Acknowledgement to reviewers - International Orthopaedics
(Source: International Orthopaedics)
Source: International Orthopaedics - January 11, 2017 Category: Orthopaedics Source Type: research

Outcomes of dual mobility cups in a young Middle Eastern population and its influence on life style
AbstractDual mobility cups (DMC) in total hip arthroplasty (THA) are becoming popular among orthopaedic surgeons. Substantial benefit of their use has been reported among high risk patients, particularly in reducing post-operative hip instability (dislocation). Many reports stated some concern when implanted in young and active people where complications such as polyethylene wear and mechanical loosening could potentially be higher. This Middle Eastern study analyses a retrospective series of THA for any aetiology other than infection, using DMC for the acetabular component in 75 patients (85 implants) less than 70  y...
Source: International Orthopaedics - January 10, 2017 Category: Orthopaedics Source Type: research

The treatment options for posterior malleolar fractures in tibial spiral fractures
AbstractPurposeThe posterior malleolar fracture (PMF) in tibial spiral fractures are a common type of complication that occurs in tibial fractures. However, the indication of fixation for posterior fractures is still under debate and varies between different surgeons ’. It is not unusual to find the smaller PMF (
Source: International Orthopaedics - January 10, 2017 Category: Orthopaedics Source Type: research

Dual mobility cups provide biomechanical advantages in situations at risk for dislocation: a finite element analysis
ConclusionThis study highlights the biomechanical advantages of dual mobility systems over constrained and standard implants, and is supported by the clinical results reported. Therefore, the use of dual mobility systems in situations at risk for instability should be advocated and constrained implants should be restricted to salvage situations. (Source: International Orthopaedics)
Source: International Orthopaedics - January 9, 2017 Category: Orthopaedics Source Type: research

Orthopedic trauma surgery and hospital cost analysis in refugees; the effect of the Syrian civil War
ConclusionsIn this study, it was shown that there was a statistically significant increase in the cost of health expenses in patients with fall from heights or gunshot wound, with fractures in axial skeleton or with the ISS score between 16 and 66. The cost rise was associated with worse prognosis, complications, intensive care treatments and prolonged hospitalization periods. (Source: International Orthopaedics)
Source: International Orthopaedics - January 7, 2017 Category: Orthopaedics Source Type: research

A descriptive study of potential effect of anterior tibial translation, femoral tunnel and anterior cruciate ligament graft inclination on clinical outcome and degenerative changes
ConclusionsIncreased ATT offers worse clinical outcome and increased rate of degenerative changes. Furthermore, ATT is affected by the ACL inclination. Inclination of the drilling tunnel affects ACL graft inclination; thereby independent drilling techniques provide superior results of anatomical ACL graft positioning. (Source: International Orthopaedics)
Source: International Orthopaedics - January 7, 2017 Category: Orthopaedics Source Type: research

Best one hundred papers of International Orthopaedics : a bibliometric analysis
This article identifies, analyses and categorises the best cited articles published by the journal to date.MethodsWe searched Elsevier Scopus database for citations of all papers published inInternational Orthopaedics since its foundation. Source title was selected, and the journal ’s title was introduced in the search engine. The identified articles were sorted based on their total number of received citations, forming a descending list from 1 to 100. Total citations and self-citations of all co-authors were recorded. Year of publication, number of co-authors, number of pag es, country and institution of origin and ...
Source: International Orthopaedics - January 4, 2017 Category: Orthopaedics Source Type: research

Is the humeral stem useful in anatomic total shoulder arthroplasty?
ConclusionsStemless TSA provides the same results as compared to TSA with a humeral stem. We are still unsure as to the nature of the lucent zones and we are continuing our investigation to better understand this radiological phenomenon. (Source: International Orthopaedics)
Source: International Orthopaedics - January 3, 2017 Category: Orthopaedics Source Type: research

Allografts supercharged with bone-marrow-derived mesenchymal stem cells possess equivalent osteogenic capacity to that of autograft: a study with long-term follow-ups of human biopsies
ConclusionsOur observations with allografts charged with BM-MSCs provides evidence in support of a long-term benefit of supercharging bone allografts with autologous BM-MSCs (Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift
AbstractPurposeThe evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift).MethodsMaterial was based on 133 patients: anterior shoulder instability without laxity (group I,n = 49), with laxity (group II,n = 22) and subacromial impingement (control group,n = 62) operated in 2010–2011. Group I received arthroscopic Bankart repair, group; II – arthroscopic anterior capsular plication, control group &ndash...
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

