Long-term results of total knee arthroplasty after failed high tibial osteotomy
AbstractPurposeSometimes, total knee replacement (TKR) is performed after a tibial osteotomy. It is not known if the osteotomy influences the clinical process of a TKR. The aim of this study was to look at the clinical outcome of a TKR after high tibial osteotomy (HTO) compared to a TKR with no HTO.MethodsBetween 1995 and 2005, 41 post-HTO TKRs (group A) with a minimum follow-up of ten years were selected. In parallel, it was selected a control group undergoing simple TKR, consisting of 41 patients (group B) matched with group A. The Knee Society Knee Score (KS), Knee Score Functional Score (FS), the Oxford Knee Score (OKS...
Source: International Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Risk factor analysis for re-collapse of cemented vertebrae after percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP)
This study aimed to make a retrospective review on patients with osteoporotic vertebral compression fracture (OVCF) after percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) and  to further analyse the risk factors for treated vertebral refracture.MethodsAll patients receiving the PKP/PVP with bilateral approach were retrospectively reviewed from January 2014 to January 2016, among whom 230 patients with single level augmentation (30 in refracture group and 200 in the non-refracture group) were enrolled according to inclusion criteria. The following covariates were reviewed: gender, age, height, weight...
Source: International Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Bibliometric study of the orthopaedic publications from China
ConclusionThe Chinese orthopaedic research grew rapidly in terms of number of publications in the last decades, and the quality of publications also improved in recent years. (Source: International Orthopaedics)
Source: International Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Morphometric evaluation of the knee in Chinese population reveals sexual dimorphism and age-related differences
AbstractPurposeMorphologic data of the knee is very important in the design of total knee prostheses. Generally, the designs of the total knee prostheses are based on the knee anatomy of Caucasian population. Moreover, in forensic medicine, a person ’s age and sex might be estimated by the shape of their knees. The aim of this study is to utilize three-dimensional morphometric analysis of the knee in Chinese population to reveal sexual dimorphism and age-related differences.Materials and methodsSexually dimorphic differences and age-related differences of the distal femur were studied by using geometric morphometric ...
Source: International Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Comments on article by Tsvieli et al.: manipulation under anaesthetic for frozen shoulder using Codman ’s paradox: a safe and early return of function
(Source: International Orthopaedics)
Source: International Orthopaedics - February 19, 2018 Category: Orthopaedics Source Type: research

The effect of the anterior boundary of necrotic lesion on the occurrence of collapse in osteonecrosis of the femoral head
This study evaluated the effects of anterior boundary of a necrotic lesion on collapse.MethodsWe reviewed the outcomes of 113 consecutive non-collapsed asymptomatic hips in 98 ONFH patients with mean follow-up of 4.7  years (2.0–11.8) after the initial magnetic resonance (MR) imaging. The presence or absence of collapse was investigated using follow-up radiographs. The location of the anterior boundary of a necrotic lesion was assessed using the anterior necrotic angle between the midline of the femoral neck shaft and the line passing from the femoral head centre to the anterior boundary on mid-oblique MR imagin...
Source: International Orthopaedics - February 18, 2018 Category: Orthopaedics Source Type: research

A prospective comparative study of hip resurfacing arthroplasty and large-diameter head metal-on-metal total hip arthroplasty in younger patients —a minimum of five year follow-up
ConclusionComparison of HRA and LDH MoM THA shows similar mid-term clinical results. HRA may be preferable due to the well-preserved bone stock and restoration of the native anatomy. LDH MoM THA may be used with caution due to the excessive metal ion release. (Source: International Orthopaedics)
Source: International Orthopaedics - February 18, 2018 Category: Orthopaedics Source Type: research

History of orthopaedics in China: a brief review
ConclusionsOrthopaedics is constantly evolving, and we need to strengthen the ability of independent innovation to achieve orthopaedic surgeons ’ Chinese dream, and better serve our patients. (Source: International Orthopaedics)
Source: International Orthopaedics - February 17, 2018 Category: Orthopaedics Source Type: research

