Journal of Orthopaedics, Trauma and Rehabilitation Journal of Orthopaedics, Trauma and Rehabilitation 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.

Bilateral Charcot hip arthropathy due to tabes dorsalis: A case report: 因脊髓癆而導致雙邊髖關節邊夏柯氏神經骨關節病變 – 病例報告
This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.摘 要本篇文章描述了一位受梅毒感染而未經治療,繼而患有脊髓癆而導致雙邊夏柯氏神經髖關節病變。同樣的病例在現今雖然近乎絕跡,但我們更應對這種病變提高警覺,盡早診斷,以免出現嚴重的後果。 (Source: Journal of Ort...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Os intermetatarseum may not interfere with metatarsus primus varus deformity correction: A case report: 蹠骨不一定妨礙第一蹠骨內翻矯正的病例報告
Publication date: December 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 25Author(s): Daniel Y. WuAbstractIt has been believed that the correction of metatarsus primus varus (MPV) deformity of hallux valgus foot using nonosteotomy procedures would be compromised by the presence of os intermetatarseum (OI). Therefore, no soft tissue procedure has ever been reported for the correction of MPV deformity of hallux valgus foot.This is a case report of a female patient with bilateral hallux valgus deformity and also a large OI of her left foot that was corrected, satisfactorily and simultaneously, with a ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Delayed tibial-platform periprosthetic stress fracture after unicompartmental knee arthroplasty: Uncommon and devastating complication
Publication date: December 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 25Author(s): Yuk-Wah Hung, Jason Chi-Ho Fan, Carson Ka-Bon Kwok, Ellis Lok-Fai Wong, Carman Ka-Man LoAbstractPeriprosthetic fracture around total knee arthroplasty (TKA) is a well-described complication. Yet, report of medial tibial plateau stress fracture after unicompartmental knee arthroplasty (UKA) is limited. One case of delayed stress fracture of medial tibial plateau after UKA, which was salvaged by conversion to TKA was reported. To the best of our knowledge, this is the first report related to Zimmer Unicompartmental ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Changes in rehabilitation outcomes by new guidelines of Hong Kong Hospital Authority in implant choice for femoral neck fractures—Austin Moore versus cemented Exeter hemiarthroplasty
ConclusionThe new guidelines in replacing AMA with cemented Exeter hemiarthroplasty resulted in better patient outcomes.摘要背景香港醫院管理局於2013年以Exeter骨水泥半髖關節置換術代替Austin-Moore非骨水泥半髖關節置換術(AMA)作爲移位髖頸骨折之首選儀器。此論文檢討這個新指引會否改善病者的死亡率、再度使用醫院服務、和復康成果。方法我們回顧性研究於2012-2014年間在一間三級醫院内因髖頸骨折進行半髖關節置換術, 年齢介乎65-84歳的病者。AMA組包括了於2012-2013年間進行的Austin-Moore非骨水泥半髖關...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Decompression and instrumentation without fusion for spinal metastases: Loosening rate and consequences
Conclusion The loosening rate of implants was high, and it is expected to grow even higher as oncological patients continue to improve in their survivorship with the medical advances such as target therapy. Yet there is still no definite evidence on how the implant loosening would affect patients' quality of life and clinical performance. (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 26, 2018 Category: Orthopaedics Source Type: research

Open transcervical fracture of femur resulted from gunshot injury: A  case report
We report a case of open transcervical fracture of right femur resulting from a GSI. The management of GSIs, including the classification of these injuries, corresponding fracture and soft tissue management, the indications of bullet removal and antibiotics use will be discussed. (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 26, 2018 Category: Orthopaedics Source Type: research