Lifetime prevalence of and factors associated with non-traumatic musculoskeletal pains amongst surgeons and patients
ConclusionsNon-traumatic pains are extremely common. Surgeons have particularly effective coping strategies, allowing them to maintain their life roles with limited medical care when in pain. Increasing the appeal and availability of methods for optimising coping strategies might help to narrow the gap between surgeon and patient health. (Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

Simultaneous open reduction and internal fixation and total hip arthroplasty for the treatment of osteoporotic acetabular fractures
ConclusionORIF and simultaneous THR is a good option for the treatment of certain types of acetabular fractures particularly in elderly population. (Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

The M üller self-locking cemented total hip prosthesis with polyethylene liner: After twenty years, what did they become?
ConclusionOur retrospective analysis confirms the good results seen with the MEM stem in the literature and support the “French paradox” concept. Failures of these prostheses with a cemented polyethylene cup are largely on the acetabular side and, as such, the cup is the weak link. Improvements in survival will require optimisation of cup fixation and the use of a ceramic head to reduce wear in patients with a lo ng life expectancy. (Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

Letter regarding article by Hyun Jung Kim et al .: Total ankle arthroplasty versus ankle arthrodesis for the treatment of end-stage ankle arthritis: a meta-analysis of comparative studies
(Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2017 Category: Orthopaedics Source Type: research

Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet) —clinical results at short term follow-up
ConclusionsThe arthroscopic Latarjet stabilisation showed satisfactory and comparable results to open procedure. We recommend further investigation and development of arthroscopic technique.Level of evidence: III (Source: International Orthopaedics)
Source: International Orthopaedics - December 30, 2016 Category: Orthopaedics Source Type: research

History of internal fixation with plates (part 2): new developments after World War II; compressing plates and locked plates
AbstractThe first techniques of operative fracture with plates were developed in the 19th century. In fact, at the beginning these methods consisted of an open reduction of the fracture usually followed by a very unstable fixation. As a consequence, the fracture had to be opened with a real risk of (sometimes lethal) infection, and due to unstable fixation, protection with a cast was often necessary. During the period between World Wars I and II, plates for fracture fixation developed with great variety. It became increasingly recognised that, because a fracture of a long bone normally heals with minimal resorption at the ...
Source: International Orthopaedics - December 30, 2016 Category: Orthopaedics Source Type: research

Results of primary total hip replacement with first generation Bousquet dual mobility socket with more than twenty five  years follow up. About a series of two hundred and twelve hips
ConclusionDual mobility socket global long term survival rate was comparable to similar cemented or uncemented series. The absence of dislocations proved the interest of dual mobility concept in hip stability. Implant improvements might widen DM socket indication. (Source: International Orthopaedics)
Source: International Orthopaedics - December 26, 2016 Category: Orthopaedics Source Type: research

Early experience with dual mobility acetabular systems featuring highly cross-linked polyethylene liners for primary hip arthroplasty in patients under fifty five years of age: an international multi-centre preliminary study
ConclusionContemporary highly cross-linked polyethylene dual mobility systems demonstrate excellent early clinical, radiological, and survivorship results in a cohort of patients that demand high performance from their implants. It is envisaged that DM and second generation annealed HXLPE may reduce THA instability and wear, the two most common causes of THA revision in hip arthroplasty. (Source: International Orthopaedics)
Source: International Orthopaedics - December 24, 2016 Category: Orthopaedics Source Type: research

Complications during removal of conventional versus locked compression plates: is there a difference?
AbstractBackgroundOsteosynthesis plate removal is one of the most commonly performed procedures in orthopaedic surgery. Due to technological advances and the quality of increasing osteosynthesis material, more and more locked plates have been implanted over the last 20  years. The aim of this study was to determine whether the complication rate during plate removal differs between conventional and locked plates.Material and methodsIn this retrospective cohort study, 620 patients were included and divided into two groups based on the type of plate (locked and conventional). Technical complications during implant remova...
Source: International Orthopaedics - December 24, 2016 Category: Orthopaedics Source Type: research

Correlations between serum adipocytokine concentrations, disease stage, radiological status and total body fat content in the patients with primary knee osteoarthritis
ConclusionsIt was found that in the obese patients with knee OA, increased percentage of total body fat and elevated serum leptin concentration might favour the advancement of clinical but not radiologically assessed changes in the joint structures, while in normal-weight patients it correlates only with radiologically assessed changes but does not affect to an appreciable extent the clinical status of the patients. (Source: International Orthopaedics)
Source: International Orthopaedics - December 24, 2016 Category: Orthopaedics Source Type: research