Trimorphic extreme clubfoot deformities and their management by triple surgical skin expanders- DOLAR, DOLARZ and DOLARZ-E (evidence based mega-corrections without arthrodesis)
AbstractAim/purposeExtreme congenital club foot deformities are common in developing countries, presenting at birth, persisting in children, adolescents and adults; as untreated/under-corrected by conservative and/or surgical means. Scores of confusing names exist in literature for such deformities with no good treatment available; mostly advocating unacceptable arthrodesis. The author researched this grey area for more than 40  years and successfully innovated improved surgical corrections, more acceptable to patients.MethodsAll were given a generic name: “extreme deformities”, with 3 hierarchic grades. e...
Source: International Orthopaedics - February 17, 2018 Category: Orthopaedics Source Type: research

Predicting hospital length of stay and short-term function after hip or knee arthroplasty: are both performance and comorbidity measures useful?
ConclusionsThe TUG and ASA can be used pre-operatively in combination to predict LOS, and TUG can also be used to predict short-term post-operative function. (Source: International Orthopaedics)
Source: International Orthopaedics - February 17, 2018 Category: Orthopaedics Source Type: research

Three-dimensional orientation and location-dependent varying rules of radiographic angles of the acetabular cup
This study proposes an innovative model for accurately explaining how 2D RA/RI angles of cup are varying following different 3D RA/RI angles and location of cup. The analysis results provide clinicians an intuitive grasp of knowledge about 2D RA/RI angles greater or smaller than their 3D counterparts post-operatively. The established model may allow determining the effects of pelvic rotations on 2D radiographic angles of cup. (Source: International Orthopaedics)
Source: International Orthopaedics - February 17, 2018 Category: Orthopaedics Source Type: research

Variations in the attachments of the medial meniscal anterior horn: a descriptive cadaveric study
ConclusionsThe bony and ligamentous attachments of the medial meniscal anterior horn are highly variable presenting unique diagnostic and therapeutic challenges. A new classification of ligamentous attachments is thus proposed. (Source: International Orthopaedics)
Source: International Orthopaedics - February 16, 2018 Category: Orthopaedics Source Type: research

Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement
ConclusionV-Y advancement is comparable to FHL transfer for the operative management of insertional Achilles tendinopathy. Though our results trend towards less satisfactory results following V-Y advancement, we found high satisfaction rates with similar functional outcomes and complication rates in both operative groups. We suggest considering V-Y advancement as a viable option for the primary treatment of chronic insertional Achilles tendinopathy in patients who may not be an ideal candidate for FHL transfer. (Source: International Orthopaedics)
Source: International Orthopaedics - February 16, 2018 Category: Orthopaedics Source Type: research

Application of combined porous tantalum scaffolds loaded with bone  morphogenetic protein 7 to repair of osteochondral defect in rabbits *
ConclusionsWe demonstrated that the applied modified PT with BMP-7 promotes excellent subchondral bone regeneration and may serve as a novel approach for osteochondral defects repair. (Source: International Orthopaedics)
Source: International Orthopaedics - February 14, 2018 Category: Orthopaedics Source Type: research

Is percutaneous kyphoplasty the better choice for minimally invasive treatment of neurologically intact osteoporotic K ümmell’s disease? A comparison of two minimally invasive procedures
ConclusionFor the treatment of K ümmell’s disease, PVPHP and PKPHP are both safe and effective, but PVPHP is more economical and can be considered a preferred method of treatment. (Source: International Orthopaedics)
Source: International Orthopaedics - February 14, 2018 Category: Orthopaedics Source Type: research

Impact of surgical case order on peri-operative outcomes for total joint arthroplasty
This study aimed to examine if similar phenomenon is also shared in total joint arthroplasty (TJA).MethodsA total of 6548 joints (5183 patients) treated with primary TJA by a total of five surgeons at our institution from December 2011 to December 2015 were retrospectively reviewed in this study. Demographic data, operative duration, blood loss, peri-operative adverse events, medical cost, and length of hospital stay were collected and analyzed. Logistic regression was used to determine risk factors for adverse events.ResultsOf the 6548 cases in this cohort, 1643 TJAs were classified as first round cases, 1744 TJAs were se...
Source: International Orthopaedics - February 14, 2018 Category: Orthopaedics Source Type: research

Peri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative day
ConclusionSoft tissue injection with local anesthetics and non-steroidal anti-inflammatory drugs allows adequate pain control in the immediate post-operative period and reduces the requirement for opioid consumption. We recommend the implementation of this safe and effective strategy in post-operative pain management after primary hip arthroplasty.Level of evidence: Level II, cohort study. (Source: International Orthopaedics)
Source: International Orthopaedics - February 13, 2018 Category: Orthopaedics Source Type: research

