Displaced three and four part proximal humeral fractures: prospective controlled randomized open-label two-arm study comparing intramedullary nailing and locking plate
ConclusionSatisfactory results were accomplished in both groups according to the reported clinical outcomes. Complication and revision rates were higher in LP group. (Source: International Orthopaedics)
Source: International Orthopaedics - September 23, 2021 Category: Orthopaedics Source Type: research

Implementation of robotic-assisted total knee arthroplasty in the public health system: a comparative cost analysis
This study aims to compare in-hospital costs between robotic-assisted and computer-navigated TKA.MethodsPatients undergoing primary TKA at a public hospital in Sydney between October 2018 and June 2019 were included. Patient demographics, surgical outcomes and in-hospital cost variables including, staff, critical care, emergency department, diagnostic, prosthesis, operating room, ward and other related costs until the discharge to the community were collected. Differences across in-hospital costs between robotic-assisted and computer-navigated TKA were compared using independent Student ’st-tests.ResultsOf the 258 pr...
Source: International Orthopaedics - September 22, 2021 Category: Orthopaedics Source Type: research

Surgeon volume and the risk of deep surgical site infection following open reduction and internal fixation of closed tibial plateau fracture
ConclusionThe surgeon volume is independently associated with the rate of DSSI, and a number of  ≥ nine cases/year are necessarily kept for reducing DSSIs; patients with concurrent fractures should be preferentially operated on by high-volume surgeons. (Source: International Orthopaedics)
Source: International Orthopaedics - September 22, 2021 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Pulsed electromagnetic fields after intramedullary nailing of tibial fractures: a case control study”
(Source: International Orthopaedics)
Source: International Orthopaedics - September 22, 2021 Category: Orthopaedics Source Type: research

Association of the lateral wall integrity with clinical outcomes in older patients with intertrochanteric hip fractures treated with the proximal femoral nail anti-rotation-Asia
AbstractPurposeThe purpose of this study is to assess the role of the lateral wall in post-operative clinical outcomes in patients with intertrochanteric fractures treated with the proximal femoral nail anti-rotation-Asia (PFNA-II).MethodsA cohort of 466 patients (OTA type 31A1 or A2) was divided into two groups: one was intact lateral wall group, and the other was fractured lateral wall group. Radiographic outcomes were measured by using the loss of neck-shaft angle (NSA), femoral neck shortening (FNS), and offset shortening (OS). Functional outcomes were assessed by using the Harris score and SF-36 Physical Component Sum...
Source: International Orthopaedics - September 21, 2021 Category: Orthopaedics Source Type: research

Comparison of single versus double tranexamic acid dose regimens in reducing post-operative blood loss following intramedullary nailing of femoral fracture nonunions
ConclusionThe findings suggest that double dose perioperative tranexamic acid regimen is superior to single-dose peri-operative tranexamic acid regimen in reducing post-operative blood loss in patients undergoing interlocking intramedullary nailing for femoral nonunions. (Source: International Orthopaedics)
Source: International Orthopaedics - September 21, 2021 Category: Orthopaedics Source Type: research

Avascular necrosis after femoral neck fracture in children and adolescents: poor prognosis and risk factors
AbstractIntroductionAvascular necrosis (AVN) after femoral neck fracture (FNF) is a rare and severe paediatric condition, but only few studies described its prognosis and risk factors. The present study aimed to evaluate the outcomes and independent factors for poor prognosis of AVN after FNF in children and adolescents.MethodThis retrospective study included children and adolescents with AVN after FNF who received conservative treatment (CT group) or non-vascularized bone grafting (NVBG group) between 2000 and 2018. The primary outcomes were the risk of hip arthritis (T önnis grade) and hip deformity risk (Stulberg c...
Source: International Orthopaedics - September 21, 2021 Category: Orthopaedics Source Type: research

Double level knee osteotomy using patient-specific cutting guides is accurate and provides satisfactory clinical results: a prospective analysis of a cohort of twenty-two continuous patients
ConclusionPerforming a DLO using PSCGs produces an accurate correction, without modification of the joint line orientation and with good functional outcomes at two  year follow-up (Source: International Orthopaedics)
Source: International Orthopaedics - September 18, 2021 Category: Orthopaedics Source Type: research

