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Functional outcome after proximal humerus fracture fixation : understanding the risk factors.
Authors: Christiano A, Pean P, Konda S, Egol ZK Abstract The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data registry. Patients were evaluated for function using the Disability of the Arm, Shoulder and Hand score for 12 months and as available beyond 12 months. Univariate analyses were conducted to identify variables associated with functional outcome. Significant variables were included in a multivariate regression p...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Epidemiology of scapular fractures.
Authors: Tuček M, Chochola A, Klika D, Bartoníček J Abstract The aim of the study has been to acquire basic epidemiological data based on a representative group of patients with scapular fractures treated in one centre. The study analyses group of 250 patients. Diagnostics was based on CT examinations, in 227 cases with 3D reconstructions, in 97 cases compared with operative findings. Fractures were classified according to the modified anatomical classification of Tscherne and Christ. The analysed groups of patients include only the fracture lines whose existence has been verified by 3D CT reconstructions ...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Outcomes of open reduction and internal fixation in displaced intra-articular scapular fractures : a case series.
Authors: Zahid M, Rashid EH, Inam H, Zubairi AJ, Baloch N, Hashmi PM Abstract Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usually require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open reduction and internal fixation. 12 patients were retrospectively reviewed and included in the study. Post-operative functional outcomes were assessed using mean quick DASH (Disability of arm, hand and shou...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

An analysis of the course of carpal tunnel syndrome before operation.
Authors: Puchalski P, Zyluk A, Zyluk-Gadowska P Abstract This work reports the results of an analysis into the course of carpal tunnel syndrome before operation in 479 patients, predominantly women, aged a mean of 58 years, who were scheduled for carpal tunnel operation. The patients were asked to characterise in detail the course of the disease and what determined the decision to undergo surgery. RESULTS: We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced th...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Eaton and Littler Ligament Reconstruction for the Painful first Carpometacarpal Joint : Patient satisfaction.
Authors: Schoenaers M, Degreef I, De Smet L Abstract The ligamentous reconstruction according to Eaton and Littler (7) was designed to restore the stability of the carpometacarpal joint of the thumb. We evaluated the patients' satisfaction after an Eaton and Littler-procedure as well as possible risk factors in the development of thumb basal joint instability. A retrospective chart review and clinical assessment or telephone survey are executed in 33 patients, with a mean follow-up of 7 years. Only 45% of the patients were satisfied. Within the group of clinical assessed patients, there were significant differences...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Could the orthopaedic surgeon deployed in austere setting perform flaps on the leg?
In conclusion, an orthopaedic surgeon deployed in austere setting with significant good outcome can perform reconstructive surgery with legs' flaps. PMID: 29322892 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Long term self esteem assessment after height increase by lengthening and then nailing.
Authors: Emara K, Al Kersh MA, Emara AK Abstract The purpose of the study is to assess the long term psychosocial functioning after height increase, using the external fixation then nailing method. Rosenberg Self-esteem scale and a questionnaire to assess social functioning were completed by 28 patients both preoperatively and at a mean follow-up of 7 years. The mean total score of RSE self-esteem for the 28 patients before lengthening was 21.5 (SD 1.03) (20-24). The mean total score of RSE for the patients 1 year after lengthening was 22 (SD 1.17) (20-24) with highly significant difference (p = 0.002).The mean tot...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Patient restrictions following total hip arthroplasty: A national survey.
Authors: Peters A, Veldhuijzen AJH, Tijink M, Poolman RW, Huis In 't Veld RMHA Abstract In this prospective nation-wide web based survey we describe the current practice regarding patient restrictions following total hip arthroplasty. A web-based survey involving 20 items was developed and tested prior to administration. The questionnaire included general information, type of restrictions, specification and duration of restrictions. The target population consisted of all orthopaedic surgeons registered with the Dutch Orthopaedic Association working at one of the 94 orthopaedic departments in the Netherlands. The re...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Union rates and midterm results after Extended Trochanteric Osteotomy in Revision Hip Arthroplasty. Useful and safe technique.
Authors: Wronka KS, Cnudde PHJ Abstract Aim of this study was to evaluate the outcome fol-lowing extended trochanteric osteotomy in series of single surgeon, with emphasis on complications and union of osteotomy. Retrospective Case Series of all patients who had revision total hip replacement surgery performed by senior author between 2003 and 2012, with follow up between 1 and 10 years. 108 cases of revision hip arthroplasty with use of Extended Trochanteric Osteotomy were evaluated. In 101 cases solid bony union was achieved. In 7 cases where the bony union was not established, an asymptomatic and stable position...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Influence of varus/valgus positioning of the Nanos ® and Metha® short-stemmed prostheses on stress shielding of metaphyseal bone.
