Complications after radial head arthroplasty: a comparison between short-stemmed bipolar and monopolar long-stemmed osteointegrative rigidly fixed prostheses
ConclusionComplex radial head fractures are frequent and difficult to treat. The monopolar long-stemmed prosthesis showed significantly lower rates of painful loosening and explanation rates than the bipolar short-stemmed prosthesis. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Pelvic pitch and roll during total hip arthroplasty performed through a posterolateral approach. A potential source of error in free-hand cup positioning
ConclusionDuring THA performed through a posterolateral approach, there is a progressive anterior pelvic roll that peaks before cup insertion. This can lead to underestimation of cup anteversion during non-navigated THA. The anterior roll does not completely correct, even when all retractors and external forces acting on the pelvis are removed. Pelvic pitch that could affect the perceived cup inclination occurs to a lesser extent than pelvic roll. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Major emergency orthopaedic surgery in patients with a concomitant acute coronary event following trauma
ConclusionsPatients with acute orthopaedic polytrauma presenting concomitant acute coronary events should be treated by multi-disciplinary teams, allowing early surgical management in a safe cardio-vascular and stable haemodynamic status. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Infection safety of dexamethasone in total hip and total knee arthroplasty: a study of eighteen thousand, eight hundred and seventy two operations
ConclusionsIn our study material, the use of a single 5 –10 mg dose of dexamethasone did not increase the incidence of post-operative PJI. A low dose of dexamethasone may be safely used to prevent PONV and as part of multimodal analgesia on patients undergoing arthroplasty operation. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Analysis of failures after the Bristow-Latarjet procedure for recurrent shoulder instability
ConclusionGraft non-union resulting in recurrent instability was the main indication for open revision surgery after Bristow or Latarjet procedure, followed by resorption, malpositioning, and graft fracture in this retrospective case series. Revision surgery consisted of a structural iliac crest bone graft in the majority of cases. Clinical and radiographic outcomes are predictably variable in this population of multioperated patients. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Coracohumeral index and coracoglenoid inclination as predictors for different types of degenerative subscapularis tendon tears
ConclusionsThe CHI and CGI are potential valuable predictors of the types of degenerative subscapularis tendon tears. With standard hook coracoids, the lesions tend to appear on the articular side initially; otherwise, with overlapping hook coracoids, the subscapularis tendon tears are commonly seen on the bursal side. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

Response to letter to the editor concerning “Orthopaedic surgery patients who use recreational marijuana have less pre-operative pain”
(Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2019 Category: Orthopaedics Source Type: research

How to evaluate reviewers – the international orthopedics reviewers score (INOR-RS)
(Source: International Orthopaedics)
Source: International Orthopaedics - July 5, 2019 Category: Orthopaedics Source Type: research

Patient-specific cutting guides for open-wedge high tibial osteotomy: safety and accuracy analysis of a hundred patients continuous cohort
AbstractIntroductionSeveral recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG results in a reliable and accurate correction with good or satisfactory patient-reported functional outcomes at a mean of two  years. We also hypothesized that the use of PSCG would not increase the rate of specific or non-specific complications.MethodsIn this single-centre, observational study, a pro...
Source: International Orthopaedics - July 5, 2019 Category: Orthopaedics Source Type: research

True compression of pelvic fractures under lateral impact
ConclusionsIn clinical practice, pelvic fracture displacement tends to be underestimated. The peak compression can be 1.3 –2.2 times of final compression appearing on images in hospital. Clinicians shall give adequate estimation of displacement and related injuries. (Source: International Orthopaedics)
Source: International Orthopaedics - June 10, 2019 Category: Orthopaedics Source Type: research

Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials
ConclusionBased on currently available evidences concerning the outcomes following THA and the analysis of our results, we stated no remarkable benefits of the minimally invasive compared to the standard-invasive surgery. (Source: International Orthopaedics)
Source: International Orthopaedics - June 10, 2019 Category: Orthopaedics Source Type: research

Prior arthroscopic treatment for femoro-acetabular impingement does not compromise hip arthroplasty outcomes: a matched-controlled study with minimum two-year follow-up
ConclusionA prior hip arthroscopy has no affect to clinical outcomes of subsequent THR. (Source: International Orthopaedics)
Source: International Orthopaedics - June 10, 2019 Category: Orthopaedics Source Type: research

