Aims

A core outcome set for adult, open lower limb fracture has been established consisting of ‘Walking, gait and mobility’, ‘Being able to return to life roles’, ‘Pain or discomfort’, and ‘Quality of life’. This study aims to identify which outcome measurement instruments (OMIs) should be recommended to measure each core outcome.

Aims

Open lower limb fracture is life-changing, resulting in substantial morbidity and resource demand, while inconsistent outcome-reporting hampers systematic review and meta-analysis. A core outcome set establishes consensus among key stakeholders for the recommendation of a minimum set of outcomes. This study aims to define a core outcome set for adult open lower limb fracture.

Aims

Open lower limb fracture is a life-changing injury affecting 11.5 per 100,000 adults each year, and causes significant morbidity and resource demand on trauma infrastructures. This study aims to identify what, and how, outcomes have been reported for people following open lower limb fracture over ten years.

Purpose

The aim of the study was to assess the efficacy of a cementless acetabular cup without bone grafting in a cohort of patients with protrusio acetabuli who were treated with total hip arthroplasty.

Introduction: This study reports a technique and result in the application of an intramedullary tibial nail for patients undergoing an open-wedge proximal tibial osteotomy.

Materials and Methods: Fourteen knees of 10 patients with genu varum were treated with proximal tibial osteotomy using an intramedullary tibial nail. The average age at the time of operation was 25 years old. Tibial osteotomy was performed percutaneously through multiple drilling from the average 8.7cm below the joint line and no bone graft was performed in all cases. Concomitant fibular osteotomy was performed in 9 cases. The clinical and radiographic records were reviewed for a minimum 2 years follow up.

Result: Union of the osteotomy site was obtained in all knees at a mean of 3.5 months in both anteroposterior and lateral radiographs. The mean postoperative correction angle was 11 degrees in femorotibial angle in frontal plane (P< 0.05). But significant change of tibial posterior slope was not determined (P> 0.05). The osteotomized tibia was lengthened average 6mm in postoperative anteropsterior radiograph. Range of motion of the knee was full at the latest follow up. There was no significant complication such as infection, deep venous thrombosis, nerve palsy, or implant failure.

Conclusion: Open-wedge proximal tibial osteotomy using an intramedullary tibial nail for genu varum provides firm initial stability and early rehabilitation. Furthermore, there is no need of bone graft and no significant alteration in tibial slope after surgery. Thus this technique can be a viable option for the proximal tibial osteotomy in the treatment for genu varus.

Aim of the Study: Evaluation of differences in pro-prioception, gait analysis, electromyography in consideration of clinical results in patients with unicondylar and bicondylar knee arthroplasty.

Material and Methods: 17 patients with mean age of 62.5 years were examined after a mean time of 21.5 months after unicondylar knee arthroplasty and compared with 15 patients with a mean age of 67 years and a mean time of 31.9 months after bicondylar knee arthroplasty. For clinical examination the Knee Society, Hospital for Special Surgery and Patella Score were used. Proprioception was examined using the Balance test. In addition each patient was examined by gait analysis with three-dimensional-kinematics and force plate. M. rectus femoris, M. vastus medialis/lateralis, M. semiten-dinosus, M. biceps femoris, M. tibialis anterior and M. gastrocnemius were examined by electromyography.

Results: There were neither significant deviations in demographic data, clinical scores, electromyography results (except M. vastus lateralis), gait analysis nor in proprioception.

Conclusion: There were no deviations in any clinical or functional results in patients with unicondylar and bicon-dylar knee arthroplasty. Because of the uncertain long term results of unicondylar knee arthroplasty in respect of loosening and development of contralateral osteoarthritis, bicondylar knee arthroplasty can be approved.