Open reduction and fixation with a locking plate without bone grafting is a reasonable and safe option for treating proximal humerus nonunion
AbstractAim of the studyThe aim of this study was to evaluate union rate and clinical outcome in patients with proximal humeral nonunions treated by open reduction and locking plate fixation without bone grafting.MethodsFrom 2011 to 2016, nine patients were treated using open reduction and locking plate stabilization without bone grafting. They were examined both clinically and radiologically, with a mean follow-up period of 31  months. Outcome was evaluated using pain and range of motion (ROM) parameters. In addition, self-assessment by patients was registered on the Disability of the Arm, Shoulder and Hand score, Co...
Source: International Orthopaedics - February 13, 2018 Category: Orthopaedics Source Type: research

Effects of human parathyroid hormone 1 –34 on bone loss and lumbar intervertebral disc degeneration in ovariectomized rats
ConclusionsThese findings confirmed that hPTH(1 –34) treatment has substantial anabolic effects on bone mass and trabecular micro-architecture, while the excessively enhanced bone mass and strength were coupled with a non-significant effect on the disc degeneration in ovariectomized rats. (Source: International Orthopaedics)
Source: International Orthopaedics - February 13, 2018 Category: Orthopaedics Source Type: research

High bacterial contamination rate of electrocautery tips during total hip and knee arthroplasty
ConclusionsThe bacterial contamination of the electrocautery tips is relatively high, especially during septic hip revision arthroplasty. Electrocautery tips should be changed after debridement of infected tissue. (Source: International Orthopaedics)
Source: International Orthopaedics - February 12, 2018 Category: Orthopaedics Source Type: research

The biological basis for concentrated iliac crest aspirate to enhance core decompression in the treatment of osteonecrosis
AbstractCore decompression is a surgical procedure that is capable of salvaging the patient ’s own natural joint, if the operation is performed in the early stages of osteonecrosis, in which the articular surface has not collapsed. The addition of concentrated cells, aspirated from the iliac crest, to the core tract has been shown to enhance the viability of the femoral head, although la rge, prospective, randomized, blinded multicentre studies are lacking. The rationale for adding these cells to the core decompression tract is to provide osteoprogenitor and vascular progenitor cells to the area of decompressed dead ...
Source: International Orthopaedics - February 12, 2018 Category: Orthopaedics Source Type: research

Epidemiology of acetabular fractures in Qatar
ConclusionAcetabular fractures are uncommon injuries with motor vehicle collision being the most common cause of injury. Posterior wall fracture was the most frequent pattern, and most of the patients were males. The incidence of post-traumatic sciatic nerve palsy and the proportion of injured women were lower than those reported in literature. Well-trained surgeons and specialized centres for treating these injuries are recommended. (Source: International Orthopaedics)
Source: International Orthopaedics - February 11, 2018 Category: Orthopaedics Source Type: research

The fates of pedicle screws and functional outcomes in  a geriatric population following polymethylmethacrylate augmentation fixation for the osteoporotic thoracolumbar and lumbar burst fractures with mean ninety five month follow-up
ConclusionMost patients (80%) remained similar functional outcomes at latest follow-up in spite of kyphosis progression. The incidence of implant failure was not high, but the post-operative systemic co-morbidities were higher, which has to be informed before index surgery. (Source: International Orthopaedics)
Source: International Orthopaedics - February 11, 2018 Category: Orthopaedics Source Type: research

Comparison of culture and broad-range polymerase chain reaction methods for diagnosing periprosthetic joint infection: analysis of joint fluid, periprosthetic tissue, and sonicated fluid
ConclusionsSF culture, JF-PCR, and SF-PCR were more sensitive than JF culture, PT culture, and PT-PCR for diagnosing PJI among patients who have stopped taking antibiotics for two weeks or more. Compared with PCR methods, SF culture has the advantage of detecting polymicrobial or fungal infections. PT-PCR proved to be insufficiently sensitive for providing correct diagnoses. (Source: International Orthopaedics)
Source: International Orthopaedics - February 11, 2018 Category: Orthopaedics Source Type: research

