The outcomes of stand alone polyetheretherketone cages in anterior cervical discectomy and fusion
AbstractThe procedure of anterior cervical discectomy and fusion is considered as the treatment of choice in degenerative disc disease, which material provides the best clinical and radiological fusion and other outcomes remains heavily debated. Materials that augment the process of fusion consist of bone grafting, titanium, polyetheretherketone (PEEK), or carbon cages. The application of PEEK cages has been recommended as it is radiolucent, and it has a modulus of elasticity that is similar to cortical bone. PEEK cages can be either filled with various materials or unfilled cages. Filled PEEK cages can include bone autogr...
Source: International Orthopaedics - August 16, 2020 Category: Orthopaedics Source Type: research

Shoulder proprioception following reverse total shoulder arthroplasty
ConclusionShoulders following rTSA show JPS superior to non-operated contralateral shoulders and comparable with healthy population shoulders. It seems that rTSA restores shoulder proprioception. (Source: International Orthopaedics)
Source: International Orthopaedics - August 15, 2020 Category: Orthopaedics Source Type: research

Ten-year retrospective review of paediatric septic arthritis in a New Zealand centre
ConclusionThe incidence of paediatric septic arthritis in New Zealand is concerningly high within M āori and Pacific populations. Future health interventions should consider environmental, socioeconomic, and microbiological trends in the burden of disease. (Source: International Orthopaedics)
Source: International Orthopaedics - August 15, 2020 Category: Orthopaedics Source Type: research

A modified all-inside arthroscopic remnant-preserving technique of lateral ankle ligament reconstruction: medium-term clinical and radiologic results comparable with open reconstruction
AbstractBackgroundThe aim of this study was to compare clinical and radiologic outcomes of a modified all-inside arthroscopic remnant-preserving technique of lateral ankle ligament reconstruction with traditional open reconstruction.MethodsFrom January 2012 and March 2016, 60 eligible patients with chronic lateral ankle instability (CLAI) received all arthroscopic remnant-preserving reconstruction or open reconstruction of the anterior talofibular ligament and calcaneofibular ligament using semitendinosus autograft. They were divided into the arthroscopic group (n = 28) and the open group (n = 32). The American Orthopaedic...
Source: International Orthopaedics - August 15, 2020 Category: Orthopaedics Source Type: research

Letter to the editor regarding “Bone marrow lesion on magnetic resonance imaging indicates the last chance for hip osteonecrosis treated with vascularized fibular grafting before collapse”
(Source: International Orthopaedics)
Source: International Orthopaedics - August 12, 2020 Category: Orthopaedics Source Type: research

Microbiological diagnosis of intramedullary nailing infection: comparison of bacterial growth between tissue sampling and sonication fluid cultures
ConclusionSonication fluid and tissue samples presented similar accuracy on the diagnosis of IMNI, but SC was advantageous of detecting polymicrobial infection. (Source: International Orthopaedics)
Source: International Orthopaedics - August 11, 2020 Category: Orthopaedics Source Type: research

Outcomes of combined hip procedure with dual mobility cup versus osteosynthesis for acetabular fractures in elderly patients: a retrospective observational cohort study of fifty one patients
ConclusionsDM-CHP leads to similar functional outcomes and less revision than ORIF. This study strengthens the practice of using only the posterior approach for primary THA in the elderly. Dual mobility is a valid therapeutic option for acetabular fractures in elderly patients. (Source: International Orthopaedics)
Source: International Orthopaedics - August 9, 2020 Category: Orthopaedics Source Type: research

Does cognitive behavioral education reduce pain and improve joint function in patients after total knee arthroplasty? A randomized controlled trial
ConclusionsThe CBT program was superior to usual care in reducing post-operative pain during activity from the fifth day to the third month and pain catastrophing in the first three months after TKA but has no statistically significantly differences in pain during rest, knee ROM, EQ-5D, OKS, and HSS.Trial registrationCurrent Controlled Trials ChiCTR2000032857, date of registration: May, 14, 2020, retrospectively registered. (Source: International Orthopaedics)
Source: International Orthopaedics - August 8, 2020 Category: Orthopaedics Source Type: research

Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology
AbstractPurposeTo analyse the impact of prolonged mandatory lockdown due to COVID-19 on hip fracture epidemiology.MethodsRetrospective case-control study of 160 hip fractures operated upon between December 2019 and May 2020. Based on the date of declaration of national lockdown, the cohort was separated into two groups: ‘pre-COVID time’ (PCT), including 86 patients, and ‘COVID time’ (CT), consisting of 74 patients. All CT patients tested negative for SARS-CoV-2. Patients were stratified based on demographic characteristics. Outcome measures were 30-day complications, readmissions and mortality. A lo...
Source: International Orthopaedics - August 8, 2020 Category: Orthopaedics Source Type: research

Hindfoot blast injuries caused by improvised explosive devices: long-term functional assessment in French military personnel
ConclusionIn this series, long-term functional results appear better in the amputated group. (Source: International Orthopaedics)
Source: International Orthopaedics - August 8, 2020 Category: Orthopaedics Source Type: research

Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age
ConclusionOutcome in combined dislocation of knee and hip is good in most cases with surgical interventions. The outcome is better in children with ligamentous laxity. Spontaneous reduction of the dislocated hips might be achieved after gaining knee flexion following knee surgery for congenital the knee in a few cases. (Source: International Orthopaedics)
Source: International Orthopaedics - August 8, 2020 Category: Orthopaedics Source Type: research

Outpatient surgery in patients with ankle fractures minimises hospital admissions and utilisation of healthcare resources
ConclusionStrategic outpatient management of acute closed ankle fractures is associated with acceptable rates of unplanned emergency department visits, hospital readmissions, and SSIs. In the context of the recent SARS-CoV-2 outbreak, outpatient management of these injuries may aide in the mitigation of nosocomial infections and the preservation of finite healthcare resources. (Source: International Orthopaedics)
Source: International Orthopaedics - August 8, 2020 Category: Orthopaedics Source Type: research

Clinical outcomes after medial patellofemoral ligament reconstruction: an analysis of changes in the patellofemoral joint alignment
ConclusionsThe post-operative outcomes of MPFL reconstruction for recurrent patellar dislocation were favourable. Insufficient union between the bone tunnel and tendon graft, along with an elongation of the necrotic tendon graft, may change the alignment of the patellofemoral joint within three  months after the operation. Therefore, we believe it is necessary to refrain from knee rotation that places lateral stress on the patella until three months after the operation. (Source: International Orthopaedics)
Source: International Orthopaedics - August 7, 2020 Category: Orthopaedics Source Type: research

Risk factors of thigh pain following total hip arthroplasty with short, tapered-wedge stem
ConclusionRisk factors of pain following THA with short, tapered-wedge stem were high activity level, Dorr type C femoral bone shape, and stem tip contacting the distal bone surface. Moreover, post-operative cortical hypertrophy at the distal stem tip significantly increased the incidence of thigh pain. Therefore, we must pay attention to the aforementioned factors to avoid post-operative thigh pain when using a short, tapered-wedge stem. (Source: International Orthopaedics)
Source: International Orthopaedics - August 7, 2020 Category: Orthopaedics Source Type: research

Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma
ConclusionLessons for the future include potentially large numbers of upper limb mal-unions which may be symptomatic. The non-union rate is likely to be the same, but these patients are unknown due to lack of late imaging. Telemedicine certainly has a role in future orthopaedic management as it is well tolerated and efficient and provides economic and environmental benefits to both clinicians and patients. (Source: International Orthopaedics)
Source: International Orthopaedics - August 7, 2020 Category: Orthopaedics Source Type: research

Transtendinous approach calcaneoplasty versus endoscopic calcaneoplasty for Haglund ’s disease
In this study, we performed a comparison between open calcaneoplasty through transtendinous approach and endoscopic calcaneoplasty for Haglund ’s disease.MethodsA retrospective review was performed of patients who had undergone either a calcaneoplasty with transtendinous approach or endoscopic for Haglund ’s disease from three centres. Inclusion criteria were patients with Haglund’s disease confirmed radiographically, neutral alignment of the hindfoot and at least one year of follow-up. Patients were excluded in case of ipsilateral ankle osteoarthritis or other neighbouring joints, previous foot surgery, ...
Source: International Orthopaedics - August 7, 2020 Category: Orthopaedics Source Type: research

