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Il sistema LCP (locking compression plate) nel trattamento delle fratture periprotesiche d'anca
Minimally invasive approach using a bipolar hip replacement in femoral neck fractures in elderly patients
The aim of this study was to evaluate a minimally invasive approach in hip arthroplasty, used to treat elder patients with a femoral neck fracture, Garden type III. We divided our patients in two groups. We used a minimally invasive approach in group A, while a standard approach was performed in group B. Exclusion criteria were a BMI over 28, previous surgery on the affected limb, and contralateral comorbidities. We evaluated surgery time, total blood loss, postoperative pain, mean hospital stay and return to the activities, prior to the trauma
Morselized bone graft in combination with double anchorage acetabular component in great bone defects
Attualità nel trattamento delle fratture del terzo prossimale di tibia
Le fratture prossimali della tibia rappresentano circa l'1% di tutte le fratture(1);nella maggior parte dei casi il meccanismo eziopatogenetico traumatico correlato a tali fratture é definibile ad alta energia. Le fratture vengono classificate principalmente in extra-articolari ed intra-articolari.
Scopo del lavoro é quello di valutare i risultati conseguenti al trattamento chirurgico mediante tecniche a cielo aperto eventualmente associate ad artroscopia.
Vengono presi in considerazione 43 pazienti trattati fra gennaio 2005 e gennaio 200
Locked plating : clinical considerations
Between April 2006 and March 2007, 41 patients with displaced comminuted fractures of the humeral proximal third, were surgically treated. In 12 cases (29.3%) the fracture was classifiable to a 2-part fracture according to Neer classification; in 21 cases to a 3-part fracture (51.2%) and finally, in 8 cases, to a 4-part fracture (19.5%). In all cases, interfragmentary stabilization was achieved by means of new-concept AxSOS plates, a locking plate system with angular stability. With the patient in a beach-chair position and the upper limb initially in 0 degrees of abduction, an anterolateral modified surgical access was used to the proximal humerus, fitted to assure the safety of the axillary nerve and the posterior circumflex artery. At 6-months follow up, the Constant score was 71 points out of a total of 100. Mean VAS score was 13.5 points out of a maximum score of 15. The assessment of quality of life was 6.2 points out of a maximum of 10 and functional recovery was extremely satisfying
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