Segmental acetabular rim defects, bone loss, oversizing, and press fit cup in total hip arthroplasty evaluated with a probabilistic finite element analysis
ConclusionsA defect along the superior or inferior rim had a minimal effect on cup fixation, while a defect in the columns created cup instability and increased stress at the defect location. (Source: International Orthopaedics)
Source: International Orthopaedics - December 23, 2016 Category: Orthopaedics Source Type: research

The evolution of outcomes and indications for the dual-mobility cup: a systematic review
ConclusionsCompared to previous generations of DMC, the current “contemporary” DMC presents a significant improvement. Current literature reveals a tendency to increase the indications but further studies with long term follow up remain important to consolidate these findings. (Source: International Orthopaedics)
Source: International Orthopaedics - December 21, 2016 Category: Orthopaedics Source Type: research

Incidence and risk factors for the misplacement of pedicle screws in scoliosis surgery assisted by O-arm navigation —analysis of a large series of one thousand, one hundred and forty five screws
ConclusionO-arm-assisted navigation does improve the accuracy and safety of pedicle screw placement in scoliosis surgery. However, unavoidable screw malpositioning remained, which occurred significantly more often in patients with CS and NF-1, in middle-thoracic spine, in the concave pedicles, and in the segments three levels away from the tracker. (Source: International Orthopaedics)
Source: International Orthopaedics - December 21, 2016 Category: Orthopaedics Source Type: research

Results of arthroscopic treatment in unresolved Osgood-Schlatter disease in athletes
In this study we aimed to determine outcomes following arthroscopic ossicle excision in athletes with unresolved Osgood-Schlatter disease (OSD).MethodArthroscopy was performed on 11 patients (11 knees) with OSD between September 2008 and November 2014. Surgical treatment inclusion criteria were determined as: failure of conservative treatment; isolated pain over the tibial tubercle and distal patellar tendon; pain limiting sporting performance at a competitive level. All patients had a documented history of OSD; the mean duration of persistent pain over the tibial tubercle was 15.5  months. The mean age was 23 ye...
Source: International Orthopaedics - December 21, 2016 Category: Orthopaedics Source Type: research

Total hip arthroplasty instability in Italy
The objective is to avoid further dislocation, a devastating event which is increasing the number of operations on the hip. To obtain this goal is useful to follow an algorithm of treatment, but the best treatment remains prevention. (Source: International Orthopaedics)
Source: International Orthopaedics - December 20, 2016 Category: Orthopaedics Source Type: research

Low friction arthroplasty and dual mobility cup: a new gold standard
DiscussionCharnley ’s LFA has proven over 50 years of excellent survivorship. To decrease dislocation risk, one suggested increasing femoral head diameter. Gilles Bousquet proposed another way, namely, the DMC concept. Dislocation is no longer a critical issue with DMC as demonstrated in our series and main series. DMC in primary THA is still a subject of debate. Mid-term results do not demonstrate a higher rate of wear than LFA. What is the current gold standard? LFA was and is our current gold standard in association with a DMC. (Source: International Orthopaedics)
Source: International Orthopaedics - December 20, 2016 Category: Orthopaedics Source Type: research

Patient specific instrumentation versus conventional knee arthroplasty: comparative study
ConclusionsWe cannot recommend PSI –TKR for a better outcome. It is an alternative to conventional and computer-assisted TKR, but further studies are needed to evaluate weather surgical or economic benefits may be achieved by choosing customised instruments. (Source: International Orthopaedics)
Source: International Orthopaedics - December 19, 2016 Category: Orthopaedics Source Type: research

Once upon a time.... Dual mobility: history
ConclusionToday with the same principles there are many differences for the «third generation» with excellent results at more than ten years FU with less than 1% to 2% dislocation rate in primary, revision, recurrent THA dislocation and THA after femoral neck fractures. (Source: International Orthopaedics)
Source: International Orthopaedics - December 19, 2016 Category: Orthopaedics Source Type: research

Comment on Qian et al . entitled “Outcomes of radical debridement versus no debridement for the treatment of thoracic and lumbar spinal tuberculosis”
(Source: International Orthopaedics)
Source: International Orthopaedics - December 16, 2016 Category: Orthopaedics Source Type: research

