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What factors are associated with osteoarthritis after cementation for benign aggressive bone tumor of the knee joint: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Serkan Bayram, Ahmet Salduz, Ahmet Müçteba Yıldırım, Korhan Özkan, Levent Eralp, Harzem Özger
The current systematic review aimed to answer the following questions: (i) Does extended curettage combined with the PMMA technique for the treatment of aggressive bone tumors around the knee led to the development of knee osteoarthritis? (ii) What factors are associated with osteoarthritis after bone cementation around the knee joint?
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Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Ahmed Mabrouk, Jae-Sung An, Kristian Kley, Komal Tapasvi, Sachin Tapasvi, Matthieu Ollivier
Varus knees with associated cartilage pathologies are not uncommon scenarios that present to orthopaedic surgeons. There is no agreement on the ideal management of varus knees with concomitant cartilage pathology. Through a literature review, the authors tried to answer three main questions: On October 2022, OVID MEDLINE, EMBASE, and COCHRANE databases were searched. Clinical studies reporting on clinical
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Operative management of osteochondral lesions of the talus: 2024 recommendations of the working group 'clinical tissue regeneration' of the German Society of Orthopedics and Traumatology (DGOU). EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Markus Walther, Oliver Gottschalk, Matthias Aurich
The working group 'Clinical Tissue Regeneration' of the German Society of Orthopedics and Traumatology (DGOU) issues this paper with updating its guidelines. Literature was analyzed regarding different topics relevant to osteochondral lesions of the talus (OLT) treatment. This process concluded with a statement for each topic reflecting the best scientific evidence available with a grade of recommendation
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Non-unions and wound infections do not differ following intramedullary nailing and plate osteosynthesis for distal third femur fractures: a meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Andreas Frodl, Johannes Hauss, Andreas Fuchs, Markus Siegel, Hagen Schmal, Jan Kühle
The fixation method of distal, extra-articular femur fractures is a controversially discussed. To ensure better stability itself, earlier mobilization and to prevent blood loss - all these are justifications for addressing the femur via reamed intramedullary nailing (RIMN). Anatomical reposition of multifragmentary fractures followed by increased risks of non-union are compelling reasons against it
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Synovial sarcoma: the misdiagnosed sarcoma. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Chengxiang Li, Fatime Krasniqi, Ricardo Donners, Christoph Kettelhack, Andreas H Krieg
Synovial sarcoma is a rare and highly malignant soft tissue sarcoma. The inconspicuous and diversity of its early symptoms make it a highly misdiagnosed disease. The management of synovial sarcomas is challenging as they are rare and have a poor prognosis. Early and correct diagnosis and treatment are critical for clinical outcomes. Misdiagnosis or delayed diagnosis can have devastating consequences
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Management of floating hip injury: a review of the literature. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Yun Yang, Yin-Xiao Peng, Bin Yu
The aim of this study was to provide a comprehensive overview of floating hip injury and attempt to provide a management algorithm.
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Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation: a narrative review and proposed treatment algorithm. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Juan Ignacio Cirillo, Guillermo A Ricciardi, Facundo Lisandro Alvarez Lemos, Alfredo Guiroy, Ratko Yurac, Klaus Schnake
Isolated cervical spine facet fractures are often overlooked. The primary imaging modality for diagnosing these injuries is a computed tomography scan. Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation remains controversial. The available evidence regarding treatment options for these fractures is of low quality. Risk factors associated with the failure
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Femoral bone defect classifications in revision total hip arthroplasty: a comprehensive review and proposal of a new algorithm of management. EFORT Open Rev. (IF 3.4) Pub Date : 2024-03-05 Mattia Loppini, Francesco Manlio Gambaro, Marco di Maio, Guido Grappiolo
The number of primary total hip arthroplasties (THAs) and revisions is expected to steadily grow in the future. The femoral revision surgery can be technically demanding whether severe bone defects need to be addressed. The femoral revision aims to obtain a proper primary stability of the stem with a more proximal fixation as possible. Several authors previously proposed classification systems to describe
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Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2024-02-01 Marc Saab, Cédric Zobrist, Nicolas Blanchemain, Bernard Martel, Feng Chai
The aim of this study was to conduct a systematic literature review analyzing the results of in vivo rat femoral defect models using biomaterials for improving the induced membrane technique (IMT).
