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

Impact of the COronaVIrus Disease 2019 lockdown on hand and upper limb emergencies: experience of a referred university trauma hand centre in Paris, France centre in Paris, France
AbstractPurposeThe lockdown imposed in France to cope with the COronaVIrus Disease 2019 (COVID-19) outbreak has led to major changes in the lifestyle of French citizens. The aim of our study was to study its impact on activity related to emergencies in hand and upper limb trauma in comparison to the same reference period in 2019.Material and methodsAll consecutive patients consulting for upper limb injury requiring urgent care at Georges-Pompidou European Hospital (HEGP), France, during the lockdown period (case group) and the equivalent period in 2019 (control group) were included. In each group, the type of accident, the...
Source: International Orthopaedics - June 2, 2020 Category: Orthopaedics Source Type: research

Risk factors for failed closed reduction in dislocated developmental dysplastic hips
ConclusionExclusive enlargement of the femoral head is a risk factor for unsuccessful reduction and its ratio to the acetabular opening surface is predictive for CR success in DDH. (Source: International Orthopaedics)
Source: International Orthopaedics - June 1, 2020 Category: Orthopaedics Source Type: research

Does posterior tibial slope affect the results of conservative treatment for anterior cruciate ligament tears?
ConclusionsThe patients with successful results after conservative management had a lower mean PTS than those with failed conservative treatment (8.3 ° vs. 10.2°,p = 0.03). The failure of conservative treatment after ACL tear was found to be associated with increased PTS. (Source: International Orthopaedics)
Source: International Orthopaedics - June 1, 2020 Category: Orthopaedics Source Type: research

Acetabular cup migration after primary cementless total hip arthroplasty in rheumatoid arthritis and its influencing factors: a comparative study with osteoarthritic hip
ConclusionsAcetabular cups in primary cementless THAs of RA patients were less stable in terms of cup migration compared with that of OA patients. (Source: International Orthopaedics)
Source: International Orthopaedics - May 30, 2020 Category: Orthopaedics Source Type: research

Functional outcome after corrective osteotomy for malunion of the distal radius: a randomised, controlled, double-blind trial
AbstractPurposeThe purpose of this randomised, controlled, double-blind trial was to evaluate functional outcome during the first year after corrective osteotomy for malunited distal radius fractures, with or without filling the osteotomy void.MethodPatients were randomised to receive a HydroSet bone substitute or no graft. Cortical contact was maintained and stabilisation of the osteotomy was carried out with a DiPhos R- or RM Plate. To evaluate subjective functional outcome, the Patient-Rated Wrist Evaluation (PRWE), the Quick Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH), the Canadian Occupational Pe...
Source: International Orthopaedics - May 29, 2020 Category: Orthopaedics Source Type: research

Pandemic response protocol of a non-frontline specialty in a multispecialty tertiary health care centre —a pilot model in orthopaedics
ConclusionPREP as an integrated pragmatic approach is essential in containing pandemics as they need international cooperation at various levels starting from knowledge sharing to monetary support. PREP which is in line with the WHO action plan, will be an essential minimum response of a non-frontline pandemic response specialty like orthopedics to combat and curtail the effects of a pandemic in a multispecialty tertiary health care centre. (Source: International Orthopaedics)
Source: International Orthopaedics - May 29, 2020 Category: Orthopaedics Source Type: research

A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures
ConclusionsWe introduced a novel clinical pathway for pre-operatively screening of COVID-19 in traumatic orthopaedic patients. The delay in surgery caused by COVID-19 screening was minimized to a point at which reasonable and acceptable clinical outcomes were achieved. Doctors should pay more attention to perioperative complications, such as cardiovascular complications, venous thromboembolism, pneumonia and fever. (Source: International Orthopaedics)
Source: International Orthopaedics - May 28, 2020 Category: Orthopaedics Source Type: research

Challenges and response in the medical management of the orthopaedic department during the coronavirus disease 2019 pandemic: strategies in Wuhan, China
ConclusionThese experiences and strategies could help orthopedists to work safely and effectively, and prevent nosocomial infections during the global pandemic of COVID-19. (Source: International Orthopaedics)
Source: International Orthopaedics - May 28, 2020 Category: Orthopaedics Source Type: research