Outcomes of distal femur fractures treated with the Synthes 4.5  mm VA-LCP Curved Condylar Plate
ConclusionsIn our experience, the Synthes 4.5  mm VA-LCP Curved Condylar Plate is a safe and effective implant with a relatively low mechanical failure rate. (Source: International Orthopaedics)
Source: International Orthopaedics - June 10, 2019 Category: Orthopaedics Source Type: research

Survival analysis of elderly patients with osteosarcoma
ConclusionsComplete surgical resection and intensive chemotherapy should be performed for osteosarcoma patients>  40 years old despite distinct clinicopathological characteristics from those of younger patients. (Source: International Orthopaedics)
Source: International Orthopaedics - June 10, 2019 Category: Orthopaedics Source Type: research

Good outcome using anatomically pre-formed buttress plates for anteromedial facet fractures of the coronoid —a retrospective study of twenty-four patients
ConclusionsAMFF are challenging injuries, frequently associated with lesions to the collateral ligament complex. Using anatomically pre-formed coronoid plates, excellent functional outcomes can be achieved. (Source: International Orthopaedics)
Source: International Orthopaedics - June 7, 2019 Category: Orthopaedics Source Type: research

Fluoroscopically guided caudal epidural steroid injections for axial low back pain associated with central disc protrusions: a prospective outcome study
ConclusionsThis study demonstrated significant improvements in pain and function following caudal ESIs in a cohort of axial LBP with associated central disc protrusions. Further studies, including the use of randomized controlled trials, are needed to determine the ideal subset of candidates for this treatment and to explore additional applications that caudal ESIs may have for chronic LBP. (Source: International Orthopaedics)
Source: International Orthopaedics - June 5, 2019 Category: Orthopaedics Source Type: research

Minimally invasive treatment for fractures of lower extremity amputees using a rapid reductor
ConclusionsThe rapid reductor can be used to efficiently reduce and maintain ipsilateral fractures of the amputated lower extremity in a closed fashion, which can facilitate minimally invasive fixation of the fractures. The patients can achieve excellent outcomes. (Source: International Orthopaedics)
Source: International Orthopaedics - May 17, 2019 Category: Orthopaedics Source Type: research

Which is the optimal orthogeriatric care model to prevent mortality of elderly subjects post hip fractures? A systematic review and meta-analysis based on current clinical practice
ConclusionsElderly patients with hip fracture admitted early into any sort of orthogeriatric models or more specifically to a dedicated orthogeriatric ward had reduced long-term mortality. This study has to be completed by RCT showing the efficacy of orthogeriatric ward compared to other models using outcomes such as quality of life or functional recovery. (Source: International Orthopaedics)
Source: International Orthopaedics - May 17, 2019 Category: Orthopaedics Source Type: research

Acute compartment syndrome in patients undergoing fasciotomy of the forearm and the leg
AbstractPurposesThe primary objective of this study is to compare the likelihood of acute compartment syndrome in the leg versus the forearm in patients who undergo fasciotomy for a clinical diagnosis of suspected acute compartment syndrome. The secondary objective is to identify factors associated with higher likelihood of acute compartment syndrome or with the use of split-thickness skin graft in these patients.MethodsWe identified 449 patients diagnosed with suspected acute compartment syndrome of 468 legs and 119 patients diagnosed with suspected acute compartment syndrome of 119 forearms, treated with fasciotomy, from...
Source: International Orthopaedics - May 17, 2019 Category: Orthopaedics Source Type: research

Medial open wedge vs. lateral closed wedge high tibial osteotomy - Indications based on the findings of patellar height, leg length, torsional correction and clinical outcome in one hundred cases
ConclusionAn algorithm for valgus high tibial osteotomies based on TS, PH and leg length discrepancy may be proposed. (Source: International Orthopaedics)
Source: International Orthopaedics - May 17, 2019 Category: Orthopaedics Source Type: research

High-energy tibial pilon fractures: an instructional review
AbstractHigh-energy tibial pilon fractures continue to represent a significant challenge to the treating orthopaedic surgeon. Pre-operative evaluation includes a careful clinical assessment of the associated soft tissue injury, which frequently dictates surgical management. Staged surgical reconstruction remains the standard treatment protocol at most trauma centres. This includes application of a temporary spanning external fixator for approximately one to four  weeks, followed by open reduction and internal fixation once the surrounding soft tissues are amendable. Despite careful soft tissue management protocols, th...
Source: International Orthopaedics - May 15, 2019 Category: Orthopaedics Source Type: research