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Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review. EFORT Open Rev. (IF 3.4) Pub Date : 2024-02-01 Yvet Mooiweer, Lina Roling, Margaret Vugrin, Lena Ansmann, Martin Stevens, Gesine H Seeber
The association between preoperative expectations and treatment outcomes in total hip arthroplasty (THA) or total knee arthroplasty (TKA) is still unclear. Therefore the aim is to examine the association between preoperative outcome expectations, process expectations, and self-efficacy, and the postoperative outcomes overall outcome, pain, function, stiffness, satisfaction, and quality of life following
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Effectiveness of functional or biomechanical bandages with athletic taping and kinesiotaping in subjects with chronic ankle instability: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2024-02-01 Gema Chamorro-Moriana, Veronica Perez-Cabezas, Marisa Benitez-Lugo
The aim of the study was to analyze the effects of functional or biomechanical bandages, whether elastic or inelastic, in Chronic Ankle Instability (CAI).
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Correction of rotational deformities in long bones using guided growth: a scoping review. EFORT Open Rev. (IF 3.4) Pub Date : 2024-02-01 Ahmed Halloum, Søren Kold, Jan Duedal Rölfing, Ahmed A Abood, Ole Rahbek
The objective of this scoping review was to describe the extent and type of evidence of using guided growth to correct rotational deformities of long bones in children.
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Superficial acral fibromyxoma: insights from case management and comprehensive literature review. EFORT Open Rev. (IF 3.4) Pub Date : 2024-02-01 Han Ling Tan, Tunku Sara Ahmad, C Sankara Kumar, Yohan Khirusman Adnan, Lai Meng Looi, Jayaletchumi Gunasagaran
Superficial acral fibromyxoma, also known as digital fibromyxoma, is a slow-growing, benign, solitary soft tissue tumor. First described in 2001 by Fetsch et al., it is a condition that often occurs in middle-aged individuals. However, it has also been reported across a wide range of ages, ranging from 4 to 86 years, with males more commonly reported. The condition often presents as solitary soft tissue
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A systematic review of studies on the diagnostics and classification system used in surgically treated, acute, isolated, unstable syndesmotic injury: a plea for uniform definition of syndesmotic injuries. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Fabian Tobias Spindler, Wolfgang Böcker, Hans Polzer, Sebastian Felix Baumbach
To this day, diagnostic standards and uniform definition for acute, isolated syndesmotic injuries are missing. The aim of the current study was to conduct a systematic review of the classification systems and diagnostics currently applied and to propose a best evidence diagnostic approach.