Straight nail insertion through a laterally shifted entry for diaphyseal atypical femoral fractures with bowing: good indications and limitations of this technique
This study aimed to determine what degree of bowing can be successfully treated using a laterally shifted entry technique.MethodsTwenty-three complete and six incomplete diaphyseal AFFs treated using the shifted entry technique were retrospectively analysed. Radiologic parameters and complications were evaluated. The complete AFFs were divided into two groups based on the severity of preoperative bowing: grade 0-II bowing and  
Source: International Orthopaedics - September 15, 2021 Category: Orthopaedics Source Type: research

“Trauma—the forgotten pandemic?”
This article will highlight and discuss many of the issues and raise some uncomfortable arguments showing that improvement is needed, necessary and achi evable. (Source: International Orthopaedics)
Source: International Orthopaedics - September 14, 2021 Category: Orthopaedics Source Type: research

Autologous bone marrow-derived mesenchymal stem cells provide complete regeneration in a rabbit model of the Achilles tendon bundle rupture
ConclusionThe obtained results support the hypothesis that the application of BM-MSCs in a tissue-engineered tendon construct leads to the restitution of the tendon tissue. (Source: International Orthopaedics)
Source: International Orthopaedics - September 11, 2021 Category: Orthopaedics Source Type: research

Correction to: Risk factors for failed closed reduction in dislocated developmental dysplastic hips
(Source: International Orthopaedics)
Source: International Orthopaedics - September 9, 2021 Category: Orthopaedics Source Type: research

Results of the keyhole interlocked nailing for humeral diaphyseal fractures in adults
ConclusionThe results of keyhole interlocked humerus nail with proximal multi-locking options were excellent-to-good for humeral diaphyseal fractures in terms of union, shoulder function, and complications. It is a safe, easy, and reliable method for the treatment of humeral diaphyseal fractures. (Source: International Orthopaedics)
Source: International Orthopaedics - September 8, 2021 Category: Orthopaedics Source Type: research

Comment on Buono et al.: pulsed electromagnetic felds after  intramedullary nailing of tibial fractures: a case control study
(Source: International Orthopaedics)
Source: International Orthopaedics - September 8, 2021 Category: Orthopaedics Source Type: research

Management of musculoskeletal tumours of the extremity in low-resource settings
ConclusionThe authors do not aim to provide recommendations but rather an inventory of what the isolated  surgeon should know to decide on the best treatment strategy which, however, can only be symptomatic. (Source: International Orthopaedics)
Source: International Orthopaedics - September 7, 2021 Category: Orthopaedics Source Type: research

Focus on interlocking intramedullary nailing without fluoroscopy in resource-limited settings: strategies, outcomes, and outlook
ConclusionThere is a need to improve equipment in low-income countries hospitals to make trauma surgery with c-arm a gold standard with a minimal exposure to radiation. (Source: International Orthopaedics)
Source: International Orthopaedics - September 7, 2021 Category: Orthopaedics Source Type: research

Clinical results after very early, early and late arthroscopic arthrolysis of the knee
AbstractPurposeImpaired patient outcome can be directly related to a loss of motion of the knee following surgical procedures. If conservative therapy fails, arthroscopic arthrolysis is an effective procedure to improve range of motion (ROM). The purpose of this study was to evaluate the outcome of patients undergoing very early (  6 months) arthroscopic arthrolysis of the knee.MethodsWith a follow-up on average at 35.1  ± 15.2 (mean ± SD, 24 to 87) months, 123 patients with post-operative motion loss (>  10° extension deficit/ 
Source: International Orthopaedics - September 4, 2021 Category: Orthopaedics Source Type: research

Letter to the Editor concerning “Pre-operative predictors of lower extremity swelling following total knee arthroplasty in patients with venous insufficiency and osteoarthritis”
(Source: International Orthopaedics)
Source: International Orthopaedics - September 2, 2021 Category: Orthopaedics Source Type: research

The effect of COVID-19 positivity on inflammatory parameters and thirty  day mortality rates in patients over sixty five years of age with surgically treated intertrochanteric fractures
AbstractPurposeTo evaluate the effect of COVID-19 positivity on inflammatory parameters and 30-day mortality rates in patients over 65  years of age who were operated on for intertrochanteric femur fractures (IFF).MethodsEighty-seven patients (31 males, 56 females) who had a dynamic hip screw (DHS) or proximal femur nail (PFN) for the IFF between March 2020 and November 2020 were included in the study. The patients were divided into two groups as COVID-19 confirmed and probable positive (Group 1) and COVID-19 negative (Group 2). Time to surgery, operation duration, length of hospital stay, 30-day mortality, rates of t...
Source: International Orthopaedics - September 1, 2021 Category: Orthopaedics Source Type: research

