Purpose: The aim of this study is to investigate the influence of patient-specific factors, including age, lifestyle considerations as well as the extent of injury according to the Rockwood classification (RW), on the surgeon's decision-making in the choice between operative and nonoperative treatment for acute, high-grade acromioclavicular (AC) joint dislocations.
Methods: Orthopaedic and trauma surgeons were requested to complete an online questionnaire consisting of closed and open questions regarding the treatment of acute, high-grade AC joint dislocations and 24 fictive clinical scenarios.
Results: A total of 133 answered questionnaires were collected.
Limb threatening arterial occlusion during total hip or knee arthroplasty is an uncommon complication. The authors present two cases of thrombosis of the common femoral artery that occurred following and during total hip arthroplasty respectively. Acute thrombectomy was performed in both patients within 3-4 hours after the diagnosis.
View Article and Find Full Text PDFIn the chain of reattachment of the rotator cuff, links extend from the tendon to the anchor within the bone. Passage of the suture through the tendon is noted at the start of the chain, but as shown before, this is most vulnerable, depending on the quality of the tendon. We present a new technique of suture placement designed to improve tissue grip: "The lasso-loop stitch.
View Article and Find Full Text PDFThe authors conducted a retrospective study on their first 10 patients treated with an anconeus muscle transposition after failed surgery for chronic lateral epicondylitis. All patients had initially been treated conservatively, and subsequently with a classical or percutaneous release of the common extensor origin. The secundary procedure involved wide excision of the common extensor origin, débridement of the lateral epicondyle and rotation of the anconeus muscle into the defect.
View Article and Find Full Text PDF