Dual-mobility tripod cup for revision hip arthroplasty: long-term (five to fourteen years) evaluation of a new generation cementless implant
ConclusionThis study reports a low complication rate in favour of the use of a tripod DMC in revision THA with a satisfactory survivorship at a ten year follow-up. (Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2024 Category: Orthopaedics Source Type: research
Development of a diagnostic support system for distal humerus fracture using artificial intelligence
ConclusionThe developed deep learning –based diagnostic support system shows potential for accurately diagnosing distal humerus fractures using AP and lateral elbow radiographs. The model’s specificity and PPV indicate its ability to mark out occult lesions and has a high false positive rate. Further research and validation are nece ssary to improve the sensitivity and diagnostic accuracy of the model for practical clinical implementation. (Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2024 Category: Orthopaedics Source Type: research
Refracture-related bone transport of tibia: technical notes and preliminary clinical results in nineteen cases
ConclusionsThe modified Simpson classification could include refracture at the docking site and stress fracture in the regeneration zone and provide some guidance in determining the appropriate treatment strategy. (Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2024 Category: Orthopaedics Source Type: research
Anatomic Total Shoulder: Predictors of Excellent Outcomes at Five Years after Arthroplasty
ConclusionMale sex and commercial insurance coverage were significantly associated with these excellent outcomes, while Workers ’ Compensation insurance was associated with failure to achieve this result. Thresholds for excellent outcomes, such as final SST ≥ 10 and %MPI ≥ 66.7, may be useful in identifying the characteristics of patients who benefit most from TSA. (Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2024 Category: Orthopaedics Source Type: research
Letter to the Editor: “How shoulder immobilization after surgery influences daily activity — a prospective pedometer‐based study”
(Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2024 Category: Orthopaedics Source Type: research
Factors associated with the progression of sagittal spinal deformity after total hip arthroplasty: a propensity score-matched cohort study
ConclusionPI is associated with the development of a positive sagittal spinal malalignment post-THA. This finding can assist surgeons in managing patient expectations and in optimising outcomes. Feasible strategies are warranted to minimise the risk of spinal deformity progression post-THA. (Source: International Orthopaedics)
Source: International Orthopaedics - April 8, 2024 Category: Orthopaedics Source Type: research
Do all short stem types restore biomechanical parameters of the hip? Comparison according to femoral neck osteotomy levels
ConclusionWe found no difference regarding restoration of biomechanical parameters between short stem designs with different levels of neck osteotomy. Additionally, short stem can mostly result in varus component positioning regardless of the level of neck osteotomy. (Source: International Orthopaedics)
Source: International Orthopaedics - April 8, 2024 Category: Orthopaedics Source Type: research
The effect of distal locking mode on postoperative mechanical complications in intertrochanteric fractures: a retrospective cohort study of five hundred and seven patients
ConclusionUsing a distal non-static locking mode significantly increases the risk of postoperative mechanical complications, and static locking could be a preferable option when treating an intertrochanteric fracture. (Source: International Orthopaedics)
Source: International Orthopaedics - April 6, 2024 Category: Orthopaedics Source Type: research
Spinal dysraphism in congenital scoliosis and kyphosis: a retrospective analysis in an Indian population
ConclusionThis is the largest case series of congenital scoliosis and kyphosis reported from India. We found a high incidence of occult spinal dysraphism as compared to other published series. Occult spinal dysraphism is more common in the thoracic region. Diastematomyelia followed by tethered cord was the most common anomaly observed. We recommend MRI screening of whole spine and craniovertebral junction. (Source: International Orthopaedics)
Source: International Orthopaedics - April 6, 2024 Category: Orthopaedics Source Type: research
The fate of the malrotated elbow supracondylar fractures in children: is varus really a problem?
ConclusionThere was a weak correlation between varus and rotational malalignment. Patients with moderate residual malrotation could be expected to have a good outcome even if some shoulder rotation changes persist. (Source: International Orthopaedics)
Source: International Orthopaedics - April 6, 2024 Category: Orthopaedics Source Type: research
Efficacy analysis of clinical serological indicators in the diagnosis of postoperative periprosthetic joint infection in patients with rheumatoid arthritis or osteoarthritis
ConclusionRA patients have a higher incidence of PJI than OA patients. The optimal thresholds for CRP, ESR, and d-dimer for the diagnosis of PJI were higher in RA patients than in OA patients, but the sensitivity and specificity of the diagnosis were not as good as in OA patients. (Source: International Orthopaedics)
Source: International Orthopaedics - April 6, 2024 Category: Orthopaedics Source Type: research
Outcomes and complications of surgical treatment modalities for simple bone cysts of the humerus in children and adolescents
ConclusionOpen procedures showed similar failure rates except for the subgroup using curettage, allograft, and adjuvants which showed significantly higher treatment failure. Promising results were observed in the group which received solely osteosynthesis without cyst excision or filling, as no treatment failure was observed here. (Source: International Orthopaedics)
Source: International Orthopaedics - April 4, 2024 Category: Orthopaedics Source Type: research
A commentary on article by Klein A et al.: Dual-mobility tripod cup for revision hip arthroplasty: long-term (five to fourteen years) evaluation of a new generation cementless implant
(Source: International Orthopaedics)
Source: International Orthopaedics - April 3, 2024 Category: Orthopaedics Source Type: research
A novel intraoperative acetabular reaming center locating method in total hip arthroplasty for Crowe type IV developmental dysplasia of the hip: a retrospective cohort study
ConclusionOur study demonstrated that satisfactory CC and clinical results could be achieved by implanting a standard-sized cup with the reaming centre on the upper two thirds of the posterior border of the true acetabulum. (Source: International Orthopaedics)
Source: International Orthopaedics - April 2, 2024 Category: Orthopaedics Source Type: research
Retrospective study of Ishiguro ’s technique for mallet bone finger in children: long-term follow-up and analysis of predictors in outcomes
ConclusionsAlthough there are currently no significant differences between surgery and orthosis in adults, the Ishiguro technique is more effective in children when it comes to outcomes in the treatment of mallet fingers. A high percentage of excellent and good results were achieved, and no epiphyseal damage or nail deformity was reported. A strong and significant correlation was found between the worst outcomes and either delayed treatment time or excessive flexion angle. (Source: International Orthopaedics)
Source: International Orthopaedics - April 1, 2024 Category: Orthopaedics Source Type: research
