Tibial shaft fractures treated with intramedullary nailing and reduction device assistance
This study aimed to assess the outcomes of a newly invented reduction device on assisting reduction of intramedullary nailing (IMN) in the treatment of tibial shaft fractures.MethodsFrom January 2015 to December 2018, data of patients with tibial shaft fractures treated with IMN were reviewed. In total, 42 patients underwent treatment with the new reduction device (group A) and 56 underwent treatment using a traditional reduction technique (group B). Data related to the closed reduction rate, surgical time, blood loss, number of fluoroscopies, number of surgeons, and number of complications were also reviewed. Fracture hea...
Source: International Orthopaedics - July 14, 2020 Category: Orthopaedics Source Type: research

Locking compression plate fixation versus intramedullary nailing of humeral shaft fractures: which one is better? A single-centre prospective randomized study
ConclusionsRegarding our results, the LCP group had significantly better shoulder function than the ILN group, whereas the ILN group had significantly less pain, with similar complication rates. Therefore, both procedures are favourable surgical options for patients with humeral shaft fractures. (Source: International Orthopaedics)
Source: International Orthopaedics - July 14, 2020 Category: Orthopaedics Source Type: research

Evaluation of cartilage biomechanics and knee joint microenvironment after different cell-based treatments in a sheep model of early osteoarthritis
ConclusionDespite that the evaluated experimental time is an early follow-up and, thus, longer trial is mandatory to properly assess treatments effectiveness, the proposed multidisciplinary approach allowed to obtain preliminary, but also crucial, results concerning the reduction in OA signs on cartilage properties, in osteophyte development and in all the inflammatory markers. (Source: International Orthopaedics)
Source: International Orthopaedics - July 14, 2020 Category: Orthopaedics Source Type: research

Bone marrow concentrate injections for the treatment of osteoarthritis: evidence from preclinical findings to the clinical application
ConclusionThere is a growing interest in the field of BMAC injections for the treatment of OA, with promising results in preclinical and clinical studies in terms of safety and effectiveness. Nevertheless, the current knowledge is still preliminary. Preclinical research is still needed to optimize BMAC use, as well as high-level large controlled trials to better understand the real potential of BMAC injections for the treatment of patients affected by OA. (Source: International Orthopaedics)
Source: International Orthopaedics - July 13, 2020 Category: Orthopaedics Source Type: research

Re-intervention and revision rates following primary reverse total shoulder arthroplasty – review of a local shoulder arthroplasty registry
ConclusionThe revision rate after primary RSA for our patient registry is low. A relevant number of additional interventions were noted that did not require any component revision but may impair the final outcome post-RSA. By only reporting revision rates, the number of post-RSA re-interventions is clearly underestimated. We recommend the documentation of all events leading to any re-intervention in arthroplasty registries. (Source: International Orthopaedics)
Source: International Orthopaedics - July 13, 2020 Category: Orthopaedics Source Type: research

Impact of lordotic cages in the restoration of spinopelvic parameters after dorsal lumbar interbody fusion: a retrospective case control study
ConclusionAccording to the results of our study, no advantages regarding sagittal radiological parameters for the implantation of a lordotic cage could be demonstrated. (Source: International Orthopaedics)
Source: International Orthopaedics - July 13, 2020 Category: Orthopaedics Source Type: research

The epidemiology and orthopaedic burden of civilian gunshot injuries over a four-year period at a level one trauma unit in Cape Town, South Africa
ConclusionThis study highlighted the burden of gunshot injuries presenting to our hospital and the strain it places on its healthcare resources. The prevalence of complications was comparable to international studies on the subject. With improved understanding of this burden, more healthcare resources can be allocated to this problem and better prevention strategies can be planned. (Source: International Orthopaedics)
Source: International Orthopaedics - July 12, 2020 Category: Orthopaedics Source Type: research

Primary total knee replacement leads to an increase in physical activity but no changes in overall time of sedentary behaviour: a retrospective cohort study using an accelerometer
AbstractIntroductionThere is no consensus between patient-reported subjective scores and objectively measured physical activity (PA) behaviour after total knee arthroplasty (TKA). The aim of this study was to understand the volume and pattern of physical activity and daily energy consumption after total knee arthroplasty for osteoarthritis.MethodPhysical activity patterns of 36 patients (31 female, 5 male) with an average age of 67.3  ± 6.7 (50–81) years and end-stage gonarthrosis were investigated using an accelerometer (ActiCal) for seven consecutive days prior to and six months after total kne...
Source: International Orthopaedics - July 11, 2020 Category: Orthopaedics Source Type: research