Analysis of single cage position in transforaminal lumbar interbody fusion through digital images
ConclusionA longer single cage can be placed into the L4/5 level disk by inserting it using the oblique-oriented technique. Its center can reach the midpoint of the treated disk in the coronal plane and the anterior position of the disk in the sagittal plane. The entry point of the cage is the further away from the midpoint of the disk; the cage is the more apt to reach the center of the disk in the coronal plane. (Source: International Orthopaedics)
Source: International Orthopaedics - February 11, 2018 Category: Orthopaedics Source Type: research

A comparative study of single-stage transpedicular debridement, fusion, and posterior long-segment versus short-segment fixation for the treatment of thoracolumbar spinal tuberculosis in adults: minimum five  year follow-up outcomes
The objective of this retrospective clinical study is to compare the long-term clinical efficacy of posterior long-segment and short-segment fixation with single-stage transpedicular debridement and fusion for the treatment of thoracolumbar spinal tuberculosis in adults.MethodsSixty-six cases of thoracolumbar tuberculosis were treated by single-stage transpedicular debridement, bone graft fusion, and pedicle screw fixation. Thirty-five cases were under long-segment fixation (group A) and 31 cases were under short-segment fixation (group B). These patients were followed up for a minimum of five  years. The clinical and...
Source: International Orthopaedics - February 11, 2018 Category: Orthopaedics Source Type: research

Cyclic mechanical stretch enhances BMP9-induced osteogenic differentiation of mesenchymal stem cells
ConclusionsOur results suggest that mechanical stretch enhances BMP9-induced osteoblastic lineage specification in C3H10T1/2 MSCs. (Source: International Orthopaedics)
Source: International Orthopaedics - February 10, 2018 Category: Orthopaedics Source Type: research

Proximal versus distal metatarsal osteotomies for moderate to severe hallux valgus deformity: a systematic review and meta-analysis of clinical and radiological outcomes
AbstractPurposeThe conventional surgical treatment of moderate to severe hallux valgus (HV) deformity includes proximal metatarsal osteotomies (PMOs). Recent evidence suggests that the extension of indications for distal metatarsal osteotomies (DMOs) may result in comparable outcomes. The purpose of this study was to compare the efficacy of proximal with that of distal metatarsal osteotomies for moderate to severe HV deformity.MethodsWe searched PubMed, Scopus, and CENTRAL up to 25 July 2017. We included studies comparing the results of proximal and distal metatarsal osteotomies for moderate to severe HV deformity. The pri...
Source: International Orthopaedics - February 10, 2018 Category: Orthopaedics Source Type: research

Survival, complications and functional outcomes of cemented megaprostheses for high-grade osteosarcoma around the knee
ConclusionsWith effective management strategies for complications, cemented endoprosthetic reconstruction of the proximal tibia and distal femur using an extensor mechanism reconstruction technique provides a reliable method of reconstruction following tumour resection around the knee.Level of Evidence Level IV, therapeutic study. (Source: International Orthopaedics)
Source: International Orthopaedics - February 9, 2018 Category: Orthopaedics Source Type: research

Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
ConclusionsThe use of custom-made foot orthoses improved the level of forefoot pain in rheumatoid arthritis, hallux abductus valgus and secondary metatarsalgia as it increases sole pressures. (Source: International Orthopaedics)
Source: International Orthopaedics - February 8, 2018 Category: Orthopaedics Source Type: research

Trends in total elbow arthroplasty: a nationwide analysis in Germany from 2005 to 2014
ConclusionDuring the study period, the number of TEA performed in Germany nearly doubled. Over the years, the most common indication for total elbow arthroplasty changed from inflammatory arthritis to trauma sequel. Further database analysis may help to identify populations at risk and specify reasons for revisions.Level of evidence: Therapeutic Level IV. (Source: International Orthopaedics)
Source: International Orthopaedics - February 8, 2018 Category: Orthopaedics Source Type: research

A new configuration of cannulated screw fixation in the treatment of vertical femoral neck fractures
ConclusionOur results suggested that using new configuration of an OCCS plus two HCCSs improved the outcome of vertical femoral neck fractures (FNF) patients compared to those using OCCS alone, which provides a new choice for treatment of FNF. (Source: International Orthopaedics)
Source: International Orthopaedics - February 8, 2018 Category: Orthopaedics Source Type: research

