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Optimizing periprosthetic fracture management and in-hospital outcome: insights from the PIPPAS multicentric study of 1387 cases in Spain J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-03-07
The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to
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Unexpected early loosening of rectangular straight femoral Zweymüller stems with an alumina-reduced surface after total hip arthroplasty—a prospective, double-blind, randomized controlled trial J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-03-02 Céline S. Moret, Salim El Masri, Benjamin L. Schelker, Niklaus F. Friederich, Michael T. Hirschmann
Alumina particles from the grit blasting of Ti-alloy stems are suspected to contribute to aseptic loosening. An alumina-reduced stem surface was hypothesized to improve osseointegration and show comparable short-term outcomes to those of a standard stem. In this prospective, double-blind, randomized trial, 26 standard (STD) and 27 experimental new technology (NT) stems were implanted. The latter were
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Three-dimensional printed models can reduce costs and surgical time for complex proximal humeral fractures: preoperative planning, patient satisfaction, and improved resident skills J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-28 Andrea Fidanza, Gianfilippo Caggiari, Francesco Di Petrillo, Enrico Fiori, Alberto Momoli, Giandomenico Logroscino
Proximal humeral fractures (PHFs) are still controversial with regards to treatment and are difficult to classify. The study’s objective is to show that preoperative planning performed while handling a three-dimensional (3D) printed anatomical model of the fracture can ensure a better understanding of trauma for both surgeons and patients. Twenty patients (group A, cases) with complex PHF were evaluated
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Reverse shoulder arthroplasty with a 155° neck-shaft angle inlay implant design without reattachment of the subscapularis tendon results in satisfactory functional internal rotation and no instability: a cohort study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-28 Arno A. Macken, Wouter J. van der Poel, Geert A. Buijze, Joris J. Beckers, Denise Eygendaal, Laurent Lafosse, Thibault Lafosse
The aim of this study was to use the Activities of Daily Living which require Internal Rotation (ADLIR) questionnaire to assess the functional internal rotation in patients who had undergone reverse shoulder arthroplasty (RSA) without reattachment of the subscapularis (SSc) tendon at a minimum follow-up of 2 years. The secondary aim was to report the objective range of motion (ROM) and the rate of
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Direct anterior approach with conventional instruments versus robotic posterolateral approach in elective total hip replacement for primary osteoarthritis: a case–control study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-21 Mattia Alessio-Mazzola, Pietro Colombo, Niccolo’ Barducci, Elena Ghezzi, Luigi Zagra, Patrizio Caldora, Marco Ometti, Giacomo Placella, Vincenzo Salini
The purpose of this study is to compare peri-operative and short-term outcomes in patients who underwent elective total hip replacement (THA) for primary osteoarthritis (OA) with direct anterior approach (DAA) versus a pair-matched cohort of patients who underwent robotic-assisted THA with posterolateral approach. Data from consecutive patients who underwent elective hip replacement from 2021 to 2023
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The effect of cellular nuclear function alteration on the pathogenesis of shoulder adhesive capsulitis: an immunohistochemical study on lamin A/C expression J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-21 Vittorio Candela, Barbara Peruzzi, Martina Leopizzi, Natale Porta, Valeria Di Maio, Benjamin Greenberg, Carlo Della Rocca, Stefano Gumina
The network of intermediate filament proteins underlying the inner nuclear membrane forms the nuclear lamina. Lamins have been associated with important cellular functions: DNA replication, chromatin organization, differentiation of the cell, apoptosis and in maintenance of nuclear structure. Little is known regarding the etiopathogenesis of adhesive capsulitis (AC); recently, a dysregulating fibrotic
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All-epiphyseal anterior cruciate ligament reconstruction yields superior sports performances than the trans-epiphyseal technique in skeletally immature patients: a systematic review J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-20 Filippo Migliorini, Marco Pilone, Michael Kurt Memminger, Jörg Eschweiler, Riccardo Giorgino, Nicola Maffulli
Anterior cruciate ligament (ACL) tears in skeletally immature patients are increasingly common. Evidence comparing the outcomes of all-epiphyseal versus trans-epiphyseal ACL reconstruction in skeletally immature patients is limited, and the current literature could benefit from a comprehensive systematic review. The present study compared all-epiphyseal versus trans-epiphyseal ACL reconstruction in
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Risk factors for early septic failure after two-stage exchange total knee arthroplasty for treatment of periprosthetic joint infection J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-02-12 Woo-Suk Lee, Kwan Kyu Park, Byung-Woo Cho, Jun Young Park, Inuk Kim, Hyuck Min Kwon
The cause of early septic failure after two-stage exchange revision total knee arthroplasty (TKA) for chronic periprosthetic joint infection (PJI) and the factors affecting it are not well known. The purpose of this study was to determine the surgical outcomes and the risk factors for early septic failure after two-stage revision TKA for chronic PJI. We identified a total of 246 adult patients who
