Revision hip arthroplasty with a rectangular tapered cementless stem: a retrospective study of the SLR-Plus stem at a mean follow-up of 4.1  years
AbstractPurposeDemand for revision total hip arthroplasty (THA) is growing, and this type of surgery remains challenging for orthopedic surgeons. Our objectives were to assess clinical and radiographic outcomes, survivorship and complications with the SLR-Plus stem in revision THA.MethodsWe retrospectively reviewed 65 patients (66 hips) who had undergone revision THA with the SLR-Plus stem between 2008 and 2015 at two medical institutions with a minimum 2-year follow-up. The clinical outcome was assessed using the Harris hip score and the Merl é D’Aubigné score preoperatively and at final follow-up. A p...
Source: European Journal of Orthopaedic Surgery and Traumatology - October 15, 2019 Category: Orthopaedics Source Type: research

Does face-to-face pre-operative joint replacement education reduce hospital costs in a regional Australian hospital? A descriptive retrospective clinical audit
ConclusionPre-operative education does not reduce hospital costs (surgery and hospital stay) in Central Queensland. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 14, 2019 Category: Orthopaedics Source Type: research

Factors correlating with recovery of quadriceps strength after double-bundle anterior cruciate ligament reconstruction with hamstring tendon autografts
ConclusionsPostoperative quadriceps strength index at 6  months after double-bundle ACL reconstruction with hamstring tendon autografts was affected by preoperative quadriceps strength index. Adequate preoperative quadriceps strength may need to be considered in order to facilitate better recovery of quadriceps strength after ACL reconstruction and to s upport an earlier return to sports activities. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 14, 2019 Category: Orthopaedics Source Type: research

Outcomes of knee replacement in patients with posttraumatic arthritis due to previous tibial plateau fracture
ConclusionOur retrospective study suggests that the need for conversion to  TKA is uncommon following ORIF of a tibial plateau fracture. Furthermore, the conversion to TKA can be performed as a one- or two-stage procedure, and based on our study, we suggest that there may be higher rates of infection with the single stage conversion.Level of evidenceLevel III, Retrospective study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 12, 2019 Category: Orthopaedics Source Type: research

Impact of smoking on outcomes following knee and shoulder arthroscopy
ConclusionsPreoperative smoking was found to be an independent risk factor for complications for several arthroscopic procedures, though with variability between specific procedures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 12, 2019 Category: Orthopaedics Source Type: research

Is the administration of vancomycin to operative field effective? Studying from operative wound drainage tube culture
ConclusionThis study indicates that the amount of bacteria in the operative field was decreased by local application of VCM. However, the incidence of positive culture of VCM-resistant bacteria was not decreased by VCM. Importantly, pathogenic bacteria in the VCM group were only VCM-resistant, supporting the efficacy of VCM. In conclusion, local application of VCM decreases the amount of bacteria in the operative field and leads to fewer SSIs. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 11, 2019 Category: Orthopaedics Source Type: research

A subcutaneous arthroscopic portal closure technique without thread exposure
We present a simple new suture technique for an arthroscopic portal that enables a secured subcutaneous suture without thread exposure. A curved suture needle is inserted through the skin at approximately 1  cm from the wound edge. The needle penetrates the subcutaneous tissue and exits through the skin on the opposite side of the wound edge. The needle and suture are pulled from just underneath the skin layer. The thread is collected within the wound, and the other end of the thread is pulled from th e wound. The needle is inserted at just beneath the skin layer, penetrates the subcutaneous tissue, and pierces the op...
Source: European Journal of Orthopaedic Surgery and Traumatology - October 9, 2019 Category: Orthopaedics Source Type: research

Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
ConclusionsAll categories of VAS, JOA scores, and all domains of JOABPEQ were significantly higher over 3  years than those obtained pre-operatively. But only mental health domain showed mild improvement until 1 year. Moreover, BMI showed a negative correlation with improvements in the mental health domain post-operatively. As patients may be mentally exhausted from lumbar disc herniation, pre-operati ve mental health may be improved by surgical treatment. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 8, 2019 Category: Orthopaedics Source Type: research

