Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis
ConclusionPress-fit without screws could achieve sufficient acetabular cup stability. Acetabular cups without screws showed no difference from acetabular cups with screws in many outcomes. Additional screws are not required for cementless acetabular cups.Level of evidence: Level III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 10, 2022 Category: Orthopaedics Source Type: research

Platelet-rich plasma (PRP) augmentation does not result in more favourable outcomes in arthroscopic meniscal repair: a meta-analysis
ConclusionThe current published scientific evidence does not support PRP augmentation for arthroscopic meniscal repair. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 7, 2022 Category: Orthopaedics Source Type: research

Intraarticular injection of microfragmented adipose tissue plus arthroscopy in isolated primary patellofemoral osteoarthritis is clinically effective and not affected by age, BMI, or stage of osteoarthritis
ConclusionIntraarticular injection of microfragmented autologous adipose tissue following arthroscopic debridement significantly improved overall clinical and functional scores in patients with early or moderate isolated primary PFOA at a mean follow-up of almost 2  years. Improvements were not significantly affected by age, BMI, or stage of PFOA.Level of evidenceLevel IV, retrospective case series. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 5, 2022 Category: Orthopaedics Source Type: research

Short-term outcomes of Oxford unicompartmental knee arthroplasty with coronal subluxation of the knee: a retrospective case –control study
ConclusionsOUKA can successfully improve clinical symptoms in patients with single compartmental osteoarthritis. Moreover, OUKA can effectively correct CTFS of the knee in these patients, and the degree of preoperative CTFS has no impact on surgical efficacy.Level of evidenceIII. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 21, 2022 Category: Orthopaedics Source Type: research

Addition of shock wave therapy to nail dynamization increases the chance of long-bone non-union healing
ConclusionsData from the present study indicate that the combination therapy of nail dynamization and fESWT leads to a higher union rate than dynamization or fESWT alone.Level of evidenceLevel 3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 8, 2022 Category: Orthopaedics Source Type: research

Arthroscopic remplissage is safe and effective: clinical and magnetic resonance results at a minimum 3  years of follow-up
ConclusionArthroscopic remplissage provided successful clinical outcomes without fatty infiltration of the infraspinatus and with good healing of the tissues. The low risk of recurrence was associated with an objective limitation on active external rotation, but this did not influence the patients' daily or sports activities.Level of evidence: Cohort study, level of evidence 3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 8, 2022 Category: Orthopaedics Source Type: research

Is reverse total shoulder arthroplasty (rTSA) more advantageous than anatomic TSA (aTSA) for osteoarthritis with intact cuff tendon? A systematic review and meta-analysis
ConclusionA better ROM was achieved after aTSA than after rTSA. There was no difference in the revision rate at mid-term follow-up between aTSA and rTSA. Glenoid loosening was more common with aTSA, and scapula notching with rTSA.Level of evidence: Level IV, Meta-analysis. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 6, 2022 Category: Orthopaedics Source Type: research

The role of electrical stimulation for rehabilitation and regeneration after spinal cord injury
AbstractElectrical stimulation is used to elicit muscle contraction and can be utilized for neurorehabilitation following spinal cord injury when paired with voluntary motor training. This technology is now an important therapeutic intervention that results in improvement in motor function in patients with spinal cord injuries. The purpose of this review is to summarize the various forms of electrical stimulation technology that exist and their applications. Furthermore, this paper addresses the potential future of the technology. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 6, 2022 Category: Orthopaedics Source Type: research

Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients
ConclusionWe found beneficial outcomes in patients with UIS that underwent USO, although there was a large variance in the outcome and a relatively high number of complications (which includes plate removals). Results of this study may be used in preoperative counseling and shared decision-making when considering USO.Level of evidenceTherapeutic III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 5, 2022 Category: Orthopaedics Source Type: research

Antibiotic cement coating in orthopedic surgery: a systematic review of reported clinical techniques
ConclusionAdequate coating techniques can reduce the burden of treatment and be associated with favorable outcomes. Lack of general consensus and heterogeneity in the reported literature indicate that the perfect all-in-one implant coating method is yet to be found. Further efforts to improve implant coating techniques are warranted.Level of evidenceIII. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - December 23, 2021 Category: Orthopaedics Source Type: research

Pediatric elbow arthroscopy: clinical outcomes and complications after long-term follow-up
ConclusionsElbow arthroscopy in a pediatric population can be considered an effective and safe procedure for selected pathologies when performed by an experienced surgeon. At long-term follow-up, we reported excellent clinical outcomes (both objective and subjective), with a relatively low complication rate without permanent injuries.Level of evidenceLevel IV —case series. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - December 20, 2021 Category: Orthopaedics Source Type: research

Increase in cartilage degeneration in all knee compartments after failed ACL reconstruction at 4  years of follow-up
DiscussionAccelerated cartilage degeneration and high prevalence of meniscal lesions are seen in failed ACL-R. Tunnel placement showed significant impact on cartilage degeneration and may partially explain the increased risk of an inferior outcome when revision surgery is required after failed primary ACL-R.Level of evidence: Level IV —retrospective cohort study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - December 16, 2021 Category: Orthopaedics Source Type: research

A novel biplanar medial opening-wedge high tibial osteotomy: the Z-shaped technique. A case series at 7.2  years follow-up
ConclusionsModified biplanar Z-shaped MOWHTO is a safe and reliable technique that offers satisfactory clinical and radiological medium-term outcomes with low knee arthroplasty conversion rate. The unique three-dimensional geometrical conformation potentially provides a favorable environment for bone healing, increased anteroposterior and rotational stability, and safer opening-wedge loading force application with low lateral hinge fracture risk.Level of evidenceLevel IV, retrospective observational case series study.Trial registration The study protocol was approved by the Internal Review Board of our Institution (authori...
Source: Journal of Orthopaedics and Traumatology - December 14, 2021 Category: Orthopaedics Source Type: research

Morphological analysis of posterior malleolar fractures with intra-articular impacted fragment in computed tomography scans
ConclusionOur research indicates a high incidence of IAIF in posterior malleolar fractures. All IAIFs were found in posterior malleolar, and the most common location was within the lateral area A. Posterior malleolar fracture lines that extend to medial malleolus or fibular notch herald the incidence of IAIF.LIFN/(LIFN + LSFN),LMPMF andAPMF are also associated with the incidence of IAIF. CT scans are useful for posterior malleolar fractures to determine the occurrence of IAIF and make operational plans. Operation approach selection should be based on the morphology of posterior malleolar fragments and the location of I...
Source: Journal of Orthopaedics and Traumatology - December 10, 2021 Category: Orthopaedics Source Type: research

What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature
AbstractEnergy spent during daily activities is recuperated by humans through sleep, ensuring optimal performance on the following day. Sleep disturbances are common: a meta-analysis on sleep quality showed that 15 –30% of adults report sleep disorders, such as sleep onset latency (SOL), insufficient duration of sleep and frequently waking up at night. Low back pain (LBP) has been identified as one of the main causes of poor sleep quality. Literature findings are discordant on the type of mattress that might prevent onset of back pain, resulting in an improved quality of sleep. We conducted a systematic literature review...
Source: Journal of Orthopaedics and Traumatology - December 8, 2021 Category: Orthopaedics Source Type: research