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Suprapatellar tibial fracture nailing is associated with lower rate for acute compartment syndrome and the need for fasciotomy compared with the infrapatellar approach J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-01-28 Essi E. Honkonen, Jussi P. Repo, Heidi Lehtokangas, Emma Luoma, Mikko Uimonen, Sami Nurmi, Antti Ylitalo, Antti Riuttanen, Tiia Kivelä, Ville M. Mattila, Piia Suomalainen
Intramedullary tibial nailing (IMN) is the gold standard for stabilizing tibial shaft fractures. IMN can be performed through an infra- or suprapatellar approach. The aim of this study is to compare the rate of fasciotomies for acute compartment syndrome between infra- and suprapatellar approaches. A total of 614 consecutive patients who were treated with IMN for tibial fracture between October 2007
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Preoperative antibiotic prophylaxis and the incidence of surgical site infections in elective clean soft tissue surgery of the hand and upper limb: a systematic review and meta-analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-01-28 Gabrielle Avelar Negri, Antônio Clodoildo Andrade Junior, Manuela Amoedo Cox, Marcos Felipe Marcatto de Abreu, Simone Appenzeller, Rodrigo Gonçalves Pagnano
Surgical site infections (SSI) are the most frequent early complications of hand surgeries. However, the indications still remain uncertain for antibiotic prophylaxis in elective clean soft tissue surgeries of the hand and upper limb. Therefore, a systematic review of the literature and a meta-analysis was conducted to investigate the impact of antibiotic prophylaxis on the prevention of SSI in these
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High satisfaction rate and range of motion can be expected in frozen shoulder after awake manipulation with brachial plexus block J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-01-28 F. Inglese, M. Montemagno, A. Brigo, M. Nigro, A. Giorgini, G. M. Micheloni, G. Porcellini
Adhesive capsulitis (AC) is a disease of the glenohumeral joint that is characterized by pain and both passive and active global stiffness with a slow and insidious onset. The disease can occur spontaneously (primary AC) or it can be secondary to other comorbidities, surgery, or trauma, such as fracture or dislocation. Multiple treatment approaches have been suggested: intra-articular steroid injection
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Validation of Roussouly classification in predicting the occurrence of adjacent segment disease after short-level lumbar fusion surgery J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-01-13 Muyi Wang, Xin Wang, Hao Wang, Yifei Shen, Yong Qiu, Xu Sun, Dong Zhou, Yuqing Jiang
Recent studies demonstrated that restoring sagittal alignment to the original Roussouly type can remarkably reduce complication rates after adult spinal deformity surgery. However, there is still no data proving the benefit of maintaining ideal Roussouly shape in the lumbar degenerative diseases and its association with the development of adjacent segment disease (ASD). Thus, this study was performed
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Antithrombotic prophylaxis following total hip arthroplasty: a level I Bayesian network meta-analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2024-01-09 Filippo Migliorini, Nicola Maffulli, Erlis Velaj, Andreas Bell, Daniel Kämmer, Frank Hildebrand, Ulf Krister Hofmann, Jörg Eschweiler
Several clinical investigations have compared different pharmacologic agents for the prophylaxis of venous thromboembolism (VTE). However, no consensus has been reached. The present investigation compared enoxaparin, fondaparinux, aspirin and non-vitamin K antagonist oral anticoagulants (NOACs) commonly used as prophylaxis following total hip arthroplasty (THA). A Bayesian network meta-analysis was
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Transforaminal lumbar interbody fusion with a tantalum cage: lumbar lordosis redistribution and sacral slope restoration with a modified posterior technique J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-12-13 Marcello Ferraro, Francesco Puglia, Andrea Della Valle, Vincenzo Cerbone, Alfonso Cicatelli, Donata Rita Peroni, Davide Cecconi, Bernardo Misaggi, Giovanni Andrea La Maida
Transforaminal lumbar interbody fusion (TLIF), a commonly used procedure in spine surgery, has the advantage of a lower incidence of nerve lesions compared to the posterior lumbar interbody fusion (PLIF) technique. The intersomatic arthrodesis has always been carried out with a single tantalum cage normally used for PLIF. Tantalum is a metal that is particularly used in orthopedic surgery. It has a
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Arthrosis diagnosis and treatment recommendations in clinical practice: an exploratory investigation with the generative AI model GPT-4 J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-28 Stefano Pagano, Sabrina Holzapfel, Tobias Kappenschneider, Matthias Meyer, Günther Maderbacher, Joachim Grifka, Dominik Emanuel Holzapfel
The spread of artificial intelligence (AI) has led to transformative advancements in diverse sectors, including healthcare. Specifically, generative writing systems have shown potential in various applications, but their effectiveness in clinical settings has been barely investigated. In this context, we evaluated the proficiency of ChatGPT-4 in diagnosing gonarthrosis and coxarthrosis and recommending
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Greater medial proximal tibial slope is associated with bone marrow lesions in middle-aged women with early knee osteoarthritis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-28 Hikaru K. Ishibashi, Eiji Sasaki, Kyota Ishibashi, Daisuke Chiba, Takahiro Tsushima, Yuka Kimura, Gentaro Kumagai, Eiichi Tsuda, Kaori Sawada, Tatsuya Mikami, Yasuyuki Ishibashi
Bone marrow lesion (BML) is an important magnetic resonance finding (MRI) finding that predicts knee osteoarthritis. The purpose of this study was to investigate the influence of proximal tibial morphology on BML, including the spreading root sign (SRS), in women without radiographic knee osteoarthritis (OA). It was hypothesized that varus alignment and a greater posterior tibial slopes (PTS) are associated
