The influence of weather conditions on osteoarthritis and joint pain after prosthetic surgery.
Authors: Bongers J, Vandenneucker H Abstract The purpose of this narrative review was to highlight the research on the influence of weather conditions on patients with osteoarthritis, the pathophysiological mechanisms and the therapeutic consequences. A search was conducted using the Pubmed, Medline and Web of Science databases. Barometric pressure, temperature and humidity are the weather conditions that are found to be correlated most to the worsening of pain complaints. But, due to the difficulty of measuring the impact of these variables and the great diversity in study protocols, an analysis of studies regardi...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Long-term outcome of prosthetic joint infections treated with two-stage revision.
Authors: Carrega G, Casalino-Finocchio G, Cavagnaro L, Felli L, Riccio G, Burastero G Abstract Long-term evaluation of prosthetic joint infection treated with two-stage revision. Retrospective analysis of 102 periprosthetic infections treated with two-stage revision from 2010 to 2012 in Albenga hospital, Italy. During the second stage, samples for microbiological tests were collected. Failure was defined as a persistence of infection during the second stage or as a relapse during follow-up. 102 cases (55 hip, 47 knee) were analyzed. Patients were evaluated for a median of 44 months. 8/102 (8%) had positive cultures...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Femoral anteversion measurement : evaluation of inter- and intraobserver reliability.
Authors: Behaeghe O, Van Beeck A, Dossche L, Somville J Abstract The aim of this study was to evaluate the inter- and intraobserver reliability of a CT-based femoral anteversion measurement. 17 CT scans showing an abnormal anteversion on one side were presented to 6. Three measurements of all scans were obtained : two bilateral measurements and a third measurement with a flipped CT scan. Interobserver correlation results using the spearman test for left, right and anteversion difference had a mean of respectively : 0.918, 0.760 and 0.757. Intraobserver correlation had a maximum of respectively : 0,99, 0,89 and 0,94...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Total hip arthroplasty using the direct anterior approach and intraoperative neurophysiological monitoring for Crowe III hip dysplasia : surgical technique and case series.
We report a new technique to perform THA in high congenital dislocations. Between 2013 and 2015, 3 consecutive patients (4 hips) with severe hip pain and Crowe III hip dysplasia were treated. Surgeries were performed on a standard table using the DAA and intraoperative neurophysiological monitoring. At final follow-up (mean 24 months, range 15-43), all 3 patients reported excellent pain relief and significant improvement in activities of daily living. Radiographs showed the components to be solidly fixed in satisfactory position. Average postoperative leg lengthening was 24 mm (range 20-36). None of the patients experience...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Evaluation of cerclage wiring in the treatment of subtrochanteric fractures.
Authors: Fauconnier S, Van Lieshout M, Victor J Abstract Treatment of subtrochanteric fractures is challenging because of their typical displacement pattern. Use of circumferential cerclage wires can be added to intramedullary nailing to facilitate better anatomical reduction. Concerns exist regarding additional soft tissue damage and ischemia of the periosteum. The aim of this study was to assess the effect of cerclage on union and infection rates. The postoperative results of 115 patients over 11 years were retrospectively viewed. Twenty-three patients were treated with cerclage. The primary outcome measure was '...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The influence of local infiltration analgesia after total hip replacement. A randomized clinical trial.
Authors: Cuenca-Llavall M, Pérez-Prieto D, Santiveri FJ, Garcia AL, Marqués F Abstract To determine whether local infiltration analgesia by catheter infusion was superior to conventional analgesia in terms of postoperative pain control after THR. A randomized double-blind clinical trial was performed. There were four groups based on catheter placement and the infusion constituents : 1) Intraarticular catheter + anesthetics ; 2) Intraarticular catheter +placebo ; 3) Subfascial catheter + anesthetics ; 4) Subfascial catheter + placebo. The anesthetic infusion contained bupivacaine (bolus + continuous pe...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Direct anterior total hip arthroplasty in supine position using regular OR table : case series and review of complication and reoperation rate.