Clinical outcomes of revision with retrograde intermedullary nailing for failed plating of distal femoral fractures: a retrospective study
AbstractPurposeTo assess the feasibility and effectiveness of retrograde intramedullary nail (RIN) revision surgeries for locking compression plate (LCP) failure in distal femoral fractures.MethodsThis retrospective study included 13 patients who suffered from metalwork failures after they initially underwent open reduction and LCP fixation. In patients who eventually underwent RIN revision from January 2014 to December 2016, range of motion (ROM) and Hospital for Special Surgery (HSS) scores obtained before surgery and at the final follow-up time were analysed.ResultsThe average operative time was 155 minutes (range, 120 ...
Source: International Orthopaedics - July 11, 2020 Category: Orthopaedics Source Type: research

Risk factors of venous thromboembolism in patients with benign and malignant musculoskeletal tumors: a dual database analysis
ConclusionsPatients with malignant or benign lesion are at greater risk of VTE if they are age 30 and over, of the African American population, or with tumors of the pelvis/sacrum/coccyx, or any of the following comorbidities: pulmonary disease, paralysis, other neurological disorders, or coagulopathy. (Source: International Orthopaedics)
Source: International Orthopaedics - July 11, 2020 Category: Orthopaedics Source Type: research

The impact of COVID-19 pandemic on orthopaedic resident education: a nationwide survey study in South Korea
AbstractPurposeThere have not been well-designed survey studies investigating the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopaedic resident education.MethodsA 58-question, web-based survey was administered to orthopaedic residents in South Korea. A total of 229 orthopaedic residents from 43 hospitals completed the survey questionnaire.ResultsThe average working time of 72.7  hours/week before the pandemic was decreased to 65.6 hours/week during the pandemic (p 
Source: International Orthopaedics - July 10, 2020 Category: Orthopaedics Source Type: research

The Ponseti method of treatment for neuromuscularand syndromic (non-idiopathic) clubfeet: evaluation of a programme-based approach at a mean follow-up of 5.8  years
AbstractPurposeTo analyse the results of the Ponseti method in the treatment of non-idiopathic clubfeet and compare them with idiopathic clubfeet in a programme-based setting using a standardized protocolMethodsWe reviewed two groups of 782 children treated prospectively in our programme-based Clubfoot Clinic: group I comprised of 89 patients (146 feet) with non-idiopathic clubfoot and group II comprised of 693 patients (1032 feet) with idiopathic clubfoot. Both groups were compared on the basis of patient demographics, number of casts, tenotomy rate, success rate, rate of recurrences, and the need for additional secondary...
Source: International Orthopaedics - July 10, 2020 Category: Orthopaedics Source Type: research

Safety of one-stage bilateral total knee arthroplasty  —one surgeon sequential vs. two surgeons simultaneous: a randomized controlled study
This study aimed to examine  the complications by comparing two surgeons simultaneous bilateral total knee arthroplasty (two-surgeon bilateral TKA) to one surgeon sequential bilateral total knee arthroplasty (single-surgeon bilateral TKA).MethodsTwo hundred forty-six participants were prospectively randomized into two groups: two-surgeon bilateral TKA and single-surgeon bilateral TKA. While two surgeons performed simultaneous total knee arthroplasty in the two-surgeon bilateral TKA group, one surgeon performed sequentially in the single-surgeon bilateral TKA group. Ninety-day major, and minor complications rate, opera...
Source: International Orthopaedics - July 10, 2020 Category: Orthopaedics Source Type: research

Evidence on ankle injections for osteochondral lesions and osteoarthritis: a systematic review and meta-analysis
AbstractPurposeTo evaluate the evidence supporting safety and effectiveness of intra-articular injective treatments for ankle lesions ranging from osteochondral lesions of the talus (OLT) to osteoarthritis (OA).MethodsA systematic review and a meta-analysis were performed on PubMed, Embase, and Cochrane Library in March 2020. Safety was evaluated through the reported side effects and effectiveness through the scores used. The quality of the studies was assessed using the Cochrane Collaboration Risk of Bias 2.0 tool and the Downs and Black checklist. For each outcome, the quality of evidence was graded according to GRADE gu...
Source: International Orthopaedics - July 9, 2020 Category: Orthopaedics Source Type: research