Multiplanar instability of the first tarsometatarsal joint in hallux valgus and hallux rigidus patients: a case –control study
AbstractBackgroundHypermobility of the first ray has been considered associated with various forefoot diseases including hallux valgus (HV) and hallux rigidus (HR). Weightbearing CT scan can be a reliable method for analysis of the first tarsometatarsal (TMT) joint in axial, sagittal, and coronal planes. Our objective was to comparatively investigate signs of instability of the first TMT joint on weightbearing CT between three groups (control, HV, and HR).MethodsIn this single-centre, retrospective, case –control study, 27 HV patients (30 feet; mean age 54.2 years), 26 HR patients (30 feet; mean age 56.6 ye...
Source: International Orthopaedics - September 1, 2021 Category: Orthopaedics Source Type: research

Clinical and radiological outcomes of modified Mitchell ’s osteotomy using three-point fixation for hallux valgus
ConclusionModified Mitchell ’s osteotomy using three-point fixation with a full-thread headless screw is a reliable alternative treatment for hallux valgus, even in patients with severe deformities. (Source: International Orthopaedics)
Source: International Orthopaedics - September 1, 2021 Category: Orthopaedics Source Type: research

Does ipsilateral chronic ankle instability alter kinematics of the other joints of the lower extremities: a biomechanical study
AbstractPurposeWe evaluated and compared kinematics of bilateral ankle, knee, and hip joints in patients with chronic unilateral ankle instability (CAI) with healthy controls.MethodsFifteen individuals diagnosed with CAI and a control group of 16 individuals were matched. Different peaks within the gait cycle (at different intervals) for the dorsiplantar, inversion/eversion, and abduction/adduction axis were compared between injured and uninjured sides of patients with CAI with a control group.ResultsComparison of the uninjured ankle in CAI with the control group showed higher dorsiflexion in one peak of the stance phase (...
Source: International Orthopaedics - August 31, 2021 Category: Orthopaedics Source Type: research

Comment on “The lateral joint space width is essential for the outcome after arthroscopically assisted mini-open arthrotomy for treatment of a femoroacetabular impingement: an analysis of prognostic factors for the success of this hip-preserving technique”
(Source: International Orthopaedics)
Source: International Orthopaedics - August 31, 2021 Category: Orthopaedics Source Type: research

Letter to the Editor on: Online educational resources for orthopaedic residency —a narrative review
(Source: International Orthopaedics)
Source: International Orthopaedics - August 31, 2021 Category: Orthopaedics Source Type: research