Conclusion : This study could not confirm the previously reported high complication rate in DAA-THA. The supine positioning without femoral hyperextension is a safe technique, little susceptible by the surgeon's learning curve. PMID: 32490772 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Polyaxial locking plate fixation in periprosthetic, peri-implant and distal shaft fractures of the femur : a comparison of open and less invasive surgical approaches.
This study's purpose was to compare patient outcomes following the open technique (OT) and less invasive techniques (LIT). Data were gathered from 44 patients with 46 fractures treated with polyaxial locking plate between 2010-2015. Twenty fractures underwent the OT and 26 had a LIT. Long-term assessments for 83% of the fractures were done at a median of 23 months postoperatively. Bone healing rates were 82% in the OT and 100% in the LIT group (p=0.0688). The difference in the median duration of the surgery (OT 120 minutes, LIT 73 minutes) (p
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Investigation of the changing etiology and risk factors of prosthetic joint infections : a university hospital surveillance study from 2011-2017.
Authors: Okay G, Bolukcu S, Durdu B, Gultepe BS, Tuncay İ, Koc MM Abstract We sought to characterize the causative pathogens of prosthetic joint infections (PJIs), evaluate the trends in microbial etiologies, and identify potential risk factors for PJI. This was a retrospective study analyzing 70 patients with PJI following 3,253 total joint arthroplasties between 2011 and 2017. Staphylococci were the most common cause of infection (52.9%). There was a significant trend in the percentage of carbapenem-resistant gram-negative bacilli (GNB) (increased to 66.7% in 2016 from 0.0% in 2011) (p=0.021). GNB and polymicrob...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Joint needle aspiration compared to tissue samples in septic arthritis of the native knee.
Authors: Pool LD, Van Delft D, Thomassen BJ, Keizer SB, Van Arkel ER Abstract Culture of the causative infectious agent is the only definitive method of diagnosing septic arthritis and can be identified by culture of synovial fluid (SF) or by tissue cultures (TC) obtained at surgery. The aim of this study is to compare the cultures of joint needle aspiration (JNA) with tissue cultures obtained at surgery. 52 patients treated for a suspicion of a septic arthritis of the native knee were retrospectively reviewed. In 84% tissue cultures were equal to joint needle aspiration. Median Gächter classification was 1.0 ...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Anatomical superficial medial collateral ligament reconstruction with posteromedial capsule reefing successfully restores valgus knee laxity.
Authors: Van der Wal WA, Van Gennip S, Heesterbeek PJ, Busch VJ, Wymenga AB Abstract The goal of this study was to present the results of an anatomical superficial medial collateral ligament (sMCL) reconstruction combined with reefing of the posteromedial capsule in a series of 10 patients with symptomatic valgus instability complaints in combined injuries of the knee. All patients under- went an sMCL reconstruction with reefing of the posteromedial capsule. If cruciate ligament insuf- ficiency was present, this was reconstructed as well. Pre- and postoperatively, multiple subjective knee outcome scores were obtain...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Can a ratio between medial and lateral meniscal volumes be calculated to determine critical meniscal volume in view of post-meniscectomy symptoms?
Authors: Van Elst C, Caekebeke P, Vandenneucker H, Bellemans J, Scheys L Abstract Partial meniscectomy is a frequently performed treatment strategy for non-suturable meniscal tears. However, the meniscal volume which can be resected without compromising the load-bearing, shock-absorbing function of the meniscus remains a topic of ongoing research. The aim of this study was to calculate the medio-lateral meniscal volume ratio to estimate this volume. In 90 patients (98 pairs of menisci) without meniscal injury, medial and lateral menisci were segmented on MRI imaging and 3D surface models were created to calculate v...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Radiolucent lines around knee arthroplasty components : a narrative review.