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Management of patellar instability in skeletally immature patients. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Erdem Sahin, Reha Tandogan, Michael Liebensteiner, Guillaume Demey, Asim Kayaalp
Surgical intervention is the treatment of choice for recurrent lateral patellar instability. Surgery should be considered for first time lateral patella dislocations with osteochondral fractures or underlying anatomical risk factors. Primary repair and nonanatomical imbrications/reconstructions have fallen out of favor due to abnormal biomechanics and high rates of recurrence. Anatomical reconstruction
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Complications of ankle arthroscopy: frequency, prevention, and treatment. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 E Carlos Rodríguez-Merchán, Carlos A Encinas-Ullán, Juan S Ruiz-Pérez, Primitivo Gómez-Cardero
The complication rate of ankle arthroscopy (AA) ranges from 3.5% to 14%. To avoid such complications, it is essential to have a thorough understanding of the anatomy of the ankle, to perform the procedure very carefully and with appropriate instrumentation, and to use a non-invasive distraction technique. The most frequent complications are neurological (cutaneous nerve injuries), which are usually
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Current advancements in diagnosing and managing cavovarus foot in paediatric patients. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Djandan Tadum Arthur Vithran, Xu Liu, Miao He, Anko Elijah Essien, Michael Opoku, Yusheng Li, Ming-Qing Li
The cavovarus deformity is a pathological condition characterised by an anomalous elevation of the longitudinal arch. This condition results from a significant hindfoot varus and forefoot equinus deformity. This phenomenon comprises diverse anomalies and therapies and exhibits a prevalence of 25% within the populace. A thorough clinical evaluation is required to identify deformities in the cavovarus
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Biomarkers to discriminate between aseptic loosened and stable total hip or knee arthroplasties: a systematic review. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Shaho Hasan, Peter van Schie, Bart L Kaptein, Jan W Schoones, Perla J Marang-van de Mheen, Rob G H H Nelissen
Loosening is a major cause for failure of total hip and total knee arthroplasties (THAs/TKAs). Preemptive diagnostics of asymptomatic loosening could open strategies to prevent gross loosening. A multitude of biomarkers may discriminate between loosened and stable implants, but it is unknown which have the best performance. The present systematic review aimed to assess which biomarkers have shown the
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A systematic review of tourniquet use in paediatric orthopaedic surgery: can we extrapolate from adult guidelines? EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Valeria Pintar, Charlotte Brookes, Alex Trompeter, Anna Bridgens, Caroline Hing, Yael Gelfer
Tourniquets are commonly used intraoperatively in orthopaedic surgery to control bleeding and improve visibility in the surgical field. Recent evidence has thrown into question the routine use of tourniquets in the adult population resulting in a British Orthopaedic Association standard for intraoperative use. This systematic review evaluates the evidence on the practice, benefits, and risks of the
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Intra-articular injection of hyaluronic acid after arthroscopic surgery fails to provide additional benefit for symptomatic degenerative arthropathy patients: a systematic review and meta-analysis of randomized controlled trials. EFORT Open Rev. (IF 3.4) Pub Date : 2024-01-09 Lei Yao, Jie Cai, Junqiao Li, Yan Xiong, Jian Li
This study aimed to provide the evidence of the role of addition hyaluronic acid immediate after arthroscopy in pain relief and functional recovery.
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Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Xun Wang,Aiqi Zhang,Wenchao Yao,Haiyan Qiu,Fabo Feng
Purpose Transforaminal lumbar interbody fusion (TLIF) is a classic surgical procedure for posterior lumbar fusion. This study aims to analyze the TLIF field by bibliometric method and comprehensively summarize the research status and trends. Methods All TLIF-related articles were retrieved from the Web of Science. The data were analyzed using R software and SPSS to calculate corresponding indicators
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Return to driving post upper or lower extremity orthopaedic surgical procedures: a scoping review of current published literature. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Mehnoor Khaliq,Vasileios P Giannoudis,Jeya Palan,Hemant G Pandit,Bernard H van Duren
Patients undergoing planned or unplanned orthopaedic procedures involving their upper or lower extremity can prevent them from safe and timely return to driving, where they commonly ask, 'Doctor, when can I drive?' Driving recommendations after such procedures are varied. The current evidence available is based on a heterogenous data set with varying degrees of sample size and markedly differing study