Coronavirus disease 2019 pandemic: should we delay cartilage regenerative procedures and accept the consequences, or can we find a new normality?
AbstractThe COVID-19 pandemic changed elective surgery routine. During the initial spread of the novel coronavirus, elective surgery has been stopped and only emergency and trauma and oncologic procedures were allowed. Following the decrease of the contagion curve, elective surgery is slowly being recovered. The hospitals should create a pre-hospitalization path to identify possible infected patient and further postpone surgery. In this setting, cartilage repair surgery should not be neglected, because this could potentially lead to an increase of patients needing major joint replacement surgery. (Source: International Orthopaedics)
Source: International Orthopaedics - August 7, 2020 Category: Orthopaedics Source Type: research

Evaluation of myeloperoxidase in synovial fluid as a biomarker for chronic periprosthetic joint infection
AbstractPurposeThere is no single biomarker that can perfectly diagnose periprosthetic joint infection (PJI). As diagnosing PJI remains a major challenge, accurate and rapid development of a biomarker is required. Myeloperoxidase (MPO) is a bactericidal enzyme that acts against pathogenic microorganisms, such as those found in PJI. We aimed to determine whether elevated MPO levels could be detected in infected synovial fluid and to evaluate its utility as a biomarker for diagnosing chronic PJI.MethodsPatients who underwent revision total joint arthroplasty were categorised into two groups according to the criteria of the s...
Source: International Orthopaedics - August 6, 2020 Category: Orthopaedics Source Type: research

Is coating of titanium implants effective at preventing Staphylococcus aureus infections? A meta-analysis of animal model studies
AbstractAim of the studyTo assess the effects of the available coating methods against methicillin-resistantStaphylococcus aureus (MRSA) and methicillin-susceptibleS. aureus (MSSA) biofilm development on titanium implants.MethodsWe searched the MEDLINE, Embase, and CENTRAL databases until May 18, 2019, for studies that used animal models of infections to evaluate various titanium implant coating methods to preventS. aureus infection. Twenty-seven studies were eligible for inclusion in qualitative synthesis. Of those, twenty-three were considered in pair-wise meta-analysis. In addition, subgroup analysis of implant protecti...
Source: International Orthopaedics - August 6, 2020 Category: Orthopaedics Source Type: research

Distal femoral valgus cut angle in degenerative varus knees of an Arabic population
This study aimed to determine the natural distribution of the distal femoral valgus cut angle (VCA) among an Arabic population; the percentage of patients whose VCA fell within the range of 5 –6°; and whether demographic variables, severity of the pre-operative varus, and morphological femoral parameters would correlate with the VCA. To our knowledge, VCA measurement of degenerative varus knees among an Arabic population has not been reported previously in the literature.MethodsA total of 492 knees (246 patients) were included. The VCA was measured on pre-operative hip-to-ankle radiographs according to a standard...
Source: International Orthopaedics - August 5, 2020 Category: Orthopaedics Source Type: research

Flexor tendon repair with amniotic membrane
ConclusionsHAM wrap around the tendon repair site resulted in quicker function and qualitatively better tendon healing on ultrasound, with a decrease of the biologic response. (Source: International Orthopaedics)
Source: International Orthopaedics - August 4, 2020 Category: Orthopaedics Source Type: research

Amid COVID-19 pandemic —an innovative use of local resources to substitute the need for specialized operation theatre tables for orthopaedic and trauma surgery
AbstractPelvic-acetabulum and spine surgery  are two important constituents of complex trauma surgery and require a gamut of resources for fracture management. In the pandemic crisis of COVID-19 where existing health care resources are scarce and a major section of health care infrastructure has been assigned to fight against it, the compro mised and less equipped health care facility is left to tackle the ongoing presentation of complex trauma surgery. One major challenge faced to manage these complex procedures is the availability of specialized radiolucent operation tables as even the apex level health ca...
Source: International Orthopaedics - August 3, 2020 Category: Orthopaedics Source Type: research

Lateral tibial plateau fractures —functional outcomes and complications after open reduction and internal fixation
ConclusionLateral tibial plateau fractures are severe intra-articular injuries which can leave lasting consequences, regardless of the restoring of the articular surface and stable internal fixation. Local skin condition and associated soft tissue injuries, comminution, degree of dislocation, and depression can significantly affect the development of post-traumatic osteoarthritis and poor outcomes. (Source: International Orthopaedics)
Source: International Orthopaedics - August 1, 2020 Category: Orthopaedics Source Type: research