Authors: Wautier D, Ftaïta S, Thienpont E Abstract Aseptic loosening of total knee arthroplasty (TKA) components is one of the frequent reasons for early revision together with infection and instability. Aseptic loosening is usually preceded by the observation of radiolucent lines (RLL) on radiographs. Radiolucent lines have conventionally been considered a sign of osteolysis due to particles disease of either polyethylene or cement wear. However, RLL can be observed quite early after TKA, way before wear and osteolysis can even occur. Immediate postoperative RLL are secondary to surgical technique with either...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Outcome after arthroscopically assisted percutaneous reconstruction of lateral ankle ligaments using a gracilis tendon autograft.
In conclusion, we state that this arthroscopically assisted percutaneous technique is a viable treatment option for chronic lateral ankle instability. It offers an alternative for the modified Broström procedure when tissue quality is poor and carries all the advantages of a minimally invasive procedure. PMID: 32490779 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Functional outcome following closed reduction and percutaneous osteosynthesis of distal tibia articular fractures in children.
Authors: Bund L, Tricard T, Alexis W, Schneider L, Karger C, Gicquel P Abstract Closed reduction and percutaneous osteosynthesis is an alternative to the open procedure for articular fractures of distal tibia of children. 38 patients were retrospectively reviewed. The measured parameters were : the score of Gleizes and the discrepancies between preoperative radiographic and CT scan measurements and postoperative radiographs. A significant correlation was found between the gap and the step-off in preoperative radiographic and CT scan. A significant decrease of the gap and step-off displacement was noticed after surg...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Total ankle replacement : comparison of the outcomes of STAR and Mobility.
This study reviews a single centre series of prospectively collected outcome measures to determine whether the Mobility performs better than the Scandinavian ankle replacement. The primary outcome measure was the survivorship. Secondary outcome measures consisted of complications and international scoring systems. 147 Scandinavian and 162 Mobility ankle replacements were reviewed at a mean follow up of 12.4 and 7.7 years respectively. The revision rate, which included liner exchange, component exchange or removal of implant was at 7 years 12.3% (18) for Scandinavian and 5.2% (8) for Mobility. The complication rate was 16.5...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Combined anterior talofibular ligament (ATFL) lesion and anterolateral syndesmotic impingement after ankle sprain trauma in runners.
Authors: Ziai P, Wenzel F, Krall C, Auffarth A, Hofstetter M, Buchhorn T Abstract Anterior inferior tibiofibular ligament (AITFL) lesion have been shown to result in proliferation of cicatricial tissue ; concomitant insufficiency of the anterior talofibular ligament (ATFL) and AITFL Lesion may cause anterolateral syndesmotic impingement in the ankle joint of runners. Twenty-two runners with suspected syndesmotic impingement after ankle sprain were included in the study. An MRI of the ankle joint was performed followed by arthroscopy. Arthroscopy revealed an ATFL lesion in 20 patients (87%) and anterolateral syndesm...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Short-term outcome trapeziectomy with ligament reconstruction and tendon interposition versus trapeziometacarpal prosthesis : a literature review.
Authors: Verhulst K, Dauwe J, Van Nuffel M, De Smet L Abstract Trapeziectomy with ligament reconstruction and tendon interposition and trapeziometacarpal prosthesis are two commonly used procedures for first carpometacarpal joint osteoarthritis. The purpose of this study is to compare the short-term outcome of trapeziectomy with ligament reconstruction and tendon interposition to trapeziometacarpal prosthesis. Pubmed, Cochrane library and science direct database were searched with adequate search terms. Used parameters were force, pain, mobility, functionality and complication. All papers describing short-term outc...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Ten-year outcomes of the Arpe prosthesis for the treatment of osteoarthritis of the trapeziometacarpal joint.