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Why personalized surgery is the future of hip and knee arthroplasty: a statement from the Personalized Arthroplasty Society. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Pascal-André Vendittoli,Charles Riviere,Michael T Hirschmann,Stefano Bini
Although hip and knee joint replacements provide excellent clinical results, many patients still do not report the sensation and function of a natural joint. The perception that the joint is artificial may result from the anatomical modifications imposed by the surgical technique and the implant design. Moreover, the joint replacement material may not function similarly to human tissues. To restore
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Clinical and radiological risk factors associated with the occurrence of acute compartment syndrome in tibial fractures: a systematic review of the literature. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Vanessa Morello,Axel Gamulin
Introduction Acute compartment syndrome (ACS) is an orthopedic emergency that may lead to devastating sequelae. Diagnosis may be difficult. The aim of this systematic review is to identify clinical and radiological risk factors for ACS occurrence in tibial fractures. Methods PubMed® database was searched in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA)
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Current indications for denosumab in benign bone tumours. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Antal Imre,Sápi Zoltán,Szendrői Miklós
Denosumab is a fully humanised monoclonal antibody to RANK ligand, inhibiting the RANK-RANKL pathway. It promotes the apoptosis of osteoclast-like giant cells, a secondary ossification and connective tissue formation. Given its high efficacy, denosumab is the standard treatment of unresectable or metastatic giant cell tumour of bone (GCTB) requiring morbid surgery. Neoadjuvant administration of denosumab
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The efficacy and safety of tranexamic acid in transforaminal lumbar interbody fusion: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Hua Luo,Xueli Yan,Yu Ren,Han Zhang,Wenjun Pan
Purpose This meta-analysis aimed to assess the efficacy and safety of tranexamic acid (TXA) in transforaminal lumbar interbody fusion (TLIF), focusing on its impact on intraoperative blood loss and related outcomes. Methods The review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched the PubMed, EMBASE, Medline, and Cochrane
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Does lower-limb osteoarthritis alter motor cortex descending drive and voluntary activation? A systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-12-01 Myles C Murphy,Christopher Latella,Ebonie K Rio,Janet L Taylor,Stephanie Martino,Colin Sylvester,William Hale,Andrea B Mosler
Purpose The aim of the study was to quantify motor cortex descending drive and voluntary activation (VA) in people with lower-limb OA compared to controls. Methods A systematic review and meta-analysis according to the PRISMA guidelines was carried out. Seven databases were searched until 30 December 2022. Studies assessing VA or responses to transcranial magnetic stimulation (TMS; i.e. motor evoked
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Adhesions in the setting of hip arthroscopy. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Joseph J Ruzbarsky,Rui W Soares,Spencer M Comfort,Justin W Arner,Marc J Philippon
With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability. Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to
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Clinical efficacy of robotic spine surgery: an updated systematic review of 20 randomized controlled trials. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Wen-Xi Sun,Wei-Qiang Huang,Hua-Yang Li,Hong-Shen Wang,Sheng-Li Guo,Jie Dong,Bo-Lai Chen,Yong-Peng Lin
Purpose To determine whether using robots in spine surgery results in more clinical advantages and fewer adverse consequences. Methods Between October 1990 and October 2022, a computer-based search was conducted through the databases of PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, China Biology Medicine, VIP databases, and WAN FANG. The study only included
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Distal biceps tendon rupture: a comprehensive overview. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Markus Jaschke,Krzysztof Rekawek,Sebastian Sokolowski,Lukasz Kolodziej
Distal biceps tendon (DBT) is a relatively rare injury mainly occurring in middle-aged men while in eccentric biceps muscle contraction. Clinical appearance with proximal avulsion of the muscle and specific clinical tests are most of the time sufficient for diagnosing DBT, but if needed ultrasonography and MRI, most often in FABS view, can be used to ensure diagnosis of DBT and partial DBT. Surgical
