Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70  years: a retrospective cohort study
ConclusionsThis study demonstrates that satisfactory results can be obtained with osteosynthesis with locking plates in displaced proximal humerus fractures even in patients older than 70  years of age.Level of evidence IIIRetrospective Cohort, Treatment Study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 11, 2023 Category: Orthopaedics Source Type: research

Joint awareness among total hip arthroplasty patients operated through anterior approach versus posterior approach: a systematic review and meta-analysis
ConclusionsAfter analyzing the available literature, it was found that THA patients operated through the AA approach have significantly lower joint awareness than those operated through the PA approach in the first year of surgery. However, there is no significant difference in joint awareness between these two approaches after 2  years.Level of evidenceIII. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 11, 2023 Category: Orthopaedics Source Type: research

Single-row versus transosseous technique in the arthroscopic treatment of rotator cuff tears: a meta-analysis
ConclusionsThe Arthroscopic transosseous rotator cuff repair technique and SA (suture-anchor) technique both lead to significant short-term improvement and satisfactory subjective outcome scores with low complication/failure rates. No differences were found in the final outcome between the two techniques. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 10, 2023 Category: Orthopaedics Source Type: research

Arthroscopic assistance during open reduction and fixation for complex acetabular fractures
AbstractAchieving an anatomical reduction in acetabular fracture is essential but may also be challenging. Most of complex fractures are treated with anterior approaches without direct visualization of the acetabular surface. In this paper, we present the surgical technique for arthroscopic assistance during open reduction and fixation for complex acetabular fractures. To our knowledge, this technique has not been described in the literature yet. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 8, 2023 Category: Orthopaedics Source Type: research

Return to work following knee arthroplasty: a retrospective review in urban Asian population
ConclusionYounger and independently ambulating patients may have better capacity for rehabilitation and RTW post arthroplasty surgery. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 8, 2023 Category: Orthopaedics Source Type: research

Percutaneous pelvic fixation model: an affordable and realistic simulator for pelvic trauma training
ConclusionIn being affordable, accessible, and realistic, this percutaneous pelvic fixation model represents an opportunity to advance orthopedic surgery education globally. Future research is needed to validate the findings of this pilot study and to expand upon how trainees should be evaluated within simulations and the operating room to optimize skill progression. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 7, 2023 Category: Orthopaedics Source Type: research

Epidemiology of proximal femur fractures in the young population of Qatar
ConclusionThis study provides the initial insights into the proximal femur fractures in the young population of Qatar. This is the first study to investigate of the epidemiology of such fractures in this particular patient group. Contrary to the existing literature on older age groups, the majority of the injuries were observed in males. Falls from height followed by road traffic accidents were the primary mechanisms leading to these fractures. Improved understanding of the profile of these injuries can aid in their prevention by implementing more effective safety measures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 7, 2023 Category: Orthopaedics Source Type: research

Nonoperative management of minimally displaced lateral compression type 1 (LC1) injuries with comminuted rami fractures is associated with late displacement
ConclusionLate fracture displacement was greatest in the group with rami comminution/nonoperative management. Rami comminution, which has been previously associated with dynamic displacement on EUA and LSR, is also associated with a higher incidence of late displacement when managed nonoperatively.Level of evidenceLevel III, prognostic retrospective cohort study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 5, 2023 Category: Orthopaedics Source Type: research

Earlier consolidation and improved knee function of medial open wedge high tibial osteotomy with autologous bone graft
ConclusionIn our study, autologous bone grafting evocated earlier osseous consolidation after medial OWHTO and showed a tendency to a better functional outcome. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 4, 2023 Category: Orthopaedics Source Type: research

Adequate bone healing after supplementary fixation of periprosthetic total knee arthroplasty fractures using Luque cerclage wiring: a retrospective case series
ConclusionSupplementary cerclage wiring in distal femur TKA fractures can aid in enhanced bone healing with minimal complications, provided that adequate reduction and rigid fixation were achieved. This study reflects the level of evidence IV. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 4, 2023 Category: Orthopaedics Source Type: research

Custom-made total ankle arthroplasty with patient-specific instrumentation for severe bone loss conditions: a case series
ConclusionShort-term results reported herein are encouraging suggesting that custom-made TAA implants with PSI may represent an effective solution for ankle bone loss conditions. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 4, 2023 Category: Orthopaedics Source Type: research

The impact of fasciotomy on inpatient outcomes in lower leg fracture management
ConclusionsFasciotomy is vital. The knowledge about the further course is, however, helpful in resource allocation. We found significant differences between patients with and without fasciotomy in terms of age, sex, complication rate, length of stay, comorbidities, duration of operations, and use of antibiotics during their primary in-hospital stay. While the severity of the underlying trauma could not be modulated, awareness of the most relevant predictors for fasciotomy and related complications might help mitigate severe consequences and avoid adverse outcomes. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 3, 2023 Category: Orthopaedics Source Type: research

Correction to: Osteocondritis dissecans lesions of the knee restored by bone marrow aspirate concentrate: clinical and imaging results in 18 patients
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 3, 2023 Category: Orthopaedics Source Type: research

Circular external fixation for revision of failed tibia internal fixation
ConclusionsCircular external fixation is a reliable surgical option in the treatment of failed internal fixation of tibia fractures. This technique can provide limb salvage in complex infected and noninfected cases with a high union rate and minimal major complications. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - August 2, 2023 Category: Orthopaedics Source Type: research

Determining the clinical significance of the PROMIS physical function score in the setting of femur fractures
ConclusionsThis study identifies two MCID values (5.18, 5.43) based on two calculation methods for PROMIS physical function scores in the operative femur fracture population. This data could be helpful in targeting postoperative patients who fall below expected norms or in allowing clinical correlation with changes in surgical practice. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - July 26, 2023 Category: Orthopaedics Source Type: research