Reply to comment on Andrei et al.: The variability of vertebral body volume and pain associated with osteoporotic vertebral fractures: conservative treatment versus percutaneous transpedicular vertebroplasty
(Source: International Orthopaedics)
Source: International Orthopaedics - February 7, 2018 Category: Orthopaedics Source Type: research

Regenerative therapies increase survivorship of avascular necrosis of the  femoral head: a systematic review and meta-analysis
AbstractPurposeThe aim of this study was to document the available evidence on the use of regenerative techniques for the treatment of femoral head osteonecrosis (or avascular necrosis of femoral head, AVN) and to understand their benefit compared to core decompression (CD) alone in avoiding failure and the need for total hip replacement (THR).MethodsThe search was conducted on three medical electronic databases according to PRISMA guidelines. The studies reporting number and timing of failures were included in a meta-analysis calculating cumulative survivorship with a Kaplan-Mayer curve. Moreover, the results on failures ...
Source: International Orthopaedics - February 6, 2018 Category: Orthopaedics Source Type: research

Multivariate analysis of factors related to radiographic knee osteoarthritis based on the comparison between football players and matched nonsportsmen
This study aimed to investigate the prevalence of radiographic KOA among retired professional football players by comparing with matched nonsportsmen, and assess the correlation between BMD and KOA.MethodsA cross-sectional, descriptive study was performed on a group of retired professional football players without history of knee injury. A control group of nonsporting volunteers was matched to the football player group in terms of age, height, weight, and body mass index (BMI). Uni- and multivariate analyses were performed to identify risk factors for KOA and predictors for knee function.ResultsEighty-six retired male prof...
Source: International Orthopaedics - February 6, 2018 Category: Orthopaedics Source Type: research

Demographic and socioeconomic factors influencing the incidence of clavicle fractures, a national population-based survey of five hundred and twelve thousand, one  hundred and eighty seven individuals
This study aims to investigate the population-based incidence of clavicle fracture and the related risk factors in China.MethodsAll the data on clavicle fractures were available from the China National Fracture Survey (CNFS) database performed in 2015. In the CNFS, all eligible household members were sampled from eight provinces, 24 urban cities, and 24 rural counties in China, using stratified random sampling and the probability proportional to size method. Questionnaires were sent to every participant for data collection. Information on age, gender, height, weight, ethnic group, education, professional, smoking, alcohol ...
Source: International Orthopaedics - February 5, 2018 Category: Orthopaedics Source Type: research

Clinical and magnetic resonance imaging assessment of anatomical lateral ankle ligament reconstruction: comparison of tendon allograft and autograft
ConclusionBoth allograft and autograft reconstructions could get an ideal patient satisfaction and clinical functional outcomes at the follow-up. Higher T2* values were found in allograft group which indicated that autograft had some superiorities in respect of revascularization process, collagen structure, water content, and tendon properties. (Source: International Orthopaedics)
Source: International Orthopaedics - February 5, 2018 Category: Orthopaedics Source Type: research

Single-stage multi-level construct design incorporating ribs and chest wall reconstruction after en bloc resection of spinal tumour
ConclusionsThe single-stage reconstructions incorporating spine and chest wall are straightforward and easy to perform. The preliminary outcomes of co-reconstructions are promising and favourable. More studies and longer follow-up are required to validate this technique. (Source: International Orthopaedics)
Source: International Orthopaedics - February 5, 2018 Category: Orthopaedics Source Type: research

Extra-articular resection is a limb-salvage option for sarcoma involving the hip joint
ConclusionAlthough technically demanding, extra-articular resection of hip is a limb-salvage procedure that is worth considering for carefully selected patients. (Source: International Orthopaedics)
Source: International Orthopaedics - February 5, 2018 Category: Orthopaedics Source Type: research

Intra-articular fractures of the distal humerus —a review of the current practice
AbstractIntra-articular fractures of the distal humerus are complex injuries that can considerably limit elbow function if not treated appropriately. Surgical management is indicated for most intra-articular distal humerus fractures with the goal of restoring elbow range of motion and function. Open reduction and internal fixation (ORIF) with plates and screws has been the preferred surgical option. Double plating is recommended for bicolumnar fractures and plates can be applied either parallel or orthogonal to each other. Surgical approach for ORIF of the distal humerus can be performed through an olecranon osteotomy, but...
Source: International Orthopaedics - February 5, 2018 Category: Orthopaedics Source Type: research