Modular revision strategy with bispherical augments in severe acetabular deficiency reconstruction
ConclusionThe clinical and radiological outcomes of bispherical augments were comparable with tantalum augments; this technique was a reliable alternative method in severe acetabular deficiency reconstruction. (Source: International Orthopaedics)
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Detailed features and prognostic factors of twenty-three patients with drop finger caused by cervical radiculopathy: a retrospective multicentre study
This study aimed to investigate the detailed features and surgery-related prognostic factors of drop finger caused by cervical radiculopathy.MethodsWe retrospectively investigated the clinical characteristics, paralysis patterns and surgery-related prognostic factors of 23 patients with drop finger caused by cervical radiculopathy who underwent posterior cervical foraminotomy. We classified paralysis into three patterns based on the fingers predominantly exhibiting extensor digitorum communis (EDC) muscle weakness: index finger side-dominant, middle and ring fingers-dominant and little finger side-dominant.ResultsThe aetio...
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study
AbstractPurposeSeveral patient-reported outcome measures (PROMs) have been used to assess improvement in the quality of life following total knee arthroplasty (TKA). However, there is paucity of studies evaluating the sleep quality and knee function following TKA. The primary aim of our study was to evaluate the sleep quality and knee function in primary TKA patients using the Pittsburgh Sleep Quality Index (PSQI) and Knee Society Score (KSS), respectively. The secondary aim was to assess the correlation between the two outcome measures over the course of first post-operative year following TKA.MethodsOne hundred sixty-eig...
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Is first metatarsal shortening correlated with clinical and functional outcomes following the Lapidus procedure?
AbstractObjectiveTo correlate first metatarsal (M1) shortening with transfer metatarsalgia, and clinical and functional outcomes in patients who underwent the Lapidus procedure (LP).Materials and methodsA retrospective review of 29 patients who were submitted to the LP for HV correction. The average follow-up was 20  months. M1 length was analyzed using the Relative First Metatarsal Length (RML) measurement. Intermetatarsal angle (IMA) and hallux valgus angle (HVA) were also measured. Clinical and functional analyses were based on the visual analogue scale (VAS), Lower Extremity Functional Scale (LEFS), and Sh ort-for...
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Pneumatic femoral broaching decreases post-operative subsidence of a cementless taper-wedge stem
AbstractPurposeStem subsidence is a known cause of early failure in cementless total hip arthroplasty (THA). The aim of this study was to determine the usefulness of pneumatic femoral broaching in preventing post-operative subsidence of a proximally porous-coated, taper-wedge stem.MethodsWe reviewed 169 cases of primary THA with a single taper-wedge stem. Eighty THAs performed using pneumatic broaching were compared with 89 THAs performed using manual broaching in terms of postoperative canal fill ratio (CFR) at three levels, stem subsidence at one  year post-operation, and stem fixation at latest follow-up (median, 2...
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Pulsed electromagnetic fields after intramedullary nailing of tibial fractures: a case control study
AbstractPurposeTo compare clinical and functional outcomes of two groups of patients undergoing reduction and nailing fixation for diaphyseal fractures of the tibia with (PEMF group) and without (control group) post-operative pulsed electromagnetic field (PEMF) application.MethodsThis is a retrospective study on 50 patients (mean age 43.3  years, 28 males and 22 females) with diaphyseal tibial fractures managed between 2017 and 2019. Twenty-five patients underwent reduction, nailing fixation, and PEMF application post-operatively (PEMF group) and 25 patients underwent nailing fixation. Radiographic imaging assessment ...
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Iatrogenic gluteus medius muscle insertion injury while trochanteric entry nailing due to trochanteric fractures: a comparative study in forty patients with gray-scale ultrasound and shear-wave elastography
ConclusionWe have found no statistically significant difference between operated and intact side GM muscles in terms of stiffness, atrophy, and functional evaluation in patients with TFs treated using PFN-A. The results of our study should not be interpreted as trochanteric entry nailing does not cause any damage on the GM tendon. (Source: International Orthopaedics)
Source: International Orthopaedics - August 27, 2021 Category: Orthopaedics Source Type: research

Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy
(Source: International Orthopaedics)
Source: International Orthopaedics - August 26, 2021 Category: Orthopaedics Source Type: research

The Osgood-Schlatter disease: a large clinical series with evaluation of risk factors, natural course, and outcomes
ConclusionOSD affects mainly adolescent boys active in football and basketball and represents a structural answer to repeated biomechanical stress. Only in football, the statically dominant side is more prone to develop OSD. Age at onset, growth rate, BMI, and muscle imbalance are not significantly predisposing. OSD runs a self-limiting course without specific treatment. (Source: International Orthopaedics)
Source: International Orthopaedics - August 24, 2021 Category: Orthopaedics Source Type: research

Population characteristics, outcomes, and centerwide insights of the Zimbabwe national experience with the SIGN intramedullary nail (2013 –2020)
ConclusionThe SIGN program allows for safe surgery in Zimbabwe. There are large intranational differences of no particular trend across SIGN centres which may be improved through more intranational knowledge sharing. Improved follow-up would allow for more insights to be gleaned from the database. (Source: International Orthopaedics)
Source: International Orthopaedics - August 23, 2021 Category: Orthopaedics Source Type: research

Shortening effect influence of Distal Minimally Invasive Metatarsal Osteotomy in primary metatarsalgia
ConclusionThose variations reflect the functional imbalance between bone structure and soft tissue in primary metatarsalgia. The biomechanical rationale of the shortening effect of DMMO could therefore be explained by the release of forefoot soft tissue, which could take part in the pain relief by restoring this balance. (Source: International Orthopaedics)
Source: International Orthopaedics - August 21, 2021 Category: Orthopaedics Source Type: research