Authors: De Smet A, Vanhove W, Benis S, Verstraete M, Hollevoet N Abstract Outcomes of 66 Arpe prostheses in 50 patients treated for osteoarthritis of the trapeziometacarpal joint were investigated with a mean follow-up of ten years. Ten-year survival was 87% when failure was defined as implant removal followed by trapeziectomy and tendon interposition. Ten-year survival was 82% when revision of the cup was also considered as failure and it was 80% when replacement of the neck alone was also chosen as an endpoint. Of the 52 prostheses that were not revised mean DASH score was 11, mean pain score 1.2 and mean score ...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The surgical management for isolated scaphotrapeziotrapezoid (STT) osteoarthritis : a systematic review of the literature.
Authors: Jehan S, Javaid Iqbal H, Javaid MM, Mohammed Sharif K Abstract We performed a systematic review to find out the safety and efficacy of various procedures for isolated scaphotrapeziotrapezoid osteoarthritis. Eleven articles were included. The most common procedure was arthroplasty with pyrocarbon implant (28%), followed by resection of distal pole of scaphoid with proximal trapezium and trapezoid resection (18%). The other procedures included trapeziectomy with ligament reconstruction and tendon interposition (LRTI) (14%), arthroscopic resection of distal scaphoid (11%), trapezium and trapezoid resection wi...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Four-corner fusion versus proximal row carpectomy : a retrospective review with a minimal follow-up of 9 years.
Conclusion : at long term, the outcome for PRC remains stable despite some series recently reported worsening of the results due to progressive degenerative arthritis. PRC seems to yield comparable clinical results compared to 4CA but a slightly better range of motion than 4CA. PMID: 32490786 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Clinical and radiological characteristics of 82 solitary benign peripheral nerve tumours.
Authors: Chick G, Victor J, Hollevoet N Abstract Benign peripheral nerve tumours are rare lesions. The surgical treatment and clinical outcomes depend on the resectability. The aim of this retrospective study was to identify clinical or radiological features that may predict the surgical technique that should be used to improve clinical outcome. Eighty-two patients were diagnosed with solitary benign peripheral nerve tumours. Fifty-five tumours were surgically resectable, and 27 were nonresectable. Pre-operative magnetic resonance imaging and ultrasound were used, which were predictive of the neural origin of the t...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Severe heterotopic ossification after a shoulder arthroscopy : a rare clinical presentation.
We report a case of a 65-year old Caucasian man with a slow and painful recovery after arthroscopic shoulder surgery encompassing rotator cuff repair, biceps tenotomy and acromioplasty, with recurrence of impingement symptoms unresponsive to conservative therapy (physiotherapy and one sub- acromial injection). He developed a severe heterotopic ossification at the acromial insertion of the deltoid and in the coraco-acromial ligament. This was successfully treated by arthroscopic excision of the lesion and postoperative prophylactic therapy with nonsteroidal anti-inflammatory drugs. PMID: 32490788 [PubMed - in process] (...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Latissimus dorsi transfer using bone block technique to restore active external rotation in reversed total shoulder arthroplasty.
Authors: Spapens N, Van Tongel A, Van Montfoort D, De Wilde L Abstract The aim was to compare the outcome of a reversed shoulder arthroplasty with a latissiumus dorsi transfer without (LD-BB) or with bone block (LD+BB) in patients with rotator cuff-deficient shoulders and combined loss of active elevation and external rotation. Postoperative patients with LD+BB were not immobilized compared to 6 weeks of immobilization in patients with LD-BB. Clinical outcome was evaluated using the Constant Score, ADLER score and satisfaction rate. Also radiological follow-up of the bone-block was performed. In total 29 patients (...
Source: Acta Orthopaedica Belgica - June 5, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Factors associated with degeneration of rotator cuff tendon : a histological study in patients with rotator cuff tear.
This study showed that tendon degeneration significantly progressed 6 months after the onset of symptoms, and suggested early intervention to avoid further deterioration of tendon degeneration. PMID: 32374227 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Manipulation under anesthesia for frozen shoulders : a retrospective cohort study.
