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orthopaedic procedures, older adult patients, especially with co-morbidities, need a more intensive level of care than younger patients during the pre- peri- and post-operative periods. 2 – 4 Pre-operative management In the pre-operative period the
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microtenotomy and removing all pathological tissue. Good outcomes have been reported, and no reduction of tendon size has been observed. 37 Extracorporeal shock-wave therapy (ECSW) has been proposed as an alternative to non-operative management. The
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Justus Maximilian University Wuerzburg, König-Ludwig-Haus, Brettreichstraße, Würzburg, Germany
Paracelsus Medizinische Privatuniversität, Strubergasse, Salzburg, Austria
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Martin-Luther-University Halle-Wittenberg, Universitätsklinikum Halle (Saale), DOUW - Abteilung für Unfall- und Wiederherstellungschirurgie, Ernst-Grube-Straße, Halle, Germany
BG-Klinikum Bergmannstrost Halle, Halle, Saale, Germany
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best evidence available in 2023 for managing OLT and updates its guidelines published in 2017 ( 1 ). This article focuses on the operative management of OLT. Abbreviations are defined in Table 1 . Table 1 Abbreviations and definitions
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Diabetics are also more likely to undergo secondary operations 1 , 6 and have worse outcomes regarding activity limitation scores. 1 Because of the higher risk of infection and other serious surgical complications, non-operative management of acute
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rehabilitation programme. Operative management, which may involve open or arthroscopic surgery, incorporates soft-tissue reconstructions (repair of labral detachment with or without capsular shift) and/or bony procedures (e.g. transfer of the coracoid process
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. Treatment Non-operative management of ST fractures is not usually a viable option. Without surgical reduction and fixation, patients have a high risk of symptomatic malunion or nonunion; but more importantly, they are unable to mobilize, resulting in a
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high risk of injury recurrence. 1 , 5 However, understanding the optimal management of rectus femoris injuries is challenging, as existing reports on non-operative and operative management of these injures have combined proximal and distal muscle
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. Management Non-operative management Although non-operative treatment is commonly used, Rettig et al 28 reviewed a series of baseball players managed with rest and rehabilitation. Only 42% were able to return to sports activity at a mean time of six
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patients with more advanced arthritis, operative management has centred on arthrodesis of the first MTP joint. Multiple joint-sparing procedures such as joint arthroplasty or resurfacing have been described with inconsistent results. Pathophysiology
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biomaterials, design and industrial finishing, the per-operative management (blood loss and pain control) and the post-operative protocols (the so called “fast track” surgery). Looking at all these advances the emerging question is: have all of them been
