European Journal of Orthopaedic Surgery and Traumatology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Risk of complications and implant survival of surgical treatment of proximal femoral metastasis: a meta-analysis
ConclusionPatients treated with megaprosthesis had higher risk of reoperation due to infection, while patients treated with intramedullary nailing had higher risk of revision due to disease progression. Regarding patients treated with megaprosthesis, the risk of reoperation due to dislocation was higher in those treated with acetabular component. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 5, 2024 Category: Orthopaedics Source Type: research

Letter to editor “Periprosthetic fracture following arthroplasty for femoral neck fracture: Is a cemented stem protective?”
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 5, 2024 Category: Orthopaedics Source Type: research

Associations with unplanned repeat irrigation and debridement of native septic arthritis
ConclusionsAn unplanned repeat I&D was required in 40.7% of patients and was associated with fever and purulence. These findings highlight the difficulty of controlling these infections and support the need for future research into better methods of management.Level of evidence: Diagnostic, Level III. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 4, 2024 Category: Orthopaedics Source Type: research

What effect does preoperative flexion contracture have on the component angles in unicompartmental knee arthroplasty?
ConclusionsIn fixed-bearing UKA with the spacer block technique, the femoral component tended to be placed in a flexed and varus position in the knees with preoperative flexion contracture. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 4, 2024 Category: Orthopaedics Source Type: research

Surgical complications after fixation of minimally displaced lateral compression type 1 pelvic ring injuries
ConclusionsSurgical complications and additional procedures routinely occurred after fixation of LC1 injuries. Patients should be appropriately counseled on the risks of surgical fixation of these controversial injuries.Level of EvidenceDiagnostic, Level III. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 4, 2024 Category: Orthopaedics Source Type: research

Functional outcome and risk of non-union for 5th metatarsal base fractures
ConclusionThe VFC is an effective way of managing 5th metatarsal fractures, with high patient satisfaction. Conservative management has excellent outcomes, with a low percentage of zone 2 and 3 injuries developing a symptomatic non-union. Functional outcome surveys provide further reassurance. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 3, 2024 Category: Orthopaedics Source Type: research

Simultaneous subtalar arthroeresis, midfoot soft tissue release, and talo-navicular arthrodesis in children with planovalgus neurologic foot
ConclusionsSuAE combined with TNA and midfoot soft tissue is a safe and feasible procedure that can provide good clinical and radiologic results in patients with neuromuscular disease and nonreducible PVFD; the procedure can improve foot stability, and has a limited number of complications.Level of EvidenceIV (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 3, 2024 Category: Orthopaedics Source Type: research

Experience of an anatomic femoral stem in a UK orthopaedic centre beyond 20  years of follow-up
ConclusionsThe Lubinus SP II 170  mm stem demonstrated excellent survivorship and negligible PPF rates over 20 years following primary THA. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 3, 2024 Category: Orthopaedics Source Type: research

Titanium versus stainless steel alloy bridge plates for distal femur fractures: Does callus form earlier with titanium?
In conclusion, we observed greater callus formation at 12 weeks after internal fixation of 33-A and 33-C distal femur fractures treated with titanium locked lateral distal femoral bridge plates compared to stainless steel plates. Our data suggest that titanium metallurgy may have quicker callus formation compared to stainless steel if an isolated, lateral locked bridge plate is chosen for distal femur fracture fixation. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 2, 2024 Category: Orthopaedics Source Type: research

Optimizing percutaneous reduction and fixation with guidewire modification in pelvic and acetabular fractures: surgical technique and case series
ConclusionsThis study introduces a simple yet effective method to address guidewire misdirection during percutaneous fixation for pelvic and acetabular fractures, offering enhanced precision and potentially better patient outcomes. Further research with a larger patient cohort is required for a more comprehensive understanding of its efficacy compared to traditional methods.Level of evidence IV. Therapeutic Study (Surgical technique and Cases-series). (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 29, 2024 Category: Orthopaedics Source Type: research

Impact of surgical timing and type of operative procedure on outcomes in periprosthetic hip fractures: an observational study at an NHS trust centre in the UK
ConclusionRevision and delayed periprosthetic fracture management (>  48 h after injury) group showed a numerically greater mortality risk; however, this finding was not statistically significant. ASA grading at baseline is predictive of mortality for periprosthetic fractures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 29, 2024 Category: Orthopaedics Source Type: research

Outcomes of conversion total hip arthroplasty for failed fixation of intertrochanteric fractures with monoblock distal-loading reconstruction stem
ConclusionConversion THA using monoblock tapered distal loading stems bypasses the calcar deficiency and gives stable fixation in failed fixation of intertrochanteric fractures. It gives good radiological outcome and significant improvement in the clinical outcomes compared to the preoperative disability. However, caution should be noted for risk of intraoperative periprosthetic fractures in this subgroup of patients. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 29, 2024 Category: Orthopaedics Source Type: research

Incidence of heterotopic ossification following total hip arthroplasty by approach: a systematic review
ConclusionsThe traditional lateral and modified direct lateral approaches to THA resulted in the highest percentage of HO postoperatively. However, most ossification cases were not clinically significant and did not strongly affect overall patient morbidity. Further studies are warranted to identify an association between severity of ossification and different arthroplasty approaches. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 27, 2024 Category: Orthopaedics Source Type: research

Elevated alkaline phosphatase independently predicts early postoperative complications in noninfectious revision total shoulder arthroplasty
ConclusionsElevated preoperative alkaline phosphatase was associated with a greater rate of early postoperative complications following noninfectious revision TSA.Level of EvidenceLevel III; Retrospective Cohort Comparison; Prognosis Study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 26, 2024 Category: Orthopaedics Source Type: research

Retrograde intramedullary nailing of AO/OTA 33C femur fractures in patients with below-knee amputations: technical note and case series
ConclusionThis is an effective and safe technique for surgical treatment of comminuted intra-articular distal femur fractures in patients with an ipsilateral below-knee amputation. We believe that this technique can be utilized by any orthopedic surgeon taking trauma call and can avoid unnecessary transfers or delays to care. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - March 26, 2024 Category: Orthopaedics Source Type: research