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Reverse shoulder arthroplasty in obstetric brachial plexus injury: our experience with shoulder motion analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-10 Giuseppe Porcellini, Marco Montemagno, Chiara Manzini, Gabriele Fiumana, Andrea Giorgini, Gianmario Micheloni, Luigi Tarallo
Obstetric brachial plexus injury (OBPI) is a weakening or paralysis of the upper arm caused by brachial plexus injury followed by a muscle paralysis with severe repercussions on the movement of the shoulder joint following a progressive glenohumeral joint deformity. This case series analyzes the clinical and radiological outcomes of reverse total shoulder arthroplasty (RSA) in OBPI patients with a
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Clinical effects of different center of rotation reconstructions in total hip arthroplasty after femoral neck fractures: a cohort study including a follow-up analysis on patient’s mobility and daily living ability J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-09 Christopher Nieschk, Johanna Abelmann-Brockmann, Leonard Lisitano, Annabel Fenwick, Heinz Röttinger, Michael Ecker, Edgar Mayr, Timon Röttinger
The aim of this study is a clinical evaluation of the center of rotation (COR) placement towards a patient’s recovery with respect to daily living ability and mobility. In past experiments based on three-dimensional (3D) models, medialization of the COR in total hip arthroplasty (THA) showed a negative influence on muscle strength of the abductors and reaction force of the hip joint. This contradicts
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Standard views do not suffice in assessing distal scaphoid articular cannulated screw penetration J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-09 Pierre-Emmanuel Chammas, Maxime Pastor, Michel Chammas, Geert Alexander Buijze
Articular screw penetration is one of the most common hardware-related problems after scaphoid fracture fixation, occurring in up to two-thirds of patients, in particular into the scaphotrapezotrapezoidal (STT) joint. The aim of this study was to investigate whether this clinically important issue could be detected using standard anteroposterior (AP) and lateral, as well as additional nonstandard fluoroscopic
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Complication rates after proximal femoral nailing: does level of training matter? J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-03 D. J. Haslhofer, J. M. Stiftinger, N. Kraml, F. Dannbauer, C. Schmolmüller, T. Gotterbarm, O. Kwasny, A. Klasan
Surgical treatment of pertrochanteric fractures is one of the most performed surgeries in orthogeriatrics. Proximal femoral nailing, the most performed procedure, is often used as a training surgery for young residents. The objective of this study was to evaluate the relevance of the resident’s training level to complication rates. This study was a retrospective cohort study. Surgeons were divided
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Bernese periacetabular osteotomy (PAO): from its local inception to its worldwide adoption J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-11-02 Reinhold Ganz, Michael Leunig
The development of the Bernese periacetabular osteotomy (PAO) is based on a structured approach starting with an analysis of the preexisting procedures to improve the coverage of the femoral head and was followed by a list of additional goals and improvements. Cadaveric dissections with a detailed description of the vascular supply of acetabulum and periacetabular bone set the stage for an intrapelvic
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Correct positioning of the calcar screw leads to superior results in proximal humerus fractures treated with carbon-fibre-reinforced polyetheretherketone plate osteosynthesis with polyaxial locking screws J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-10-10 Michael Kimmeyer, Jonas Schmalzl, Verena Rentschler, Christian Schieffer, Arno Macken, Christian Gerhardt, Lars-Johannes Lehmann
Plate osteosynthesis with implants made of carbon-fibre-reinforced polyetheretherketone (CFR-PEEK) has recently been introduced for the treatment of fractures of the proximal humerus (PHFs). The advantages of the CFR-PEEK plate are considered to be its radiolucency, its favourable modulus of elasticity, and the polyaxial placement of the screws with high variability of the angle. The primary aim of
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LARAI portal provides a safe method for lateral meniscus repair: three-dimensional computed tomography and cadaveric assessment J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-29 Yi Long, Zhengzheng Zhang, Min Zhou, Jingyi Hou, Yunfeng Zhou, Liang Jiang, Xiaoding Xu, Rui Yang
Lateral, All-Round and All-Inside (LARAI) portal is a viewing or working portal for observing and repairing the lesions of the lateral meniscus. However, there are safety concerns about popliteal artery (PA) injuries during the procedure. This study aimed to assess the safe distance between the trajectory of the LARAI portal and PA. Both three-dimensional computed tomography (3D-CT) and cadavers were
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Functional leg performance 2 years after ACL surgery: a comparison between InternalBrace™-augmented repair versus reconstruction versus healthy controls J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-21 Linda Bühl, Sebastian Müller, Corina Nüesch, Geert Pagenstert, Annegret Mündermann, Christian Egloff
While clinical and patient-reported outcomes have been investigated in patients after InternalBrace™-augmented anterior cruciate ligament repair (ACL-IB), less is known regarding restoration of functional performance. We aimed to determine differences in functional performance within and between patients 2 years after ACL-IB, patients 2 years after ACL reconstruction (ACL-R), and healthy controls.
