Background: Postoperative immobilization protocols following surgical fixation of Galeazzi fracture-dislocations (GFD) in adults remain unresolved. This study aimed to compare outcomes of two different immobilization durations (two weeks versus four weeks) in terms of functional outcomes and complications.
Methods: Participants were prospectively and randomly enrolled in two-week versus four-week immobilization after plate fixation of GFD when the distal radioulnar joint (DRUJ) was reducible and stable postoperatively.
There remains a lack of consensus regarding the necessity of implant augmentation or fixation after intralesional curettage in giant cell tumor of bone (GCTB) around the knee. This study assessed whether cementation alone is effective and safe in GCTB with a non-fracture around the knee. We retrospectively examined clinical data from 14 GCTB patients treated from 2012 to 2022.
View Article and Find Full Text PDFOpen tibial plafond fracture with massive bone loss presents a challenge for orthopedic surgeons. Particularly unusual is extrusion of an osteoarticular segment of the distal tibia. Here we present the case of such a patient, who was treated using osteochondral allograft (OCA) and fusion procedures.
View Article and Find Full Text PDFBilateral femoral neck stress fractures are uncommon injuries that are successfully treated with surgical treatment; however, there is a high complication rate, as well as the challenging issue of the joint preserving procedure. This study reports the rare case of simultaneous valgus subtrochanteric osteotomy with a satisfactory outcome. A twenty-year-old male military recruit, with no history of previous hip pain or significant injury, presented with gradually progressive bilateral hip pain for three months after recruitment into military training.
View Article and Find Full Text PDFAsia Pac J Sports Med Arthrosc Rehabil Technol
April 2020
Background: Anterior cruciate ligament (ACL) reconstruction is the mainstay treatment for the symptomatic anterior cruciate ligament insufficiency. Postoperative rehabilitation is the key main factor in successful surgical outcome but, the postoperative pain is a major obstacle to achieve good postoperative rehabilitation. The purpose of this study is to compare the effects of intra-articular morphine (IAMO) with normal saline [control group (C)] for postoperative pain control in the ACL reconstruction knees.
View Article and Find Full Text PDF: The management of multiple injuries is complex. Type and timing of treatment for lower extremity fractures is a controversial subject. Although many studies have demonstrated the safety and effectiveness of early treatment, others have suggested that early definitive stabilization may cause complications, especially with chest and head injuries.
View Article and Find Full Text PDFBackground: Aims of this study included providing a comparison of the measurement of limb-length discrepancy after primary total hip arthroplasty between patient's perception and weight-bearing orthoroentgenographic measurement. A comparison between patient's perception and pelvic radiographic measurement was examined as well.
Methods: This prospective study comprised patients who had already undergone total hip arthroplasty and were receiving postoperative outpatient care between April 2017 and July 2017.
Study Design: Retrospective study.
Objective: To evaluate how each type of sagittal cervical alignment affects the motion of the upper and subaxial cervical spine using kinematic magnetic resonance imaging.
Summary Of Background Data: The sagittal malalignment of the cervical spine from degeneration in the subaxial cervical spine reflects a disruption in the kinematic properties of the cervical spine and affects the motion of adjacent segments.
J Clin Orthop Trauma
November 2016
Nonunion of femoral shaft fracture is an uncommon complication after closed intramedullary nailing which often leading to nail breakage. Removal of the broken femoral nail with closed manner is a challenging procedure for orthopedic surgeons. The removal technique with the T-reamer is a closed method, which does not require either a nonunion site opening or knee exposing.
View Article and Find Full Text PDFObjective: The aim of this study was to determine the risk factors for loss of fixation in pediatric supracondylar humeral fractures.
Material And Method: The data were analyzed regarding assessed loss of fixation in 256 supracondylar fractures from January 2010 to December 2012, all of which were treated by closed or open reduction and Kirschner wire fixation. The confounding factors that were thought to cause loss of reduction were collected.
Objective: To present the institutional experiences of using a new and simple surgical technique to remove well-fixed femoral stem or cement mantle in revision total hip arthroplasty (THA).
Material And Method: A retrospective chart review of patients who had revised total hip arthroplasty by the "railroad technique" between January 2007 and January 2009 at Orthopedics department, Khon Kaen hospital was done. The Railroad (long parallel) osteotomy was performed at proximal femur in patients who had complicated revision femoral stem or had removed cement mantle.
Objective: To examine the incidence rate and extension of non-traumatic asymptomatic osteonecrosis of the contralateral femoral head (ONFH) in high-risk patient groups.
Material And Method: A cross-sectional design was used. We studied patients who visited at Orthopedics department, Khon Kaen hospital between January 2007 and December 2008.