Classification of intraarticular calcaneal fractures: comparison of two classification systems
ConclusionDespite the better view of the fracture lines provided by 3D reconstructions, this study failed to prove the superiority of Goldzak classification compared to Sanders classification for DIACFs. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 24, 2024 Category: Orthopaedics Source Type: research

Retrograde intramedullary nailing with supplemental plate and lag screws allows early weight bearing following distal end-segment femur fractures (AO/OTA 33) in a low-resource setting
ConclusionThe study highlighted the procedure for retrograde nailing of DFFs in a setting without the requisite facilities for minimally-invasive surgeries. The findings demonstrated the feasibility of achieving an expedited weight bearing for the predominantly daily-income-earning victims to ensure early return to work and poverty reduction. While the small sample size is a limitation, the study does provide information that could serve as a basis for future randomized controlled trials in low-resource settings. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 24, 2024 Category: Orthopaedics Source Type: research

Osseointegration of a hydroxyapatite-coated stem in femoral neck fractures in the over-80  s
ConclusionThis study shows the value of using a hydroxyapatite-coated stem on senile, osteoporotic bone to improve cortical thickness along the entire length of femoral bone. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 24, 2024 Category: Orthopaedics Source Type: research

Pain scores and functional outcomes of patients with shoulder labral repair using all-suture anchors versus conventional anchors
ConclusionsAll-suture anchors provide similar or superior pain and functional outcome scores up to 2  years postoperatively compared to conventional anchors.Clinical relevanceAs all-suture anchors gain popularity among surgeons, this is the largest scale study to date validating their use in the setting of glenoid labrum repair.Institutional Review Board (IRB): IRB202102550. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 24, 2024 Category: Orthopaedics Source Type: research

Anatomical quantitative evaluation of popliteal artery visualization during medial approach in supine position
ConclusionsThe medial approach to the popliteal artery has the advantage of being performed in the supine position, but it requires multiple myotendotomies around the knee. The results of this study may serve as a reference for myotendotomy depending on the site of injury to the popliteal artery. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 23, 2024 Category: Orthopaedics Source Type: research

Comparative analyses of arthroscopic and open repairs of lateral ligament complex injuries of the ankle: a systematic review and meta-analysis of the medium-term outcomes
ConclusionsThe findings of this systematic review and meta-analysis support near-future developments validating arthroscopic repair as the new gold standard for LLC repairs, similarly to arthroscopic ligament and tendon repairs, as well as arthroscopic reconstruction surgeries, of the knee and shoulder. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 23, 2024 Category: Orthopaedics Source Type: research

Incidence of vascular injury associated with knee arthroplasty: series of cases
ConclusionThe incidence of vascular lesions in knee arthroplasty in our center is very low. The cases were diagnosed and resolved early, without registering subsequent complications with good functional results in distant follow-up. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 22, 2024 Category: Orthopaedics Source Type: research

Accuracy of FAST in detecting intraabdominal bleeding in major trauma with pelvic and/or acetabular fractures: a retrospective cohort study
ConclusionFAST is accurate to identify clinically significant intraabdominal blood in patients with severe pelvic fractures and should be a standard asset in these patients. Retroperitoneal hematomas challenge the FAST interpretation and thus the decision making when applying FAST in patients with pelvic fractures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 22, 2024 Category: Orthopaedics Source Type: research

The application of inverted lateral clavicle locking compression plate for medial clavicle fractures: biomechanical study and clinical implementation
ConclusionBy the results of FE analysis, inverted LCP-LC could be a potential application for fixation of clavicle fracture with short medial fragment. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 20, 2024 Category: Orthopaedics Source Type: research

Tuberosity refixation improves functional outcome following primary reverse shoulder arthroplasty in proximal humeral fracture
ConclusionsIn this prospective study, tuberosity refixation as part of fracture treatment using RSA results in better external rotation, subjective assessment of shoulder recovery (measured by SSV and by raw CMS) in elderly patients, compared with tuberosity excision.Level of evidenceII, Prospective comparative study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 19, 2024 Category: Orthopaedics Source Type: research

A feasibility cadaver study for placing screws in various pelvic osseous fracture pathways using a robotic arm
ConclusionIn this feasibility study, surgeons were able to place screws into the clinically relevant fracture pathways of the pelvis using ExcelsiusGPS® for robotic-assisted surgery. The measured accuracy was encouraging; however, further investigation is needed to demonstrate that robotic-assisted surgery can be used to successfully place the screws in the bony corridors of the pelvis to treat traumatic pelvic injuries. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 19, 2024 Category: Orthopaedics Source Type: research

Cemented bipolar hemiarthroplasty for unstable intertrochanteric fracture in elderly patients over 70  years: Boon or bane?
ConclusionsThe use of bipolar hemiarthroplasty in senile patient with unstable hemiarthroplasty gives an advantage of early weight bearing. However, it is associated with risk of significant intra or post-operative morbidity due to intra-operative trauma, surgical time and blood loss during the surgery. Although hemiarthroplasty can be a single-time solution to the complexities of intertrochanter fracture in elderly patients but should be performed in selected patients only. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 19, 2024 Category: Orthopaedics Source Type: research

Effects of amino acid supplementation on muscle mass, muscle performance and functional capacity in subjects undergoing total knee arthroplasty: a systematic review of randomized clinical trials
AbstractThe aim of the present study was to summarize the effectiveness of amino acid supplementation on muscle strength, muscle volume, and functional capacity in patients undergoing total knee arthroplasty. For this, in November 2022, a search was carried out in the PubMed, Cochrane Library, and EMBASE databases, identifying a total of 2182 documents, of which only 4 were included in the present review. The included studies had 148 participants (47 men and 101 women), with a minimum age of 53 and a maximum of 92  years, and supplementation times of 13 to 30 days (1 to 3 times a day). For the results, in relation to mus...
Source: European Journal of Orthopaedic Surgery and Traumatology - January 18, 2024 Category: Orthopaedics Source Type: research

Therapy adherence, safety and efficacy of rivaroxaban in prevention of venous thromboembolism in patients with hip or knee endoprosthesis
ConclusionGenerally, there was high adherence to rivaroxaban therapy, but low adherence was present in 15% of patients. Rivaroxaban showed good safety and efficacy. However, high proportion of wound complications and patients needing surgical revision of the wound should be further evaluated through larger studies. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 18, 2024 Category: Orthopaedics Source Type: research

Minimally invasive femoral head fracture fixation using three-dimensional navigation: a technical note
We report the case of a 24-year-old patient with a Pipkin type II fracture dislocation of the femoral head fixed via a minimally invasive three-dimensional navigated internal fixation technique. This technique minimizes deep soft tissue dissection to the hip capsule and associated vascularity and allows for accurate implant positioning.Level of evidence: Therapeutic case report Level IV. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - January 18, 2024 Category: Orthopaedics Source Type: research