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Higher pelvic incidence values are a risk factor for trans-iliac trans-sacral screw malposition in sacroiliac complex fracture treatment J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-21 An-Jhih Luo, Angela Wang, Chih-Yang Lai, Yi-Hsun Yu, Yung-Heng Hsu, Ying-Chao Chou, I.-Jung Chen
Percutaneous iliosacral (IS) screw fixation and trans-iliac trans-sacral (TITS) screw fixation are clinically effective treatments of posterior pelvic sacroiliac fractures. In order to accurately assess the sacrum position relative to the pelvis, pelvic incidence (PI) is a commonly utilized radiographic parameter in sagittal view. This study aimed to investigate and compare the surgical outcomes and
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Efficacy and safety of modular versus monoblock stems in revision total hip arthroplasty: a systematic review and meta-analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-16 Daofeng Wang, Hua Li, Wupeng Zhang, Huanyu Li, Cheng Xu, Wanheng Liu, Jiantao Li
Both modular and monoblock tapered fluted titanium (TFT) stems are increasingly being used for revision total hip arthroplasty (rTHA). However, the differences between the two designs in clinical outcomes and complications are not yet clear. Here, we intend to compare the efficacy and safety of modular versus monoblock TFT stems in rTHA. PubMed, Embase, Web of Science, and Cochrane Library databases
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National spine surgery registries’ characteristics and aims: globally accepted standards have yet to be met. Results of a scoping review and a complementary survey J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-16 Simona Pascucci, Francesco Langella, Michela Franzò, Marco Giovanni Tesse, Enrico Ciminello, Alessia Biondi, Eugenio Carrani, Letizia Sampaolo, Gustavo Zanoli, Pedro Berjano, Marina Torre
Surgery involving implantable devices is widely used to solve several health issues. National registries are essential tools for implantable device surveillance and vigilance. In 2017, the European Union encouraged Member States to establish “registries and databanks for specific types of devices” to evaluate device safety and performance and ensure their traceability. Spine-implantable devices significantly
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Anterior debridement combined with autogenous iliac bone graft fusion for the treatment of lower cervical tuberculosis: a multicenter retrospective study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-14 Ping Xia, Pengfei Tao, Xiaolong Zhao, Xianglin Peng, Songfeng Chen, Xiucai Ma, Lei Fan, Jing Feng, Feifei Pu
This study aimed to analyze the clinical efficacy of one-stage anterior debridement of lower cervical tuberculosis using iliac crest bone graft fusion and internal fixation. A retrospective analysis was performed on 48 patients with lower cervical tuberculosis admitted to multiple medical centers from June 2018 to June 2021. Among them, 36 patients had lesions involving two vertebrae and 12 patients
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Italian Orthopaedic and Traumatology Society (SIOT) position statement on the non-surgical management of knee osteoarthritis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-07 Elisa Pesare, Giovanni Vicenti, Elisaveta Kon, Massimo Berruto, Roberto Caporali, Biagio Moretti, Pietro S. Randelli
Knee osteoarthritis (OA) is a chronic disease associated with a severe impact on quality of life. However, unfortunately, there are no evidence-based guidelines for the non-surgical management of this disease. While recognising the gap between scientific evidence and clinical practice, this position statement aims to present recommendations for the non-surgical management of knee OA, considering the
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Consensus for management of sacral fractures: from the diagnosis to the treatment, with a focus on the role of decompression in sacral fractures J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-09-04 Alessandro Aprato, Luigi Branca Vergano, Alessandro Casiraghi, Francesco Liuzza, Umberto Mezzadri, Alberto Balagna, Lorenzo Prandoni, Mohamed Rohayem, Lorenzo Sacchi, Amarildo Smakaj, Mario Arduini, Alessandro Are, Concetto Battiato, Marco Berlusconi, Federico Bove, Stefano Cattaneo, Matteo Cavanna, Federico Chiodini, Matteo Commessatti, Francesco Addevico, Rocco Erasmo, Alberto Ferreli, Claudio Galante
There is no evidence in the current literature about the best treatment option in sacral fracture with or without neurological impairment. The Italian Pelvic Trauma Association (A.I.P.) decided to organize a consensus to define the best treatment for traumatic and insufficiency fractures according to neurological impairment. Consensus has been reached for the following statements: When complete neurological
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Intramedullary nailing versus cemented plate for treating metastatic pathological fracture of the proximal humerus: a comparison study and literature review J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-24 Karl Wu, Ting Lin, Cheng-Han Lee
Pathological fracture of the humerus causes severe pain, limited use of the hand, and decreased quality of life. This study aimed to compare the outcomes of intramedullary nailing and locking plate in treating metastatic pathological fractures of the proximal humerus. This retrospective comparison study included 45 patients (22 male, 23 female) with proximal humerus metastatic pathological fractures
