J Tomás RojasShoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, Bern, Switzerland Department of Orthopaedics and Trauma Surgery, Hospital San José – Clínica Santa María, Santiago, Chile
Matthias A ZumsteinShoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, Bern, Switzerland Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland Campus Stiftung Lindenhof Bern, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland
should be ruled out. These include dislocation, avascular necrosis, osteoarthritis, and metalwork failure. At 6 months, up to 23.6% of patients with complex PHF treated with ORIF will develop secondary shoulder stiffness ( 5 ). Of those patients, 75
eventually develop osteoarthritis ( 1 , 3 , 4 , 8 , 60 ).
Normally, the annular ligament ensures the stability of the radiocapitellar joint by surrounding the radial head. This ligament may get torn or entrapped by the dislocation of the radial head due
primary arthroplasty for complex fractures around the knee ( Table 1 ). The first and best indications are intra-articular fractures in elderly osteoporotic patients with pre-existing symptomatic end-stage osteoarthritis. Secondly, arthroplasty might be
-traumatic osteoarthritis (OA), which can occur in up to half of the cases of Lisfranc fracture dislocations ( Fig. 8 ).
Treatment protocol recommended by us for fracture-dislocations of the Lisfranc joint.
There is only
is a predictor of good joint function and reduced risk of post-traumatic osteoarthritis. Therefore, the surgeon should try to obtain reductions with zero displacement or up to 1 mm. The anatomical reduction and stable osteosynthesis of the acetabular
-term complications including osteonecrosis of the femoral head, posttraumatic osteoarthritis and heterotopic ossification may impair the natural course of post-injury healing and rehabilitation, often leading to a poor functional outcome and unsatisfactory clinical
Peter V. GiannoudisAcademic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, and NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, Leeds, UK
cartilage, which is essential for its viability.
A number of studies have demonstrated that abnormal impact loading increases the risk of progressive joint wear and tear leading to post-traumatic osteoarthritis (PA).
20 - 22
Patients, their families and healthcare networks must be mindful that emergency THA for FNFs does not correspond with elective THA. Charette et al
compared 135,013 THA for osteoarthritis (OA) with 4622 THAs for FNFs and
frail elderly patients ( 27 ), when present and symptomatic, it presents with painful limitation of mobility in the ankle. As such, pre-existing ankle osteoarthritis is a clinical factor in favour of TTC nailing.
Alcohol abuse and/or smoking
Working Group on Pelvic Fractures of the German Trauma Society
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fractures ( 1 ).
Aims of acetabular fracture management, either surgical or conservative, are in the short-term pain relief and early mobilization of the patients and in the long term, the prevention of posttraumatic osteoarthritis due to the incongruence