Olecranon fractures: do they lead to osteoarthritis? Long-term outcomes and complications
AbstractPurposeTo report radiologic, functional outcomes, and complications with a long-term follow-up in acute olecranon fractures treated with osteosynthesis and, secondly, to determine the predisposing factors to arthritis.MethodsForty-two patients treated with osteosynthesis for acute olecranon fractures were reviewed, with a minimum follow-up of 24  months. Radiological and clinical evaluations including DASH, MEPS, active range of motion, pain, arthritis, associated lesions, and complications were recorded. Arthritis was classified according to Broberg-Morrey scale. A logistic regression model was estimated to d...
Source: International Orthopaedics - July 9, 2020 Category: Orthopaedics Source Type: research

Letter to the editor regarding “Comparison of clinical outcomes between arthroscopic debridement and conservative treatment of primary adhesive capsulitis of the hip”
(Source: International Orthopaedics)
Source: International Orthopaedics - July 9, 2020 Category: Orthopaedics Source Type: research

Why are patients dissatisfied following a total knee replacement? A systematic review
ConclusionSurgeons performing a TKR should take these factors into consideration prior to deciding whether a patient is suitable for a TKR. Secondarily, a detailed explanation of these factors should form part of the process of informed consent to achieve better patient satisfaction following TKR. There is a great need for a unified approach to assessing satisfaction following a TKR and also the time at which satisfaction is assessed. (Source: International Orthopaedics)
Source: International Orthopaedics - July 8, 2020 Category: Orthopaedics Source Type: research

Autologous microfragmented adipose tissue reduces inflammatory and catabolic markers in supraspinatus tendon cells derived from patients affected by rotator cuff tears
ConclusionμFAT exerted an anti-inflammatory action on supraspinatus tendon cells in vitro through paracrine action, resulting in the reduction of catabolic and inflammatory marker expression. These observations potentially support the use of μFAT as adjuvant therapy in the treatment of rotator cuff disease. (Source: International Orthopaedics)
Source: International Orthopaedics - July 8, 2020 Category: Orthopaedics Source Type: research

Metal on metal hip arthroplasty surveillance at a tertiary centre: design, patients ’ adherence, and cost analysis
ConclusionPatients ’ adherence to MOM surveillance is modest and the rate of dropouts seems not to stop over the time. Most of the expenses are due to revision surgeries, as well as indirect costs. Economy of scale may be suggested to reduce the costs, involving as much MOM population as possible. (Source: International Orthopaedics)
Source: International Orthopaedics - July 8, 2020 Category: Orthopaedics Source Type: research

The biomechanics of the supraspinatus-deficient shoulder treated with superior capsular reconstruction vs. reverse total shoulder arthroplasty —experimental study
ConclusionBoth SCR and rTSA restore key biomechanical parameters following an irreparable SS tear, although SCR offers superior passive abduction ROM. (Source: International Orthopaedics)
Source: International Orthopaedics - July 8, 2020 Category: Orthopaedics Source Type: research

Ankle joint re-balancing in the management of ankle fracture malunion using fibular lengthening: prospective clinical-radiological results at mid-term follow-up
ConclusionsThe ankle joint is a complex structure, and even minor changes of the structure of this joint can significantly compromise its functionality. Ankle joint re-balancing is an effective surgical procedure in case of fibular malunion. This procedure, in patients carefully selected, could procrastinate more disabling surgical procedure, as arthrodesis or prosthesis. (Source: International Orthopaedics)
Source: International Orthopaedics - July 8, 2020 Category: Orthopaedics Source Type: research

Outcome of surgical treatment of children and adolescents with primary malignant sacral tumours
ConclusionsIt is satisfactory for the outcome of surgical treatment of children and adolescent patients with primary malignant sacral tumours based on proposed surgical classification. Furthermore, paediatric patients aged ≤ 14 years have the tendency of poor prognosis compared to adolescent aged>  14 years. (Source: International Orthopaedics)
Source: International Orthopaedics - July 5, 2020 Category: Orthopaedics Source Type: research

Pelvic mobility before and after total hip arthroplasty
AbstractBackgroundPre-operative evaluation of pelvic motion using the sacral slope (SS) has been proposed for risk assessment of dislocation after total hip arthroplasty (THA). The purposes of this study were to elucidate the statistical characteristics of pre-operative and post-operative pelvic mobility and investigate the relationship between pre-operative spinopelvic factors and post-operative pelvic mobility.MethodsEighty-six patients with osteoarthritis were assessed. The parameters evaluated were lumbar lordosis angle and the SS in the standing and sitting preo-peratively and post-operatively. The pelvic mobility was...
Source: International Orthopaedics - July 4, 2020 Category: Orthopaedics Source Type: research