Comparable outcome of culture-negative and culture-positive periprosthetic hip joint infection for patients undergoing two-stage revision
ConclusionsTwo-stage revision had a high success rate for eradication of PHJI. Culture-negative PHJI had a comparable outcome with culture-positive PHJI. (Source: International Orthopaedics)
Source: International Orthopaedics - February 3, 2018 Category: Orthopaedics Source Type: research

The antegrade angle-stable locking intramedullary nail for type-C distal femoral fractures: a thirty four  case experience
ConclusionThe IAIN and half-threaded cancellous screws provided a reliable fixation that facilitated uncomplicated outcomes and uneventful early mobilization in treating type-C fractures of the distal femur. (Source: International Orthopaedics)
Source: International Orthopaedics - February 3, 2018 Category: Orthopaedics Source Type: research

Resection arthrodesis using distraction osteogenesis then plating as a hybrid surgical technique for the management of bone sarcomas of the distal tibia
ConclusionsIn carefully selected patients with primary distal tibial sarcomas, this hybrid method can effectively eliminate tumor lesion, reconstruct function, and shorten the length of wearing an external fixator by a meticulous conversion to internal fixator. (Source: International Orthopaedics)
Source: International Orthopaedics - February 3, 2018 Category: Orthopaedics Source Type: research

Effect of knee flexion position and combined application of tranexamic acid on blood loss following primary total knee arthroplasty: a prospective randomized controlled trial
ConclusionsKeeping the knee in flexion position combined with topical and intravenous TXA application in patients undergoing primary unilateral TKA significantly reduced post-operative bleeding and the transfusion rate compared with what was found after treatment with extension knee position or single intravenous TXA application.Level of evidenceTherapeutic Level I (Source: International Orthopaedics)
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Prospective comparative study of knee laxity with four different methods in anterior cruciate ligament tears
ConclusionsThe knee laxity devices used in regular practice are not comparable to one another. As a result, caution must be taken when comparing results from studies using these different devices. (Source: International Orthopaedics)
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

The role of suture cutout in the failure of meniscal root repair during the early post-operative period: a biomechanical study
ConclusionsIn a porcine model of a repaired posterior meniscal root subjected to cyclic loads representative of current rehabilitation protocols in the early post-operative period under restricted loading conditions, suture cutout was not found as a main source of permanent root displacement when using suture thread or tape. Suture cutout progression started at high loading levels close to the ultimate load of the construct. Tape, with a meniscus-suture contact area larger than thread, produced higher ultimate load. (Source: International Orthopaedics)
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Safe placement of pedicle screw in lumbar spine with minimum three  year follow-up: a case series and technical note
ConclusionA new-designed surgical strategy for pedicle screw insertion of lumbar spine was introduced and performed, which featured a series of original and easily distinguished landmarks. Clinical application demonstrated the safety and effectiveness of this novel technique for pedicle screw insertion. (Source: International Orthopaedics)
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Standardized three dimensional computerised tomography scanner reconstructions increase the accuracy of acetabular fracture classification
AbstractPurposeEvaluate the role of four standardized 3D reconstruction views in the accurate diagnosis of acetabular fractures.Materials and methodsThirty-five acetabular fracture cases were selected from a tertiary centre database. Fourteen reviewers with different experience level evaluated this set of images which were provided in axial 2D views and multiplanar reconstruction (MPR) without 3D views in the first two readings then the standardized 3D views were added for the subsequent two readings. The primary outcome was the accuracy of diagnosis while inter-observer reliability and reading time as well as time needed ...
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

In regard to the letter by Li and Yang on the article “Which immobilization is better for distal radius fracture? A prospective randomized trial”
(Source: International Orthopaedics)
Source: International Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Incidence of knee height asymmetry in a paediatric population of corrected leg length discrepancy: a retrospective chart review study
ConclusionThe current study provides a method to quantify knee height asymmetry. Using this method, it was shown that knee height asymmetry is frequent in youth with limb length discrepancy in both pre- and post-corrective surgery states. The relatively high incidence of knee height asymmetry highlights the importance to investigate the impact of knee height asymmetry in youth living with a limb length discrepancy. (Source: International Orthopaedics)
Source: International Orthopaedics - February 1, 2018 Category: Orthopaedics Source Type: research