Is the position of dual-mobility cup in THA for femoral neck fractures optimal? A retrospective study
DiscussionMisalignment was more frequent when THA was achieved for an acute proximal femur fracture. Several explanations can be proposed: lesser bone quality, incomplete removal of upper acetabular osteophytes which can lead to excessive horizontalization of the cup and surgical procedure performed by younger surgeons in “fracture group”. These misalignments don’t cause more mechanical complications in the first months after surgery. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 8, 2019 Category: Orthopaedics Source Type: research

Correction to: Uncemented Thompson ’s hemiarthroplasty: safe, palliative and cost-effective surgery in the infirm patient—a consecutive series of 1445 cases
The original version of this article unfortunately contained a mistake. David Morley was not listed among the authors. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 4, 2019 Category: Orthopaedics Source Type: research

Should the supraspinatus tendon be excised in the case of reverse shoulder arthroplasty for fracture?
ConclusionIn the case of RSA with tuberosity reconstruction for acute PHFs, there is no clear evidence that supraspinatus preservation is advantageous. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 4, 2019 Category: Orthopaedics Source Type: research

Distal biceps section and reinsertion for chronic distal biceps tendinopathy
ConclusionThis study demonstrates that distal biceps tendon debridement and reinsertion is a safe and valid option for patients with distal biceps tendinopathy after failure of conservative treatment.Level of evidenceLevel 3 retrospective cohort study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Description of new “epsilon sign” and its significance in reduction in highly unstable variant of intertrochanteric fracture
ConclusionThe typical radiological pattern seen on X-ray will guide the surgeon to predict this unstable variant of IT fracture preoperatively and will suggest toward requirement of open reduction with specific maneuver and internal fixation with dynamic hip screw. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Correction to: Ulnar nerve entrapment in Guyon's canal caused by a ganglion cyst: two case reports and review of the literature
The original version of this article unfortunately contained a mistake. Table  1 footnotes were missing. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

A familial case series of valgus slipped capital femoral epiphysis
We present a familial case of valgus slipped capital femoral epiphysis (SCFE). Charts of members of the same family having the condition were retrieved. Clinical and radiological examinations were conducted after 10  years of the initial presentation and treatment. Two siblings, brother and sister, were initially diagnosed with valgus SCFE and treated surgically. Normal clinical examination was found for both siblings and both, treated and untreated hips. A radiological examination for the parents revealed sig ns of valgus SCFE in both hips of the mother. No association with metabolic, hormonal or neurological conditi...
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Amer F. Samdani, Peter O. Newton, Paul D. Sponseller, Harry L. Shufflebarger, Randal R. Betz: Neuromuscular spine deformity: A Harms Study Group treatment guide
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Edgar N. Weaver, Jr.: Surgical care of the painful degenerative lumbar spine: evaluation, decision-making, techniques
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Alexander R. Vaccaro, Richard G. Fessler, Faheem A. Sandhu, Jean-Marc Voyadzis, Jason C. Eck, Christopher K. Kepler: Controversies in spine surgery, MIS versus OPEN
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Francisco del Pinal: Atlas of distal radius fractures (With e-book)
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Prolonged suppressive antibiotic therapy is successful in the management of prosthetic joint infection
We present the results of prolonged antibiotic suppression therapy (PSAT) in PJI from a single centre.MethodsA retrospective study was performed. Twenty-six patients were included. Two patients were excluded due to the lack of follow-up data. Failure was defined as admission for sepsis from the joint or amputation.ResultsAverage age was 72  years (range 35–93). Mean Charlson co-morbidity index was 4.3. Mean follow-up was 3.2 years (range 1.3–5.7).Staphylococcal species were isolated in 11 cases (44%) (MRSA 1, MSSA 5,Staph. epidermidis 4 andStaph Pasteuri 1). Other bacteria includedE. Coli (2),Streptoc...
Source: European Journal of Orthopaedic Surgery and Traumatology - October 1, 2019 Category: Orthopaedics Source Type: research