Return to sport following navicular stress fracture: a systematic review and meta-analysis of three hundred and fifteen fractures
ConclusionOperative management of NSF provides a higher success rate, a lower refracture rate, and a lower non-union rate as compared to other non-operative management options. While not significant, there is a notable trend towards superior RTP rates and time to RTP following operative management. Therefore, we recommend operative fixation for all NSFs type I through III in athletes. Athletes continue to exhibit an alarmingly long duration of symptoms before diagnosis is made; a high index of suspicion must be maintained, therefore, and adjunct CT imaging is strongly recommended in the case of any work-up. Unfortunately, ...
Source: International Orthopaedics - August 20, 2021 Category: Orthopaedics Source Type: research

Unplanned excision of soft tissue sarcoma: does it impact the accuracy of intra-operative pathologic assessment at time of re-excision?
AbstractPurposeAn “unplanned excision” refers to soft tissue sarcomas excised without planning imaging studies and a diagnostic biopsy, resulting in the presence of residual disease and usually necessitating a re-excision procedure. We aimed to assess the impact of previous unplanned excisions on the intra-opera tive pathologic assessment at the time of re-excision, in terms of need to perform repeat assessments and the accuracy to predict margin status of the final pathologic specimen.MethodsData was collected for all patients with extremity soft tissue sarcoma who had undergone wide local excision limb s...
Source: International Orthopaedics - August 20, 2021 Category: Orthopaedics Source Type: research

Comparison between Malerba osteotomy and combined Evans/medial displacement calcaneal osteotomies for the management of flexible pes planus in young adults: a prospective randomised control trial, three years follow-up
AbstractPurposeThe aim of the current study is to evaluate the functional and radiological outcomes of Malerba osteotomy in comparison to the standardized combined Evans/Medial Displacement Calcaneal Osteotomy (MDCO) in the management of symptomatic flexible pes planus in young adults.MethodsProspective randomized control trial included 34 feet (33 patients), 17 cases in each group. Functionally, patients were assessed by AOFAS and FADI scores. Radiographic evaluation included calcaneal pitch, lateral talo-1st metatarsal, AP talo-first metatarsal, AP talo-calcaneal angles, and the talar coverage percentage.ResultsPre-opera...
Source: International Orthopaedics - August 20, 2021 Category: Orthopaedics Source Type: research

Long-term outcomes of the Ponseti method for treatment of clubfoot: a systematic review
ConclusionsLong-term follow-up of infants with primary idiopathic clubfeet treated by the Ponseti method revealed relatively high relapse and additional surgery rates. Radiologically, the various angles were inconsistent compared to normal ranges and anatomical deformations/degenerative changes were present in treated feet. Moreover, the relapse rates and requirement of additional surgery increased on long-term follow-up. Despite this, majority feet were plantigrade and demonstrated good clinical results as measured by various outcome tools. There should be emphasis on long-term follow-up of children with clubfeet in view ...
Source: International Orthopaedics - August 20, 2021 Category: Orthopaedics Source Type: research

Comment on “efficacy of platelet-rich plasma injections in patients with adhesive capsulitis of the shoulder”
(Source: International Orthopaedics)
Source: International Orthopaedics - August 20, 2021 Category: Orthopaedics Source Type: research

The lateral joint space width is essential for the outcome after arthroscopically assisted mini-open arthrotomy for treatment of a femoroacetabular impingement: an analysis of prognostic factors for the success of this hip-preserving technique
AbstractPurposeThe purpose of this study was to analyze predicting factors for a conversion to a total hip replacement (THR) after mini-open arthrotomy for treatment of femoroacetabular impingement (FAI).MethodsBetween 2011 and 2016, we identified 32 patients, who were treated for FAI with a mini-open arthrotomy and received after mean time of 2.1  ± 1.4 years a THR. These patients were compared to 47 cases who did not receive a THR (mean follow-up: 4.3 ± 0.7 years) to explore pre- and intra-operative factors associated with a conversion to THR. The results were presented...
Source: International Orthopaedics - August 19, 2021 Category: Orthopaedics Source Type: research

Comparable outcomes of recycled autografts and allografts for reconstructions in patients with high-grade osteosarcoma
AbstractPurposeThis retrospective, single-centre study compares the clinical and radiographic outcomes of limb reconstruction using recycled autografts to that using allografts.MethodsPatients with histopathologically verified high-grade osteosarcoma treated with wide bone resection and limb reconstruction using allografts or recycled autografts from January 1998 through December 2012 were retrospectively screened for enrolment eligibility. The final study cohort included 255 patients (allograft, 91; recycled autograft, 164). Data regarding post-operative complications, salvage treatment, and graft survival were collected....
Source: International Orthopaedics - August 19, 2021 Category: Orthopaedics Source Type: research