Deep learning COVID-19 detection bias: accuracy through artificial intelligence
ConclusionsOur COVID-19 detection model minimizes manual interaction dependent on radiologists as it automates identification of structural abnormalities in patient ’s CXRs, and our deep learning model is likely to detect true positives and true negatives and weed out false positive and false negatives with> 96.3% accuracy. (Source: International Orthopaedics)
Source: International Orthopaedics - May 27, 2020 Category: Orthopaedics Source Type: research

Results of the modified reverse step-cut osteotomy in paediatric cubitus varus
ConclusionWe have achieved satisfactory results with acceptable cosmetic appearance and functional outcomes with minimal complications. We recommend this technique as a safe, reliable, reproducible, technically easy procedure for correction of cubitus varus deformity. (Source: International Orthopaedics)
Source: International Orthopaedics - May 27, 2020 Category: Orthopaedics Source Type: research

Simultaneous single-stage versus two-staged bilateral total knee arthroplasty: a prospective comparative study
ConclusionThere does not appear to be a difference in complication rates between the 2 groups. SS BLTKA seems to be a logical choice if both knees have severe osteoarthritis. Patients with severe cardiopulmonary compromise were excluded, and a unilateral procedure may be preferred in them. (Source: International Orthopaedics)
Source: International Orthopaedics - May 26, 2020 Category: Orthopaedics Source Type: research

Impact of the COVID-19 pandemic on patients suffering from musculoskeletal tumours
ConclusionThe SARS-CoV-2 pandemic caused a significant reduction in healthcare (surgery, radiotherapy, chemotherapy) for malignancies of the musculoskeletal system. Delaying or stopping these treatments is life-threatening or can cause severe morbidity, pain, and loss of function. Although the coronavirus disease causes severe medical complications, serious collateral damage including death due to delayed or untreated sarcomas should be avoided. (Source: International Orthopaedics)
Source: International Orthopaedics - May 26, 2020 Category: Orthopaedics Source Type: research

Letter to the Editor on “Outcomes of computer-assisted peri-acetabular osteotomy compared with conventional osteotomy in hip dysplasia”
(Source: International Orthopaedics)
Source: International Orthopaedics - May 26, 2020 Category: Orthopaedics Source Type: research

Injuries of the upper cervical spine —how can instability be identified?
ConclusionOnly a few classification systems support decision-making concerning instability leading to early operative treatment. The ligamentous integrity is the key element of impacting the stability of the upper cervical spine injuries. The transverse ligament serves as the most crucial element in determining the stability of occipital condyle fractures and atlas fractures as well as atlanto-axial injury. The integrity of anterior longitudinal ligament, disc, and facet joint attributes to the stability of axis fractures. The integrity of tectorial membrane and alar ligaments determines the stability of atlanto-occipital ...
Source: International Orthopaedics - May 25, 2020 Category: Orthopaedics Source Type: research

Staying home during “COVID-19” decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the “tsunami of recommendations” could not lockdown twelve elective operations
ConclusionStaying home during the COVID-19 pandemic decreased trauma frequency of 32%. The structural organization in our hospital allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available to treat all the patients who needed orthopedic care during this period. (Source: International Orthopaedics)
Source: International Orthopaedics - May 25, 2020 Category: Orthopaedics Source Type: research

The initial treatment of complex proximal humerus fracture affects the outcome of revision with reverse shoulder arthroplasty
AbstractPurposeThe purpose of the study is to report the results of reverse shoulder arthroplasty (RSA) after three types of initial treatment performed for complex proximal humeral fracture (PHF): conservative, reduction and internal fixation (RIF), or hemiarthroplasty.MethodsThis is a retrospective study of 63 patients separated into three groups with a minimum follow-up of two years. Group I included 25 patients with an initial conservative fracture treatment, group II included 25 patients treated by RIF, and group III included 13 patients initially treated by hemiarthroplasty. Patients were assessed using the absolute ...
Source: International Orthopaedics - May 25, 2020 Category: Orthopaedics Source Type: research