Platelet-rich plasma injections delay the need for knee arthroplasty: a retrospective study and survival analysis
ConclusionThese data suggest that the application of PRP in KOA patients is a treatment that could delay TKA, although further studies are needed to understand and improve this therapy. (Source: International Orthopaedics)
Source: International Orthopaedics - July 3, 2020 Category: Orthopaedics Source Type: research

Total hip arthroplasty after acetabular fracture surgery
AbstractPurposeAcetabular fractures are accompanied by complications such as post-traumatic osteoarthritis (OA) of the hip and avascular necrosis (AVN) of the femoral head. The aim of the study was to evaluate improvement of life quality and functional recovery after total hip arthroplasty (THA) in patients with post-traumatic OA and AVN.MethodsWe retrospectively reviewed 23 patients with post-traumatic OA of the hip and AVN of the femoral head who undergone THA, out of 63 patients who were previously surgically treated for acetabular fractures. Final functional outcomes are defined according to the Merle d ʼAubigné...
Source: International Orthopaedics - July 2, 2020 Category: Orthopaedics Source Type: research

Subchondral bone or intra-articular injection of bone marrow concentrate mesenchymal stem cells in bilateral knee osteoarthritis: what better postpone knee arthroplasty at fifteen years? A randomized study
ConclusionsImplantation of MSCs in the subchondral bone of an osteoarthritic knee is more effective to postpone TKA than injection of the same intra-articular dose in the contralateral knee with the same grade of osteoarthritis. (Source: International Orthopaedics)
Source: International Orthopaedics - July 2, 2020 Category: Orthopaedics Source Type: research

Treatment of avascular osteonecrosis of femoral head by core decompression and platelet-rich plasma: a prospective not controlled study
ConclusionCore decompression combined with PRP could be indicated as a treatment for the I and IIA stages of osteonecrosis, as it significantly reduces joint pain and delays THA. This procedure should be avoided in AVNFH related to cortisone therapy because only a few benefits have been proven. It also has the advantage of being technically simple, minimally invasive, and free from complications. (Source: International Orthopaedics)
Source: International Orthopaedics - June 20, 2020 Category: Orthopaedics Source Type: research

Clavicular osteotomy in complicated revision of total shoulder arthroplasty: indications, surgical technique, and outcomes
AbstractPurposeAdequate exposure in revision of total shoulder arthroplasty (TSA) is important for optimal prosthesis placement and functional results. A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component. There is a paucity of literature analyzing the clavicular osteotomy during challenging cases of revision TSA. The aims of this study were to describe the application, surgical techniq...
Source: International Orthopaedics - June 20, 2020 Category: Orthopaedics Source Type: research

Biomechanical model of distal articular humeral fractures —influence of bone density on the fracture threshold
ConclusionsWe developed a reproducible articular fracture of the distal humerus model and found a correlation between the fracture threshold and bone mineral density. (Source: International Orthopaedics)
Source: International Orthopaedics - June 20, 2020 Category: Orthopaedics Source Type: research

Outcomes of lateral unicompartmental knee arthroplasty in post-traumatic osteoarthritis, a retrospective comparative study
AbstractPurposeWe asked whether the clinical and radiographic outcomes and survivorship after unicompartmental knee arthroplasty (UKA) for osteoarthritis (OA) consequent to lateral tibial plateau fracture were comparable with those obtained after lateral UKA for primary OA.MethodsA total of 13 patients receiving lateral UKA for OA secondary to tibial plateau fracture (post-traumatic UKA, P-UKA) were compared with 13 patients who underwent lateral UKA for primary OA (OA-UKA). Patients were matched for age at surgery, gender, body mass index, and follow-up length. Pre- and post-operative clinical and radiographic assessments...
Source: International Orthopaedics - June 20, 2020 Category: Orthopaedics Source Type: research

Modified Ludloff ’s medial approach for management of Pipkin’s type I femoral head fracture
ConclusionModified Ludloff ’s approach provides safe easy direct access to fracture allowing easy excision or direct anatomical reduction, perpendicular compression, and rigid fixation with minimal complications. (Source: International Orthopaedics)
Source: International Orthopaedics - June 18, 2020 Category: Orthopaedics Source Type: research

