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.

Maximizing outcomes in the treatment of radial head fractures
AbstractThe radial head plays a critical role in the stability of the elbow joint and its range of motion. Injuries may occur across a spectrum of severity, ranging from low energy non-displaced fractures to high energy comminuted fractures. Multiple classification systems exist to help characterize radial head fractures and their associated injuries, as well as to guide treatment strategies. Depending on the type of fracture, non-operative management may be possible if early range of motion is initiated. Other options include open reduction and internal fixation or excision followed by arthroplasty. A lateral approach is ...
Source: Journal of Orthopaedics and Traumatology - March 22, 2019 Category: Orthopaedics Source Type: research

Changes of and interrelationships between performance-based function and gait and patient-reported function 1  year after total hip arthroplasty
ConclusionsThe findings of this study suggest that objectively measured improvements in performance-based function and gait are not in line with patient-reported functional improvements, highlighting the importance of using both subjective and objective methods for evaluating function following THA.Level of evidenceIII. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - March 10, 2019 Category: Orthopaedics Source Type: research

Induced membrane technique using enriched bone grafts for treatment of posttraumatic segmental long bone defects
ConclusionsIn this series using an induced membrane technique based on a combination of autograft and allograft enriched with BMCA and PRP, the healing rate was lower than in other series where autologous bone graft alone was employed. Nonunion was more frequent in longer and double defects. Further research aimed at developing effective alternative options to autogenous cancellous bone graft is desirable.Level of evidence: III (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - March 10, 2019 Category: Orthopaedics Source Type: research

Tibia plateau fracture mapping and its influence on fracture fixation
ConclusionsTibial plateau fractures follow consistent patterns, with most lateral and medial plateau fracture lines being in the sagittal plane, although there is greater variation medially. Positioning of modern locking plates will deal effectively with 72  % of all lateral plateau fractures and 91 % of medial plateau fractures.Level of evidenceLevel  3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - February 26, 2019 Category: Orthopaedics Source Type: research

48  h for femur fracture treatment: are we choosing the wrong quality index?
ConclusionsEarly surgery in femur fracture became a priority in the health system. However, according to our data, although 51  % of patients were treated within the first 48 h, time from surgery to physiotherapy start (2 days) was still too long. Furthermore, time from surgery to first walking day was 6 days, longer than in most published papers. These data suggest that the performance index (rate of femur fractures tr eated within 48 h) may be improved by changing it to rate of femur fractures surgically treated with return to walking in 96 h.Level of evidenceLevel  4 (retrospective study). (Source: Journal of Ort...
Source: Journal of Orthopaedics and Traumatology - February 13, 2019 Category: Orthopaedics Source Type: research

A research update on the state of play for return to sport after anterior cruciate ligament reconstruction
AbstractMost athletes who undergo anterior cruciate ligament (ACL) reconstruction surgery plan to return to some level of sporting activity. However, rates of return to pre-injury sport are often less than might be expected and many factors influence whether individuals return to sport after this surgery. They include surgical and rehabilitation factors as well as social, psychological and demographic characteristics. The fate of the younger athlete who sustains an ACL injury is a topic that has received recent attention due to accumulating evidence that younger athletes are at considerable risk for not only one, but multi...
Source: Journal of Orthopaedics and Traumatology - January 28, 2019 Category: Orthopaedics Source Type: research

Factors influencing return to work after hip and knee arthroplasty
ConclusionThe time of RTW was not significantly influenced by the type of operation or by the physical demands of the job. Patients returned to work 5.9 –7.7 weeks after hip/knee arthroplasty. Rehabilitation, desire, and necessity promoted RTW. Pain, fatigue and medical restrictions impeded RTW.Level of evidence3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 14, 2019 Category: Orthopaedics Source Type: research

JORT celebrates 18  years of publication
(Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - January 3, 2019 Category: Orthopaedics Source Type: research

Long-term results of the M 2 A-38-mm metal-on-metal articulation
ConclusionsOur results confirm that the problems of release of metal ions with the possible increase of metal circulating levels and of adverse reactions may also occur in the long term with this brand of MoM large head, and that a structured follow-up program is mandatory.Levels of evidenceLevel 4. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - December 7, 2018 Category: Orthopaedics Source Type: research

The final implant position of a commonly used collarless straight tapered stem design (Corail ® ) does not correlate with femoral neck resection height in cement-free total hip arthroplasty: a retrospective computed tomography analysis
ConclusionFemoral neck resection height ranging between 0 and 20.1 mm does not correlate with the final position of a collarless straight tapered stem design (Corail®).Level of evidenceLevel 3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - November 13, 2018 Category: Orthopaedics Source Type: research

Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
ConclusionsPercutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 18, 2018 Category: Orthopaedics Source Type: research

Cross-cultural adaptation and validation of the Italian versions of the Kujala, Larsen, Lysholm and Fulkerson scores in patients with patellofemoral disorders
ConclusionsThe Italian versions of the Kujala, Larsen, Lysholm and Fulkerson scoring systems were shown to be equivalent to their English versions and demonstrated good validity, reliability and responsiveness to surgical treatment of patellofemoral pathology. To the best of the authors ’ knowledge, this is the first attempt to adapt four of the most common patellofemoral-specific scoring scales to the Italian language.Level of evidenceLevel II. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 12, 2018 Category: Orthopaedics Source Type: research

How to prevent dislocation after revision total hip arthroplasty: a systematic review of the risk factors and a focus on treatment options
ConclusionsThe risk of dislocation after rTHA can be reduced using some precautions inferred from the literature. The use of a larger femoral and acetabular component, elevated rim liner and dual mobility implants can significantly reduce the risk of dislocation after rTHA. However, care must be taken regarding patient-related risk factors since these cannot be addressed and modified. Hence, a complete evaluation of risk factors should be performed for each patient and procedure before starting rTHA. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 10, 2018 Category: Orthopaedics Source Type: research