Univariate and logistic regression analysis was conducted in order to identify significant independent risk factors for the development of hyponatraemia. Mild hyponatraemia was relatively common affecting 19 % (28/144) of patients pre-operatively and 28 % (40/144) post-operatively. However, moderate/severe hyponatr...
Source: European Orthopaedics and Traumatology - April 22, 2015 Category: Orthopaedics Source Type: research

Distal radioulnar joint instability: trans-osseous flexible stabilization using nylon tape
Conclusion This simple procedure, requiring no hardware removal, is a direct tether passing within the joint. Being strictly within bone, no soft tissues are violated. It provides immediate stability, maintains forearm rotation and allows restored grip strength and may be considered as a new treatment option. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - April 10, 2015 Category: Orthopaedics Source Type: research

Titanium elastic nailing for noncomminuted femoral fractures in older adolescents and young adults: a prospective comparative study versus interlocking nailing
Conclusion TEN is inferior to IN functionally, close to it biologically, superior to it as to cost, postoperative pain, and surgical time, and can be considered a safe option in this age group. Level of evidence Therapeutic level II. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 27, 2015 Category: Orthopaedics Source Type: research

The role of crossing screws as a mini-invasive treatment for isolated non-comminuted olecranon fractures
Conclusions Percutaneous or mini-open transcortical crossing screws for isolated non-comminuted olecranon fractures offer a cheap, simple, and efficient mini-invasive stable fixation that allows early rehabilitation with excellent results and minimal complications. A comparative study with tension band wiring (TBW) and plating is recommended before standardization of the technique. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 24, 2015 Category: Orthopaedics Source Type: research

Tibial slope and patellar height changes following high tibial osteotomy (a comparative study)
Conclusion HCO technique for osteoarthritic knees associated with varus deformity can give more accurate results for the sagittal limb alignment and this may improve the long term results of the procedure and facilitate future TKR. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 12, 2015 Category: Orthopaedics Source Type: research

Blood transfusion requirements in lower limb arthroplasties might be dramatically reduced if orthopaedic surgeons were concerned about preoperative anaemia
Conclusion Pre-operative anaemia has a clear and determinant impact on post-operative requirements for allogenic red blood cell transfusion in total knee and hip replacement. Treatment of pre-operative anaemia in joint replacements might reduce the allogenic red blood cell transfusion rate. Orthopaedic surgeons should be aware of the pre-operative haematological status of those patients who will undergo for an arthroplasty of the lower limb. The protocol was approved by the ethics committee at Hospital de la Santa Creu i Sant Pau (code: IIBSP-ANE-2011-86). (Source: European Orthopaed...
Source: European Orthopaedics and Traumatology - March 12, 2015 Category: Orthopaedics Source Type: research

Topographic anatomy of the retrocalcaneal space for hind foot endoscopy
Conclusion The measurements obtained from the anatomical dissection and radiological analysis of the retrocalcaneal space could be used to create a radar chart. On this chart the relationship between the different anatomical structures was expressed in millimeters and angles which can be used as a guide during the different hind foot endoscopic surgeries. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 10, 2015 Category: Orthopaedics Source Type: research

Delayed presentation of axillary artery injury in proximal humeral fracture dislocation
Abstract Vascular compromise in association with proximal humeral skeletal trauma is rare. Nonetheless, it has the potential for adverse outcome in the form of limb ischemia and loss. Prompt recognition of the insult may not only prevent a disaster but also salvage an extremity. A palpable radial and ulnar pulse is assumed to suggest a normal vascular status but as this illustrative case report shows is not always true. Delayed presentation of vascular insult is even more difficult to diagnose unless diligently searched for. Once appreciated, a prompt vascular intervention can salvage a difficult situatio...
Source: European Orthopaedics and Traumatology - March 6, 2015 Category: Orthopaedics Source Type: research

Osteoarticular tuberculosis: in search of new biomarkers
Conclusion Local fluid ADA, along with serum ADA, and TNF-α levels can be useful biochemical markers for the diagnosis of osteoarticular TB. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 6, 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 - March 4, 2015 Category: Orthopaedics Source Type: research

Evaluation and results of modified deep fascial endoscopic plantar fasciotomy
Conclusion Deep fascial approach for endoscopic plantar fasciotomy allows good wide field for visualization, resection of calcaneal spur, and decompression of calcaneus. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 4, 2015 Category: Orthopaedics Source Type: research

Is internal fixation using a reversed condylar locking plate useful for treating Vancouver type B1 periprosthetic femoral fractures?
Conclusions We showed that higher number of screws was inserted with reversed LCP-DF without any adverse event. This technique is safe with no inferior clinical outcome to standard locking plate. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - March 1, 2015 Category: Orthopaedics Source Type: research