Authors: Kraal T, Van der Meer O, Van den Borne M, Koenraadt K, Eygendaal D, Boer R Abstract ABBREVIATIONS: MUA, manipulation under anesthesia ; FS, frozen shoulder ; SPADI, Shoulder Pain and Disability Score ; OSS, Oxford Shoulder Score ; NPRS, Numeric Paind Rating Scale. Manipulation under anesthesia is a well-established, but controversial, treatment for frozen shoulders. We will evaluate our results of manipulation and physiotherapy in stage two frozen shoulders. Questionnaires were sent to 65 patients with stage 2 frozen shoulders, treated with manipulation under anaesthesia between January 2012 and January 20...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Acute acromioclavicular joint dislocation treated with tightrope : Mini-open versus percutaneous stabilization.
Authors: Lu D, Wang T, Hong JJ, Chen H, Sun LJ Abstract The purpose of this study was to compare prospecti- vely the radiographic and clinical results of patients treated with tightrope through either mini-open or percutaneous stabilization for acute AC joint injuries. Eighty patients were included in this study and were randomly divided into two groups. Group A included 40 injuries treated with mini-open repair. Group B consisted of 40 injuries treated with percutaneous stabilization. Demographic and clinical data were comparable between the two groups before surgery (P>0.05). Peri-operative data, complications...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Intramedullary nailing of dislocated midshaft clavicle fractures with the Rockwood Clavicle Pin, a retrospective study.
Authors: Nordenstedt B, von Heideken J, Boström Windhamre H, Stauffer M, Ekelund A Abstract This retrospective study evaluated the outcome after intramedullary nailing with the Rockwood Clavicle Pin (RCP) for acute displaced middle third clavicle fractures in adults. Of 84 included patients treated for this fracture 2003-2009, 66 (79%) were evaluated. Of these, 52 (79%) were re-examined, including fluoroscopy, while 14 patients (21%) were evaluated by mailed questionnaire. Primary outcome was Constant score (CS), secondary outcomes included : Subjective Shoulder Value (SSV), healing rate at follow up, complica...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The Accessory muscles of the Axilla.
We described the most frequently reported muscles, their origin, and course. Further research is required regarding the innervation and influence on glenohumeral and scapulothoracic kinematics. PMID: 32374231 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Dual plate for comminuted proximal humerus fractures.
Authors: Choi S, Seo KB, Kwon YS, Kang H, Cho C, Rho JY Abstract The purpose of this study is to evaluate radiological, clinical results and complication rates of dual plate fixation for severe metaphyseal comminuted fracture of proximal humerus. 21 patients who have proximal humerus fractures with impaired posteromedial buttress were enrolled. Fractures were treated with dual plate technique using Proximal Humeral Locking plate and Variable Angle Plate. Radiographic results were analyzed based on duration of union. For evaluation of the degree of anatomical reduction, neck shaft angle on the anteroposterior view w...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Reconstruction of complex radial head fractures using fine-threaded K-wires : clinical outcome and remaining instability.
We present results after reconstruction of 15 Mason type-III and 8 Mason type-IV fractures. Parameters used to describe the functional outcome were pain level, range of motion, and clinical scores. To estimate the elbow stability we performed ultrasound examinations under valgus/varus stress. All radial heads could be reconstructed. The average resting pain level was 0.9 of 10. The average ROM for extension/flexion was 134°, average forearm rotation was 159°. For the whole patient collective the mean MEPS was 86.5 points and the mean QuickDASH was 16.8 points with no significant difference for both groups. We can r...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Headless compression screw fixation for type 2 and 3 articular surface fractures of the distal humerus using transolecranon approach.