In conclusion, there was no clinically-relevant influence on proximal femur BMD according to varus/valgus implantation of the Nanos® or Metha® prostheses. PMID: 29322896 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Survival of the Birmingham hip resurfacing in young men up to 13 years post-operatively.
In conclusion, this independent, single surgeon series demonstrates acceptable survival of the Birmingham Hip resurfacing in young men. It remains a valid option in certain cases but we believe alternative bearings are more suitable for most patients. PMID: 29322897 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The complications after open hip dislocation in hip surgery.
In conclusion, the absence of major complications after open hip dislocation does not make it absolutely safe. Open hip dislocations can only be indicated when trochanteric complications are considered. The patients need to be well informed on potential issues and risks. PMID: 29322898 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Is the pelvis stable during supine total hip arthroplasty?
Authors: Shah SM, Walter WL, Ngo J Abstract Intra- operative changes in pelvic position during total hip arthroplasty (THA) can affect acetabular orientation. We evaluated these changes during supine THA using a proprietary mobile application called PelvicTracker. Twenty- two patients undergoing THA using direct anterior approach were included in the study. In the sagittal plane, the pelvis was extended (anterior tilt) as compared to the start of surgery in 19/ 22 hips at the time of cup implantation (mean extension: 3.1°; range: 1°-6°). In the transverse plane, the pelvis was rolled to the opposite sid...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Surgical technique description : Transosseous 'over the top' reconstruction of capsule and tendons in primary total hip arthroplasty using a posterior approach.
In this study, we present a highly reliable and anatomical reconstruction, based on the biomechanical findings of a previous cadaveric experiment. The posterior soft tissues were repaired in 2 layers. First a reattachment of the posterior orbicular ligament is performed at the anterior capsule. Subsequently a transosseous 'over the top' reinsertion of both capsule and tendons is performed close to there anatomical insertion. We prospectively collected data of 408 THAs from January 2004 until December 2013, through a posterior approach and with a capsule and tendon reconstruction based on a previous cadaveric study. There w...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates.
Authors: Uvarovas V, Petryla G, Porvaneckas N, Kocius M PMID: 29322901 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Difficult to treat osteoarticulars infections  : Focus on Mycobacterial and Fungal infection.
Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infection. Acta Orthop Belg. 2017 Mar;83(1):110-123 Authors: Yombi JC, Seyler L, Cornu O, Barbier O, Libouton X, Rodriguez-Villalobos H, Thienpont E Abstract Bone and joint infections are rare but often devastating. While bacteria are most commonly encountered organisms, mycobacteria and fungi are less frequent. Management of the latter is often more complex, especially in the presence of foreign material. We will increasingly be faced with mycobacterial and fungal bone infections, as medical conditions and newer the...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Modular bicompartmental knee arthroplasty : Indications, technique, prosthetic design, and results.
Authors: Kanna R Abstract The shifting demographics of patients with localized knee arthritis, including younger, more active patients, is a chief motivation for mounting interest in tissue preserving surgical substitutes for total knee arthroplasty (TKA). Unlinked, modular bi-compartmental knee arthroplasty (MBKA) is an emerging knee-resurfacing approach that provides a conservative alternative to TKA. Arthritis involving both patellofemoral and either medial or lateral tibiofemoral compartments, with no significant deformity or bone deficiency, preserved motion, and intact cruciate ligaments, can be effectively m...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Pre-discharge postoperative radiographs after primary total knee replacement : tradition or science?
Authors: Sambandam SN, Khanna V, Rohinikumar G, Mounasamy V Abstract Consistent evidence exists on the inutility of immediate postoperative radiographs after a total knee replacement (TKR). We hypothesized that eliminating the pre-discharge film would not have any effect on the postoperative patient outcomes. Retrospective analysis of prospectively collected data was performed on 220 knees. Patients undergoing a simple primary TKR operated by 2 surgeons (Surgeon A and B) from January 2013 to July 2015 were divided into 2 groups (Groups 1 and 2 having 112 and 108 knees respectively). While Surgeon A routinely asked ...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Distal femoral medial closing wedge osteotomy for degenerative valgus knee  : mid-term results in active patients.