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Not all questions are created equal: the weight of the Oxford Knee Scores questions in a multicentric validation study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-17 Matthias Luger, Clemens Schopper, Eliana S. Krottenthaler, Mahmoud Mahmoud, Thomas Heyse, Tobias Gotterbarm, Antonio Klasan
The Oxford Knee Score (OKS) has been designed for patients with knee osteoarthritis and has a widespread use. It has 12 questions, with each question having the same weight for the overall score. Some authors have observed a significant ceiling effect, especially when distinguishing slight postoperative differences. We hypothesized that each questions’ weight will depend significantly on the patient’s
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Are the outcomes of single-stage open reduction and Dega osteotomy the same when treating DDH in patients younger than 8 years old? A prospective cohort study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-17 AboBakr Zein, Ahmed A. Khalifa, Mohamed Eslam Elsherif, Hassan Elbarbary, Mohamed Youness Badaway
The primary objective was to report our early results after a one-stage procedure [open reduction (OR), Dega pelvic osteotomy (DPO), and femoral osteotomy (FO) when needed] for surgical management of a cohort of patients with developmental dysplasia of the hip (DDH). The secondary objective was to compare the functional, radiological, and complications among patients younger and older than 30 months
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Carbon-fibre plates for traumatic and (impending) pathological fracture fixation: Where do we stand? A systematic review J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-11 Zeger Rijs, Amber Weekhout, Stef Daniel, Jan W. Schoones, Olivier Q. Groot, Santiago A. Lozano-Calderon, Michiel A. J. van de Sande
Carbon-fibre (CF) plates are increasingly used for fracture fixation. This systematic review evaluated complications associated with CF plate fixation. It also compared outcomes of patients treated with CF plates versus metal plates, aiming to determine if CF plates offered comparable results. The study hypothesized that CF plates display similar complication rates and clinical outcomes as metal plates
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Load-induced increase in muscle activity during 30° abduction in patients with rotator cuff tears and control subjects J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-04 Eleonora Croci, Fabian Warmuth, Cornelia Baum, Balazs Krisztian Kovacs, Corina Nüesch, Daniel Baumgartner, Andreas Marc Müller, Annegret Mündermann
Rotator cuff muscles stabilise the glenohumeral joint and contribute to the initial abduction phase with other shoulder muscles. This study aimed to determine if the load-induced increase in shoulder muscle activity during a 30° abduction test is influenced by asymptomatic or symptomatic rotator cuff pathologies. Twenty-five patients with unilateral rotator cuff tears (age, 64.3 ± 10.2 years), 25 older
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Combined femoral and tibial component total knee arthroplasty device rotation measurement is reliable and predicts clinical outcome J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-08-03 José A. Hernández-Hermoso, Lexa Nescolarde, Federico Yañez-Siller, Juan Calle-García, Damian Garcia-Perdomo, Ricard Pérez-Andres
The optimal total knee arthroplasty (TKA) rotational alignment and how best to obtain and measure it are debatable. The aim was to analyse the reliability of the Berger femoral, three different tibial and four different combined two-dimensional computer tomography (2D-CT) TKA component rotation measurements, and to ascertain which rotational values best predict a successful clinical outcome. The 2D-CT
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New bone formation accelerates during lower limb lengthening and deformity correction in children with Ollier’s disease J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-31 Chunxing Wu, Yiyong Huang, Peng Huang, Yueqiang Mo, Dahui Wang, Bo Ning
Ollier’s disease can cause severe length discrepancy of the lower extremities and deformity in children. Osteotomy and limb lengthening with external fixation can correct the limb deformity. This study evaluated (1) whether the duration of external fixation was reduced in patients with Ollier’s disease, and (2) the incidence of complications such as pin tract infection, external fixation loosening
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Managing early complications in total hip arthroplasty: the safety of immediate revision J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-31 Jules Descamps, Victoria Teissier, Wilfrid Graff, Antoine Mouton, Pierre-Alban Bouché, Simon Marmor
Immediate revision refers to a reoperation that involves resetting, draping, and exchanging the implant, after wound closure in total hip arthroplasty. The purpose of this study is to investigate the impact of immediate revision after total hip arthroplasty on subsequent infection and complication rates. A total of 14,076 primary total hip arthroplasties performed between 2010 and 2020 were identified