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Bisphosphonates' use and risk of aseptic loosening following total hip arthroplasty: a systematic review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Vasileios F Pegios,Eustathios Kenanidis,Stavros Tsotsolis,Michael Potoupnis,Eleftherios Tsiridis
Purpose The main indication of bisphosphonates (BPs) is osteoporosis treatment. However, there is growing interest in the peri- and postoperative use of BPs to mitigate total hip arthroplasty (THA) aseptic loosening (AL) risk. This systematic review aimed to evaluate the implant survival and the AL rate in patients with elective THA receiving BPs compared to those that do not receive BPs. Secondary
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The variability of CT scan protocols for total hip arthroplasty: a call for harmonisation. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Angelika Ramesh,Anna Di Laura,Johann Henckel,Alister Hart
CT is the principal imaging modality used for the pre-operative 3D planning and assessment of total hip arthroplasty (THA). The image quality offered by CT has a radiation penalty to the patient. Higher than necessary radiation exposure is of particular concern when imaging young patients and women of childbearing age, due to the greater risk of radiation-induced cancer in this group. A harmonised
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Osteotomies around the knee alter alignment of the ankle and hindfoot: a systematic review of biomechanical and clinical studies. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Aline Van Oevelen,Arne Burssens,Nicola Krähenbühl,Alexej Barg,Bernhard Devos Bevernage,Emmanuel Audenaert,Beat Hintermann,Jan Victor
Purpose Emerging reports suggest an important involvement of the ankle/hindfoot alignment in the outcome of knee osteotomy; however, a comprehensive overview is currently not available. Therefore, we systematically reviewed all studies investigating biomechanical and clinical outcomes related to the ankle/hindfoot following knee osteotomies. Methods A systematic literature search was conducted on PubMed
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Previous anterior cruciate ligament reconstruction influences the complication rate of total knee arthroplasty: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Mattia Alessio-Mazzola,Giacomo Placella,Luigi Zagra,Orlando Leone,Natasha Di Fabio,Desiree Moharamzadeh,Vincenzo Salini
Purpose The results of total knee arthroplasty (TKA) following anterior cruciate ligament (ACL) reconstruction are still under-investigated. The purpose of this research is to investigate the differences between TKA after ACL reconstruction and TKA for primary osteoarthritis through a review and meta-analysis of the literature. Methods Case-control and cohort studies reporting outcomes of TKA following
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Primary total knee arthroplasty in hemophilic arthropathy. EFORT Open Rev. (IF 3.4) Pub Date : 2023-11-01 Gautier Beckers,Vincent Massé,Pascal-André Vendittoli,Mina W Morcos
Advanced hemophilic knee arthropathy is a frequent and devastating manifestation of severe hemophilia with significant implications for activities of daily living. Hemophilic arthropathy is caused by repeated bleeding, resulting in joint degeneration, pain, deformity and disability. In patients with hemophilia and advanced disease, total knee arthroplasty (TKA) has proven to be the most successful
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Relationship between stomatognathic alterations and idiopathic scoliosis: a systematic review with meta-analysis of observational studies. EFORT Open Rev. (IF 3.4) Pub Date : 2023-10-03 Francisca Gámiz-Bermúdez, Alfonso Javier Ibáñez-Vera, Esteban Obrero-Gaitán, Irene Cortés-Pérez, Noelia Zagalaz-Anula, Rafael Lomas-Vega
The objective of this systematic review was to assess a possible relationship between stomatognathic alterations and idiopathic scoliosis (IS).
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Periprosthetic fractures after shoulder arthroplasty: a systematic review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-10-03 Maciej Otworowski, Dariusz Grzelecki, Krzysztof Starszak, Andrzej Boszczyk, Mateusz Piorunek, Bartłomiej Kordasiewicz
The goal of this study was to review available literature on periprosthetic shoulder fractures to evaluate epidemiology, risk factors and support clinical decision-making regarding diagnostics, preoperative planning, and treatment options.
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The 'placebo effect' in the conservative treatment of plantar fasciitis: a systematic review and meta-analyses. EFORT Open Rev. (IF 3.4) Pub Date : 2023-10-03 Valentina Viglione, Angelo Boffa, Davide Previtali, Francesca Vannini, Cesare Faldini, Giuseppe Filardo
The study of the placebo effect is key to elucidate the 'real effect' of conservative interventions for plantar fasciitis. The aim of this meta-analysis was to quantify the impact of placebo in the different conservative treatments of plantar fasciitis.