Loud and silent epidemics in the third millennium: tuning-up the volume
AbstractThe media play a key role in promoting public health and influencing debate regarding health issues; however, some topics seem to generate a stronger response in the public, and this may be related to how the media construct and deliver their messages. Mass media coverage of COVID-19 epidemic has been exceptional with more than 180,000 articles published each day in 70 languages from March 8 to April 8, 2020. One may well wonder if this massive media attention ever happened in the past and if it has been finally proven to be beneficial or even just appropriate. Surgical site and implant-related infections represent...
Source: International Orthopaedics - May 25, 2020 Category: Orthopaedics Source Type: research

Changes of clinical activities in an orthopaedic institute in North Italy during the spread of COVID-19 pandemic: a seven-week observational analysis
In this study, the changes in clinical practice occurred in an orthopaedic center in Milan are described.MethodsNumber and type of admissions, outpatients cancelled and preserved, emergency room, and intensive care unit activities have been analyzed in the timeframe of seven weeks since the beginning of the pandemic (from February 24th to April 10th) and compared with the same period in 2019.ResultsThe planned surgical admissions declined from 2172 in 2019 to 664 in 2020 (69.42%,p 
Source: International Orthopaedics - May 24, 2020 Category: Orthopaedics Source Type: research

Evaluation of the use of anti-platelet therapy throughout the peri-operative period in patients with femoral neck fracture surgery. A retrospective cohort study
ConclusionIt is safe to continue the use of anti-platelet therapy throughout the peri-operative phase in patients with hip fracture surgery. The continuation of such therapy is not associated with increased risk of bleeding or blood transfusion or other complications in patients who had surgical treatment for femoral neck fracture. (Source: International Orthopaedics)
Source: International Orthopaedics - May 24, 2020 Category: Orthopaedics Source Type: research

Trials and tribulations: so many potential treatments, so few answers
ConclusionsThe relatively small sample sizes and the number of independent trials investigating similar therapies are concerning. Resources may not be being allocated based on scientific merit and may be driven by public consciousness and speculation. Moving forward, a concerted effort focused on implementing large, well-coordinated and carefully designed multi-armed clinical trials will help to ensure that the most promising therapeutic options are rigorously studied and clinically meaningful results produced. (Source: International Orthopaedics)
Source: International Orthopaedics - May 24, 2020 Category: Orthopaedics Source Type: research

Culture-negative periprosthetic joint infection: prevalence, aetiology, evaluation, recommendations, and treatment
ConclusionsA comprehensive review was performed to provide an up-to-date, evidence-based guide to the management of CN PJI. (Source: International Orthopaedics)
Source: International Orthopaedics - May 24, 2020 Category: Orthopaedics Source Type: research

Effectiveness of a novel hydrolyzed collagen formulation in treating patients with symptomatic knee osteoarthritis: a multicentric retrospective clinical study
AbstractPurposeKnee osteoarthritis (OA) is a musculoskeletal disorder that may have a heavy impact on the patients ’ quality of life. Intra-articular collagen injection may be a safe adjuvant. Recently, CHondroGrid (CG), a hydrolyzed (
Source: International Orthopaedics - May 23, 2020 Category: Orthopaedics Source Type: research

Maximizing virtual meetings and conferences: a review of best practices
ConclusionsGiven the uncertainty of whether large in-person gatherings will be permitted, advisable or responsible later into the summer of 2020 and beyond, these guidelines will aid events being converted and scheduled as virtual-only meetings. As we move forward in the era of increased utility and utilization of virtual conferencing, these guidelines will serve as a benchmark and standard for surgeons in the field. (Source: International Orthopaedics)
Source: International Orthopaedics - May 23, 2020 Category: Orthopaedics Source Type: research