High mortality following distal femur fractures: a cohort study including three hundred and two distal femur fractures
ConclusionsThe overall one  year mortality rate was 21% for non-periprosthetic distal femur fractures and was elevated to 35% in patients older than 60 years. Patients presenting with a periprosthetic fracture showed a one year mortality rate of 15%. (Source: International Orthopaedics)
Source: International Orthopaedics - May 12, 2019 Category: Orthopaedics Source Type: research

Anterior cruciate ligament reconstruction in association with medial unicompartmental knee replacement: a retrospective study comparing clinical and radiological outcomes of two different implant design
AbstractPurposeUnicompartmental knee arthroplasty (UKA) combined with anterior cruciate ligament (ACL) reconstruction has recently been suggested as a feasible treatment option for young and active patients with medial compartment osteoarthritis (OA) and ACL deficiency. The aim of this study is to evaluate retrospectively the outcomes of two different implant designs in patients with medial OA secondary to traumatic ACL rupture, who underwent combined ACL reconstruction and unicompartmental knee replacement.MethodsFrom January 2007, to December 2013, 24 patients with medial OA secondary to ACL rupture underwent medial unic...
Source: International Orthopaedics - May 11, 2019 Category: Orthopaedics Source Type: research

Surgeons and robots
(Source: International Orthopaedics)
Source: International Orthopaedics - May 8, 2019 Category: Orthopaedics Source Type: research

Correction to: Prior arthroscopic treatment for femoro-acetabular impingement does not compromise hip arthroplasty outcomes: a matched-controlled study with minimum two-year follow-up
The original version of this article was revised: The first name and last name of the authors have been interchanged. (Source: International Orthopaedics)
Source: International Orthopaedics - May 8, 2019 Category: Orthopaedics Source Type: research

Correction to: Contemporary cemented versus uncemented hemiarthroplasty for the treatment of displaced intracapsular hip fractures: a meta-analysis of forty-two thousand forty-six hips
The author name “Muhammad Shawqi” was incorrectly presented as “Muhammad Shawq”. (Source: International Orthopaedics)
Source: International Orthopaedics - May 7, 2019 Category: Orthopaedics Source Type: research

Comparison of morphological changes of gluteus medius and abductor strength for total hip arthroplasty via posterior and modified direct lateral approaches
ConclusionThe injury of hip abductors after THA via posterior approach cannot be neglected. And, the planned detachment of partial GMED tendon combined with the reconstruction in situ could also achieve the satisfactory muscle recovery. Moreover, the post-operative rehabilitation of abductor strength was the aggregated results of a battery of factors, especially the pain, not just determined by the muscular morphological changes. (Source: International Orthopaedics)
Source: International Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Percutaneous endoscopic decompression via transforaminal approach for lumbar lateral recess stenosis in geriatric patients
AbstractPurposeWe aimed to investigate the surgical strategy, safety, and efficacy of percutaneous endoscopic decompression via transforaminal approach for lumbar lateral recess stenosis in geriatric patients.MethodsFrom January 2012 to June 2014, 25 elderly patients (18 males and 7 females) with symptomatic lumbar lateral recess stenosis were performed percutaneous endoscopic transforaminal decompression. The ages of patients ranged from 70 to 93  years (mean 79.6 years). Clinical outcomes were assessed mainly by leg pain visual analogue scale (VAS), Oswestry disability index (ODI) score, MacNab criteria, and po...
Source: International Orthopaedics - April 17, 2019 Category: Orthopaedics Source Type: research

FARES method for reduction without medication of first episode of traumatic anterior shoulder dislocation
ConclusionFARES method is a fast, reliable, and safe method for reduction of a first episode of anterior shoulder dislocation and can be easily performed by inexperienced physicians and junior residents. (Source: International Orthopaedics)
Source: International Orthopaedics - April 17, 2019 Category: Orthopaedics Source Type: research

Comparing ultrasonography with plain radiography in the diagnosis of paediatric long-bone fractures
ConclusionUltrasound shows potential as a tool in diagnosis of paediatric fractures but may be limited in fractures around metaphyseal bone. Due to the ability to detect callus formation much earlier, ultrasonography may be very useful in monitoring of fracture healing. (Source: International Orthopaedics)
Source: International Orthopaedics - April 17, 2019 Category: Orthopaedics Source Type: research

