Stress shielding and thigh pain are not uncommon after cementless total hip arthroplasty (THA) using conventional hip stems. It has been postulated that short, neck-preserving stems may overcome these disadvantages of standard stems and, hence, further improve clinical outcome. The purpose of our retrospective study was to assess the mid-term performance of a neck-preserving hip stem for which, as of yet, no clinical results have been published.
View Article and Find Full Text PDFMusculoskelet Surg
December 2016
Purpose: Ten percentage of all ankle fractures sustain an associated syndesmotic injury. TightRope is a relatively new technique for syndesmosis fixation, characterized by a non-absorbable FibreWire held tight between two cortical metal buttons. The purpose of this study was to evaluate the results obtained with the use of this device.
View Article and Find Full Text PDFThe authors report their experience of treating complex elbow fracture-dislocations in elderly people, using a minimally-invasive approach with a new articulated external fixator that is associated with minimal internal fixation. The clinical results for 19 patients are presented according to outcome factors, such as range of motion, pain and function, rate and type of complications, and reoperation rate. The results indicate that this treatment strategy should be considered as a good alternative to other treatment options reported in the literature, including conservative treatment, ORIF with angular stable plates and total elbow arthroplasty.
View Article and Find Full Text PDFThe incidence of hip fractures continues to rise. This study is the first evaluation of a new intramedullary implant, the Veronail, that provides double axis fixation into the femoral head and allows the surgeon to choose whether to use sliding or fixed locked proximal screw fixation for trochanteric femoral fractures. The fractures were classified according to the AO classification, and function was assessed with the Modified Harris Hip Score.
View Article and Find Full Text PDFPurpose: This study was performed to evaluate the results and complications of percutaneous vertebroplasty (PVP) performed under CT guidance.
Materials And Methods: We treated 106 patients (182 PVP): 67 for osteoporotic vertebral compression fracture, and 39 for osteolytic metastases. The first 78 patients were treated using computed tomography (CT) combined with conventional fluoroscopy as an imaging guide (135 PVP).