Distal femoral medial closing wedge osteotomy for degenerative valgus knee : mid-term results in active patients. Acta Orthop Belg. 2017 Mar;83(1):140-145 Authors: Buda R, Castagnini F, Gorgolini G, Baldassarri M, Vannini F Abstract Distal femoral medial closing wedge osteotomy (DFMCWO) may be a valuable treatment for arthritic valgus knees in young and active adults, with the possible aim of procrastinating knee replacement. 32 valgus knees (mean age : 41.4±11.2) treated with DFMCWO were retrospectively reviewed. All the knees had a lateral compartment osteoarthritis graded I-II-III accordi...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

"Turn laterally to the left!". The need for uniform C-arm communication terminology during orthopaedic trauma surgery.
"Turn laterally to the left!". The need for uniform C-arm communication terminology during orthopaedic trauma surgery. Acta Orthop Belg. 2017 Mar;83(1):146-152 Authors: De Muinck Keizer RJ, Klei DS, Van Koperen PJ, Van Dijk CN, Goslings JC Abstract To avoid disturbed teamwork, unnecessary radiation exposure, and procedural delays, we designed and tested a uniform communication language for use in fluoroscopy-assisted surgical procedures. Input of surgeons and radiographers was used to create a set of commands. The potential benefit of this terminology was explored in an experimental setting. ...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Prevalence of Bilateral Involvement in Patients with Discoid Lateral Meniscus : a Systematic Literature Review.
Authors: Liu WX, Zhao JZ, Huangfu XQ, He YH, Yang XG Abstract We assessed the prevalence of bilateral discoid lateral meniscus (BDLM), as well as its subtypes, among patients with symptomatic DLM. Medline, Cochrane, EMBASE, and Google Scholar were searched until September 18, 2015. All studies evaluating patients with BDLM who underwent MRI, macroscopic observation, and/or arthroscopy for the diagnosis of discoid meniscus/menisci were included. Eight clinical studies with a total of 583 DLM patients examined including 103 cadavers. There was a male predominance and average age of BDLM patients ranged from 10.4 to 3...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Operative versus Non operative treatment of displaced intraarticular fracture of calcaneum: a meta-analysis of randomized controlled trials.
The objective of this meta-analysis was to compare the efficacy and safety of open reduction and internal fixation (ORIF) vis-a-vis conservative management. Relevant randomized controlled trials (RCTs) comparing operative and non-operative intervention for displaced intraarticular calcaneal fractures were assessed and included in this meta-analysis. Data was extracted independently and methodological quality was further assessed. The inclusion criteria of this meta-analysis were: randomized controlled trials comparing operative with non-operative intervention for displaced intra-articular fractures of calcaneum and reporti...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Flexible memory-alloy instrumentation for unilateral transpedicular kyphoplasty and guided cement augmentation of the thoracic spine.
Authors: Vastardis GA, Hadjipavlou AG, Marjan AE, Stojanovic MA, Dial B, Kazakos KI Abstract The purpose of this novel study was to investigate the feasibility of unilateral transpedicular balloon kyphoplasty particularly of the upper thoracic vertebrae using an 11- gauge balloon and cement inserter, and to study the morphological parameters of the thoracic spine pedicles. We used four fresh frozen cadaveric thoracic spines with intact rib cages and skin for kyphoplasty from T1 to T12 vertebrae under C-arm fluoroscopy. The most limiting width of the pedicles 2.46+/-0.32mm was in the middle levels (T5-T8). The absol...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Comparison of lumbar pedicular dynamic stabilisation systems versus fusion for the treatment of lumbar degenerative disc disease: A meta-analysis.
This study aimed to systematically compare the safety, effectiveness and radiological changes after lumbar pedicular dynamic stabilisation systems and fusion to treat lumbar degenerative disc disease . All studies that were performed to compare various lumbar pedicular dynamic stabilisation systems with any lumbar fusion to treat lumbar degenerative disc disease and were published until April 30, 2015 were acquired through a comprehensive search in various databases. A meta-analysis was performed after the methodological qualities of trials were assessed and after data were extracted. Sixteen trials with 881 patients with ...
Source: Acta Orthopaedica Belgica - January 13, 2018 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

A meta-analysis of external fixation and flexible intramedullary nails for femoral fractures in children.
Authors: Zhang YT, Jin D, Niu J, Li ZJ, Fu S, Zou ZL Abstract Background : The purpose of this meta-analysis was to compare the outcomes of external fixation and flexible intramedullary nails for femoral fractures in children between 5 and 15 years of age based on the current evidence. Materials and methods: We searched relevent studies in the following database: Cochrane library, PubMed and EMABASE up to May 2014. All randomized controlled trials, Clinical controlled trials and retrospective controlled studies comparing external fixation and flexible intramedullary nails in femoral fractures of children were...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Multidisciplinary approach to osteosarcoma.
