15 research outputs found
Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone
A retrospective study of 53 consecutive adult patients with 54 femoral shaft fractures treated with Perkins traction over a 25-month period was carried out. Mean length of stay was 52.1 days (range 25–108), and mean duration of traction was 45.0 days (range 23–66). At a mean follow-up of 4.6 months (range 3–9), 50 (92.6%) had healed and 5 (9.3%) had a malunion. There were 4 (7.4%) non-unions, 3 (5.5%) had shortening of more than 2.5 cm and 2 (3.7%) had a re-fracture. The rate of pin tract infection was very high at 42.6% (23 patients)
Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction
Purpose The purpose of this article is to present recommendations
for new muscle strength and hop performance
criteria prior to a return to sports after anterior cruciate
ligament (ACL) reconstruction.
Methods A search was made of relevant literature relating
to muscle function, self-reported questionnaires on
symptoms, function and knee-related quality of life, as well
as the rate of re-injury, the rate of return to sports and the
development of osteoarthritis after ACL reconstruction.
The literature was reviewed and discussed by the European
Board of Sports Rehabilitation in order to reach consensus
on criteria for muscle strength and hop performance prior
to a return to sports.
Results The majority of athletes that sustain an (ACL)
injury do not successfully return to their pre-injury sport,
even though most athletes achieve what is considered to
be acceptable muscle function. On self-reported questionnaires,
the athletes report high ratings for fear of re-injury,
low ratings for their knee function during sports and low
ratings for their knee-related quality of life.
Conclusion The conclusion is that the muscle function
tests that are commonly used are not demanding enough
or not sensitive enough to identify differences between
injured and non-injured sides. Recommendations for new
criteria are given for the sports medicine community to
consider, before allowing an athlete to return to sports after
an ACL reconstruction