Blood loss and transfusion rate in short stem hip arthroplasty. A comparative study
AbstractPurposeLittle scientific evidence on blood loss and transfusion rates after short-stem hip arthroplasty exists. The hypothesis of this study was that the blood loss and transfusion rate is lower in short stems compared to straight stems.MethodsWe compared 124 patients who underwent total hip arthroplasty (THA) using a short-stem design (group 1) and 141 patients using a straight-stem design (group 2). All patients were operated on by the same surgeon, and both groups were similar in age, gender, affected side, body mass index, and ASA score.ResultsThe calculated blood loss was 1139  ml in group 1 and 1358 ...
Source: International Orthopaedics - December 10, 2016 Category: Orthopaedics Source Type: research

Wear of dual-mobility cups: a review article
AbstractDual-mobility (DM) cups have been clinically used in hip surgery in Europe for more than 35  years and continue to gain popularity worldwide due to promising results at reducing instability. Concerns related to polyethylene wear apply as in conventional standard bearings but are accentuated by the larger-diameter articulations with multiple surfaces. We critically reviewed the reported li terature regarding the in vivo and in vitro wear occurring on all surfaces involved. We looked for patterns to create a rational classification of sites of wear and to identify areas for future research. Wear was a significan...
Source: International Orthopaedics - December 9, 2016 Category: Orthopaedics Source Type: research

Off-loading strategies in diabetic foot syndrome – evaluation of different devices
ConclusionA customized device like the TCC is still the most proven offloading device. However, a removable cast walker being based on vacuum pads and a cushioning sole, provides better results concerning force distribution. (Source: International Orthopaedics)
Source: International Orthopaedics - December 9, 2016 Category: Orthopaedics Source Type: research

How effective is embolization with N-2-butyl-cyanoacrylate for aneurysmal bone cysts?
ConclusionEmbolization of aneurysmal bone cysts with N-2-butyl-cyanoacrylate is associated with good results and low complication rates, however, experience, technical skills, and knowledge of the vascular anatomy of the area is necessary. (Source: International Orthopaedics)
Source: International Orthopaedics - December 8, 2016 Category: Orthopaedics Source Type: research

Dual mobility cups in revision total hip arthroplasty
ConclusionThis study provided evidence of the advantages of dual mobility cups in all revision THA indications. (Source: International Orthopaedics)
Source: International Orthopaedics - December 8, 2016 Category: Orthopaedics Source Type: research

Understanding wear in dual mobility total hip replacement: first generation explant wear patterns
ConclusionHeat colour treatment showed its effectiveness for highlighting wear patterns. Optimal convexity mobility seemed to be leading to a longer implantation time, with decreased contact stresses on concavity. The retentive rim should have a distinct wear analysis. (Source: International Orthopaedics)
Source: International Orthopaedics - December 7, 2016 Category: Orthopaedics Source Type: research

Comparison of two- and three-dimensional measurement of the Cobb angle in scoliosis
ConclusionsIn scoliosis treatment it is very essential to determine the curve magnitude, which is larger in a 3D measurement compared to 2D radiography. (Source: International Orthopaedics)
Source: International Orthopaedics - December 5, 2016 Category: Orthopaedics Source Type: research

Long-term functional and radiological outcomes of allograft hip prosthesis composite. A fourteen  -year follow-up study
ConclusionAPC is a reliable reconstruction adapted for huge proximal femoral bone resections. Trochanteric fracture and allograft bone resorption do not seem to influence functional results.Level of evidence: Level IV (Source: International Orthopaedics)
Source: International Orthopaedics - December 3, 2016 Category: Orthopaedics Source Type: research

Reviews, reviewers and reviewing
(Source: International Orthopaedics)
Source: International Orthopaedics - December 2, 2016 Category: Orthopaedics Source Type: research

Dual plate fixation on distal third diaphyseal fracture of the humerus
ConclusionsSatisfactory radiographic evidence and clinical results suggest that dual plating for distal diaphyseal humeral fractures may be considered a surgical option, with the advantages of strong fixation, less invasion of soft tissue, and early rehabilitation. (Source: International Orthopaedics)
Source: International Orthopaedics - December 1, 2016 Category: Orthopaedics Source Type: research

History of external fixation for treatment of fractures
AbstractSurgery in the first half of the nineteenth century was primarily dominated by pain and fear of lethal infections. Therefore, the absolute majority of fractures and dislocations were treated non-operatively. Development of operative treatment of fractures was influenced by three major inventions: anaesthesia (1846), antisepsis (1865) and X-rays (1895). The first to use external fixation is traditionally considered to be Malgaigne (1843). However, his devices cannot be really considered as external fixation. The external fixation device invented by Lambotte in 1902 is generally thought to be the first “real fi...
Source: International Orthopaedics - November 16, 2016 Category: Orthopaedics Source Type: research

Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation
ConclusionThe direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation. (Source: International Orthopaedics)
Source: International Orthopaedics - November 16, 2016 Category: Orthopaedics Source Type: research

Does a different dose of gamma irradiation have the same effect on five different types of tendon allografts? — a biomechanical study
Discussion and conclusionsThe vulnerability of gamma irradiation of TA was less than Achilles and quadriceps tendons. (Source: International Orthopaedics)
Source: International Orthopaedics - November 15, 2016 Category: Orthopaedics Source Type: research

The cost of infection in severe open tibial fractures treated with a free flap
ConclusionsSevere open tibial fractures covered with free flaps, cause over a year of absenteeism. Infection increases direct cost of treatment over 60  % and roughly doubles LOS. Early soft-tissue cover and correct antibiotics have been shown to improve outcomes—underscoring the need for rapid referral to centres with an ortho-plastic set-up to handle such injuries. (Source: International Orthopaedics)
Source: International Orthopaedics - November 14, 2016 Category: Orthopaedics Source Type: research

Are advanced three-dimensional imaging studies always needed to measure the coronal knee alignment of the lower extremity?
ConclusionsOrthopaedic surgeons should assess lower extremity alignment in standing position, with enough exposure of the extremity to find severe alignment or rotational deformities, and consider advanced 3D images of those patients who have them. Otherwise, HKA angle can be measured with good accuracy with 2D techniques.Level of EvidenceLevel-III diagnostic. (Source: International Orthopaedics)
Source: International Orthopaedics - November 14, 2016 Category: Orthopaedics Source Type: research

In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique
The objective of this study was to compare the in-hospital costs of this technique to all other THRs performed in a large hospital system in the United States.MethodsThe costing database for a large hospital system was retrospectively searched for all in-hospital costs associated with primary THRs performed between January 2013 and September 2015. Data for all SuperPath THRs (group A) were compared to that of all other THRs performed at centres within the hospital system (group B).ResultsUse of the SuperPath technique resulted in significant overall in-hospital cost reductions of 15.0  % (p 
Source: International Orthopaedics - November 12, 2016 Category: Orthopaedics Source Type: research

Highly crosslinked polyethylene: a safe alternative to conventional polyethylene for dual mobility cup mobile component. A biomechanical validation
ConclusionThis biomechanical study suggests that XLPE in DMC could be a safe alternative to conventional UHMWPE regarding the generation of cracks in the retentive area related to the femoral head snap-fit. (Source: International Orthopaedics)
Source: International Orthopaedics - November 11, 2016 Category: Orthopaedics Source Type: research

Topical versus intravenous tranexamic acid in total knee arthroplasty: a meta-analysis of randomized controlled trials
ConclusionOur meta-analysis of 16 RCTs revealed that both topical TXA and intravenous TXA are effective in reducing blood loss and transfusion rates in patients who underwent TKA. (Source: International Orthopaedics)
Source: International Orthopaedics - November 11, 2016 Category: Orthopaedics Source Type: research

In total hip arthroplasty via the direct anterior approach, a dual-mobility cup prevents dislocation as effectively in hip fracture as in osteoarthritis
ConclusionTHA with the DMC using the DAA was as effective for femoral neck facture as it was for elective THA in patients with osteoarthritis. (Source: International Orthopaedics)
Source: International Orthopaedics - November 11, 2016 Category: Orthopaedics Source Type: research

Silver-coated endoprosthetic replacement of the proximal humerus in case of tumour —is there an increased risk of periprosthetic infection by using a trevira tube?
ConclusionsReplacement of the proximal humerus by using a trevira tube in combination with a modular tumour endoprosthesis is a safe and viable treatment option for both, bone tumours and metastases. There is no statistically significant increased risk of infection by using trevira tube even among immunosuppressed patients.Level of evidenceLevel 3, retrospective comparative study (Source: International Orthopaedics)
Source: International Orthopaedics - November 9, 2016 Category: Orthopaedics Source Type: research

Matrix based autologous chondrocyte implantation in children and adolescents: a match paired analysis in a follow-up over three years post-operation
AbstractPurposeThe aim of this study is the investigation of the clinical results after third generation autologous chondrocyte implantation in the knee in a follow-up over three years post-operation. Our primary focus is on the effects of this procedure on children and adolescent patients as there is a lack of knowledge regarding the clinical outcomes in children/adolescents in particular when compared with adults.MethodsA total of 40 patients (43 defects)
Source: International Orthopaedics - November 8, 2016 Category: Orthopaedics Source Type: research