Influence of fracture obliquity and interlocking nail screw configuration on interfragmentary motion in distal metaphyseal tibia fractures
AbstractThe indications for the use of intramedullary (IM) nails have been extended to include extra-articular distal metaphyseal tibia fractures. We hypothesize that interfragmentary motion during physiologic compressive loading of distal tibia fractures is influenced by fracture obliquity and can be modulated by interlocking screw configuration. Sawbone specimens were osteotomized with frontal plane obliquities ranging from 0 ° to 60° and then fixed by IM nailing with six interlocking screw configurations. Interfragmentary motion was evaluated during loading in axial compression to 1000 N. Comparisons of int...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Ali A. Baaj, U. Kumar Kakarla, Han Jo Kim: Surgery of the Thoracic Spine: Principles and techniques
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

AO Trauma: Manual of fracture management
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Christophe Mathoulin: Wrist arthroscopy techniques
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Theodoros Theodoridis: Spinal injection technique
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Mick J. Perez-Cruet, Richard G. Fessler, Michael Y. Wang: An anatomic approach to minimally invasive Spine surgery
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Joshua S. Dines, David M. Dines, Lawrence V. Gulotta: Shoulder surgery: tricks of the trade
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Luiz Roberto Vialle (ed): AO spine masters series —Volume 10 spinal infections
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 30, 2019 Category: Orthopaedics Source Type: research

Complications and results of the arthrodesis after total ankle arthroplasty failure: a retrospective monocentric study of 12 cases
Discussion and conclusionThe 83% primary fusion rate is in the low average of the literature and 92% fusion rate in the high average after reoperation. All patients were improved even in two non-unions. The results of this study confirm that the arthrodesis after TAA failure is a reliable alternative to the TAA replacement. However, they are lower than those after a first-line arthrodesis. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 28, 2019 Category: Orthopaedics Source Type: research

Risk factors for death and amputation in acute leg compartment syndrome
AbstractIntroductionThe primary objective of this study is to determine whether time from injury to fasciotomy is associated with increased risk for death or limb amputation in patients with acute leg compartment syndrome. The secondary objective of this study is to identify other risk factors for death or limb amputation in patients with acute leg compartment syndrome.MethodsIn an institutional review board approved retrospective study, we identified 546 patients with acute compartment syndrome of 558 legs treated with fasciotomies from January 2000 to June 2015 at two Level I trauma centers. Our primary outcome measures ...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 27, 2019 Category: Orthopaedics Source Type: research

Percutaneous cannulated screw fixation in the treatment for diabetic ankle fractures
ConclusionWe believe that percutaneous cannulated screws technique is a simple and effective method that can be applied safely in uncontrolled DM patients with ankle fractures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 25, 2019 Category: Orthopaedics Source Type: research

Correlation between the mid-substance cross-sectional anterior cruciate ligament size and the knee osseous morphology
ConclusionsFor clinical relevance, some tibial sides of the knee osseous morphology were significantly correlated with the mid-substance cross-sectional ACL size. It might be possible to predict the mid-substance ACL size measuring these parameters. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 24, 2019 Category: Orthopaedics Source Type: research

Percutaneous femoral shortening over a nail using on-site smashing osteotomy technique
AbstractIntroductionClosed femoral-shortening osteotomy over an intramedullary nail for the treatment of leg length discrepancy (LLD) is a demanding surgical technique, classically requiring specialized instrumentation (intramedullary saw and chisel). Herein, we describe our experience with shortening osteotomy over a nail, using a percutaneous multiple drill-hole osteotomy technique to perform the bone section with the osteotomized bone smashed and let on-site.MethodWe operated on six patients with LLD due to: hemihypertrophy syndrome (three patients), congenital short femur, hemiplegic cerebral palsy, and growth plate in...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 21, 2019 Category: Orthopaedics Source Type: research