Critical adjustments in a department of orthopaedics through the COVID-19 pandemic
ConclusionDetailed protocols should be standardized for surgical departments during the pandemic. This paper offers a general view in how this virus affects an orthopaedic unit and could serve as a protocol and example for orthopaedic and trauma units. Even in the worst scenario, an orthopaedic and trauma unit could offer an effective, efficient, and quality service. SARS-CoV-2 will set up a new paradigm for health care in orthopaedics and trauma. (Source: International Orthopaedics)
Source: International Orthopaedics - July 25, 2020 Category: Orthopaedics Source Type: research

The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war
ConclusionsCovid-19 outbreak showed a tremendous impact on all orthopaedic trauma activities throughout the country except for the surgical treatment of femoral neck fractures, which, although reduced, did not change in percentage within the analysed timeframe. (Source: International Orthopaedics)
Source: International Orthopaedics - July 25, 2020 Category: Orthopaedics Source Type: research

Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China
ConclusionThese findings highlighted the importance of primary prevention (home prevention) measures and could be used for references for individuals, health care providers, or health administrative department during the global pandemic of COVID-19. (Source: International Orthopaedics)
Source: International Orthopaedics - July 25, 2020 Category: Orthopaedics Source Type: research

Management of post septic sequelae of hips with dislocation in children
ConclusionsOpen reduction potentially alters the natural history of post septic sequelae of hips with dislocation and contributes to better hip mechanics and function. (Source: International Orthopaedics)
Source: International Orthopaedics - July 24, 2020 Category: Orthopaedics Source Type: research

Effects of morphine on peri-articular infiltration analgesia in total knee arthroplasty: a prospective, double-blind, randomized controlled trial
ConclusionAdding morphine into the analgesic cocktail of PIA could reduce postoperative morphine consumption in TKA patients, but does not improve early pain relief or accelerate functional recovery or provide clinical benefits for TKA patients. In addition, the complications and safety of peri-articular morphine infiltration need to be further investigated in larger sample studies. (Source: International Orthopaedics)
Source: International Orthopaedics - July 24, 2020 Category: Orthopaedics Source Type: research

Clinical characteristics, treatment, and prognosis of squamous cell carcinoma arising from extremity chronic osteomyelitis: a synthesis analysis of one hundred and seventy six  reported cases
ConclusionsSCC arising from extremity COM favoured males and the tibia. Although limb amputation was the mainstay of treatment, the overall incidences of local recurrence, metastasis, and SCC-related death exceeded 10%. Patients with local lymphadenopathy at diagnosis of SCC and those with moderately-to-poorly differentiated SCC types should be followed up closely.Trial registrationCRD42020154221 (Source: International Orthopaedics)
Source: International Orthopaedics - July 23, 2020 Category: Orthopaedics Source Type: research

Effects of surgeon experience and patient characteristics on accuracy of digital pre-operative planning in total hip arthroplasty
AbstractBackgroundThe effect of surgeon experience on accuracy of digital pre-operative planning for total hip arthroplasty (THA) remains unclear. The aims of our study were to compare pre-operative planning accuracy between fellow-trained orthopaedic surgeons and residents and to explore whether surgery indication effects the prediction accuracy.MethodsWe prospectively reviewed 101 patients who underwent pre-operative digital templating for THA in our center from January 2019 to January 2020 with King Mark device. Extracted data included baseline characteristics and indication for primary arthroplasty. Pre-operative digit...
Source: International Orthopaedics - July 22, 2020 Category: Orthopaedics Source Type: research