Medications in COVID-19 patients: summarizing the current literature from an orthopaedic perspective
ConclusionEight main recommendations were derived from the review. Firstly, paracetamol remains the first line of analgesia and antipyretic. Secondly, there is no need to avoid NSAIDs for COVID-19 patients. Thirdly, opioids have the potential for immunosuppression in addition to respiratory depression and, therefore, should be prescribed with care in COVID-19 patients. Fourthly, patients with conditions where steroids are proven to be efficacious can continue to receive their steroids; otherwise, systemic steroids are not recommended for COVID-19 patients. Fifthly, orthopaedic surgeons following up on COVID-19 patients who...
Source: International Orthopaedics - May 22, 2020 Category: Orthopaedics Source Type: research

Omega-3 fatty acids reduce post-operative risk of deep vein thrombosis and pulmonary embolism after surgery for elderly patients with proximal femoral fractures: a randomized placebo-controlled, double-blind clinical trial
ConclusionDaily supplementation of omega-3 fatty acids decreases the risk of pulmonary embolism as well as symptomatic deep vein thrombosis, after surgery among elderly patients with proximal femoral fractures, without causing elevated risk of bleeding episodes. (Source: International Orthopaedics)
Source: International Orthopaedics - May 22, 2020 Category: Orthopaedics Source Type: research

The COVID-19 outbreak in Italy: perspectives from an orthopaedic hospital
ConclusionThe main lection is that any actions should be quick and decisive, for 1 week during the COVID-19 epidemic could make the difference. (Source: International Orthopaedics)
Source: International Orthopaedics - May 22, 2020 Category: Orthopaedics Source Type: research

Multilevel extended posterior column osteotomy plus unilateral cage strutting for degenerative lumbar kyphoscoliosis
ConclusionMultilevel extended PCO plus UCS procedure could achieve significant correction of scoliosis and kyphosis in the treatment of degenerative lumbar kyphoscoliosis, presenting less surgery time, lower incidence of complication, and shorter hospital stay when compared with the asymmetric PSO technique. (Source: International Orthopaedics)
Source: International Orthopaedics - May 21, 2020 Category: Orthopaedics Source Type: research

Validation of a new method for evaluation of syndesmotic injuries of the ankle
ConclusionBilateral CT is still to be recommended, as it is the only way to exactly assess anterior posterior reduction of the fibula. (Source: International Orthopaedics)
Source: International Orthopaedics - May 21, 2020 Category: Orthopaedics Source Type: research

Usefulness of inflammatory markers and clinical manifestation for an earlier method to diagnosis surgical site infection after spinal surgery
ConclusionCRP, ESR and PCT are considered useful markers for earlier diagnosis of SSI. Combining the above markers with BT and the wound condition yields more accurate results. (Source: International Orthopaedics)
Source: International Orthopaedics - May 21, 2020 Category: Orthopaedics Source Type: research

The effects of length of femoral stem on aseptic loosening following cemented distal femoral endoprosthetic replacement in tumour surgery
ConclusionThere was a significant non-linear relationship between the length of femoral stem and aseptic loosening, and the inflection point was 143  mm. (Source: International Orthopaedics)
Source: International Orthopaedics - May 20, 2020 Category: Orthopaedics Source Type: research

Fractures of the coracoid process – pathoanatomy and classification: based on thirty nine cases with three dimensional computerised tomography reconstructions
ConclusionOn the basis of 3D CT reconstructions, four basic coracoid fracture patterns were identified. The authors ´ findings and literature review have shown that a considerable number of coracoid fractures are combined with injuries to other parts of scapula and shoulder girdle. These associated injuries must be taken into account and targeted when taking the patient’s history, and during clinical and prima rily radiological examinations. (Source: International Orthopaedics)
Source: International Orthopaedics - May 20, 2020 Category: Orthopaedics Source Type: research

A retrospective analysis of surgical outcomes following direct anterior hip arthroplasty with or without a surgical extension table
ConclusionWe found that operating on a standard table during THA resulted in slightly more favourable outcomes. Given the added expenses, human resources, and time associated with an extension table, opting for a standard table remains a sensible choice. (Source: International Orthopaedics)
Source: International Orthopaedics - May 20, 2020 Category: Orthopaedics Source Type: research

Treatment of displaced radial neck fractures under ultrasonographic guidance in children
ConclusionUS guidance during surgery is feasible to treat Judet type III and IV RNFs. US guidance can significantly reduce X-ray radiation exposure and the risk of PIN injury. (Source: International Orthopaedics)
Source: International Orthopaedics - May 20, 2020 Category: Orthopaedics Source Type: research

