The present study suggests that altered distal arterial pulsations, decreased transcutaneous oxymetry values, and thermal reaction are not due to differences in nailing method but caused by a manifestation of the trauma mechanism of the tibial shaft fracture. The potentially negative effects of reaming to soft tissue perfusion parameters could not be established.
Objectives: To investigate long-term effects and complication rates after Coonrad-Morrey semi-constrained total elbow replacement. Methods: Retrospective analysis of consecutive Coonrad-Morrey total elbow arthroplasties performed in 1995-2006. Results: The mean Mayo elbow score was 47.0 (SD 21.9) points preoperatively and 87.0 (SD 13.7) at the end of 16-year follow-up (p<0.001). The respective figures for mean pain in motion were 6.1 (SD 2.8) and 0.7 (SD 1.9) points (p<0.001). At the end of follow-up, the average extension lag was 30°, flexion 135°, pronation 67°, and supination was 74°. The complication rate was 19%. Conclusion: Semi-constrained linked Coonrad-Morrey total elbow arthroplasty displayed promising clinical results and a long-lasting satisfaction in the surgery results. In the 16year follow-up, there were 12 periprosthetic fractures and the overall complication rate was 19%.
Only reamed intramedullary nailing elevates urinary 2,3-dinor-6-ketoprostaglandin F1alpha and 11-dehydrothromboxane B2 concentrations and their ratio (thromboxane A2/prostacyclin production) in patients with simple tibial shaft fractures.
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