Influence of vitamin C on the incidence of CRPS-I after subacromial shoulder surgery
ConclusionsThe present study found that VC administered prophylactically for 50  days postoperatively is effective in preventing CRPS-I development after SaSS. CRPS-I is a common complication following SaSS, especially in the setting of an open approach. The authors recommend preventive management with VC and arthroscopic approaches when possible for SaSS.Level of evidence IIIRetrospective comparative study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 20, 2019 Category: Orthopaedics Source Type: research

Surgical technique in tension band wiring method for selected comminuted olecranon fractures
ConclusionsFor selected comminuted olecranon fractures, TBW with the eyelet pins and biodegradable pins could yield satisfactory clinical and radiographic outcomes. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 20, 2019 Category: Orthopaedics Source Type: research

Is rotation the mode of failure in pertrochanteric fractures fixed with nails? Theoretical approach and illustrative cases
ConclusionExcessive rotation leading to eventual “cut-out” has not been adequately studied, and thus, available evidence is not sufficient to definitely prove this theoretical approach. As nailing is gradually overtaking extramedullary fixation as the treatment of choice, especially for comminuted pertrochanteric fractures which can be rotatio nally unstable, further research is warranted to improve our understanding of the pathogenetic mechanisms of failure. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 20, 2019 Category: Orthopaedics Source Type: research

Low conversion rates toward total hip arthroplasty after hemiarthroplasty in patients under 75  years of age
ConclusionHemiarthroplasty in the relatively young elderly after a fracture of the femoral neck demonstrates an acceptable conversion rate. Furthermore, unrevised patients show low complaints of pain. To prevent one conversion to total hip arthroplasty, 13.7 patients should be treated with total hip arthroplasty that will not undergo a conversion at a later stage. Therefore, hemiarthroplasty remains a viable treatment of femoral neck fractures in relatively young patients. There seems to be no space for standardized decision making concerning the choice of treatment. An individual approach is required. (Source: European Jo...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 19, 2019 Category: Orthopaedics Source Type: research

Avascular necrosis of the femoral head after single steroid intra-articular injection
AbstractFemoral head avascular bone necrosis (AVN) is the loss of blood supply to the bone tissue of femoral head that results in cellular death. This condition causes a significant limitation in patient daily life activities and has a poor functional outcome. Long-term steroid intake was established as a cause of AVN. However, few cases reported femoral head AVN post-single steroid intra-articular injection. We review all cases of AVN that results from single intra-articular steroid injection and present a case of femoral head AVN developed in a 78-year-old male. The patient, who was not known to have any medical illness,...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 19, 2019 Category: Orthopaedics Source Type: research

What is the value of 3D virtual reality in understanding acetabular fractures?
ConclusionsThe Judet –Letournel acetabular classification stays difficult to interpret; only moderate kappa agreements were found. We found 3D-VR inferior to 3D printing in classifying acetabular fractures. Furthermore, the current 3D-VR technology is still not practical for intra-operative use. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 17, 2019 Category: Orthopaedics Source Type: research

Can Denosumab cure giant cell tumors of the spine? A case report and literature review
ConclusionDenosumab has an important but still limited role in the treatment of spinal giant cell tumors. Here, it resulted in complete histological resolution of the tumor, potentially widening its applicability from a strictly neo-adjuvant to a curative role. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 16, 2019 Category: Orthopaedics Source Type: research

Curettage as first surgery for bone giant cell tumor : adequate surgery is more important than oncology training or surgical management by high volume specialized teams
AbstractWe reviewed the files of 203 patients with extremities GCTB treated with curettage as first surgery from 1990 to 2013. Median follow-up was 84.2  months. We evaluated whether the years of practice and training in orthopaedic oncology are associated with local recurrences, function and complications after curettage as first surgery for giant cell tumour of bone (GCTB). Local recurrences were not significantly different between orthopaedic on cology trained and non-trained orthopaedic surgeons and between orthopaedic surgeons with
Source: European Journal of Orthopaedic Surgery and Traumatology - September 13, 2019 Category: Orthopaedics Source Type: research