Use of dual mobility cups for total hip arthroplasty in sub-Saharan Africa: interest and perspectives
ConclusionThe use of dual mobility deserves to be developed in African settings. (Source: International Orthopaedics)
Source: International Orthopaedics - August 19, 2021 Category: Orthopaedics Source Type: research

The history of orthopaedic surgery in India: from antiquity to present
AbstractIndian orthopedists have a legacy dating back more than 4000  years. Starting with the Harappan civilization, ancient orthopaedic surgeons reduced fractures and conducted therapeutic trepanations. Since then, Indian physicians have pioneered many of the orthopaedic techniques still used today — including the use of prosthetics, fracture tables, and rehabil itative physical therapy. Today, orthopaedic surgeons coexist with traditional Indian bonesetters. Although bonesetting practices can have complication rates as high as 40%, bonesetters still handle a majority of fractures in India and are often cultur...
Source: International Orthopaedics - August 18, 2021 Category: Orthopaedics Source Type: research

Tranexamic acid attenuates early post-operative systemic inflammatory response and nutritional loss and avoids reduction of fibrinogen in total hip arthroplasty within an enhanced recovery after surgery pathway
ConclusionThree-dose TXA contribute to attenuate early post-operative systemic inflammatory response and nutritional loss, increase fibrinogen, reduce FDP levels, and prolong PT in THA patients within an ERAS pathway, which may associate with reduced early post-operative haemorrhagic tendency, thrombosis risks, and hypercoagulability. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2021 Category: Orthopaedics Source Type: research

Accuracy of acetabular cup placement positively correlates with level of training
AbstractBackgroundAccurate acetabular component placement may reduce the risk of complication after total hip arthroplasty (THA). While surgeon experience and volume may reduce outliers, little is known how cup positioning accuracy and consistency relates to level of training (resident, fellow, attending) and whether trainee level impacts the magnitude and direction of cup placement errors.MethodsNinety patients undergoing posterolateral computer-assisted navigation THA were included for analysis. All surgery was performed by two fellowship-trained orthopaedic surgeons and assisted by a trainee (orthopedic resident (PGY 1 ...
Source: International Orthopaedics - August 18, 2021 Category: Orthopaedics Source Type: research

Percutaneous plantar fasciotomy: radiological evolution of medial longitudinal arch and clinical results after one year
AbstractPurposePlantar fasciitis (PF) is the most common cause of plantar heel pain. Conservative treatment and corrections of risks factors are the first line of care. For the 10% of patients who do not respond to conservative treatment, surgical release can offer relief of symptoms.  Due to the critical role of the PF in the function of the foot and its architectural maintenance, its surgical release could cause a collapse of the internal arch of the foot and an alteration of its function. With the hypothesis that an isolated percutaneous PF release may not lead to these alt erations of the foot while...
Source: International Orthopaedics - August 18, 2021 Category: Orthopaedics Source Type: research

Appropriateness of hip osteoarthritis management in clinical practice compared with the American Academy of Orthopaedic Surgeons (AAOS) criteria
ConclusionsThis study shows that the majority of the hip OA treatments provided at our institution were appropriate and in agreement with the AUC recommendations. Furthermore, the AUC can be easily accessed through a free web application using a computer or smartphone to obtain the recommended treatment for any patient with hip OA. (Source: International Orthopaedics)
Source: International Orthopaedics - August 17, 2021 Category: Orthopaedics Source Type: research

A pituitary cup biopsy is more accurate than reamings for histological diagnosis of intramedullary lesions during nailing of impending and pathologic fractures: a retrospective matched cohort analysis
ConclusionThe use of an intramedullary cup biopsy forceps is better than reamings to diagnose pathological lesions of impending and pathological fractures in long bones caused by metastatic lesions. (Source: International Orthopaedics)
Source: International Orthopaedics - August 17, 2021 Category: Orthopaedics Source Type: research

Ireneusz Wierzejewski: treatment of amputees of the upper limb in Poznan during the Great War
ConclusionThe case of the Fortress Hospital in Pozna ń demonstrates that kinetic hand prostheses were also available in provincial hospitals. Modern orthopaedic procedures remain an effective treatment and a way to restore amputees to society. (Source: International Orthopaedics)
Source: International Orthopaedics - August 16, 2021 Category: Orthopaedics Source Type: research