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Biodegradable vs nonbiodegradable suture anchors for rotator cuff repair: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-10-03 Heri Suroto, Benedictus Anindita Satmoko, Tabita Prajasari, Brigita De Vega, Teddy Heri Wardhana, Steven K Samijo
The use of non-biodegradable suture anchors (NBSA) in arthroscopic rotator cuff repair (RCR) has increased significantly. However, several complications such as migration, chondral damage, revision, and imaging difficulties have been reported. Meanwhile, the effectiveness of biodegradable suture anchors (BSA) in overcoming such complications and achieving functional outcomes requires further study
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A narrative review of treatment strategies for major glenoid defects during primary reverse shoulder arthroplasty, with a focus on the use of structural bone graft. EFORT Open Rev. (IF 3.4) Pub Date : 2023-10-03 Pududu Archie Rachuene, Roopam Dey, Sudesh Sivarasu, Jean-Pierre du Plessis, Stephen Roche, Basil Vrettos
Structural glenoid defects are common during primary reverse shoulder arthroplasty (RSA) and are often associated with poor outcomes. The lack of pre-operative imaging protocols for determining the depth and degree of glenoid wear hinders our ability to accurately plan and correct these defects. Although bone grafting has been reported to be effective in reducing glenoid wear during RSA, there is limited
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Mortality, patient-reported outcome measures, and the health economic burden of prosthetic joint infection. EFORT Open Rev. (IF 3.4) Pub Date : 2023-09-01 Yangqi Xu, Tony B Huang, Michael A Schuetz, Peter F M Choong
Prosthetic joint infection (PJI) is one of the most devastating complications for a patient following arthroplasty. This scoping review aims to evaluate the burden of PJI on individual patients and the healthcare system regarding the mortality rate, patient-reported quality of life, and healthcare resource utilisation. Patients with PJI have up to a five-fold higher mortality rate than those who have
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Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate? EFORT Open Rev. (IF 3.4) Pub Date : 2023-09-01 Johannes D Bastian, Silviya Ivanova, Ahmed Mabrouk, Peter Biberthaler, Pedro Caba-Doussoux, Nikolaos K Kanakaris
Segmental femoral fractures represent a rare but complex clinical challenge. They mostly result from high-energy mechanisms, dictate a careful initial assessment and are managed with various techniques. These often include an initial phase of damage control orthopaedics while the initial manoeuvres of patient and soft tissue resuscitation are employed. Definitive fixation consists of either single-implant
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Staphylococcus aureus colonization and periprosthetic joint infection in patients undergoing elective total joint arthroplasty: a narrative review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-09-01 Michael de Buys, Krisantha Moodley, Josip Nenad Cakic, Jurek R T Pietrzak
Peri-prosthetic joint infections (PJIs) following total joint arthroplasty (TJA) are associated with higher treatment costs, longer hospital admissions and increased morbidity and mortality. Colonization with Staphylococcus aureus is an independent and modifiable risk factor for PJIs and carriers of S. aureus are ten times more likely than non-carriers for post-operative infections. Screening and targeted
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Spinal posture assessment and low back pain. EFORT Open Rev. (IF 3.4) Pub Date : 2023-09-01 Shu-Hao Du, Yong-Hui Zhang, Qi-Hao Yang, Yu-Chen Wang, Yu Fang, Xue-Qiang Wang
Postural assessment can help doctors and therapists identify risk factors for low back pain and determine appropriate follow-up treatment. Postural alignment is not perfectly symmetrical, and small asymmetries can instead represent norms and criteria for postural evaluation. It is necessary to comprehensively observe patients' posture in all directions and analyze the factors related to posture evaluation
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Outcomes of single- vs two-stage primary joint arthroplasty for septic arthritis: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-09-01 Hua Luo, Congcong He, Yong Zhao, Guangyong Yang, Hainan Hong
Septic arthritis (SA) is an intra-articular infection caused by purulent bacteria and the only effective method is surgical intervention. Two-stage arthroplasty is considered the gold standard treatment for SA, but recent studies have found that single-stage arthroplasty can achieve the same efficacy as two-stage arthroplasty. This study aimed to compare the efficacy of single- vs two-stage arthroplasty
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Overstuffing the patellofemoral compartment in total knee arthroplasty: a systematic review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Marco Gupton,Jordan E Johnson,G Robert Cummings,Chenthuran Deivaraju
