Journal of Orthopaedics and Traumatology 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.

Medial closure supracondylar femoral osteotomy: an effective solution for long-term treatment of arthritic valgus knee?
ConclusionsMCW-DFO can improve symptoms in patients with osteoarthritis in a valgus knee at medium- to long-term follow-up, reducing the progression of osteoarthritis in properly selected patients. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 15, 2021 Category: Orthopaedics Source Type: research

The imaging evaluation of acetabular labral lesions
This article reviews the current imaging strategies for the evaluation of labrum lesions. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 6, 2021 Category: Orthopaedics Source Type: research

Parameters affecting baseline hip function in patients with cam-derived femoroacetabular impingement syndrome: data analysis from the German Cartilage Registry
ConclusionsA distinct reduction in the baseline iHOT-33, with mean total scores being more than halved, was revealed. The parameters “age >  40 years,” “female sex,” “BMI ≥ 25,” and confirmation of “previous surgery on the affected hip” were detected as significantly associated with decreased preoperative iHOT-33 scores. These results help to identify symptom-defining baseline characteristics of cam-derived FAI sy ndrome.Trial registration: The German Cartilage Registry is conducted in accordance with the Declaration of Helsinki and registered at germanctr.de (DRKS00005617). Registered 3 Janua...
Source: Journal of Orthopaedics and Traumatology - August 4, 2021 Category: Orthopaedics Source Type: research

Locking retrograde nail, non-locking retrograde nail and plate fixation in the treatment of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcomes
ConclusionsOur results showed no statistical difference in the use of LNR, NLNR and plating for treatment of distal third femur shaft fractures in terms of radiographic, bone densitometry and clinical outcomes. Good subjective and objective results are provided by all three techniques. The choice among the studied techniques must be based on surgeons ’ experience, indications and subjective patients’ aspects. The absence of relevant similar data in the published literature does not allow definitive validation (or rejection) of our hypothesis. A more powered study with a bigger cohort is needed for definitive validation...
Source: Journal of Orthopaedics and Traumatology - August 4, 2021 Category: Orthopaedics Source Type: research

Bent or broken: analysis of set screw fracture in the TFNa implant
ConclusionThe TFNa set screw allows for potential fracture during implant insertion leading to uncontrolled collapse, early excessive proximal femoral shortening, and rotational instability of the helical blade/lag screw. Similar failures in the TFNa can be prevented by having the surgeon inspect the proximal screw aperture after attachment of the proximal aiming aim to ensure the set screw has not been deployed prematurely.Level of evidenceTherapeutic Level III. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 3, 2021 Category: Orthopaedics Source Type: research

Arthroscopic incidence of lateral meniscal root avulsion in patients with anterior cruciate ligament injury
ConclusionLMRA is a relatively common injury associated with both acute and chronic ACL tears. A relatively high incidence in cases of chronic ACL insufficiency suggests that LMRAs do not heal spontaneously or that they may appear with time, even when absent at the time of the initial injury.Level of evidenceLevel III, cross-sectional study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 18, 2021 Category: Orthopaedics Source Type: research

Survival rates and reasons for revision of different stem designs in total hip arthroplasty for developmental dysplasia: a regional registry study
ConclusionsNM-CON stems showed the highest risk of failure, especially high rates of cup aseptic loosening. NM-CON implants were not more prone to dislocations and stem aseptic loosening. Clinical comparative studies are required to investigate the causes of NM-CON failures, which may be due to abnormal acetabular morphology or imperfect restoration of the proximal biomechanics. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 18, 2021 Category: Orthopaedics Source Type: research

