Distal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population
CONCLUSION: This study has shown us that PCA and CTA may be higher in the Turkish population. Although it is not known whether these results have any clinical utility, it may be useful for surgeons to keep this in mind to prevent femoral component malposition.LEVEL OF EVIDENCE: Level IV, Diagnostic Study.PMID:38525509 | DOI:10.5152/j.aott.2024.21066 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Mustafa Alper İncesoy Nurdan G üngören Orkhan Aliyev Nurzat Elmal ı İbrahim Tuncay Fatih Y ıldız Source Type: research

An investigation into the frequency and risk factors of low back pain following surgical treatment of isolated calcaneal fractures
CONCLUSION: Low back pain may occur after unilateral calcaneal fractures treated by ORIF. This may be caused by decreased angles of ankle dorsi and plantar flexion, foot inversion, hip abduction, and internal and external rotation. In the rehabilitation program, not only the ankle region but also the hip joint of the affected side should be included, and the kinetic chain that describes the interaction mechanism of the human body should not be forgotten.LEVEL OF EVIDENCE: Level IV, Prognostic Study.PMID:38525510 | DOI:10.5152/j.aott.2024.23031 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Dilek Bayraktar Cengizhan Özgürbüz An ıl Murat Öztürk Salih Kemal Aktu ğlu Nadir Özkayın Source Type: research

Intraoperative lateral wall breach simulation in the cadaveric spine and the impact of thread designs of screws on pullout strength in the osteoporotic thoracic vertebrae: A biomechanical study in human cadavers
Conclusion: Using a 1 mm thicker polyaxial pedicle screw or mixed (double)-threaded pedicle screw seems to increase pullout strength; however, this was statistically significant only for group 4. In the thoracic spine, the redirection possibility of the pedicle screw is limited, and augmentation with cement will not be appropriate due to the risk of wall injury-related leakage. Therefore, care should be taken to avoid violating the lateral cortex by using appropriate pedicle entry points and trajectories.PMID:38525511 | DOI:10.5152/j.aott.2024.22067 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Ozcan Kaya Okan Ozkunt Mustafa Sungur Mehmet Semih Cakir Murat Baydogan Kerim Sariyilmaz Source Type: research

Prognostic factors and real-life applicability of prognostic models for patients with bone metastases of carcinoma
CONCLUSION: Our report showed that all prognostic models were clinically applicable, but their performances varied. Among them, the SORG predictive model had the best performance scores overall and is the model the authors suggested for survival prediction among patients with carcinoma bone metastases.LEVEL OF EVIDENCE: Level IV, Prognostic Study.PMID:38525512 | DOI:10.5152/j.aott.2024.23132 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Kaan Ali Dalkir Akif Mirioglu Bugra Kundakci Melih Bagir Mehmet Ali Deveci Hilmi Serdar Ozberlas Source Type: research

Peculiar reaction of oxidized zirconium from a total knee arthroplasty prosthesis: A case report
We report a unique catastrophic failure of an Oxinium TKA with consequent accelerated wear and severe metallosis. Intraoperatively, we observed extensive wear grooving of the femoral component with exposure of the underlying silver layers and the complete wear of polyethylene on the medial side. Metallic debris had a peculiar arthrogram appearance, noted within the cut surface of the femur and tibia, indicative of the osteolysis that occurred, leading up to the failure of the implants. The histopathologic examination revealed a collection of macrophages with foreign-body reactions and black-pigmented metal-induced wear par...
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Jong Keun Seon Khairul Anwar Ayob Myung Giun Noh Hong Yeol Yang Source Type: research

Ultrasonography-guided percutaneous release of A3 pulley of the fifth finger to treat trigger finger: Description of the technique, with reference to a specific case
This article describes for the first time the use of this technique in an unusual location, the A3 pulley of the fifth finger. A 71-year-old patient presented with a 3-month history of pain and blockage in the fifth finger of the right hand and was diagnosed with a grade III trigger finger, according to the Froimson scale. We performed an ultrasonography-guided percutaneous release technique on the A3 pulley to release the flexor tendon of the fifth finger. Ultrasonography-guided percutaneous polectomy to treat trigger finger in the A1 pulley is an effective alternative treatment to surgery and even has certain advantages ...
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Mar ía Montes-Comino Luis Eduardo De la Torre-L ópez Silvia Guill én-Climent Fernando Jes ús Mayordomo-Riera Source Type: research

Beware of Artificial Intelligence hallucinations or should we call confabulation?
Acta Orthop Traumatol Turc. 2024 Jan;58(1):1-3. doi: 10.5152/j.aott.2024.130224.NO ABSTRACTPMID:38525503 | DOI:10.5152/j.aott.2024.130224 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Haluk Berk Source Type: research

Comparison of artificial intelligence algorithm for the diagnosis of hip fracture on plain radiography with decision-making physicians: a validation study
CONCLUSION: The AI algorithm developed in our previous study may help recognize fractures in AP pelvis in plain radiography in the emergency department for non-orthopedist physicians.LEVEL OF EVIDENCE: Level IV, Diagnostic Study.PMID:38525504 | DOI:10.5152/j.aott.2024.23065 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Salih Beyaz Sahika Betul Yayli Ersin K ılıç Kutay K ılıç Source Type: research