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Retrograde drilling for ankle joint osteochondral lesions: a systematic review J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-26 Elena Artioli, Antonio Mazzotti, Simone Gerardi, Alberto Arceri, Francesca Barile, Marco Manzetti, Giovanni Viroli, Alberto Ruffilli, Cesare Faldini
Extensive literature exists about the treatment of ankle osteochondral lesions, but there is no specific review of retrograde drilling, despite its common application. Indications for retrograde drilling are still few and are far from clear, and some evolutions of the technique have recently occurred. The aim of this review is to provide an update on actual applications and techniques of retrograde
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Anti-resorptive therapy in the osteometabolic patient affected by periodontitis. A joint position paper of the Italian Society of Orthopaedics and Traumatology (SIOT) and the Italian Society of Periodontology and Implantology (SIdP) J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-15 L. Landi, P. Tranquilli Leali, L. Barbato, A. M. Carrassi, N. Discepoli, P. C. M. Muti, G. Oteri, M. Rigoni, E. Romanini, C. Ruggiero, U. Tarantino, E. Varoni, N. M. Sforza, M. L. Brandi
This joint report from the Italian Society of Orthopaedics and Traumatology (SIOT) and the Italian Society of Periodontology and Implantology (SIdP) aims for a consensus around the scientific rationale and clinical strategy for the management of osteoporotic patients affected by periodontitis who are undergoing anti-resorptive (AR) therapy to manage the risk of the occurrence of a medication-related
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Lower-limb intramedullary nailing in patients with polyostotic fibrous dysplasia who had a previous unsuccessful treatment. A report of 48 cases J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-04 E. Ippolito, P. Farsetti, R. Caterini, G. Gorgolini, A. Caterini, F. De Maio
Intramedullary nailing (IN) seems to be the best primary surgical treatment for patients with either polyostotic fibrous dysplasia or McCune–Albright syndrome (PFD/MAS) when the femur and tibia are totally affected by fibrous dysplasia (FD) and pain, fracture and deformity are likely to occur. However, other management protocols have been applied in these cases, often leading to disabling sequelae
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Joint fluid interleukin-6 combined with the neutral polymorphonuclear leukocyte ratio (PMN%) as a diagnostic index for chronic periprosthesis infection after arthroplasty J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-07-04 Xudong Su, Bo Zhu, Leilei Qin, Jianye Yang, Li Wei, Zhenghao Xu, Keyu Wei, Jiayi Wang, Li Chen, Chen Zhao, Cheng Chen, Wei Huang, Yan Xiong, Ning Hu
The diagnosis of periprosthetic joint infection (PJI) remains a challenge in clinical practice. Many novel serum and joint fluid biomarkers have important implications for the diagnosis of PJI. The presented study evaluated the value of joint fluid interleukin-6 (IL-6) combined with the neutral polymorphonuclear leukocyte (PMN%) ratio for chronic PJI diagnosis after arthroplasty. Sixty patients with
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Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-30 Lihang Zhang, Changzhao Li, Jiaying Zhang, Diyang Zou, Dimitris Dimitriou, Xing Xing, Tsung-Yuan Tsai, Pingyue Li
The aim of the present study was to identify potential race- or gender-specific differences in anterior cruciate ligament (ACL) tibial footprint location from the tibia anatomical coordinate system (tACS) origin, investigate the distances from the tibial footprint to the anterior root of the lateral meniscus (ARLM) and the medial tibial spine (MTS), determine how reliable the ARLM and MTS can be in
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Navigated, percutaneous, three-step technique for lumbar and sacral screw placement: a novel, minimally invasive, and maximally safe strategy J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-29 Giuseppe La Rocca, Edoardo Mazzucchi, Fabrizio Pignotti, Luigi Aurelio Nasto, Gianluca Galieri, Pierluigi Rinaldi, Vincenzo De Santis, Enrico Pola, Giovanni Sabatino
Minimally invasive spine surgery is a field of active and intense research. Image-guided percutaneous pedicle screw (PPS) placement is a valid alternative to the standard free-hand technique, thanks to technological advancements that provide potential improvement in accuracy and safety. Herein, we describe the clinical results of a surgical technique exploiting integration of neuronavigation and intraoperative
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Factors associated with mortality after proximal femoral fracture J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-26 Nike Walter, Dominik Szymski, Steve Kurtz, Volker Alt, David W. Lowenberg, Edmund Lau, Markus Rupp
Proximal femoral fractures are a serious complication, especially for elderly patients. Therefore, we have aimed to answer the following research question: What is the postfracture mortality rate in the elderly population and what are associated risk factors? For this, proximal femoral fractures that occurred between 1 January 2009 and 31 December 2019 were identified from the Medicare Physician Service
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Comparison of four different screw configurations for the fixation of Fulkerson osteotomy: a finite element analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-26 Faruk Aykanat, Ozkan Kose, Bulent Guneri, H. Kursat Celik, Albert Cakar, Ersin Tasatan, Mihaela-Elena Ulmeanu