Modified kyphoplasty with controllable balloon dilatation for treatment of thoracolumbar osteoporotic vertebral compression fractures
AbstractPurposeTo investigate the surgical effects of modified kyphoplasty with controllable balloon dilatation for treatment of thoracolumbar osteoporotic vertebral compression fractures (OVCF).MethodsFrom April 2013 to October 2017, a total of 53 patients with thoracolumbar OVCF were treated with controllable balloon percutaneous kyphoplasty (C-PKP). Peri-operative parameters including days from injury to operation, operation time, injected cement volume, cement leakage and complications were collected. Visual analogue scale (VAS) and Cobb angle before and after operation were applied to evaluate surgical effects. Moreov...
Source: International Orthopaedics - May 16, 2020 Category: Orthopaedics Source Type: research

A novel calibration method for digital templating of total hip arthroplasty: a prospective clinical study of dual scale type single marker calibration in supine radiographs
AbstractBackgroundExternal calibration markers (ECM) are the standard of care for digital templating in joint replacements. Spherical mono markers are known to be unreliable. Fixed calibration factors (FCF) can reduce the overall error by placement of markers, but do not address individual patient anatomy. Dual scale calibration marker (DSCM) methods were developed to improve precision of calibration but require two markers. This prospective observational study is the first to analyse the application of adual scale type single marker (DSSM) method in supine radiographs.MethodsOne hundred patients with unilateral total hip ...
Source: International Orthopaedics - May 15, 2020 Category: Orthopaedics Source Type: research

Time-sensitive ambulatory orthopaedic soft-tissue surgery paradigms during the COVID-19 pandemic
AbstractPurposeTiming of surgery for orthopaedic injuries continues to evolve, as an improved understanding of biology, healing, and technological advances continues to challenge historical norms. With the growing COVID-19 pandemic stretching limited healthcare resources, postponing surgery becomes an inevitable and unenviable task for most orthopaedic surgeons, and a shift in outpatient paradigms is required to mitigate poor outcomes in patients.MethodsA scoping review of five databases on surgical timing and orthopaedic soft-tissue injuries was performed. All randomized controlled trials, longitudinal cohort studies, ret...
Source: International Orthopaedics - May 15, 2020 Category: Orthopaedics Source Type: research

C-reactive protein as marker of post-operative analgesic quality after primary total knee arthroplasty: several questions
(Source: International Orthopaedics)
Source: International Orthopaedics - May 14, 2020 Category: Orthopaedics Source Type: research

Hip morphology in mucopolysaccharidosis type IVA through radiograph, magnetic resonance imaging and arthrogram assessment
ConclusionHips in MPS IVA exhibited obvious cartilage and labrum compensation in response to abnormal ossification of bony acetabulum. Cartilage in MPS IVA hip increases the thickness in the longitudinal direction, while the labrum becomes flatten in the horizontal direction. The AAI may represent intraoperative labrum coverage. The femora-acetabular harmony is difficult to determine using radiography only, and pre-operative MRI and an intraoperative arthrogram are very important in a hip assessment in MPS IVA. (Source: International Orthopaedics)
Source: International Orthopaedics - May 13, 2020 Category: Orthopaedics Source Type: research

Risk factors for subsidence of modular fluted tapered stem implanted by using transfemoral Wagner approach during revision hip arthroplasty
AbstractPurposeTo determine clinical and radiographic risk factors for the vertical subsidence of modular fluted tapered stems implanted using the transfemoral Wagner approach in a cohort of revision hip arthroplasties.MethodsA retrospective review of a single-centre surgical registry was performed. Patients who underwent a revision total hip arthroplasty, in which the uncemented modular fluted tapered stem (REVISION Hip/Anca-Ti6Al4V, LimaCorporate, Udine, Italy) was implanted using the transfemoral Wagner approach, were identified. Patient ’s demographic data, clinical and radiographic outcomes and post-operative co...
Source: International Orthopaedics - May 13, 2020 Category: Orthopaedics Source Type: research