The objectives of this study were to determine the clinical and radiologic outcome after headless compression screw fixation through the transolecranon approach in patients who had sustained Dubberley type 2 and 3 articular surface fractures of the distal humerus. Twenty-seven patients were included in the study. There were 23 Dubberley type 2 and 4 type 3 fractures. All patients were available for a minimum of 24 months of follow-up. The evaluation was performed using the VAS, the DASH score, and the MEPS. The outcome was excellent in 18 patients, and 9 patients had a good result by the MEPS. The average range of flexion ...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Surgical treatment of partial and full distal biceps tendon ruptures.
This study presents a series of cases with surgically treated partial distal biceps tendon ruptures. The results of full distal biceps tendon rupture repair are also presented and a comparison is made between the two groups. Between 2001 and 2015, patients with partial and full ruptures of the distal biceps tendon were surgically repaired. At follow-up, the elbow function of the patients was assessed using the Oxford Elbow Score and maximum flexion and supination forces were measured. Forty-eight elbows in 43 patients returned to the follow-up visit. There was no statistically significant difference between the two groups ...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Results of ulnar shortening osteotomy in patients with ulnar wrist pain. A retrospective study.
Authors: Declerq J, Vanhove W, Benis S, Hollevoet N Abstract The aim of the study was to find out if ulnar shortening is effective to treat ulnar wrist pain and which factors influence outcome. Thirty-seven patients were evalua- ted with a mean follow-up of 4.5 years. Thirty patients (81%) would undergo the same operation again although 21 (57%) had residual ulnar wrist pain. Mean disabilities of arm, shoulder and hand (DASH) score was 22 and mean patient rated wrist evaluation score (PRWE) was 33. DASH and PRWE scores were better in smokers, in patients operated on the non- dominant side and when follow-up was lon...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Blade expandable intramedullary nails for fixation of tibial shaft fractures.
This study is aimed to compare the clinical and radiological differences between classic locked intra- medullary nailing (LIN) and blade expandable intra- medullary nailing (BEIN) at tibia shaft fractures. Operation time, exposing of radiation time and fracture healing times were recorded. Pain visual anolog scale (VAS), shortening of tibia and angulation of fracture line were compared. All patients healed. In LIN group operation time, exposing of radiation time was longer (statistically significant). Because of shorter operation time and lower radiation exposure we recommend the BEIN technique as a preferable technique in...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

What is the reason of the high fibular head in the Discoid Lateral Meniscus?
Authors: Lee SH, Oh E, Choi SH, Kim SH Abstract The purpose of this study was to assess the factors associated with high fibular head in symptomatic discoid lateral meniscus (DLM). Eighty-seven patients with complete DLM (discoid group) and 80 normal subjects (control group) were included prospectively. Plain X-rays and MRI were analyzed for level and angle of the fibular head and thickness and type of Wrisberg ligament. Multivariate regression analysis was performed to find the factors associated with levels of the fibular head and DLM. The angle of the fibular head was the only factor associated with level of the...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Tranexamic acid in total knee replacement which protocol? which application form? A prospective randomised study.
Authors: Şahin İG, Akalin Y, Çevik N, Otuzbir A, Özkan Y, Öztürk A Abstract The aim of this study was to prospectively compare different delivery forms, doses and combined application forms of TXA for the reduction of blood loss and prevention of the allogeneic blood transfusion in patients with TKA and evaluate the results. The study included patients with knee joint osteoarthritis who were unresponsive to conservative management and 168 patients met the inclusion criteria. They were divided into 5 groups randomly as, Control (1), Local (2), Systemic+short infusion (3), Systemic+long infusi...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Joint Space Width, but not Osteophyte Thickness, is a Reliable Indicator of Degeneration of Lateral Knee Joint Cartilage.
We examined the correlation between histological grade and radiography findings along with patient demographics. Our study indicated that the Mankin score had a significant inverse correlation with middle joint space width (JSW ; r=-0.19,P=0.02), but not with inner and outer JSW (inner : r=-0.11,P=0.10, outer : r=-0.14,P=0.06) under a non-weight bearing condition. The Mankin score had a significant inverse correlation with middle and outer JSW (middle : r=-0.17,P=0.04, outer : r=-0.14,P=0.04), but not with inner JSW (inner : r=-0.15,P=0.06) under valgus stress. There was no significant correlation between the Mankin score ...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

How much does saving femoral head cost after acetabular fracture? Comparison between ORIF and THA.