Investigation into a new denervation model of the sciatic nerve zones in rats: Selective motor or sensorial denervation
CONCLUSION: This study has shown the feasibility of selective (sensory or motor) sciatic nerve denervation through a single-level hemilaminectomy. The surgical technique is reliable and has a confounding effect on gait. Sensorial denervation had more severe foot problems than motor and combined denervation in rats.PMID:38525505 | DOI:10.5152/j.aott.2024.22125 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Selman Hakk ı Altuntaş Levent Sarikcioglu Hasan Rifat Koyuncuo ğlu İbrahim Metin Çiriş Fuat Uslusoy Osman Gurdal Mustafa As ım Aydın Source Type: research

The effect of the size of pedicle screw on the long-term radiological and clinical results of short-segment posterior instrumentation in the management of thoracolumbar vertebral fractures
CONCLUSION: This study has revealed that using a long, thick pedicle screw placed in the fractured vertebra can better preserve the PBH at the final follow-up. No correlation was found between the size of the intermediate screw and the preservation of the correction in the postoperative vertebral heights and VCA during the follow-up.LEVEL OF EVIDENCE: Level III, Therapeutic Study.PMID:38525506 | DOI:10.5152/j.aott.2024.23056 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: An ıl Murat Öztürk Onur S üer Selahaddin Aydemir B ünyamin Kılıçlı Ömer Akçalı Source Type: research

Minimial clinically important difference values in distal metaphyseal ulnar shortening for ulnar impaction syndrome and assessment of the relationship between level of the osteotomy and bone union time
CONCLUSION: This study has shown us that the osteotomy level affects the time to bone union and an osteotomy closer than 13.7 mm to the ulnar articular surface seems to result in shorter union time. Furthermore, MCID values were defined for PRWE and QDASH as 22.25 and 20.45, respectively.LEVEL OF EVIDENCE: Level IV, Therapeutic Study.PMID:38525507 | DOI:10.5152/j.aott.2024.23111 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Mustafa Özcan Emre Acar Onur Ba şçı Mustafa Hulusi Özkan Source Type: research

Reconstruction of multiple long digital and hand defects using the multilobed anterolateral thigh perforator flap
CONCLUSION: Multiple digital and hand defects can be reconstructed simultaneously using the multilobed anterolateral thigh perforator flap, allowing a length-to-width ratio of greater than 1.5:1 to resurface long digital defects.LEVEL OF EVIDENCE: Level IV, Therapeutic Study.PMID:38525508 | DOI:10.5152/j.aott.2024.23125 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Haiping Di Thomas Yu Xia Chao Ma Haina Guo Peipeng Xing Chengde Xia Source Type: research

Distal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population
CONCLUSION: This study has shown us that PCA and CTA may be higher in the Turkish population. Although it is not known whether these results have any clinical utility, it may be useful for surgeons to keep this in mind to prevent femoral component malposition.LEVEL OF EVIDENCE: Level IV, Diagnostic Study.PMID:38525509 | DOI:10.5152/j.aott.2024.21066 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Mustafa Alper İncesoy Nurdan G üngören Orkhan Aliyev Nurzat Elmal ı İbrahim Tuncay Fatih Y ıldız Source Type: research

An investigation into the frequency and risk factors of low back pain following surgical treatment of isolated calcaneal fractures
CONCLUSION: Low back pain may occur after unilateral calcaneal fractures treated by ORIF. This may be caused by decreased angles of ankle dorsi and plantar flexion, foot inversion, hip abduction, and internal and external rotation. In the rehabilitation program, not only the ankle region but also the hip joint of the affected side should be included, and the kinetic chain that describes the interaction mechanism of the human body should not be forgotten.LEVEL OF EVIDENCE: Level IV, Prognostic Study.PMID:38525510 | DOI:10.5152/j.aott.2024.23031 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Dilek Bayraktar Cengizhan Özgürbüz An ıl Murat Öztürk Salih Kemal Aktu ğlu Nadir Özkayın Source Type: research

Intraoperative lateral wall breach simulation in the cadaveric spine and the impact of thread designs of screws on pullout strength in the osteoporotic thoracic vertebrae: A biomechanical study in human cadavers
Conclusion: Using a 1 mm thicker polyaxial pedicle screw or mixed (double)-threaded pedicle screw seems to increase pullout strength; however, this was statistically significant only for group 4. In the thoracic spine, the redirection possibility of the pedicle screw is limited, and augmentation with cement will not be appropriate due to the risk of wall injury-related leakage. Therefore, care should be taken to avoid violating the lateral cortex by using appropriate pedicle entry points and trajectories.PMID:38525511 | DOI:10.5152/j.aott.2024.22067 (Source: Acta Orthopaedica)
Source: Acta Orthopaedica - March 25, 2024 Category: Orthopaedics Authors: Ozcan Kaya Okan Ozkunt Mustafa Sungur Mehmet Semih Cakir Murat Baydogan Kerim Sariyilmaz Source Type: research