Hip survival after plain core decompression alone versus bone morphogenetic protein and/or bone marrow reinjection with core decompression for avascular osteonecrosis of the femoral head: a retrospective case control study in ninety two patients
AbstractIntroductionInjecting bone marrow or bone morphogenetic protein 7 (BMP) during core decompression for avascular osteonecrosis (AVN) may improve survival. We hypothesized that adding a complementary technique (injection of BMP and/or non-concentrated bone marrow) to core decompression would reduce the number of patients requiring a subsequent total hip arthroplasty (THA).MethodsWe retrospectively reviewed 92 cases from 2003 to 2018 with a minimum of 2 years of follow-up and an average follow-up of 64 months (24 –204). Twenty-four patients had a core decompression (CD) (26.1% (24/92)), 25 had a CD associated wi...
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Retrograde intramedullary nailing below a hip arthroplasty prosthesis: a viable fixation option for periprosthetic and interprosthetic femur fractures
AbstractBackgroundPeriprosthetic femur fractures (PPFF) distal to a femoral stem are traditionally treated with open reduction and internal fixation (ORIF) with plate and screws. To our knowledge, no studies exist comparing outcomes following ORIF vs retrograde intramedullary nails (RIMN) for this injury.MethodsThis is a retrospective comparison of PPFFs distal to a femoral stem treated by ORIF (n = 17) vs RIMN (n = 13). The primary outcome was unplanned re-operation.ResultsThere was no difference in unplanned re-operation (17.6 vs 23.1%,p> 0.99), infection, nonunion, refracture, and alignment between groups. The RIMN g...
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Evaluation of containment measures ’ effect on orthopaedic trauma surgery during the COVID-19 pandemic: a retrospective comparison between 2019 and 2020
AbstractBackgroundThere is no available information about the effect of containment measures on trauma surgery activity. The aim of this study was to analyse and report the containment measures ’ impact on trauma surgery activity during the COVID-19 pandemic in order to quickly react and adjust in case of a new sanitary crisis and containment.MethodsAn original epidemiological study was performed in our trauma centre in France. Data from trauma surgeries performed during the pre-containment (from March 1 to March 16, 2020), containment (from March 17 to April 17, 2020) and reference (from March 1 to April 17, 2019) p...
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe
ConclusionsThe SARS-CoV-2 pandemic significantly affected orthopaedic and trauma training in Europe. Most trainees felt the decrease in clinical, surgical, and educational activities would have a detrimental effect on their training. Many of them consulted remote learning options to compensate training impairment, stating that after the COVID-19 pandemic electronic educational approaches may become more relevant in future. (Source: International Orthopaedics)
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Supracondylar humerus fractures in low- and lower middle-income countries: a scoping review of the current epidemiology, treatment modalities, and outcomes
ConclusionsOur data show a predominance of small level IV studies from LICs, with few studies of higher level of evidence. Many studies examined controversies with surgical technique, similar to studies performed in high-income countries. Few studies examined non-operative treatment, which is commonly the predominant treatment available for patients in LICs. Further investigation of common treatment modalities and outcomes for SCH fractures in LICs is needed. (Source: International Orthopaedics)
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Induced membrane technique with sequential internal fixation: use of a reinforced spacer for reconstruction of infected bone defects
ConclusionsSequential internal fixation using a reinforced cement spacer seems to be a valuable option for avoiding external fixation between IMT steps and limiting the recurrence of infection. (Source: International Orthopaedics)
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Professor Jacinto Monteiro 1949 - 2020
(Source: International Orthopaedics)
Source: International Orthopaedics - July 21, 2020 Category: Orthopaedics Source Type: research

Letter to the editor regarding “Safety of one-stage bilateral total knee arthroplasty -one surgeon sequential vs. two surgeons simultaneous: a randomized controlled study”
(Source: International Orthopaedics)
Source: International Orthopaedics - July 20, 2020 Category: Orthopaedics Source Type: research

Reaching a new ‘normal’ after COVID pandemic and orthopaedic implications
(Source: International Orthopaedics)
Source: International Orthopaedics - July 20, 2020 Category: Orthopaedics Source Type: research

Post-COVID-19 return to elective orthopaedic surgery —is rescheduling just a reboot process? Which timing for tests? Is chest CT scan still useful? Safety of the first hundred elective cases? How to explain the “new normality health organization” to patients?
ConclusionsResumption of elective surgical procedures appears more difficult for patients than for surgeons with a low percentage of cancelled patients accepting to reschedule surgery. Universal testing allowed securing patients; however, surgeons must explore  better patient perceptions regarding COVID-19 to facilitate a fully informed decision in the current period. (Source: International Orthopaedics)
Source: International Orthopaedics - July 19, 2020 Category: Orthopaedics Source Type: research

Kirschner wire versus Herbert screw fixation for the treatment of unstable scaphoid waist fracture nonunion using corticocancellous iliac bone graft: randomized clinical trial
ConclusionUsing of multiple Kirschner wires as a fixation method for unstable scaphoid waist fracture nonunion that was treated by open reduction and corticocancellous iliac bone grafting had a shorter operative time and lower cost as compared with the Herbert screw fixation. Herbert screw fixation was technically more demanding in terms of technique than K-wires. However, because of easy application of Kirschner wires, and low cost, especially in developing countries, it may be a good alternative to Herbert screw. (Source: International Orthopaedics)
Source: International Orthopaedics - July 19, 2020 Category: Orthopaedics Source Type: research

