Outcomes of rotating versus pure hinge knee arthroplasty in the setting of one-stage exchange for periprosthetic joint infection
ConclusionThe use of hinge TKA in the revision of PJI shows favourable five year infection-free and all-cause revision-free survival rates of 91% and 77%, respectively. Our study showed poorer results of the rotating hinge design. These results may help surgeons to choose proper implants in case of septic knee revision. (Source: International Orthopaedics)
Source: International Orthopaedics - April 1, 2024 Category: Orthopaedics Source Type: research
Letter to the editor regarding the article “Disability-adjusted life years from bone and joint infections associated with antimicrobial resistance: an insight from the 2019 Global Burden of Disease Study”
(Source: International Orthopaedics)
Source: International Orthopaedics - April 1, 2024 Category: Orthopaedics Source Type: research
Meniscus root tears: state of the art
AbstractBackgroundMeniscus root tears represent significant pathology that, historically, has been underdiagnosed and undertreated. However, the recognition of their clinical and functional significance has recently surged, mainly due to their frequent association with anterior cruciate ligament injuries.AimThis comprehensive review discusses various aspects of meniscal root tears, including their epidemiology, biomechanics, etiology, clinical and radiological findings, classification, management and surgical techniques. (Source: International Orthopaedics)
Source: International Orthopaedics - March 13, 2024 Category: Orthopaedics Source Type: research
Restoration of constitutional alignment optimizes outcomes of computer navigated total knee arthroplasty: a prospective randomized controlled trial
ConclusionComputer navigated TKA allows for restoration of constitutional alignment and minimizes soft tissue release, which when compared to mechanical alignment may be associated with superior early outcomes. (Source: International Orthopaedics)
Source: International Orthopaedics - March 13, 2024 Category: Orthopaedics Source Type: research
Letter to the Editor: “Prospective study of functional outcomes and return to sports after anterior cruciate ligament reconstruction in the knee”
(Source: International Orthopaedics)
Source: International Orthopaedics - March 11, 2024 Category: Orthopaedics Source Type: research
Safety and effectiveness of the three-dimensional-printed guide plate-assisted rotation axis positioning of a hinged external fixator for the elbow
ConclusionUtilizing 3D-printed guide plates for positioning the rotation axis of an elbow-hinged external fixator significantly reduced intra-operative positioning pin placement time and the number of fluoroscopies with excellent positioning results. Satisfactory results were also obtained in terms of post-operative complications, elbow ROM, and functional scores. (Source: International Orthopaedics)
Source: International Orthopaedics - March 7, 2024 Category: Orthopaedics Source Type: research
Cast versus Kirschner wire fixation in type II paediatric phalangeal neck fractures
ConclusionsConservative and surgical treatments are both reliable and safe approaches for managing type II PPNF in children. However, conservatively treated patients generally experience similar radiographic outcomes, lower complication rates, and better functional outcomes than surgically treated ones. (Source: International Orthopaedics)
Source: International Orthopaedics - March 5, 2024 Category: Orthopaedics Source Type: research
Experimental periprosthetic fractures with collarless polished tapered cemented stems
ConclusionThe impact tests demonstrated that the conditions that were less likely to cause PPFs were use of Ti, a smooth surface, a thick cement mantle, and probably, use of SUS. (Source: International Orthopaedics)
Source: International Orthopaedics - March 5, 2024 Category: Orthopaedics Source Type: research
Fused hip conversion to total hip arthroplasty with the direct anterior approach: surgical technique on a regular surgical table under fluoroscopic guidance
ConclusionConversion from hip fusion to THA is a rare and complex procedure. The use of DAA with a standard table and fluoroscopy helps to avoid high complications since it allows a dynamic intra-operative examination of the range of motion to rule out impingements, reduces the risk of dislocation, and allows leg lengthening verification. (Source: International Orthopaedics)
Source: International Orthopaedics - March 4, 2024 Category: Orthopaedics Source Type: research
Factors that influence medical students ’ decision to pursue a career in orthopaedics: a comprehensive analysis
ConclusionThis study examines the factors that influence medical students ’ career preferences in orthopaedic surgery, highlighting the significance of familial and peer influences, job prestige perceptions, gender considerations, parental involvement, elective rotations, research and teaching potential assessments, and aspirations for leadership roles. These findings r eveal the complex array of factors that guide medical students toward orthopaedic surgery. (Source: International Orthopaedics)
Source: International Orthopaedics - March 4, 2024 Category: Orthopaedics Source Type: research
The relevance of knee arthroscopy photographs in medicolegal proceedings
ConclusionInter-observer reliability of arthroscopic knee diagnoses is poor when photographs alone are used. In the event of a legal investigation following knee arthroscopy, the photographs included in the operative report should not be used alone to hold the surgeon liable. (Source: International Orthopaedics)
Source: International Orthopaedics - March 2, 2024 Category: Orthopaedics Source Type: research
Comments on article by Arbash M et al.: Incidence, risk factors, and prognosis of sciatic nerve injury in acetabular fractures: a retrospective cross ‑sectional study
(Source: International Orthopaedics)
Source: International Orthopaedics - March 2, 2024 Category: Orthopaedics Source Type: research
The association between refractory plantar fasciitis and insertional Achilles tendinopathy and peripheral spondyloarthritis: a report of human leukocyte antigen B-27 investigation and treatment outcome
ConclusionsAmong the patients with “refractory” plantar fasciitis and insertional Achilles tendinopathy, 17.5% were diagnosed with peripheral spondyloarthritis. Patients diagnosed with peripheral spondyloarthritis had a higher proportion of men and relatively younger mean age compared to those without the diagnosis. Approximately 70% of these patients achieved symptom improvement in foot and ankle joints by taking conventional synthetic DMARDs, TNF-α inhibitors, or both appropriate for spondyloarthritis. (Source: International Orthopaedics)
Source: International Orthopaedics - March 1, 2024 Category: Orthopaedics Source Type: research
Hypersensitivity to metals in metal-on-metal hip arthroplasty: a prospective study of one hundred and thirty five lymphocyte transformation tests
ConclusionWe were unable to prove any predictive value of the LTT. We failed to identify hypersensitivity to metals in patients with metal-on-metal hip resurfacing arthroplasty. (Source: International Orthopaedics)
Source: International Orthopaedics - March 1, 2024 Category: Orthopaedics Source Type: research
Impact of the coronavirus disease 2019 pandemic on equity of access to hip and knee replacements: a population-level study
ConclusionThe most important finding of this population-level database study is that, compared to before the COVID-19 pandemic, there has been a change in the profile of patients undergoing hip and knee replacements in Ontario, specifically across a range of indicators. Fewer marginalized patients are undergoing joint replacement surgery since the COVID-19 pandemic. Further monitoring of access to joint replacement surgery is required in order to ensure that surgery is provided to those who are most in need. (Source: International Orthopaedics)
Source: International Orthopaedics - March 1, 2024 Category: Orthopaedics Source Type: research