Different inner fixation strategies for Neer type II and type V lateral clavicular fractures
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 12, 2019 Category: Orthopaedics Source Type: research

Economic analyses of fast-track total hip and knee arthroplasty: a systematic review
ConclusionUsing a fast-track protocol can significantly reduce the overall costs of the treatment. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 11, 2019 Category: Orthopaedics Source Type: research

Opposite hinge fractures in high tibial osteotomy: a displacement subtype is more critical than a fracture type
AbstractPurposeAnalysis of the structure of the fractures of opposite hinge (FOH) after angle-stable closed-wedge (CW) and open-wedge (OW) high tibial osteotomy (HTO), and their influence on the development of tibial pseudarthrosis.Methods187 CW and 94 OWHTOs were analyzed retrospectively. The FOHs in the OWHTO were classified according to Takeuchi, and in the CWHTO —according to the own classification with two types (depending on the direction of FOH). FOHs in both techniques were also subdivided into three subtypes according to displacement (A—non-displaced, B—primarily displaced, C—secondarily di...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 10, 2019 Category: Orthopaedics Source Type: research

Differential diagnosis and treatment of enchondromas and atypical cartilaginous tumours of the pelvis: analysis of 21 patients
DiscussionEndosteal scalloping, tumour size and age could be helpful in the differential diagnosis between enchondroma and ACT of the pelvis. In addition, our study showed that ACT of the pelvis can be safely treated with curettage due to a low risk of local recurrence and better functional results compared with resection. In case of recurrence, we suggest to treat these patients with resection for the risk of disease progression. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 9, 2019 Category: Orthopaedics Source Type: research

Screws are at a safe distance from critical structures after superior plate fixation of clavicle fractures
ConclusionsNone of the screws were excessively prominent or within 15  mm of the subclavian vessels. Attentive superior plate fixation of the clavicle with screws is a safe technique.Level of evidenceLevel IV, case series. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 9, 2019 Category: Orthopaedics Source Type: research

Does the duration to bipolar hip arthroplasty for femoral neck fracture influence on postoperative muscular strength?
ConclusionOur study suggests that the delay to operate might not severely compromise the muscular strength around the hip joint for least 1.5  years among ambulatory patients. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - September 6, 2019 Category: Orthopaedics Source Type: research

Cephalomedullary nailing versus sliding hip screws for Intertrochanteric and basicervical hip fractures: a propensity-matched study of short-term outcomes in over 17,000 patients
AbstractBackgroundHip fractures are associated with poor mortality and morbidity outcomes. Controversy exists over what the preferred treatment is between sliding hips screws (SHSs) and cephalomedullary nails (CMNs) for stable intertrochanteric (IT) and basicervical (BC) hip fractures. The purpose of this study was to compare early postoperative outcomes and complications in patients treated with SHS to those treated with CMN in IT and BC hip fractures.MethodsWe used the National Surgical Quality Improvement Program database to identify IT and BC hip fractures, excluding subtrochanteric hip fractures treated with a SHS and...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 5, 2019 Category: Orthopaedics Source Type: research

Two-staged reverse sural flap: a versatile flap with consistent results in the soft tissue reconstruction of distal leg and heel defects —an institutional experience
ConclusionPedicle exteriorization in TS-RSF eliminates the element of venous congestion and eventually flaps necrosis. Less technical expertise and minimal morbidity are additional advantages of TS-RSF.Level of evidenceLevel IV, therapeutic study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 31, 2019 Category: Orthopaedics Source Type: research

Complications of spine surgery for metastasis
This article aims to summarize and critically examine the current evidence for complications after spine surgery for metastatic spinal disease, in both the perioperative and postoperative period. This paper would be useful for the treating physicians of these patients in their clinical practice. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 31, 2019 Category: Orthopaedics Source Type: research