Rotator cuff tear characteristics: how comparable are the pre-operative MRI findings with intra-operative measurements following debridement during arthroscopic repair?
AbstractPurposeMagnetic resonance (MRI) is a valuable imaging method which can detect pre-operative rotator cuff tear characteristics accurately. However, tendon degeneration almost always necessitates a certain amount of debridement during arthroscopic repair, which alters tear size and shape. The aim of this study is to question the accuracy of the pre-operative tear size and classification in MRI and its relation to the tear size and type of the debrided tendon during arthroscopic repair.MethodsA retrospective survey was performed to identify shoulders that underwent arthroscopic rotator cuff repair. Rotator cuff tears ...
Source: International Orthopaedics - April 17, 2019 Category: Orthopaedics Source Type: research

The efficacy of dual-mobility cup in preventing dislocation after total hip arthroplasty: a systematic review and meta-analysis of comparative studies
AbstractPurposeAlthough long-term reports of total hip arthroplasty (THA) showed successful results, instability remains a major complication. Recently, dual-mobility cups (DMC) have gained more and more interest among clinicians, with encouraging results in terms of lower rate of dislocation associated with good clinical results, but a lack of evidence exists regarding the real efficacy of this implant design compared to traditional fixed-bearing total hip arthroplasties.MethodsA systematic search was performed in PubMed, Google scholar, Cochrane Library, and EMBASE by two independent reviewers for comparative studies ava...
Source: International Orthopaedics - April 17, 2019 Category: Orthopaedics Source Type: research

Radiographic outcome of children older than twenty-four months with developmental dysplasia of the hip treated by closed reduction and spica cast immobilization in human position: a review of fifty-one hips
ConclusionsOur study showed that stable CR could be achieved in 76.5% of patients aged 24 to 36  months with DDH at the time of index procedure. Satisfactory outcomes can be expected in 56.4% of the cases (5.0% AVN rate), although late acetabular dysplasia may develop in 43.6% of the hips. (Source: International Orthopaedics)
Source: International Orthopaedics - April 12, 2019 Category: Orthopaedics Source Type: research

Risk factors and failures in the management of limb injuries in combat casualties
ConclusionsTwo main risk factors of treatment failure are highlighted: those in relation to traumatic mechanisms and general lesional assessment and those in relation to surgical site conditions. There is no over risk of failure in relation to surgical procedure and treatment. (Source: International Orthopaedics)
Source: International Orthopaedics - April 11, 2019 Category: Orthopaedics Source Type: research

Computer-assisted virtual surgical technology in pre-operative design for the reconstruction of calcaneal fracture malunion
AbstractPurposeNo computer-assisted pre-operative design for calcaneal fracture malunions has been presented. The aim of the study is to evaluate the intra-operative realization of computer-assisted pre-operative planning (CAPP) and the clinical outcomes based on computer-assisted virtual surgical technology for calcaneal malunions.MethodsBetween 2010 and 2016, 20 patients with 21 calcaneal fracture malunions were retrospectively reviewed with the average follow-up time of 22.3  months (range, 12 to 43 months), which were operatively treated with the help of CAPP. The CAPP steps included the image segmentation, e...
Source: International Orthopaedics - April 10, 2019 Category: Orthopaedics Source Type: research

General and specialized Orthopaedics
(Source: International Orthopaedics)
Source: International Orthopaedics - April 10, 2019 Category: Orthopaedics Source Type: research

Outcomes of cerclage wiring to manage intra-operative femoral fracture occurring during cementless hemiarthroplasty in older patients with femoral neck fractures
ConclusionOur results revealed a low mean distance of distal stem migration and a low subsidence rate. Functional outcomes and quality of life were similar between the two groups. Cerclage wiring technique is safe, and it should be routinely performed when intra-operative femoral fracture occurs during cementless hemiarthroplasty. (Source: International Orthopaedics)
Source: International Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Age and “general health”—beside fracture classification—affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study
ConclusionThe results of the present study underline the importance of the factors age and general health besides fracture classification for therapeutic decision-making in the treatment of pelvic ring fractures in the elderly. (Source: International Orthopaedics)
Source: International Orthopaedics - April 4, 2019 Category: Orthopaedics Source Type: research

Risk factors for recurrent lumbar disc herniation after discectomy
ConclusionsLumbosacral transitional vertebrae and a hypermobile disc in flexion-extension radiography were found to be risk factors for recurrent lumbar disc herniation. (Source: International Orthopaedics)
Source: International Orthopaedics - March 30, 2019 Category: Orthopaedics Source Type: research

Outcomes of percutaneous endoscopic trans-articular discectomy for huge central or paracentral lumbar disc herniation
ConclusionPETAD could be a good alternative for treatment of huge central/paracentral LDH. (Source: International Orthopaedics)
Source: International Orthopaedics - March 30, 2019 Category: Orthopaedics Source Type: research