The positive, neutral, and negative cortex relationship in fracture reduction of per/inter-trochanteric femur fractures
(Source: International Orthopaedics)
Source: International Orthopaedics - June 18, 2020 Category: Orthopaedics Source Type: research

Three-dimensional femoral morphology in Hartofilakidis type C developmental dysplastic hips and the implications for total hip arthroplasty
ConclusionC1 and C2 proximal femurs have substantial differences in the coronal, sagittal, and axial planes. In the setting of THA, C2 femurs may therefore require thinner stems, more non-sprouted sleeves, and have a higher rate and require a longer length of shortening osteotomies. (Source: International Orthopaedics)
Source: International Orthopaedics - June 17, 2020 Category: Orthopaedics Source Type: research

Management of the bone loss by metaphyseal sleeves in primary and revision knee arthroplasty: clinical experience and outcome after forty three cases
ConclusionIn our study, metaphyseal sleeves showed excellent short to mid-term survivorship in AORI types IIB and III boneloss in Asian population. These results are comparable to various studies conducted on North American and European population. Metaphyseal sleeve is a reliable tool in the armamentarium of  the arthroplasty surgeon. It is user friendly implant and provides immediate stability to allow full weight-bearing mobilization. (Source: International Orthopaedics)
Source: International Orthopaedics - June 17, 2020 Category: Orthopaedics Source Type: research

Interdigitating percutaneous screw fixation for Rommens type IIIa fragility fractures of the pelvis: technical notes and preliminary clinical results
ConclusionsThis procedure of closed reduction and interdigitating screw fixation for FFP type IIIa appears to represent a safe, reliable technique. Our experience suggests that interdigitating fixation for FFP type IIIa is effective for relieving pain and promoting early mobilization in elderly patients. (Source: International Orthopaedics)
Source: International Orthopaedics - June 16, 2020 Category: Orthopaedics Source Type: research

Effects of umbilical cord mesenchymal stem cells loaded with graphene oxide granular lubrication on cytokine levels in animal models of knee osteoarthritis
ConclusionUCMSCs loaded with the GO granular lubricant can reduce the inflammatory level and improve the level of biochemical environment in the articular cavity, and thus promote cartilage repair. (Source: International Orthopaedics)
Source: International Orthopaedics - June 16, 2020 Category: Orthopaedics Source Type: research

Clinical study of outcomes after revision surgery using porous titanium custom-made implants for severe acetabular septic bone defects
We report our mid-term results of non-flanged, custom-made acetabular components in staged rTHA.MethodsWe retrospectively reviewed all patients undergoing two-stage revision with acetabular custom-made implants between 2014 and 2016 at a single institution. Harris Hip Scores, Oxford Hip Scores, and Visual Analogue Scales for pain were obtained, and radiographical follow-up was performed. Complications were reported and analysed.ResultsWe included 19 patients (19 hips) with an average follow-up of 42.3 ± 11.8 months. At the time of re-implantation, significant acetabular bone loss according to Paprosky classification...
Source: International Orthopaedics - June 15, 2020 Category: Orthopaedics Source Type: research

Global experience of orthopaedic trauma surgeons facing COVID-19: a survey highlighting the global orthopaedic response
ConclusionTo our knowledge, this is the largest data set characterizing global COVID-19 situations and responses of orthopaedic trauma practices around the world. There is much to be learned from each of the participants ’ responses in order to persevere during the current pandemic, as well as to prepare for future pandemics as it relates specifically to orthopaedic trauma practices. (Source: International Orthopaedics)
Source: International Orthopaedics - June 13, 2020 Category: Orthopaedics Source Type: research

The plate fixation strategy of complex proximal humeral fractures
ConclusionRestoration of medial support seems of importance to provide solid stability and reduced complication for the complex fractures with fixation of locking plates. (Source: International Orthopaedics)
Source: International Orthopaedics - June 13, 2020 Category: Orthopaedics Source Type: research

Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy)
ConclusionsIn patients with un-united/neglected fracture neck femur, SALVA osteotomy appears to be reliable and reproducible. It also restores the abductor lever arm and improves the leg length discrepancy. Technically less demanding conversion to arthroplasty remains still possible prospectively. (Source: International Orthopaedics)
Source: International Orthopaedics - June 12, 2020 Category: Orthopaedics Source Type: research

