Automatic detection of early osteonecrosis of the femoral head from various hip pathologies using deep convolutional neural network: a multi-centre study
ConclusionCompared with clinician-led diagnoses, the developed DCNN system is more accurate in diagnosing early ONFH, avoiding empirical dependence and inter-reader variability. Our findings support the integration of deep learning systems into real clinical settings to assist orthopaedic surgeons in diagnosing early ONFH. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Reverse shoulder arthroplasty renders better clinical scores at a minimum follow-up of two years for patients with no rotator cuff deficiency operated by the deltopectoral approach
ConclusionThis large multi-centre study confirms that, at two or more years following RSA, Constant scores are not associated with implant design, but rather with rotator cuff deficiency and surgical approach. Multivariable analysis revealed that postoperative CS was worse for shoulders with preoperative rotator cuff deficiency and for shoulders operated by the AS approach. Multivariable analysis also revealed that net improvement in CS was worse in shoulders treated for secondary OA due to RC tears and for shoulders with irreparable mRCT, as well as for shoulders operated by the AS approach. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Ground kinematically aligned total knee arthroplasty: new personalized technique which enables a stable knee with deep flexion
ConclusionTargeting neutral ground MA in KA-TKA for patients with varus OA has the potential to provide a better flexion angle with stable intraoperative soft tissue balance. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
A decreased tibial tuberosity-trochlear groove distance is associated with lateral patellofemoral joint degeneration after implantation of medial fixed-bearing unicompartmental knee arthroplasty — a minimum five year follow-up
ConclusionA decreased TTGT correlated with radiographic progression of lateral PFOA after medial fixed-bearing cemented UKA. PFOA however did not influence PROMs at a minimum of five years postoperatively. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty
ConclusionUnder defined conditions, we measured the clinical results of implants from a single manufacturer implanted in a single department using a similar surgical technique. Considering the limitations, we suggest that all-polyethylene tibial components are equal or even superior to metal-backed ones across the examined age categories. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Computer-aided design combined with 3D-printed osteotomy guide-assisted derotational distal femoral osteotomy for treating recurrent patellar dislocation with increased femoral anteversion angle: a retrospective study
ConclusionComputer-aided design combined with 3D-printed osteotomy guide-assisted derotational distal femoral osteotomy could correct the increased anterior femoral torsion and demonstrate good results. There were no patients experienced re-dislocation during follow-up period and the overall complication rate is low. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Fluoroscopy guided transpedicular abscess infusion and drainage in thoracic-lumbar spondylitis with prevertebral abscess
ConclusionFluoroscopy guided transpedicular abscess infusion and drainage is a safe and minimally invasive procedure for the management of thoracic-lumbar spondylitis with a prevertebral abscess. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Baseline predictors related to functional outcomes in patients older than sixty years with complex regional pain syndrome type 1 after distal radius fracture treated conservatively: a prospective observational study
ConclusionAt six weeks, factors such as BMI, immobilization time, physical activity, and kinesiophobia are associated with lower functional outcomes. Additionally, at one year follow-up, BMI, immobilization time, and physical activity continue to be associated with lower functional outcomes in patients with CRPS I after DRF treated conservatively. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Clinical outcomes of autologous platelet-rich plasma and bone marrow mononuclear cells grafting combined with core decompression for Association Research Circulation Osseous II –IIIA stage non-traumatic osteonecrosis of the femoral head
ConclusionCD combined with autologous PRP and BMMCs grafting is a safe and effective method for the treatment of ARCO II –IIIA stage non-traumatic ONFH, especially for ARCO II stage, effectively reducing the collapse rate of the femoral head and delaying or even avoiding THA. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Standard practice in the treatment of unstable pelvic ring injuries: an international survey
ConclusionThe Young-Burgess and Tile/AO classifications are used approximately equally across the world. Initial non-invasive stabilization with binders and temporary external fixation are commonly utilized, while specific haemorrhage control techniques such as pelvic packing and angioembolization are rarely and REBOA almost never considered. The substantial regional differences ’ impact on outcomes needs to be further explored. (Source: International Orthopaedics)
Source: International Orthopaedics - August 18, 2023 Category: Orthopaedics Source Type: research
Leukocyte esterase and alpha-defensin in periprosthetic joint infection: predictive quality and correlation in a prospective study
ConclusionLE is a rapidly available alternative in PJI diagnostics. The simultaneous determination of both markers may enhance diagnostic reliability. A routine usage may shorten the time from diagnosis to treatment of PJI. (Source: International Orthopaedics)
Source: International Orthopaedics - August 16, 2023 Category: Orthopaedics Source Type: research
Is there a tolerance for extension of the first metatarsal after the Lapidus procedure? A clinical, functional, and hindfoot radiographic analysis
ConclusionPossibly there is a tolerance of M1 extension in which it does not alter the radiographic measurements of the hindfoot, overload the lesser metatarsals, or compromise clinical and functional outcomes. (Source: International Orthopaedics)
Source: International Orthopaedics - August 16, 2023 Category: Orthopaedics Source Type: research
Is ulnar shortening osteotomy effective for the treatment of ulnar styloid impaction syndrome compared to ulnar impaction syndrome?
ConclusionThe USO, which was performed as a treatment for USIS showed reliable outcomes compared to the USO for the treatment of UIS. Therefore, USO is a viable option for the treatment of USIS. (Source: International Orthopaedics)
Source: International Orthopaedics - August 15, 2023 Category: Orthopaedics Source Type: research
Thoughts on artificial intelligence use in medical practice and in scientific writing
(Source: International Orthopaedics)
Source: International Orthopaedics - August 15, 2023 Category: Orthopaedics Source Type: research
Comparison study of periprosthetic bone remodeling between simultaneous bilateral total hip arthroplasty and unilateral total hip arthroplasty: a matched cohort study
ConclusionsThe postoperative periprosthetic bone remodeling was lower in patients who underwent simultaneous bilateral THA than in those who underwent unilateral THA, even though patient characteristics were adjusted by propensity matching. Further observation of periprosthetic bone mineral density loss is needed to clarify the differences between the groups. (Source: International Orthopaedics)
Source: International Orthopaedics - August 12, 2023 Category: Orthopaedics Source Type: research
