The optimal treatment for symptomatic, nontraumatic rotator cuff tear is unknown. purpose of this trial was to compare the effectiveness physiotherapy, acromioplasty, and repair condition. We hypothesized that yields superior results compared with other modalities.

We have compared three different methods of treating symptomatic non-traumatic tears the supraspinatus tendon in patients above 55 years age. A total 180 shoulders (173 patients) with were randomly allocated into one groups (each 60 shoulders); physiotherapy (group 1), acromioplasty and 2) rotator cuff repair, 3). The Constant score was assessed followed up by an independent observer pre-operatively at three, six twelve months after intervention. Of these, 167 available for assessment year...

The incidence of shoulder arthroplasties is reportedly increasing and the types arthroplasty are changing. purpose this study was to investigate primary in Finland. We analyzed nationwide data from Finnish Arthroplasty Register (FAR) National Hospital Discharge (NHDR) during time period 2004–2015. outcome variable per 100,000 person-years stratified by age, sex year surgery. secondary variables were surgical indication, type prosthesis model. number 7504 (women = 4878, men 2625). rate...

Objectives To compare the success rates of arthroscopic Bankart and open Latarjet procedure in treatment traumatic shoulder instability young males. Design Multicentre randomised controlled trial. Setting Orthopaedic departments eight public hospitals Finland. Participants 122 males, mean age 21 years (range 16–25 years) with anteroinferior were randomised. Interventions Arthroscopic (group B) or L) procedure. Main outcome measures The primary measure was reported recurrence instability,...

Nontraumatic rotator cuff tear is a common shoulder problem that can be treated either conservatively or operatively. In the previous publications of 1- and 2-year results this trial, we found no significant between-group clinical differences. The aim study was to investigate differences in mid-term radiologic outcomes patients older than 55 years.One hundred eighty shoulders with symptomatic, nontraumatic supraspinatus tears were randomly assigned 1 3 cumulatively designed treatment groups:...

It is known that posterior malleolar fracture often associated with tibial diaphyseal fractures. However, in literature there are very few studies on shaft fractures respect to malleolus fragment. We hypothesized the incidence of higher than previous studies.A total 74 closed were treated intramedullary nailing Turku University Central Hospital between January 1994 and December 1998. There 55 men 19 women, a mean age 39 years (range, 16 58 years). Two cases excluded 72 analyzed...

Background and purpose The clinical findings of adverse reaction to metal debris (ARMD) following large-diameter-head metal-on-metal total hip arthroplasty (LDH MoM THA) may include periarticular fluid collections, soft tissue masses, gluteal muscle necrosis. ReCap-M2a-Magnum LDH THA was the most commonly used device at our institution from 2005 2012. We assessed prevalence risk factors for ARMD with this device.Methods 74 patients (80 hips) had a during period August December 2006. These...

An arthroscopic Bankart operation is the most common operative procedure to treat shoulder instability. In case of recurrence, both and Latarjet procedures are used as revision procedures. The purpose this study was compare re-recurrence rate instability clinical results after open following failed primary operations.Consecutive patients operatively treated for at Turku University Hospital between 2002 2013 were analyzed. Patients who underwent a followed by recurrence subsequent or with...

Reverse shoulder arthroplasty (RSA) has gained popularity in the treatment of proximal humeral fractures (PHFs), especially elderly patients. The purpose this study was to investigate use RSA implants for acute PHFs and risk revision, as well factors revision.RSA were identified from Nordic Arthroplasty Register Association registry data 2004 2016. Kaplan-Meier survival analysis used calculate implant survival. Cox multiple regression adjusted revision rate sex, age, country operation, year...

Purpose . Biceps long head pathology is often associated with rotator cuff tears. The aim of this study was to determine the effect possible biceps procedure on treatment outcome in repair. Methods 148 consecutive shoulders operated for isolated full-thickness supraspinatus tendon tear were included. A tenotomy or tenodesis performed cases irritated/frayed and/or unstable tendon. patients grouped into three groups according (no procedure, tenotomy, and tenodesis). age-adjusted Constant score...

This registry study was set up to evaluate the effect of smoking on pre-operative status, intraoperative findings, and post-operative status after rotator cuff reconstruction. Five hundred seventy-six consecutive shoulders with primarily arthroscopically repaired penetrating tear were followed up. Tobacco consumption recorded as pack-years. Age-adjusted Constant score used an outcome measure. sixty-four patients available for 1-year follow-up (dropout rate 2%). One fourteen (20%) 450 (80%)...

Objective Rate of shoulder instability surgery (SIS) has increased in different specific populations. We analysed nationwide trend SIS adults Finland between 1997 and 2014. Design A retrospective register study. Setting National Hospital Discharge Register Finland. Participants total 22 550 adult patients with (1997–2014). Primary secondary outcome measures Analysis included appropriate diagnosis (International Classification Diseases 10) procedure coding combinations applicable for SIS. The...

Distal radius fractures (DRFs) are the second most common fractures, after hip seen in clinical practice. The high incidence of low-energy trauma DRFs elderly patients raises questions about best treatment method terms function, pain, and quality life. Although majority these treated non-operatively with cast immobilization, valid scientific evidence optimal immobilization is lacking. In addition, several publications, including Cochrane review have outlined need for more to determine...

Background and purpose Non-operative treatment is the most common option for older patients with distal radius fracture (DRF). Traditionally, wrists have been placed in volar-flexion ulnar deviation position (VFUDC). In recent years, there has a trend towards using functional cast (FC). However, long-term results these different casting positions are lacking. Patients methods This randomized, controlled, prospective study evaluates costs of 2 65 DRF. Primary end point this was...

In the literature, there are numerous studies that compare different surgical procedures in treatment of distal radius fractures (DRF). It is, however, unknown whether operative and better restoration anatomy with volar locking plate yields a functional outcome elderly population when compared non-operative treatment. This study is prospective, randomized, controlled, multi-center trial. The purpose will be to initially or early malaligned patients aged 65 older. primary this patient rated...

Background Distal radius fractures are common and the cornerstone of treatment remains immobilization wrist in a cast. At present, there is scarcity studies that compare different cast methods. The objective study was therefore to volar-flexion ulnar deviation functional position dorsally displaced distal fracture among elderly patients. Methods findings We performed pragmatic, randomized, controlled trial three emergency centers Finland. After closed reduction fracture, placed either or...

Platelet-rich plasma (PRP) has been used to support tendon regeneration mainly in sports medicine. PRP is a concentrate of platelet-rich proteins derived from whole blood by centrifugation remove erythrocytes and leukocytes. high amounts platelets which may promote healing tendons affected degenerative conditions. These contain growth factors are known facilitate the injured structures. Total hip arthroplasty (THA) through Hardinge approach leave patient with impaired gait poor gluteus...