Journal of Orthopaedics and Traumatology 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Unravelling variations: an examination of entry point selection in proximal femoral cephalomedullary nailing
ConclusionsSignificant variations exist in surgeons ’ selection of entry points for proximal femoral nailing, underscoring the task’s complexity. Experience does not prevent the choice of unfeasible entry points, emphasizing the inadequacy of a universal approach and pointing towards the necessity for a patient-specific strategy for improved outc omes.Trial registration number: DRKS00032465. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research
Autogenous structural bone graft reconstruction of ≥ 10-mm-deep uncontained medial proximal tibial defects in primary total knee arthroplasty
ConclusionsAutogenous bone graft reconstruction is a safe and effective method of addressing uncontained medial proximal tibial defects in primary TKA.Level of evidenceLevel IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research
Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery
ConclusionThe risk of revision ACLR surgery was found to be increased when ACLR was performed within 3 months or 6 months of injury compared with later surgery. The 1 year postoperative objective knee laxity and the subjective patient-related outcome was found to be without a clinically significant difference; however, those with early ACLR (< 3 months or < 6 months) were found to have a higher activity level 1 year postoperatively. The information about increased risk of revision when having early surgery should be informed to patients when deciding timing of ACLR treatment.Level of evidence: II. (Sou...
Source: Journal of Orthopaedics and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research
Polytherapy versus monotherapy in the treatment of tibial non-unions: a retrospective study
ConclusionsPolytherapy is more effective than monotherapy for severe tibial non-unions, offering a higher success ratio. The NUSS score supports decision-making in treating tibial non-unions.Level of evidenceLevel III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research
Functional and oncological outcomes of patients with proximal humerus osteosarcoma managed by limb salvage
ConclusionTreatment of osteosarcoma of the proximal humerus by limb salvage and chemotherapy yields a good functional outcome. The method of reconstruction does not impact the resultant function. The 5-year survivorship of these patients is 65%. Younger patients have a better oncological outcome and an inferior functional outcome.Level of evidenceLevel IV therapeutic study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research
Lateralising reverse shoulder arthroplasty using bony increased offset (BIO-RSA) or increasing glenoid component diameter: comparison of clinical, radiographic and patient reported outcomes in a matched cohort
ConclusionsUsing a larger glenosphere is a feasible alternative to BIO-RSA for lateralising RSA, providing comparable ROM, patient-reported and radiographic results, while potentially decreasing costs, operative time and complication rates.Level of evidence III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research
Capacitive biophysical stimulation improves the healing of vertebral fragility fractures: a prospective multicentre randomized controlled trial
ConclusionBiophysical stimulation with CCEF, as an adjunct to traditional conservative treatment, is a useful tool to hasten the VBME resolution process and prevent vertebral body deformation. These MRI findings also correlate with faster back pain resolution and quality of life improvement. From the third follow-up after treatment until
the 6-month follow-up, stimulated patients reported a significantly lower paracetamol consumption than control patients, even though back pain and quality of life showed no significant differences between the two groups.Level of evidenceII.Trial Registration Register: ClinicalTrials.gov...
Source: Journal of Orthopaedics and Traumatology - April 15, 2024 Category: Orthopaedics Source Type: research
Interlocking intramedullary nail for forearm diaphyseal fractures in adults —A systematic review and meta-analysis of outcomes and complications
ConclusionsSimilar functional outcomes and complication rates along with shorter operative times can be achieved with IMN compared with ORIF. The use of IMN is promising, however, higher quality evidence is required to assess appropriate indications, subtle differences in range of motion, implant-related complications, and cost-effectiveness.Trail Registration PROSPERO (International Prospective Register of Systematic Reviews) (ID: CRD42022362353).Level of evidence III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 13, 2024 Category: Orthopaedics Source Type: research
Evaluation of time to reimplantation as a risk factor in two-stage revision with static spacers for periprosthetic knee joint infection
ConclusionA long TTR is sometimes unavoidable in clinical practice, but surgeons should be aware of a potentially higher risk of reinfection.Level of evidence: III, retrospective comparative study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - March 25, 2024 Category: Orthopaedics Source Type: research
TikTok content as a source of health education regarding epicondylitis: a content analysis
ConclusionsTikTok can be an unreliable source of information regarding epicondylitis treatment. It is common to find nonphysicians who share medical advice on the platform, with medical treatments demonstrating the weakest level of supporting evidence. Elbow surgeons should advise their patients that treatment recommendations from TikTok may not align with established guidelines.Level of Evidence: Level IV —Cross-sectional study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - March 23, 2024 Category: Orthopaedics Source Type: research
Optimizing periprosthetic fracture management and in-hospital outcome: insights from the PIPPAS multicentric study of 1387 cases in Spain
ConclusionsCurrent arthroplasty fixation check and revision rates deviate from established guidelines, yet full weight-bearing is favoured. A surgical delay of over 100 h and a lack of geriatric co-management were related to in-hospital mortality and medical complications. This study recommends judicious hypoaggressive approaches. Addressing complications and individualizing the surgical strategy can lead to enhanced functional outcomes, alleviating the economic and social burdens upon hospital discharge.Level of Evidence Level IV case series.Trial registration: registered at ClinicalTrials.gov (NCT04663893), protocol ID...
Source: Journal of Orthopaedics and Traumatology - March 7, 2024 Category: Orthopaedics Source Type: research
Unexpected early loosening of rectangular straight femoral Zweym üller stems with an alumina-reduced surface after total hip arthroplasty—a prospective, double-blind, randomized controlled trial
ConclusionIn the NT group, unexpected catastrophic failure rates of 41% caused by early aseptic loosening were noted within 50 months. Compared with the STD stems, NT stems lead to poor clinical and radiographic results.Level of evidence: II.Trial Registration: NCT05053048. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - March 2, 2024 Category: Orthopaedics Source Type: research
Three-dimensional printed models can reduce costs and surgical time for complex proximal humeral fractures: preoperative planning, patient satisfaction, and improved resident skills
ConclusionsFewer intraoperative radiography checks, shorter surgeries, and better patient compliance reduce radiation exposure for patients and healthcare staff, enhance surgical outcomes while reducing expenses, and lower the risk of medicolegal claims.Level of evidenceLevel I, prospective randomized case –control study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 28, 2024 Category: Orthopaedics Source Type: research
Reverse shoulder arthroplasty with a 155 ° neck-shaft angle inlay implant design without reattachment of the subscapularis tendon results in satisfactory functional internal rotation and no instability: a cohort study
ConclusionsThis study demonstrates that satisfactory ADLIR scores and internal rotation ROM were obtained at mid-term follow-up after RSA leaving the SSc detached. Leaving the SSc detached also did not lead to high instability rates; only one out of 210 prostheses was revised for dislocation within the first month after primary surgery.Level of evidence III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 28, 2024 Category: Orthopaedics Source Type: research
Direct anterior approach with conventional instruments versus robotic posterolateral approach in elective total hip replacement for primary osteoarthritis: a case –control study
ConclusionsR-PL and DAA THA had comparable short-term clinical and radiological outcomes along with similar complication rates. The R-PL group showed significantly lower Hb drop, rescue analgesic consumption and shorter LOS. This is a preliminary study and no strong recommendation can be provided. Further prospective randomized trials are requested to further investigate the cost-effectiveness of robotic surgery in THA.Level of evidenceLevel IV, case –control study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 21, 2024 Category: Orthopaedics Source Type: research