The “Sign of Horns” deformity following the Thompson's approach to the proximal radius—A rare case report and literature review
We report to you a case of isolated paralysis of EDC following the Thompson's approach in a 14-year-old boy who recovered completely on the 5th postoperative day. Each of the approaches to the proximal radius poses a risk of damage to the posterior interosseous nerve and its branches because of traction. Damage may occur during exposure or implant insertion. Any surgery around the supinator and the radial tunnel region is dangerous because of complex anatomy, lack of intermuscular planes and varying distribution of the radial nerve. Avoiding excessive posterior or ulnar retraction of the EDC and improper dissection can avo...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Soft tissue release and osteotomies in the treatment of patients with spastic diplegic cerebral palsy
Publication date: June 2018 Source:Journal of Orthopaedics, Trauma and Rehabilitation, Volume 24 Author(s): Bobby Kin-Wah Ng, Wai-Wang Chau, Alec Lik-Hang Hung, Tsz-Ping Lam, Jack Chun-Yiu Cheng We aim to study the outcome of soft tissue releases by tendon elongations and osteotomies in fixed joint contractures by clinical examination and patient self-reported assessment on 20 patients (14 males and 6 females) with spastic diplegic cerebral palsy treated with single-event multilevel surgery (SEMLS) between 2000 and 2012. A questionnaire was used to collect information on problems encountered before and after surgery...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Total Elbow Arthroplasty Gives Good Functional Outcome in Distal Humerus Fracture with Pre-existing Chronic Elbow Dislocation
We present a case of an 86-year-old woman who suffered from acute distal humerus fracture in the presence of chronic elbow deformity from elbow dislocation since childhood at the age of 10 years. This was treated with TEA using Coonrad/Morrey prosthesis with long stem and long flange humerus components and cerclage wiring of humeral condyle. Postoperatively, elbow mobilization was started early within a hinged elbow brace. There was no operative complication. At the last follow-up 22 months after surgery, there was no pain and good elbow motion (20–130° flexion–extension arc, full supination and pronation to neutral...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Open reduction internal fixation versus external fixation with limited internal fixation for displaced comminuted closed pilon fractures: A randomised prospective study
Conclusion Soft tissue integrity and fracture comminution seem to have a significant influence on outcomes of intervention. A prospective multicentre study with a larger sample size that controls for other associated variables and comorbidities is warranted. Level of evidence Level II. (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

The role of orthopaedic surgeons in the management of fractures in cancer patients
Publication date: June 2018 Source:Journal of Orthopaedics, Trauma and Rehabilitation, Volume 24 Author(s): Sheung-Tung Ho (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Reduction by pelvic external fixator followed by innominate and derotational femoral osteotomies for late presenting bilateral developmental dysplasia of the hip
Conclusion The midterm overall results are favorable for application of this technique. (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Effect of topical tranexamic acid on reducing blood loss in primary total knee arthroplasty in Southern Chinese population
The objective of this study was to evaluate the efficacy of topical tranexamic acid (TA) on the postoperative blood loss and transfusion rate after primary total knee arthroplasty (TKA). Two hundred ninety-six patients (n = 296) undergoing TKA in Pok Oi Hospital were included in this study from July 2015 to September 2016. The topical TA group (n =154) showed a significant reduction in haemoglobin drop (2.76 g/dL vs. 3.62 g/dL, p < 0.001), haematocrit drop (0.0876 vs. 0.112, p < 0.001), transfusion rate (3.2% vs. 23.9%, p < 0.001), drain output (199 mL vs. 276 mL, p < 0.001) and len...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Biological reconstruction of varus deformity in primary total knee replacement using bone graft and description of a new technique
We describe a new technique for correcting large tibial defect by using bone graft, where the uncontained defects were converted to contained defects using bone graft and the contained defect was impacted with cancellous bone. Between 2006 and 2010, 48 cases of primary total knee arthroplasty were reconstructed using autologous bone graft. Of 48 cases, five cases had large tibial defect and were treated with the new technique. Collapse was seen in one knee at 5 months postoperative. The rest of the patients showed improvement in total knee score and limb alignment. We now use this technique to treat large tibial defect du...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research

Outcome of Haemodynamically Unstable Open Pelvic Fracture Patients Managed With “3-in-1” Pelvic Damage Control Protocol in a Major Trauma Centre
Conclusion Our hospital’s “3-in-1” pelvic damage control protocol improves the survival rate of patients suffering from haemodynamically unstable open fracture, including open fracture. External fixation of pelvis, retroperitoneal packing and emergency angiography with embolization play important and inseparable roles in management of these critical patients. Adequate wound lavage, timely urinary and faecal diversion will improve the overall morbidity and survival further. (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - June 14, 2018 Category: Orthopaedics Source Type: research