Management of pediatric posterior cruciate ligament avulsion fractures: a systematic review
ConclusionsOpen reduction and arthroscopic surgeries are effective and safe treatment options for pediatric PCL avulsion fractures —97% of open reduction and 92% of arthroscopic patients significantly improved symptoms. The complication rates for the open and arthroscopic groups were 11 and 9%, respectively. All three non-operative made full or near full recovery of pre-injury knee status.Level of evidence IVSystematic review of Level-II –IV studies.Prospero Registration No CRD42021290899. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research

Outcomes after radioscapholunate arthrodesis for intra-articular malunion of distal radius fractures
ConclusionRSL arthrodesis (using locked miniplates without distal scaphoid excision)  is a reliable surgical procedure to manage cases of radiocarpal OA after intra-articular malunion of distal radius fractures with good clinical and radiological outcomes.Level of evidenceLevel IV- therapeutic. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research

The role of computed tomography with external rotation and dorsiflexion in decision making for acute isolated non-displaced posterior malleolar fractures Barton íček and Rammelt type II: a prospective study
ConclusionThe conventional computed tomography with external rotation and dorsiflexion represents a reproducible and accurate diagnostic option for detecting syndesmosis instability and fracture instability in acute isolated non-displaced posterior malleolar fractures Barton íček and Rammelt type II.Level of Evidence: Prospective study among consecutive patients (Diagnosis); Level of evidence, 2. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 22, 2024 Category: Orthopaedics Source Type: research

Ankle arthrodesis through minimally-invasive transfibular approach: a new surgical technique
ConclusionsThe MITF approach for ankle arthrodesis demonstrates promising results in addressing end-stage varus ankle osteoarthritis, even in high-risk patients. However, the study ’s limitations highlight the need for a prospective comparative clinical trial with a larger sample size to ascertain the technique’s effectiveness and safety definitively. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 21, 2024 Category: Orthopaedics Source Type: research

Novel implant design for comminuted posterior wall acetabular fractures
ConclusionsThe finite element analysis revealed that the newly developed anatomical plate for posterior wall acetabular fractures meets the necessary physical and mechanical criteria for permanent implementation in patients with these fractures. This breakthrough represents a promising advancement that could simplify surgical procedures and potentially elevate patient outcomes.Level of Evidence IIThis study is classified as a Level II, diagnostic study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

A prospective randomized control trial comparing outcomes of casting, pinning, and plating for distal end of radius fractures (AO type A2, A3, C1, or C2) in the elderly population
ConclusionThe study found a radiologically significant difference between groups throughout the follow-up, but it did not affect functional results. Clinical outcomes were similar across the groups, with plating showing better palmar flexion and radial deviation. Grip strength was also better in the plating group, but statistically insignificant. The study suggests plating should be chosen over other treatments for high-demand patients. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Intramedullary versus plate fixation of both bone forearm fractures in skeletally immature patients: a systematic review and meta-analysis
ConclusionsWe found no significant difference between IMF and PF in terms of union rates and functional outcomes taking in consideration the merits and demerits of each technique. High-quality randomized controlled trials are, therefore, necessary to determine the superiority of one fixation technique over the other.Level of evidenceIII. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Frailty is a predictor of immediate postoperative complications following surgical management of knee dislocations
ConclusionsFrailty is superior to age and obesity, and comparable to VI, at predicting adverse outcomes following surgical management of KDs. These findings suggest that frailty assessment might play a role in risk stratification and preoperative planning for KD patients that require surgical intervention. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Using calcaneal plates in fixation of comminuted posterior wall acetabular fractures with cranial or posterior extension: a prospective case series and novel technique
ConclusionCalcaneal plate may offer an alternative method of fixation of comminuted PW fractures with acceptable radiological and functional results. Our study result may encourage the comprehensibility and replicability of this practice, however randomized multicentered studies should be conducted to validate this assumption. This method provides valuable trick strategy, stable and soft-tissue-friendly fracture fixation where modern implantations may be unavailable or of high cost. Calcaneal plates show some fascinating features that allow using them outside their field being flexible with large footprint area for fractur...
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Comparison of two versus three-screw fixation for biplanar chevron medial malleolar osteotomy
ConclusionsThe study found no significant differences in union rates, complications, or clinical outcomes between two and three-screw fixation methods for medial malleolar osteotomies (MMO). Both methods allowed for effective MMO fixation without loss or displacement post-surgery, suggesting their safety and efficacy.Level of evidenceLevel III, retrospective comparison. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

Utilization of the gastrocnemius flap for post-traumatic knee reconstruction: a systematic review
ConclusionThe gastrocnemius flap has demonstrated to be an effective option for individuals undergoing post-traumatic knee reconstruction. Infection rates, loss of mobility, and scarring represent a minority of complications that may be seen when this reconstructive technique is utilized. Still, additional randomized controlled trials and retrospective studies are required in order to further evaluate for other potential complications that may occur in this patient population. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

The ROSA knee robotic system demonstrates superior precision in restoring joint line height and posterior condylar offset compared to conventional manual TKA: a retrospective case –control study
ConclusionThe ROSA knee robotic system can more accurately restore joint line height and PCO compared to conventional manual TKA. The improved degree of precision raTKA offers may be a vehicle for better Patient-Reported Outcome Measures, but further correlational studies are required. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

A randomized controlled trial demonstrating sustained benefit of autologous matrix-induced chondrogenesis (AMIC ®) over microfracture: 10-year follow-up
ConclusionThe AMIC® procedure results in improved patient outcomes in comparison with microfracture up to 10  years following surgery for the repair of focal chondral defects in the knee.ClinicalTrials.gov Identifier: NCT02993510 (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research

Whole-body cryotherapy in orthopaedics: current concepts
AbstractThe use of whole-body cryotherapy (WBC) for musculoskeletal ailments is growing. WBC, involving brief exposure to extremely low temperatures, is increasingly used for its analgesic, anti-inflammatory, and antioxidant effects. The paper examines the physiological impacts of WBC on cardiovascular, musculoskeletal, hematologic, hormonal, and metabolic systems. Specific orthopaedic applications discussed include its role in the management of fractures, osteoarthritis, osteonecrosis of the femoral head, osteomyelitis, adhesive capsulitis, tendinopathies, rheumatic pathologies, chronic pain syndromes, and fibromyalgia. T...
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research

Age-stratified analysis of HTO and UKA clinical effects in cross-indicated anterior medial osteoarthritis
ConclusionBoth methods yield satisfactory results for AMOA cross-indications, improving knee joint function. The observed recovery trends have implications for personalized surgical recommendations, guiding interventions based on age-specific considerations for optimal outcomes in anterior medial osteoarthritis cases. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research