Authors: Biazzo A, De Paolis M Abstract Osteosarcoma is a malignant bone tumor composed of mesenchymal cells producing osteoid and immature bone. Osteosarcoma is the most frequent primary malignant bone tumor, if we excluded myeloma, a haematologic disease. The incidence of osteosarcoma is 2-3/million/year, but is higher in adolescence, in which the annual incidence peaks at 8-11/million/year at 15-19 years of age. Local pain, followed by localized swelling and limitation of joint movement, are the typical signs and symptoms. Correct diagnosis can be achieved through a correct approach to the disease and the combin...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Displaced distal end radius fractures in children treated with Kirschner wires - A systematic review.
Authors: Khandekar S, Tolessa E, Jones S Abstract The indications for Kirschner wiring, the technique of wiring, type of cast immobilization, period of immobilization and complications of K wires are unclear. We conducted a systematic review of the literature on Kirschner wiring of distal radius fractures in children. A total of 4263 articles were identified. The full text of the remaining 78 articles was reviewed. 64 articles were finally excluded because of incomplete data leaving 14 for analysis. Complete fracture displacement and translation more than 50% are the commonest indications for Kirschner wiring of th...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Triple pelvic osteotomy for the treatment of symptomatic acetabular dysplasia in adolescents and adults : A review of 42 hips.
Authors: Baki ME, Abdioğlu A, Aydın H, Kerimoğlu S, Bak C Abstract We treated 42 hips with symptomatic acetabular dysplasia using triple pelvic osteotomy. The mean age of the patients was 20.7 years (12-47). The median follow-up was 50.3 months. The average Harris hip score improved from 74 to 92 points. Significant improvement from the preoperative to the latest follow-up evaluation was seen radiologically with reference to the center-edge angle, the anterior center-edge angle, the acetabular index and the femoral head extrusion index. Shenton's line was intact in 9 hips before the opera...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Difference between Spinecor brace and Thoracolumbosacral orthosis for deformity correction and quality of life in adolescent idiopathic scoliosis.
The objective of this study is to compare the results of SpineCor brace and thoracolumbosacral orthosis (TLSO) for treatment of adolescent idiopathic scoliosis radiologically and clinically. Sixty-four patients with adolescent idiopathic scoliosis treated with brace included in this study. Height, T1-Coccygx distance, and gibbosity were measured. Rib hump deformity was evaluated with a scoliometer. An SRS-22 questionnaire was used to determine the quality of life of patients after the first year of brace treatment. Differences in Cobb angles and gibbosity were insignificant for both groups. SRS-22 questionnaire results sho...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The effect of distraction-based growth-friendly spinal instrumentation on growth in early-onset scoliosis.
Authors: Balioğlu MB, Atici Y, Albayrak A, Kargin D, Akman YE, Kaygusuz MA Abstract The present study assessed the advantages and disadvantages of growth-friendly spinal instrumentation surgery for early-onset scoliosis in 17 patients who underwent this surgery with a minimum 2-year follow-up. The mean number of lengthening procedures was three, initial age at which surgery was performed was 108.1 ± 30.2 months, and follow-up duration was 40.6 ± 16.6 months. Spinal height (T1-S1 and T1-T12), lung space available, major Cobb angle for scoliosis, maximum thoracic kyphosis, lumbar lo...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Treatment outcome in 60 children with pathological fractures of the humerus caused by juvenile or aneurysmal bone cysts.
This study evaluates how day by day treatment concepts fulfil these aims. Children below 15 years of age with a pathological fracture of the humerus caused by a JBC or ABC between 01.01.2001 and 31.12.2010, were investigated by chart review in four major paediatric trauma centres. Age, gender, fracture localisation, X-ray findings, treatment and outcome - assessed by the Capanna classification (I to IV), were analysed. 60 children [41male, 19 female; mean age: 9 years (4-14 years)] with 43 JBC and 12 ABC were included as well as five cysts, who could not be classified definitively. First treatment was non-operatively in 33...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Fusion-segment of high-grade Lumbar Spondylolisthesis: 2-year follow-up.