Contemporary cemented versus uncemented hemiarthroplasty for the treatment of displaced intracapsular hip fractures: a meta-analysis of forty-two thousand forty-six hips
ConclusionsThis meta-analysis shows that contemporary cemented prostheses have less intra-operative and post-operative fractures, but longer operative time, more intra-operative blood loss, and heterotopic ossifications. Otherwise, there were no significant differences between both groups. (Source: International Orthopaedics)
Source: International Orthopaedics - March 27, 2019 Category: Orthopaedics Source Type: research

External fixation for primary and definitive management of open long bone fractures: the Syrian war experience
ConclusionThe use of external fixation for definitive treatment of open long bone shaft fractures caused by high energy trauma during times of wars or conflicts is reliable and should be used in early frontline intervention and in areas with limited access to resources. (Source: International Orthopaedics)
Source: International Orthopaedics - March 23, 2019 Category: Orthopaedics Source Type: research

Comorbidity and mortality after hip fracture in nineteen thousand six hundred and eighty two patients aged eighteen to sixty five  years in Denmark from 1996 to 2012
ConclusionHeart disease and diabetes were associated with high mortality in the young patients while having cancer was associated with high mortality in the middle-aged patients. (Source: International Orthopaedics)
Source: International Orthopaedics - March 23, 2019 Category: Orthopaedics Source Type: research

Significant improvement in patient self-assessed comfort and function at six weeks after the smooth and move procedure for shoulders with irreparable rotator cuff tears and retained active elevation
This study sought to demonstrate that clinically significant g ains in comfort, function, and active motion can be realized as early as 6 weeks after this procedure.MethodsWe conducted a prospective cohort study of the 6-week clinical outcomes for 48 patients enrolled prior to a smooth and move procedure for irreparable rotator cuff tears. Prior rotator cuff repair had been attempted in 28 (70%).ResultsIn 40 patients with preoperative and 6-week postoperative measurements, the Simple Shoulder Test scores improved from an average of 3.4  ± 2.8 preoperatively to 5.7 ± 3.5 at 6 weeks (p 
Source: International Orthopaedics - March 22, 2019 Category: Orthopaedics Source Type: research

Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV
ConclusionSimilar clinical and radiographic outcomes are achieved between STA and ELA. And STA has a lower incidence of wound healing complication and sural nerve injury. Therefore, ORIF via STA can be a considerable management for DIACFS IV. (Source: International Orthopaedics)
Source: International Orthopaedics - March 22, 2019 Category: Orthopaedics Source Type: research

Disc herniation and disc disease: the present and the future of management
(Source: International Orthopaedics)
Source: International Orthopaedics - March 20, 2019 Category: Orthopaedics Source Type: research

Joint replacement surgery in Ghana (West Africa)
(Source: International Orthopaedics)
Source: International Orthopaedics - March 20, 2019 Category: Orthopaedics Source Type: research

Is ceramics an appropriate bone morphogenetic protein delivery system for clinical use?
(Source: International Orthopaedics)
Source: International Orthopaedics - March 15, 2019 Category: Orthopaedics Source Type: research

Lumbar disc  herniation: long-term outcomes after mini-open discectomy
ConclusionsNearly 2/3 of our patient series keep satisfactory outcomes after about 15-year follow-up. The mini open discectomy remains a reliable surgical technique provided we respect the indications and surgical requirements. This procedure also avoids excessive instrumentation and its possible iatrogenic complications. Powerful randomized and controlled trials are needed to strengthen these deductions. (Source: International Orthopaedics)
Source: International Orthopaedics - March 8, 2019 Category: Orthopaedics Source Type: research

Cup alignment in total hip arthroplasty using the muscle-sparing modified Watson-Jones approach —comparison between lateral and supine positions
AbstractPurposeThe present study aimed to compare the cup alignment outliers in total hip arthroplasty (THA) using the same surgical approach with the patient in the supine position versus the lateral position.MethodsTHA using the muscle-sparing modified Watson-Jones approach was performed in 142 consecutive hips. THA was performed with the patient in the lateral position in 84 hips (lateral group) and in the supine position in 58 hips (supine group). The cup alignment was aimed at 40 ° inclination and 20° anteversion by referring to the mechanical alignment guide. Cup alignment and outliers (10° > &t...
Source: International Orthopaedics - March 6, 2019 Category: Orthopaedics Source Type: research