Effect of patient-specific instrument on lowering threshold for junior physicians to perform total hip arthroplasty on developmental dysplasia of the hip patients
AbstractPurposeTo create a patient-specific instrument (PSI) in lowering the surgical experience requirement for junior physicians to perform total hip arthroplasty (THA) on developmental dysplasia of the hip (DDH) patients.MethodsCombined with rapid prototyping technology, we created a PSI and established DDH hip model in vitro. We enrolled 48 junior physicians and randomly assigned them into two groups. After creation of the PSI, they performed simulated THA surgery on a full-scale hip model with or without PSI on DDH models. The planned prothesis orientation, post-operative prothesis orientation, and surgery time were r...
Source: International Orthopaedics - May 13, 2020 Category: Orthopaedics Source Type: research

Comparative biomechanical study of five systems for fixation of the coracoid transfer during the Latarjet procedure for treatment of anterior recurrent shoulder instability
ConclusionThe use of a single screw is insufficient, but the other systems seems reliable. The use of small diameter self-compressive cannulated screws can provide a better result. This biomechanical work must be validated in clinical studies. (Source: International Orthopaedics)
Source: International Orthopaedics - May 12, 2020 Category: Orthopaedics Source Type: research

Transitioning the total hip arthroplasty technique from posterior approach in lateral position to direct anterior approach in supine position —risk factors for acetabular malpositioning and the learning curve
ConclusionWith our DAA technique using standard instrumentation, there were no risk factors linked to the patient identified for cup malposition. DAA-specific instrumentation is not required to achieve optimum positioning of the cup. Surgeon has to be aware of an excess of abduction at the beginning of his experience and an excess of anteversion and adduction when performing THA on the opposite side of his dominant hand. (Source: International Orthopaedics)
Source: International Orthopaedics - May 11, 2020 Category: Orthopaedics Source Type: research

Letter to the editor regarding “Intramedullary fixation versus anatomically contoured plating of unstable fractures: a randomized control trial” by Badenhorst et al
(Source: International Orthopaedics)
Source: International Orthopaedics - May 11, 2020 Category: Orthopaedics Source Type: research

Tranexamic acid with  a pre-operative suspension of anticoagulation decreases operative time and blood transfusion in the treatment of pelvic and acetabulum fractures
ConclusionsIn the study population, the combination of holding pre-operative chemoprophylaxis and administering intra-operative TXA is a safe and effective combination in reducing operative time and blood product transfusions. (Source: International Orthopaedics)
Source: International Orthopaedics - May 9, 2020 Category: Orthopaedics Source Type: research

Effects of sagittal tibial osteotomy on frontal alignment of the knee and patellar height
AbstractAim of the studyThe aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomical tibial axis: The purpose of the study was to verify this and to analyse these modifications.MethodPatients underwent proximal STO in our department between 2007 and 2018: overall 28 consecutive patients (19 males, 9 females; 28 knees). Twelve patients underwent DTO, and 16 patients underwent FTO. Tw...
Source: International Orthopaedics - May 9, 2020 Category: Orthopaedics Source Type: research

The Lef èvre retentive cup compared with the dual mobility cup in total hip arthroplasty revision for dislocation
ConclusionIt seems that the Lef èvre retentive cup provides comparable outcomes with the dual mobility cup in the total hip arthroplasty revisions for instability, avoiding recurrence in long term. (Source: International Orthopaedics)
Source: International Orthopaedics - May 8, 2020 Category: Orthopaedics Source Type: research

Randomized controlled trial of chlorhexidine wash versus benzoyl peroxide soap for home surgical preparation: neither is effective in removing Cutibacterium from the skin of shoulder arthroplasty patients
DiscussionNeither BPO soap nor chlorhexidine washes prior to shoulder surgery were effective in eliminatingCutibacterium from the skin surface or the incised dermal edge. Further study of means of reducing theCutibacterium load of the skin at the time of shoulder arthroplasty is warranted. (Source: International Orthopaedics)
Source: International Orthopaedics - May 8, 2020 Category: Orthopaedics Source Type: research