Etiology and outcome of 155 patients with midfoot fractures between 1972 1997 were analyzed to create a basis for treatment optimization. Cause injuries traffic accidents (72.2%), falls (11.6%), blunt (7.7%) others (5.8%). Isolated (I) found in 55 (35.5%) cases, Lisfranc fracture dislocations (L) 49 (31.2%), Chopart-Lisfranc (CL) 26 (16.8%) Chopart (C) 25 (16%). One hundred forty eight (95%) the treated operatively; 30 closed reduction, 115 open 3 had primary amputation. Seven (5%)...

Neovascularisation can be detected qualitatively by Power Doppler in Achilles tendinopathy. Quantitative data regarding tendon microcirculation have not been established and may substantial.To assess the of paratendon healthy volunteers as well athletes with either midportion or insertional tendinopathy.Cohort study; Level evidence, 2.In 66 physically active volunteers, parameters microcirculation, such tissue oxygen saturation, relative postcapillary venous filling pressures,...

Objective: To compare the vertical subsidence in a bicondylar tibial plateau fracture model stabilized either by unilateral locked screw plate (LSP) or double plating. Design: Biomechanical cadaver study. Intervention: A 41-C1 was created eight pairs of fresh-frozen human tibiae. Stabilization performed open reduction and internal fixation (ORIF) using lateral L-buttress medial four-hole, one-third tubular antiglide-plate LSP. Four load levels (400N, 800N, 1200N, 1600N), each with five...

Computer-assisted surgery (CAS) can act as an intraoperative ruler in high tibial osteotomy (HTO) to visualize continuously the leg during surgery. The aim of study is evaluate accuracy CAS with respect preoperative planning and postoperative deviation from planned axis HTO. In addition, influence surgeon experience well operation time perioperative complications are analyzed. A prospective multicenter case series follow-up at 6 weeks was performed six centers. Medial open-wedge HTO Tomofix®...

Background: Intraoperative visualization of articular surfaces is technically demanding, and standard two-dimensional fluoroscopic imaging frequently does not provide adequate detail nonplanar joints. New modalities allow for intraoperative 3D visualization, which are useful in fractures. Purpose this study was to evaluate the utility fracture reconstruction. Methods: In a prospective cohort study, we evaluated 248 consecutive patients with intra-articular After fixation using fluoroscopy,...

The preferred treatment of femoral (thigh bone) shaft fractures nowadays is the minimally invasive technique intramedullary nailing. However, in addition to its advantages, this also has a number disadvantages, such as frequent occurrence malaligned fracture reductions and high X-ray exposure, especially operating team. aim our research overcome these shortcomings by utilizing modern techniques three-dimensional (3D) imaging, navigation, robotics. In paper we present current state...

In operative calcaneal fracture care malposition of screws and joint line incongruity frequently remain unrecognized using fluoroscopy intraoperatively, are only recognized on postoperative computed tomography scans. The purpose this study was to analyze the feasibility utility a new C-arm-based three-dimensional imaging technology for trauma care.The three- dimensional device (ISO-C-3D) used in 32 patients during 2-year period. Patients were indicated open reduction internal fixation...

Nonoperative treatment of complete Achilles tendon ruptures generally involves a long period cast immobilization and is associated with frequent reruptures. Functional nonoperative the use high-shaft boot 3-cm hindfoot elevation, in which physical therapy begun after 3 weeks wear. We reviewed our long-term results this protocol to determine its effectiveness.The indications for treatment, defined by ultrasound, were distance 10 mm or less between ends ankle neutral position apposition 20...

Exact radiographic evaluation of lower limb alignment, joint orientation and leg length is crucial for preoperative planning successful treatment deformities, fractures osteoarthritis. Improvement the accuracy measurements highly desirable. To determine intraobserver reliability conventional analysis extremity geometry, 59 long radiographs were randomly analyzed 5 times by a single surgeon. The revealed standard deviation between 0.36° 1.17° angles mLPFA, mLDFA, MPTA, LDTA, JLCA AMA...

Abstract Displaced acetabular fractures are best treated with open reduction to achieve anatomic and maximize the chance of a good functional outcome. Because complexity often limited visualization, fracture can be difficult. Virtual planning software allow surgeon understand morphology rehearse maneuvers. The purpose this study was determine effect novel virtual module on time accuracy reduction. Four patterns were created in synthetic pelves, which implanted fiducial markers registered CT...

Background/Aim: The objective of this study was to investigate whether the detection rates pedicle breaches depended on surgeon's experience level and different instruments resulted in varied palpation quality. Materials Methods: Experienced surgeons (ES) (n=8) inexperienced (IS) (n=10) were compared. performed using a sawbone model spine. Pedicle defects created at various positions levels. Participants detected located bony depth gauge straight ball tip feeler. After first measurement, IS...

The application of the pelvic clamp as a tool for emergency stabilization unstable ring fractures has proved to be life-saving procedure. Using correct technique, can applied within few minutes after patient's admission. To avoid severe complications (eg, pin perforation into pelvis) during application, anatomic landmarks placement have defined. surface that are presently recommended not always reliably found due deformation body caused by swelling and hematoma. Our experience with 43...

Femoral nail removal has been suggested as a routine procedure for symptomatic and asymptomatic patients. The aim of this study was to evaluate whether patients have long-term complaints after femoral removal. Additionally, factors that might extend operation time effect soft tissue healing negatively were analyzed. A retrospective on the 164 nails fracture consolidation done. review patient charts radiographs Neither interval between implantation or use an end-cap significantly influenced...

Abstract Reduction is a crucial step in fracture treatment. We determined intraoperative peak forces and torques during reduction seven patients with eight fractures of the femoral shaft. All were temporarily stabilized by external fixation. Force torque measurements performed subsequent intramedullary nailing procedure. A three‐dimensional load cell was attached to distal femur fragment using two Schanz screws. registered on‐line process. The maximum resulting force 411 N, 74 N · m. highest...

The difficulty in assessing femoral rotation during intramedullary nailing is well-established. Navigation systems allow the surgeon to detect and set version of injured leg at desired angle. We report first cases navigated using noninvasive registration contralateral uninjured determine patient's anatomy. This allows rotation, which that healthy femur, be statically locked precisely match limb.