Authors: Aprato A, Ghia C, Tosto F, Sabatini L, Bistolfi A, Masse A Abstract We performed a prospective study on patients with acetabular fractures treated either with internal fixation either with arthroplasty comparing clinical outcomes, quality of life, economic resources and cost efficacy in the first five years after surgery. Demographic data, diagnosis, index treatment, costs and subsequent surgeries were recorded. Patients were requested to fulfill Merle d'Aubigné and EQ-5D-5L questionnaires. Clinical differences between treatments are significant only in discharge period. Comparing respectively group...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Isolated iliac wing fractures : are they really that benign?
Authors: Hermans E, Edwards M, Biert J Abstract The aim of this study was to review the incidence, management and outcome of isolated iliac wing fractures and to compare them with other type A, B and C fractures. From 2004 to 2015, the data of 547 patient with a pelvic fracture regarding age, gender, RTS, ISS, treatment, complications and mortality were analyzed and a comparison was made between iliac wing fractures and the other pelvic fractures. We encountered 30 isolated iliac wing fractures. The ISS, shock class, transfusion rate, complications and mortality were comparable to those of patients with an unstable...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers.
Authors: Garcia-Oltra E, Garcia S, Bosch J, Combalia A, Soriano A, Bori G Abstract Antibiotic-loaded cement spacers are used in two- stage hip replacement. The aim of our study was to compare our results using a Spacer-G with previous results reported in the literature. From June 2002 to April 2010, all patients treated with a two-stage revision were retrospectively reviewed. On the basis of the results of the first-stage procedure, 52 patients underwent the second stage, six developed a dislocation, in eight the spacer was maintained, and five patients developed an acute infection of the spacer or the infection wa...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Results of "Trochanteric Femoral Nailing (TFN)" in comminuted unstable trochanteric fractures.
Results of "Trochanteric Femoral Nailing (TFN)" in comminuted unstable trochanteric fractures. Acta Orthop Belg. 2019 Dec;85(4):525-534 Authors: Mandal S, Banerjee U, Mukherjee AS, Saha P, Mandal S, Kundu S Abstract Unstable trochanteric fractures and fractures with reverse obliquity pose difficulty in fixation. In recent years, intramedullary nails, for the treatment of comminuted and unstable intertrochanteric hip fractures, are becoming more popular relative to conventional, sliding hip screws. The purpose of our study was to evaluate the result of Trochanteric femoral nailing in comminute...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Incidence of hypothermia and factors affecting variation in core body temperature in patients undergoing arthroscopic surgery of the hip.
Authors: Suri TS, Sardesai A, Volpin A, Muniz-Terrera G, Khanduja V Abstract Perioperative hypothermia (below 36°C) has been associated with post-operative morbidity. The aim of this study was to determine the incidence of post-operative hypothermia in hip arthroscopy patients and factors affecting perioperative body temperature variation. A prospective audit of 50 consecutive patients undergoing hip arthroscopy for a variety of pathologies was carried out. The final sample size was 46 due to missing data in 4 patients. Core body temperature was measured with a nasopharyngeal temperature probe at the induction ...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Cup oversizing as a risk factor for postoperative groin pain in Total Hip Arthroplasty : a retrospective analysis of 437 hips.
Authors: Vanderstappen J, Molenaers B, Moyaert M, Simon JP, Molenaers G Abstract The majority of patients are pain free after total hip replacement, but some experience anterior hip pain due to iliopsoas impingement. There is evidence that a prominent or malpositioned cup may cause iliopsoas tendonitis. The purpose of this study was to determine whether oversizing the cup is a risk factor for postoperative groin pain. We retrospectively investigated 437 total hip replacements in which the femoral head diameter had been measured for other research purposes. Data regarding the cup size and positioning was collected f...