In conclusion, we suggest that, in case of spondylolisthesis without severe structural scoliosis deformity or only associated with lumbosacral deformity, the posterior ligament complex should be protected in case of adjacent segmental instability and spondylolisthesis. If the spondylolisthesis is complicated with severe structural scoliosis deformity (Cobb ≥ 70°), in principle, the treatment should be performed according to the characteristics of the two diseases respectively. PMID: 29182113 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Assessment of the Medial Longitudinal Arch in children with Flexible Pes Planus by Plantar Pressure Mapping.
Authors: Elmoatasem EM, Eid MA Abstract INTRODUCTION: Plantar Pressure mapping was introduced as a new modality for assessment of the height of the medial longitudinal arch of the foot. Therefore, the aim of this study is to correlate the plantar pressure mapping readings of arch index contact force ratio (AICFR) in children with flexible pes planus with radiographic measurements and static plantar footprints in order to determine the reliability of pressure mapping as a modality for the assessment and follow up of the flat foot deformity. PATIENTS AND METHODS: Radiographic measurements, foot prints, and pressu...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Management of adolescent tibia vara using Taylor spatial frame.
CONCLUSION: Although we have not directly compared the TSF with the Ilizarov fixator, this series serves to highlight the versatility and effectiveness of the TSF in the treatment of complex and often obstinate adolescent tibia vara. PMID: 29182115 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Surgical treatment for developmental dysplasia of the hip- a single surgeon series of 47 hips with a 7 year mean follow up).
We describe the clinical and radiological outcomes of  47 hips in 43 children treated with open surgery by one surgeon between 2004 and 2008 for DDH. The mean age at operation was 25 months (5 to 113) with a mean follow up of  89 months  (22 to 169). At the latest follow up 40 of the 45 hips where Severin grades were recordable (89%) were graded as excellent or good, Severin class I or II. Clinically significant AVN (grade II to III  according to the Kalamchi and MacEwen classification) was seen in 6  (13%) of the hips. We found a pelvic osteotomy to be a risk fac...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Osteochondral fractures of the knee in skeletally immature patients: short term results of operative fixation using Omnitech screws.
CONCLUSION: The use of Omnitech screws in the acute setting for skeletally immature patients shows excellent short-term outcomes. PMID: 29182117 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Aneurysmal bone cystic lesions: value of genomic studies.
We report two cases of ABC lesions in which imbalanced genomic aberrations were detected at initial presentation and showed complex clonal evolution. These demonstrative observations strengthen the guidelines regarding the diagnostic approach when an ABC is suggested by imaging. Biopsy is mandatory including genomic analysis. When a primary ABC is not clearly proven by the initial biopsy, an extensive curettage should be performed, with pathological examination of all removed tissue in order to exclude a secondary ABC. It also illustrates the added value of genomic analyses in the setting of an ABC lesion: complex clonal a...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

IA comparison of two minimally invasive procedures for intra-articular displaced calcaneal fractures in older children.
Authors: Lu D, Zhu SY, Yang J, Chen H, Sun LJ Abstract The purpose of this study was to compare the clinical outcomes of displaced intra-articular calcaneal fractures in older children treated with poking reduction and cannulated screws fixation or with plate fixation using a sinus tarsi approach. From June 2008 to May 2012, fifty patients were randomised to operative stabilisation either by poking reduction and cannulated screws fixation (Group A, 28) or by plates fixation using a sinus tarsi approach (Group B, 22). The two groups were comparable with respect to age, gender, BMI, the affected side, cause of injury...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Risk factors for additional surgery after closed reduction of hip developmental dislocation.
CONCLUSION: this study confirmed delayed diagnosis of hip dislocation leads to a more extensive treatment with poorer issue. PMID: 29182120 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Primary epiphyseal and metaepiphyseal tubercular osteomyelitis in children A series of 8 case.
CONCLUSIONS: Primary epiphyseal and metaepiphyseal tuberculosis was relatively uncommon. The clinical outcome was good following curettage and multidrug antitubercular therapy. The epiphyseal and metaphyseal lucencies persisted for several months even after successful treatment. The diffuse variety lead to premature physeal closure. Limb length lengthening was common sequelae of tuberculosis of knee region. PMID: 29182121 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Complications associated with bone lengthening of the lower limb by callotasis.
Authors: Castelein S, Docquier PL Abstract The present study aims to assess the incidence of complications related to bone lengthening procedures and to identify factors that may predict these complications. We retrospectively studied 51 lengthening procedures in 39 patients (mean age 13 years) from 2001 to 2015. A circular external fixator was used in 37 procedures and a monolateral fixator in 14 procedures. Duration of distraction, fixator's time, days of treatment, lengthening percentage, bone healing index, distraction regenerate length, distraction index, risk factors and complications were evaluated. The mean...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Angular deformity development after the distal tibial physeal fractures.
