RESUMEN
Optimal treatment for acromioclavicular (AC) dislocation is unknown. Numerous surgical procedures for AC injuries have been described with little comparison. This study sought to compare the clinical and radiographic results of various surgical techniques in order to identify the optimal surgical technique. Ninety patients met inclusion criteria of AC reconstruction at this institution. A retrospective review of outcomes was performed using the electronic records system. Radiographs were measured for pre- and postoperative grade and percent elevation versus the contralateral side. Overall revision rate was 9%. Suture button fixation had a revision rate of 0% compared to 14% (p = .01). Reconstruction procedures performed with distal clavicle excision showed a higher revision rate, 17% compared to 0% (p = .003). There were no statistically significant clinical differences. AC reconstructions performed with suture button construct were superior to other surgical techniques. Procedures performed with distal clavicle excision were inferior to those without.
Asunto(s)
Articulación Acromioclavicular/cirugía , Procedimientos Ortopédicos/métodos , Tornillos Óseos , Clavícula , Femenino , Humanos , Masculino , Procedimientos de Cirugía Plástica/métodos , Reoperación , Estudios Retrospectivos , Anclas para Sutura , Resultado del TratamientoRESUMEN
A retrospective study evaluated 75 total hip arthroplasties performed over a 4-year period using 4 different cement restrictors. A harvested bone restrictor, polyethylene restrictor (Smith & Nephew, Richards Inc, Memphis, Tenn), Biostop G (Depuy Orthopaedics, Warsaw, Ind), and polymethylmethacrylate (PMMA) (Wright Medical Technology, Arlington, Tex) were compared for the percentage of failures, the average length of the cement mantle, and the width of the femoral canal compared to the cement grade. Patient age, sex, and cement type were also evaluated for their influence on cement grade. The PMMA restrictor and bone performed better than the Richards plug and Biostop G restrictor.
Asunto(s)
Artroplastia de Reemplazo de Cadera/métodos , Cementación/métodos , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Fémur/cirugía , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores Sexuales , Resultado del TratamientoRESUMEN
Elbow arthrodesis can be used for complex elbow injuries that are complicated or fail other conventional treatment methods. We present a case report of an anterior ulnohumeral compressive plate elbow arthrodesis for a patient with a complex elbow injury from a gunshot wound that failed initial open reduction and internal fixation and posterior ulnohumeral arthrodesis secondary to numerous complications.