Purpose To systematically review and analyze the data available in the literature to evaluate the role of patellofemoral overstuffing in affecting clinical outcomes following primary total knee arthroplasty. Methods A systematic literature review was conducted following the PRISMA guidelines. Only studies including primary total knee arthroplasty in the setting of osteoarthritis with a quantifiable
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Proximal humerus fractures: deltopectoral open reduction and internal fixation vs deltosplit minimally invasive plate osteosynthesis: which surgical approach provides superior results? EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Lorenzo Massimo Oldrini,Alessandro Sangiorgio,Pietro Feltri,Francesco Marbach,Giuseppe Filardo,Christian Candrian
Purpose To compare the two main surgical approaches to address proximal humerus fractures (PHFs) stratified for Neer fracture types, to demonstrate which approach gives the best result for each fracture type. Methods A literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in PubMed, Web of Science, and Cochrane databases up to
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Artifical intelligence use in orthopedics: an ethical point of view. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Elcil Kaya Bicer,Heiner Fangerau,Hakki Sur
Artificial intelligence (AI) is increasingly being utilized in orthopedics practice. Ethical concerns have arisen alongside marked improvements and widespread utilization of AI. Patient privacy, consent, data protection, cybersecurity, data safety and monitoring, bias, and accountability are some of the ethical concerns.
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Lumbar joint position sense measurement of patients with low back pain. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Qi-Hao Yang,Xue-Qiang Wang
Lumbar position sense can be assessed by measurement instruments including the goniometer, isokinetic dynamometry, and electronic motion monitoring equipment, which have demonstrated relatively high reliability. This literature provides a comprehensive overview of influencing factors of lumbar position sense measurement, including repositioning method, fatigue degree, and posture during the reposition
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Insufficient evidence to confirm benefit of adjuvant distal clavicle resection during rotator cuff repair: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Johannes Barth,Jerôme Garret,Luca Nover,Floris van Rooij,Philippe Clavert,
The aim of this study is to determine whether adjuvant Distal Clavicle Resection (DCR) improves outcomes of Rotator Cuff Repair (RCR) in terms of ROM, clinical scores as well as reducing complications and/or reoperations. This systematic review conforms to the PRISMA guidelines. Studies were included if they compared outcomes of RCR with and without adjuvant DCR and reported on postoperative ROM, clinical
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How to treat stiffness after proximal humeral fractures? EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 J Tomás Rojas,Mustafa S Rashid,Matthias A Zumstein
Shoulder stiffness is a frequent complication after proximal humeral fractures treated with or without surgery. Shoulder stiffness is associated with high rates of absence from work and a significant financial burden for the healthcare system. Secondary stiffness is characterized by additional extracapsular adhesions, including subacromial, subcoracoid, and subdeltoid spaces, usually derived from post-fracture
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Local recurrence management of extremity soft tissue sarcoma. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Bogdan Serban,Bogdan Cretu,Adrian Cursaru,Cornelia Nitipir,Cristina Orlov-Slavu,Catalin Cirstoiu
Patients diagnosed with soft tissue sarcoma (STS) present a number of challenges for physicians, due to the vast array of subtypes and aggressive tumor biology. There is currently no agreed-upon management strategy for these tumors, which has led to the ongoing debate surrounding how frequently surveillance scans should be performed following surgery. However, advances in multidisciplinary care have
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Rehabilitation after cervical and lumbar spine surgery. EFORT Open Rev. (IF 3.4) Pub Date : 2023-08-01 Tiago P Barbosa,Ana Rita Raposo,Paulo Diogo Cunha,Nuno Cruz Oliveira,Armanda Lobarinhas,Pedro Varanda,Bruno Direito-Santos
The total number of spine surgeries is increasing, with a variable percentage of patients remaining symptomatic and functionally impaired after surgery. Rehabilitation has been widely recommended, although its effects remain unclear due to lack of research on this matter. The aim of this comprehensive review is to resume the most recent evidence regarding postoperative rehabilitation after spine surgery