Conventionally, two 4.5 mm cortical screws inserted toward the posterior tibial cortex are usually advocated for the fixation of Fulkerson osteotomy. This finite element analysis aimed to compare the biomechanical behavior of four different screw configurations to fix the Fulkerson osteotomy. Fulkerson osteotomy was modeled using computerized tomography (CT) data of a patient with patellofemoral instability
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Comparison of mortality rate and septic and aseptic revisions in total hip arthroplasties for osteoarthritis and femoral neck fracture: an analysis of the German Arthroplasty Registry J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-17 Dominik Szymski, Nike Walter, Paula Krull, Oliver Melsheimer, Melanie Schindler, Alexander Grimberg, Volker Alt, Arnd Steinbrueck, Markus Rupp
Indications for total hip arthroplasties (THA) differ from primary osteoarthritis (OA), which allows elective surgery through femoral neck fractures (FNF), which require timely surgical care. The aim of this investigation was to compare mortality and revisions in THA for primary OA and FNF. Data collection for this study was performed using the German Arthroplasty Registry (EPRD) with analysis THA
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Pipkin type III femoral head fracture: which treatment strategy can be recommended? J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-16 Shanxi Wang, Xiaojun Yu, Bohua Li, Qing Ding, Tianqi Wang, Qin Li, Lei Liu, Hua Wu
Pipkin type III femoral head fractures are relatively rare injuries. Few studies have explored and described the treatment and outcomes of Pipkin type III femoral head fractures. The purpose of this study was to evaluate the efficacy of open reduction and internal fixation (ORIF) in treating Pipkin type III femoral head fractures. We retrospectively reviewed 12 patients with Pipkin type III femoral
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Scientometric analysis of highly cited papers on avascular necrosis of the femoral head from 1991 to 2022 J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-15 Raju Vaishya, Brij Mohan Gupta, Ghouse Modin N. Mamdapur, Abhishek Vaish, Filippo Migliorini
A highly cited paper (HCP) is considered a landmark that can influence both research and clinical practice. The characteristics of HCPs in avascular necrosis of the femoral head (AVNFH) were identified and the research status was explored in a scientometric analysis. The present bibliometric analysis were based on the Scopus database from 1991 to 2021. Microsoft Excel and VOSviewer were used for co-authorship
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Hormone replacement therapy in women and risk of carpal tunnel syndrome: a systematic review and metaanalysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-12 Worapaka Manosroi, Pichitchai Atthakomol, Phichayut Phinyo, Pojsakorn Danpanichkul
Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy. Menopausal status and/or estrogen level may play a role in CTS. The evidence regarding the association between hormone replacement therapy (HRT) in postmenopausal women and CTS is still conflicting. This meta-analysis aimed to investigate the association between carpal tunnel syndrome (CTS) and women using hormone replacement
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The value of sonication in the differential diagnosis of septic and aseptic femoral and tibial shaft nonunion in comparison to conventional tissue culture and histopathology: a prospective multicenter clinical study J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-06-12 Katharina Trenkwalder, Sandra Erichsen, Ferdinand Weisemann, Peter Augat, Matthias Militz, Christian von Rüden, Tobias Hentschel, Simon Hackl
Septic and aseptic nonunion require different therapeutic strategies. However, differential diagnosis is challenging, as low-grade infections and biofilm-bound bacteria often remain undetected. Therefore, the examination of biofilm on implants by sonication and the evaluation of its value for differentiating between femoral or tibial shaft septic and aseptic nonunion in comparison to tissue culture
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Coronal alignment in total knee arthroplasty: a review J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-22 F. Matassi, F. Pettinari, F. Frasconà, M. Innocenti, R. Civinini
Total knee arthroplasty (TKA) alignment has recently become a hot topic in the orthopedics arthroplasty literature. Coronal plane alignment especially has gained increasing attention since it is considered a cornerstone for improved clinical outcomes. Various alignment techniques have been described, but none proved to be optimal and there is a lack of general consensus on which alignment provides
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Scapho-luno-capitate fusion with proximal lunate articular surface preservation for management of grade IIIA Kienböck’s disease: a prospective case series J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-18 Ahmed Shams, Mohamed Ahmed Samy, Mohamed Kamal Mesregah, Ahmed Abdelazim Abosalem
Kienböck’s disease is idiopathic lunate avascular necrosis, which may lead to lunate collapse, abnormal carpal motion and wrist arthritis. The current study aimed to assess the outcomes of treating stage IIIA Kienböck’s disease by a novel technique of limited carpal fusion via partial lunate excision with preservation of the proximal lunate surface and scapho-luno-capitate (SLC) fusion. We conducted