Does anxiety influence the prognosis of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation? A preliminary propensity score matching analysis
ConclusionPTED may provide significant improvements in clinical outcomes and symptoms of anxiety. A negative impact on the patient ’s prognosis may be caused by the presence of anxiety. Pain severity, neurological deficit, disease duration, and quality of life were associated with anxiety. (Source: International Orthopaedics)
Source: International Orthopaedics - June 11, 2020 Category: Orthopaedics Source Type: research

Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department
ConclusionAlthough extremely valuable for surgery management, these results should not be overstated. The CT findings studied are not specific for COVID-19, and the positive predictive value of CT will be low unless disease prevalence is high, which was the case during this period. (Source: International Orthopaedics)
Source: International Orthopaedics - June 7, 2020 Category: Orthopaedics Source Type: research

Prediction of recurrence based on the patellofemoral morphological profile and demographic factors in first-time and recurrent dislocators
AbstractIntroductionPrediction of recurrence in first-time patellar dislocation is an unsolved mystery. The  purpose of our study is to compare patellar instability patients and normal control groups with anatomical risk factors and validation of newer parameters patello-trochlear index (PTI) and tibial tuberosity-posterior cruciate ligament (TT-PCL) and also to find the significant risk factors that hel p to predict the recurrence of dislocation in first-time dislocators.MethodsThis is a comparison study between 50 normal individuals as a control population (group-1) and 94 patients with patellar instability done bet...
Source: International Orthopaedics - June 7, 2020 Category: Orthopaedics Source Type: research

Operational strategies of a trauma hub in early coronavirus disease 2019 pandemic
ConclusionsHaving a clear strategy during the COVID-19 pandemic kept our systems resilient and effective and allowed us to provide high-quality trauma care. We offer this approach for other institutions to adopt and adapt to their local setting. (Source: International Orthopaedics)
Source: International Orthopaedics - June 6, 2020 Category: Orthopaedics Source Type: research

Risk of a second wave of Covid-19 infections: using artificial intelligence to investigate stringency of physical distancing policies in North America
ConclusionWe show that drop in effective growth rate of covid-19 infections was sharper in the case of stringent policies (USA and Canada) but was more gradual in the case of relaxed policy (Sweden). Our study exhorts policy makers to take these results into account as they consider the implications of relaxing lockdown measures. (Source: International Orthopaedics)
Source: International Orthopaedics - June 5, 2020 Category: Orthopaedics Source Type: research

The Asclepian art of medicine and surgery
ConclusionAsclepieia established the roots of medicine and the first step of human knowledge, and contributed to the field of surgery and pharmacology that gave birth to the rational medicine. With Hippocrates and his research, the circle of Asclepieia ended, and the era of the organized medical schools with theories and experiments on every aspect of medicine begun. (Source: International Orthopaedics)
Source: International Orthopaedics - June 4, 2020 Category: Orthopaedics Source Type: research

Anterior oblique retroperitoneal approach vs posterior transpedicular approach for the treatment of one- or two-level lumbar vertebral osteomyelitis: a retrospective cohort study
ConclusionIn summary, ORA debridement provides a quicker recovery compared with PTA debridement for one- or two-level LVO. As for the infection control and fusion rate, both debridement approaches had similar results. (Source: International Orthopaedics)
Source: International Orthopaedics - June 4, 2020 Category: Orthopaedics Source Type: research

New growth rod concept provides three dimensional correction, spinal growth, and preserved pulmonary function in early-onset scoliosis
ConclusionThe new growth rod concept provided 3D correction and spinal growth at complication rates comparable with other growth-friendly techniques for EOS, while pulmonary function was preserved. Single magnetic rod distraction was incorporated successfully, replacing surgical elongations. (Source: International Orthopaedics)
Source: International Orthopaedics - June 3, 2020 Category: Orthopaedics Source Type: research

Adolf Lorenz and the Lolita Armour Case
This article is mainly based on contemporary newspaper reports. (Source: International Orthopaedics)
Source: International Orthopaedics - June 3, 2020 Category: Orthopaedics Source Type: research

Acute instability of the patella: is magnetic resonance imaging mandatory?
ConclusionMRI scan is an important tool in the diagnosis and management of acute patellar dislocation and subluxation. When symptoms are subtle, MRI facilitates a diagnosis with relative ease. MRI is particularly useful in identifying the exact nature of lesions most notably chondral lesions which are frequently of significant size and therefore often require expedited surgical treatment. (Source: International Orthopaedics)
Source: International Orthopaedics - June 2, 2020 Category: Orthopaedics Source Type: research