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Introduction of innovations in joint arthroplasty: Recommendations from the 'EFORT implant and patient safety initiative'. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Søren Overgaard, Thomas M Grupp, Rob Ghh Nelissen, Luca Cristofolini, Anne Lübbeke, Marcus Jäger, Matthias Fink, Sabine Rusch, Hassan Achakri, Francesco Benazzo, Dario Bergadano, Georg N Duda, Christian Kaddick, Volkmar Jansson, Klaus-Peter Günther
With the implementation of the new MDR 2017/745 by the European Parliament, more robust clinical and pre-clinical data will be required due to a more stringent approval process. The EFORT Implant and Patient Safety Initiative WG1 'Introduction of Innovation', combined knowledge of orthopaedic surgeons, research institutes, orthopaedic device manufacturers, patient representatives and regulatory authorities
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Comparison of primary total hip arthroplasty with limited open reduction and internal fixation vs open reduction and internal fixation for geriatric acetabular fractures: a systematic review and meta-analysis. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Ting-Yu Tu, Chun-Yu Chen, Pei-Chin Lin, Chih-Yang Hsu, Kai-Cheng Lin
Comminuted fractures with poor bone quality in the elderly are associated with poor outcomes. An alternative to open reduction and internal fixation (ORIF) alone, primary or acute total hip arthroplasty (aTHA), allows early mobilization with full weight bearing. In this study, we aim to analyze whether treatment of aTHA with/withtout ORIF (limited ORIF) vs ORIF alone yields better intra-operative results
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The history of the development of the regular straight stem in hip arthroplasty. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Hanna Wellauer, Roman Heuberger, Emanuel Gautier, Moritz Tannast, Hubert Steinke, Peter Wahl
Since the middle of the 20th century, total hip arthroplasty has become a very successful treatment for all end-stage diseases of the hip joint. Charnley solved with his low frictional torque arthroplasty the problem of wear and friction with the introduction of a new bearing couple and the reduction of the head size, which set the prerequisite for the further development of stem design. This narrative
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Review of perioperative outcomes and management of hip fracture patients on direct oral anticoagulants. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Pelle V Wall, Brendon C Mitchell, Canhnghi N Ta, William T Kent
Anticoagulation use is common in elderly patients presenting with hip fractures and has been shown to delay time to surgery (TTS). Delays in operative treatment have been associated with worse outcomes in hip fracture patients. Direct oral anticoagulants (DOACs) comprise a steadily increasing proportion of all oral anticoagulation. Currently, no clear guidelines exist for perioperative management of
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Lateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Nicolás Franulic, José Tomas Muñoz, Francisco Figueroa, Piero Innocenti, Nicolás Gaggero
Lateral hinge fractures (LHF) are one of the most common complications of medial opening wedge high tibial osteotomy (MOWHTO), and are the leading cause of construct instability displacement, non-union, and varus recurrence after this procedure. To date, Takeuchi's classification is the most popular classification to describe this complication, and it can help surgeons to make intra and postoperative
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Custom triflange acetabular components for large acetabular defect reconstruction in revision total hip arthroplasty: a systematic review and meta-analysis on 1218 patients. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Demien Broekhuis, Rutger Tordoir, Zoe Vallinga, Jan Schoones, Bart Pijls, Rob Nelissen
This is a systematic review and meta(regression) analysis to assess the performance of custom triflange acetabular components (CTAC) in total hip arthroplasty (THA) revision surgery. Implant-related complications, failure rate, functional outcomes and implant and surgical technique-related predictors for outcome were assessed.
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The effect and mechanism of motor control exercise on low back pain: a narrative review. EFORT Open Rev. (IF 3.4) Pub Date : 2023-07-03 Hao-Ran Xu, Yong-Hui Zhang, Yi-Li Zheng
Low back pain (LBP) is a common symptom that can occur in all ages. It is the first common cause of disability globally and is associated with over 60 million disability-adjusted life-years in a single year. Motor control exercise (MCE) has obtained increasing attention in treating LBP. However, the findings from distinct meta-analyses differed and some even reached controversial conclusions. More