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Blood-saving dissection with monopolar tungsten needle electrodes and Teflon-coated spatula electrodes in tumor orthopedics J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-15 Jan Puetzler, Andrea Ulrike Steinbicker, Jana Santel, Niklas Deventer, Michael Jahn, Alexander Zarbock, Georg Gosheger, Martin Schulze, Dana Janina Jenke
Resection of musculoskeletal tumors and reconstruction with tumor endoprostheses often results in blood loss requiring transfusion of blood products. We assessed the blood-saving potential of using monopolar tungsten needle electrodes and polytetrafluoroethylene (PTFE)-coated spatula electrodes (intervention) compared with conventional dissection with sharp instruments and coagulation with uncoated
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Arthroscopic rotator cuff repair in fibromyalgia patients had comparable outcomes to a matched control group J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-11 Ron Gurel, Matias Vidra, Etay Elbaz, Shai Factor, Efi Kazum, Assaf Bivas, Eran Maman, Ofir Chechik, Dani Rotman
Although fibromyalgia is associated with poor outcomes following orthopedic surgeries, several studies show some benefit from surgical intervention and nevertheless recommend operative treatment when indicated. There is sparse evidence of the effect of fibromyalgia on the outcomes of shoulder surgery. The purpose of this study was to investigate the effect of fibromyalgia on patient-reported outcomes
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Traumatic peripheral nerve injuries: a classification proposal J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-10 Andrea Lavorato, Gelsomina Aruta, Raffaele De Marco, Pietro Zeppa, Paolo Titolo, Michele Rosario Colonna, Mariarosaria Galeano, Alfio Luca Costa, Francesca Vincitorio, Diego Garbossa, Bruno Battiston
Peripheral nerve injuries (PNIs) include several conditions in which one or more peripheral nerves are damaged. Trauma is one of the most common causes of PNIs and young people are particularly affected. They have a significant impact on patients’ quality of life and on the healthcare system, while timing and type of surgical treatment are of the utmost importance to guarantee the most favorable functional
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Prevalence of preoperative deep vein thrombosis in long bone fractures of lower limbs: a systematic review and meta-analysis J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-08 Yaowen Hu, Liwen Zhu, Xuan Tian, Fangfang Duan
There is a paucity of data regarding the prevalence of preoperative deep vein thrombosis (DVT) in patients with long bone (including femur, tibia and fibula) fractures of the lower limbs. We performed a meta-analysis to address the issue. Electronic databases, including PubMed, EMBASE, the Web of Science, the Cochrane Library, the VIP database, CNKI, and the Wanfang database, were systematic searched
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A novel “7 sutures and 8 knots” surgical technique in reverse shoulder arthroplasty for proximal humeral fractures: tuberosity healing improves short-term clinical results J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-05-08 Elisa Troiano, Giacomo Peri, Irene Calò, Giovanni Battista Colasanti, Nicola Mondanelli, Stefano Giannotti
Complex proximal humeral fractures (cPHFs) represent an important public health concern, and reverse shoulder arthroplasty (RSA) has emerged as a feasible treatment option in the elderly with high functional demands. Recent studies have shown that tuberosity healing leads to better clinical outcomes and an improved range of motion. However, the best surgical technique for the management of the tuberosities
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Tourniquets can further reduce perioperative blood loss in patients on dexamethasone and tranexamic acid during cemented total knee arthritis: a single-center, double-blind, randomized controlled trial J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-04-29 Wenyu Jiang, Xing Wang, Hong Xu, Menghan Liu, Jinwei Xie, Qiang Huang, Ronghua Zhou, Zongke Zhou, Fuxing Pei
Multiple doses of dexamethasone and tranexamic acid can inhibit postoperative inflammation and reduce fibrinolysis and perioperative blood loss in total knee arthroplasty. In this single-center, double-blind, randomized clinical trial, the aim was to investigate whether applying a tourniquet to patients on dexamethasone and tranexamic acid could further reduce perioperative blood loss. Patients who
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Does the pronator-sparing approach improve functional outcome, compared to a standard volar approach, in volar plating of distal radius fractures? A prospective, randomized controlled trial J. Orthop. Traumatol. (IF 2.8) Pub Date : 2023-04-28 Gerhild Thalhammer, Laura A. Hruby, Theresia Dangl, Jonas Liebe, Jochen Erhart, Thomas Haider
This study aimed to compare functional outcomes of a volar plate osteosynthesis for distal radius fractures (DRF) performed with either a standard volar approach (SVA), which required detachment of the pronator quadratus muscle, or a pronator-sparing approach (PqSA). This prospective randomized controlled study included 106 patients scheduled for volar plate osteosyntheses. Patients were allocated