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Combined open reduction and Dega transiliac osteotomy for developmental dysplasia of the hip in walking children.
In conclusion, the results of our series show open reduction combined with Dega transiliac osteotomy to be a safe and efficient method for the surgical treatment of DDH in selected patients, and can easily and safely be combined with associated procedures for single stage correction of acetabular dysplasia. PMID: 32374247 [PubMed - in process] (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - May 8, 2020 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

What have animals taught us about total joint arthroplasty ? A review of the literature.
Authors: Chin G, Dave DR, Campbell ST Abstract Animal models for total joint arthroplasty (TJA) have been reported on extensively in the literature. This work seeks to objectively review the most relevant and recent studies performed using these models, and to provide insight into the strengths and weaknesses of each. The terms joint arthroplasty and animal model were searched on Pubmed on March 1, 2015. Animal models included bovine, canine, ovine, goat, rat, and rabbit. Much of the work in animal models for TJA has focused on the biologic response to novel materials, biologics, and surgical techniques ; as intere...
Source: Acta Orthopaedica Belgica - November 6, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis.
Authors: Gad Abdelkader S, El Zahlawy HN, Elkhateeb TM Abstract This is a prospective randomized study to compare the outcome of two widely used fusion methods ; posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in treatment of adult low grade lytic spondylolisthesis to know which is ideal. 40 consecutive patients with single level lytic spondylolisthesis were randomly divided into two treatment groups when undergoing surgery. Blood loss and operative time were recorded. Patients were postoperatively assessed using JOA score. Union rate was assessed. They were followed up for a minimum of 2 y...
Source: Acta Orthopaedica Belgica - November 6, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Reverse shoulder arthroplasty for patients with glenohumeral osteoarthritis secondary to glenoid dysplasia.
Authors: Alentorn-Geli E, Wanderman NR, Assenmacher AT, Cofield RH, Sanchez-Sotelo J, Sperling JW Abstract The purpose is to report the clinical and radiographic outcomes, complications and reoperations of reverse shoulder arthroplasty (RSA) for glenoid dysplasia. All patients who had undergone RSA for osteoarthritis secondary to underlying glenoid dysplasia were retrospectively identified. The study included twelve shoulders (11 patients), with a mean (SD) patient age of 62.2 (13.2) years and median (range) clinical follow-up of 28 (24-34) months. RSA resulted in substantial improvements in pain and function. At m...
Source: Acta Orthopaedica Belgica - November 6, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation.
Authors: Xie X, Dong Y, Wang L, An Z, Zhang W, Luo C Abstract We investigated the outcome of conservative treatment and potential causes for clavicle stress fractures following the clavicular hook plate fixation. Six cases of clavicle stress fractures were retrospectively reviewed. All the stress fractures occurred near the medial end of the hook plates. The average interval between the hook plate fixation and the clavicle stress fractures was 28.3 days (range, 18 to 60 days). The mean follow-up was 27 months (range, 15 to 42 months). Fracture union was achieved in all 6 cases. The most proximal screws in the hook ...
Source: Acta Orthopaedica Belgica - November 6, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations.
Authors: Herman A, Whitesell R, Stewart RL, Lowe JA Abstract Clavicle fractures' treatment recommendations are based on displacement. The goal of this paper is to determine upright clavicle radiographs at initial presentation changes timing and method of treatment. Retrospective study in a level 1 trauma center. 356 patients with clavicle fractures were reviewed. Patients with only supine radiographs (Group 1, 285 patients) were compared to patients with supine and upright radiographs (Group 2, 71 patients). Higher proportion of fractures in the upright vs supine radiographs were displaced 100% or more of the clavi...
Source: Acta Orthopaedica Belgica - November 6, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research