Authors: Özkul B, Saygılı MS, Çetinkaya E, Arslanoğlu F, Bayhan IA, Demir B, Tekin AC Abstract Several clinical and radiological factors can be prognostic in the development of angular deformity following physeal injuries of the distal tibia. One of the radiological parameters, premature physeal closure (PPC), can be detected during postoperative follow-ups. Aim of our study was to identify the prognostic factors in development of angular deformity and its relationship with PPC. One hundred and four patients treated due to physeal injuries of the distal tibia were ...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Hip preservation surgery for adolescents and young adults with Post-Perthes Sequelae.
CONCLUSION: Elimination of narrow arc of pathologic loading due to impingement is the main advantage of the proposed surgical technique. Other advantages include increased abductor lever arm and restoration of hip joint range of motion with normalization of the loading conditions, and hence future development of degenerative arthritis and the anticipated need for a future joint replacement surgery could be prevented or delayed. Femoral head vascularity is well maintained with the proven safety of the presented surgical approach. PMID: 29182124 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

A comparison of ketamine sedation and general anaesthesia for manipulation of paediatric forearm fractures.
Authors: Jordan RW, Aquilina A, Westacott DJ, Cooke S Abstract The purpose of the study was to compare the use of ketamine sedation and general anaesthesia for manipulation of paediatric wrist and forearm fractures. A retrospective analysis was performed of patients under 16 years treated at our centre between October 2014 and October 2015. Exclusion criteria were open fractures and fractures with complete displacement. Outcomes measured were fracture reduction, the quality of the cast, fracture redisplacement, further surgical intervention and use of theatre time. 66 children were manipulated over the study period...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Lower limb equalization with percutaneus epiphysiodesis of the knee joint area.
CONCLUSIONS: Percutaneous epiphysiodesis is a simple method of the LLD correction, with a low rate of complications and applicable in cases of late LDD diagnosis. PMID: 29182127 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Management of birth-associated subtrochanteric femur fractures.
Authors: Frik S Abstract In daily clinical practice most orthopedic surgeons suffer from doubt about treatment of rare injuries. The aim of this study is to enlighten the management of birth related femoral subtrochanteric fractures of neonates. Four birth-related femoral subtrochanteric fractures of neonates were treated and followed up. Difficult caesarian breech delivery seems to be a risk factor. All patients were treated with Pavlik harness and union was achieved by the fourth week. None of the patients suffer any angulation or limb length discrepancy. Adequate management of this type of fractures lead to good...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Anatomical and functional evaluation of diaphyseal femoral fractures in children under 6 years old.
Conclusion : The treatment by initial traction followed by a cast for childrens ≤ 6 years old gives clinical and radiological results comparable with those reported for immediate casting method. The hospitalization period is longer in the traction method but with less exposure to general anesthesia (GA) and risks of secondary displacements. PMID: 29182129 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Correlation of Pirani score and Foot bimalleolar angle in the treatment of idiopathic congenital talipes equino varus by Ponseti method in infants.
Authors: Anshuman R, Singh M, Jain BK, Verma N, Arora R Abstract AIM: Correlation of Pirani score and Foot bimalleolar (FBM) angle in the treatment of idiopathic congenital talipes equino varus (CTEV) by Ponseti method in infants. MATERIAL AND METHODS: 35 feet with idiopathic CTEV deformity
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Lateral pinning versus others procedures in the treatment of supracondylar humerus fractures in children.
Authors: Begovic N, Paunovic Z, Djuraskovic Z, Lazovic L, Mijovic T, Babic S Abstract We compared results of lateral pinning procedure with crossed pinning, closed reduction, and open reduction in a retrospective review of 184 patients with displaced supracondylar humeral fractures. All patients had a minimum of 2 years follow-up (range 36-90 months). Patients were separated into 4 groups. Success was estimated by Flynn's criteria. We compared success of the lateral pinning to others procedures. Incidence of nerve palsy was recorded and compared. Esthetic effect of lateral pinning is significantly better than close...
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Prevention of re-fractures of both bones of the forearm in children.
CONCLUSIONS: Both the wearing of a protective brace and absence of sport for 6 months may decrease the re-fracture rate to 0%, if the patient is compliant by wearing it and by ceasing all physical activities. PMID: 29182132 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - December 1, 2017 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research