Analysis of the effects of arthrodesis of the hallux metatarsophalangeal joint on gait cycle: results of a GAITRite ® treadmill test
ConclusionsMTP joint arthrodesis does not appear to have any effect on the walking cycle, but reduced patient pain and increased the walking distance. The patients reported satisfaction with the surgical outcomes and would recommend it to a relative with the same pathology. (Source: International Orthopaedics)
Source: International Orthopaedics - July 18, 2020 Category: Orthopaedics Source Type: research

Economic implications of decreased elective orthopaedic and musculoskeletal surgery volume during the coronavirus disease 2019 pandemic
ConclusionCancellation of elective MSK surgery for 8  weeks during the COVID-19 pandemic has substantial economic implications on the US hospital system. (Source: International Orthopaedics)
Source: International Orthopaedics - July 17, 2020 Category: Orthopaedics Source Type: research

Combined use of tranexamic acid and rivaroxaban in posterior lumbar interbody fusion safely reduces blood loss and transfusion rates without increasing the risk of thrombosis —a prospective, stratified, randomized, controlled trial
AbstractPurposeThis prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combination of tranexamic acid (TXA) and rivaroxaban.MethodsThe Autar score was evaluated in patients after admission. Patients with an Autar score  ≤ 10 were randomized to group A or B. Group A was the placebo-controlled group. Patients in group B were treated with 1 g TXA via intrave...
Source: International Orthopaedics - July 17, 2020 Category: Orthopaedics Source Type: research

No reduced patellar loading with latest-generation cruciate-retaining total knee arthroplasty —a comparative study of Attune and Press-Fit Condylar®
ConclusionNo significant improvement in terms of in vivo patellar bone stress was seen with the latest-generation CR-TKA system. The increased bone stress at the non-articular lateral patellar quadrants of the Attune could be due to higher stabilising quadriceps forces. (Source: International Orthopaedics)
Source: International Orthopaedics - July 17, 2020 Category: Orthopaedics Source Type: research

Postero-posterolateral approach in total hip arthroplasty
ConclusionThe straightforwardness and reproducibility of the anatomical landmarks used for the postero-posterolateral approach, added to the stability of the dual mobility cup, result in a safe combination in the therapeutic THA arsenal. (Source: International Orthopaedics)
Source: International Orthopaedics - July 17, 2020 Category: Orthopaedics Source Type: research

An evaluation of the results of locked plate osteosynthesis applied without the use of bone graft in Sanders type III and IV intra-articular calcaneus fractures
AbstractPurposeThe clinical and radiological results of locked plate osteosynthesis with an extensive lateral approach without bone graft in Sanders type III and IV intra-articular calcaneus fractures and the factors affecting these results were evaluated retrospectively.MethodsA total of 61 patients with Sanders type 3 and 4 calcaneus fractures who underwent a lateral approach with locked plate osteosynthesis were included in the study. The mean follow-up was 44.8 months.ResultsThe mean pre- and post-operative Gissane and Bohler ’s angles were 113.5° ± 13.9° and 106.7° ± 13.6° (p = 0.00...
Source: International Orthopaedics - July 16, 2020 Category: Orthopaedics Source Type: research

Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic
AbstractPurposeThe outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic.MethodsThis retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age,...
Source: International Orthopaedics - July 16, 2020 Category: Orthopaedics Source Type: research

Were protective procedures against SARS-CoV-2 effective in an orthopaedic and trauma centre during the lockdown period? A retrospective study
ConclusionThe COVID-19 epidemic has been a challenge for organization and adaptation to manage all COVID-19 positive and COVID negative. Through this study, we wanted to assess our procedures taken. They had been effective due to the low number of contamination and complications. (Source: International Orthopaedics)
Source: International Orthopaedics - July 16, 2020 Category: Orthopaedics Source Type: research

COVID-19 pandemic: management of patients affected by SARS-CoV-2 in Rome COVID Hospital 2 Trauma Centre and safety of our surgical team
ConclusionsMore studies are needed to provide a higher statistical significance to the safety measures taken in order to contrast the spread of SARS-CoV-2 in the Surgical Room. Orthopaedic surgeons are more exposed to the contagion due to the particular tools set they use. A more sensible and specific quick test for novel Coronavirus is particularly needed, due to the lack of sensitivity of the serological rapid test. (Source: International Orthopaedics)
Source: International Orthopaedics - July 15, 2020 Category: Orthopaedics Source Type: research