The effectiveness of vibration therapy for muscle peak torque and postural control in individuals with anterior cruciate ligament reconstruction: a systematic review and meta-analysis of clinical trials
ConclusionThis study suggests that VT, especially LMV type with vibration frequency higher than 100  Hz, can be effective in rehabilitation of ACL-reconstructed patients. Although improvement in the peak torque of hamstring and quadriceps muscles was seen, there was no significant improvement in postural control, especially closed-eye, in comparison with conventional rehabilitation.Level of evidence1.HighlightsVibration therapy can increase hamstring peak torque in individuals with ACL reconstruction.Local muscle vibration type in comparison with whole-body vibration is recommended for ACL-reconstructed patients.Vibration...
Source: Journal of Orthopaedics and Traumatology - July 14, 2021 Category: Orthopaedics Source Type: research

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I —complications)
ConclusionsProblem, complication, and reintervention rates proved acceptable when implanting a high humeral lateralization stem in RSA. The most frequent problem was scapular notching (12.6%), and the most common postoperative complication was scapular stress fracture (1.8%). An overall humeral complication rate of 1.9% was identified, whereas short stems reported no humeral fractures or stem loosening. Infections (1.3%) proved to be the most common reason for component revision, and instability had a complication rate of 0.8%.Level of evidenceSystematic review IV (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 8, 2021 Category: Orthopaedics Source Type: research

The effectiveness of preliminary traction in the treatment of congenital dislocation of the hip
ConclusionsIn our study population, despite not having a control group, preliminary traction —when effective—seemed to reduce the incidence of AVN in patients surgically treated for congenital dislocation of the hip. The effectiveness of the traction was influenced by the severity of the dislocation and the age of the patient; it worked better for less severe dislocations and in younger children. To reduce hospital costs, traction should be applied at home.Level of evidence3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 27, 2021 Category: Orthopaedics Source Type: research

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair
ConclusionsOur findings revealed that EPOP is associated with shoulder stiffness after arthroscopic RC repair. Therefore, strategies to ameliorate EPOP could be opted to decrease rate of POSS.Level of evidenceLevel IV (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 26, 2021 Category: Orthopaedics Source Type: research

Failed Latarjet procedure: a systematic review of surgery revision options
ConclusionsEden –Hybinette and arthroscopic capsuloplasty are the most popular and safe procedures to treat recurrent instability after a failed Latarjet procedure, and yield reasonable clinical outcomes. A bone graft procedure and capsuloplasty were proposed but there was no clear consensus on their efficacy and indication.Level of evidenceLevel IVTrial registration PROSPERO 2020 CRD42020185090 —www.crd.york.ac.uk/prospero/ (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 21, 2021 Category: Orthopaedics Source Type: research

Arthroscopy versus mini-arthrotomy approach for matrix-induced autologous chondrocyte implantation in the knee: a systematic review
ConclusionArthroscopy and mini-arthrotomy approaches for mACI in knee achieve similar outcomes at midterm follow-up.Level of evidenceII, systematic review of prospective studies. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 16, 2021 Category: Orthopaedics Source Type: research

Do standards of care and early outcomes of periprosthetic fractures change during the COVID-19 pandemic? A multicentre study
ConclusionsThe incidence of PPFs did not seem to change during the lockdown. Patients were mainly elderly with comorbidities, and complications were frequently recorded post-operatively. Despite the difficult period for the healthcare system, hospitals were able to provide effective conventional surgical treatments for PPFs, which were not negatively influenced by the reorganisation. Continued efforts are required to optimise the treatment of these frail patients in the period of the pandemic, minimising the risk of contamination, and to limit the incidence of PPFs in the future.Level of evidenceIV. (Source: Journal of Ort...
Source: Journal of Orthopaedics and Traumatology - June 14, 2021 Category: Orthopaedics Source Type: research

Bone marrow aspirate concentrate/platelet-rich fibrin augmentation accelerates healing of aseptic upper limb nonunions
ConclusionThis study showed the benefits of restoring both mechanical and biological aspects when addressing nonunions of the long bones of the upper limb. In particular, the association of BMAC and PRF to lyophilized bone chips was safe and able to accelerate healing time. These good results were confirmed for humerus, radius, and ulna sites, as well as for challenging atrophic nonunions of the upper limb. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 5, 2021 Category: Orthopaedics Source Type: research