Combined femoral and tibial component total knee arthroplasty device rotation measurement is reliable and predicts clinical outcome
ConclusionThe ATA tibial component rotation measurement was the most reliable of those studied. BFA, TE_PTCA and BC_PTCA were reliable measures for TKA femoral and combined rotation. The presence of a minimal rotation between the TKA components (BC_PTCA) and a small femoral ER or tibial IR predicted a successful KSS outcome.Level of evidence II. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 3, 2023 Category: Orthopaedics Source Type: research

New bone formation accelerates during lower limb lengthening and deformity correction in children with Ollier ’s disease
ConclusionIn children with Ollier ’s disease, new bone formation accelerated and the healing speed of the lengthened segments was faster throughout the whole lengthening period with external fixation, and full correction of the deformity and full restoration of length could be achieved.Level of Evidence III (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 31, 2023 Category: Orthopaedics Source Type: research

Managing early complications in total hip arthroplasty: the safety of immediate revision
ConclusionImmediate revision is safe for correcting clinical and radiological abnormalities, and may not be associated with increased complication or infection rates.Study designRetrospective cohort study; level of evidence, 3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 31, 2023 Category: Orthopaedics Source Type: research

Retrograde drilling for ankle joint osteochondral lesions: a systematic review
ConclusionsMiddle-term results of retrograde drilling showed postoperative satisfaction and symptom relief with both original and modified techniques. Additional research is required to investigate the long-term results.Level of evidence: IV.Trial registration: This systematic review was registered on PROSPERO (id number: CRD42022371128). (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 26, 2023 Category: Orthopaedics Source Type: research

Anti-resorptive therapy in the osteometabolic patient affected by periodontitis. A joint position paper of the Italian Society of Orthopaedics and Traumatology (SIOT) and the Italian Society of Periodontology and Implantology (SIdP)
AbstractThis joint report from the Italian Society of Orthopaedics and Traumatology (SIOT) and the Italian Society of Periodontology and Implantology (SIdP) aims for a consensus around the scientific rationale and clinical strategy for the management of osteoporotic patients affected by periodontitis who are undergoing anti-resorptive (AR) therapy to manage the risk of the occurrence of a medication-related osteonecrosis of the jaws (MRONJ). Osteoporosis and periodontitis are chronic diseases with a high prevalence in aging patients, and they share some of the same pathogenetic mechanisms based upon inflammation. Available...
Source: Journal of Orthopaedics and Traumatology - July 15, 2023 Category: Orthopaedics Source Type: research

Joint fluid interleukin-6 combined with the neutral polymorphonuclear leukocyte ratio (PMN%) as a diagnostic index for chronic periprosthesis infection after arthroplasty
ConclusionsJoint fluid IL-6 combined with PMN% can be used as an auxiliary method to detect chronic infection around the prosthesis after hip/knee arthroplasty.Level of evidencePatients who underwent hip/knee revision at the First Hospital of Chongqing Medical University for periprosthetic infection or aseptic failure of the prosthesis after hip/knee arthroplasty from January 2018 to January 2020 were included.Trial registration This study was approved by the ethics committee of the First Hospital of Chongqing Medical University on September 26, 2018 (local ethics committee number: 20187101) and registered with the China C...
Source: Journal of Orthopaedics and Traumatology - July 4, 2023 Category: Orthopaedics Source Type: research

Lower-limb intramedullary nailing in patients with polyostotic fibrous dysplasia who had a previous unsuccessful treatment. A report of 48 cases
ConclusionsRegardless of the high rate of complications, IN may be considered a reliable surgical procedure to salvage a failed treatment in PFD/MAS, with long-lasting satisfactory results achieved in most patients.Trial registration statement: Not applicable.Level of evidence: IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - July 4, 2023 Category: Orthopaedics Source Type: research

Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis
ConclusionsThe significant race- and gender-specific differences in the ACL tibial footprint should be taken in consideration during anatomic ACL reconstruction. The ARLM and MTS are reliable intraoperative landmarks for identifying the tibial ACL footprint. Caucasians and females might be more prone to iatrogenic ARLM injury.Level of evidence: III, cohort study.Trial registration: This study has been approved by the ethical research committee of the General Hospital of Southern Theater Command of PLA under the code: [2019] No.10. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 30, 2023 Category: Orthopaedics Source Type: research

Navigated, percutaneous, three-step technique for lumbar and sacral screw placement: a novel, minimally invasive, and maximally safe strategy
ConclusionsThe proposed three-step, navigated, percutaneous procedure offers a safe and accurate alternative to traditional techniques for lumbar and sacral pedicle screw placement.Level of Evidence Level 3.Trial registration Not applicable. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 29, 2023 Category: Orthopaedics Source Type: research

Factors associated with mortality after proximal femoral fracture
AbstractProximal femoral fractures are a serious complication, especially for elderly patients. Therefore, we have aimed to answer the following research question: What is the postfracture mortality rate in the elderly population and what are associated risk factors? For this, proximal femoral fractures that occurred between 1 January 2009 and 31 December 2019 were identified from the Medicare Physician Service Records database. The Kaplan –Meier (KM) method with the Fine and Gray subdistribution adaptation was used to determine rates of mortality. A semiparametric Cox regression model was applied, incorporating 23 measu...
Source: Journal of Orthopaedics and Traumatology - June 26, 2023 Category: Orthopaedics Source Type: research

Comparison of four different screw configurations for the fixation of Fulkerson osteotomy: a finite element analysis
ConclusionsA divergent screw configuration in which the upper screw is inserted perpendicular to the osteotomy plane and the lower screw is inserted perpendicular to the posterior tibial cortex might be a better option for the fixation of Fulkerson osteotomy.Level of evidence Level V, mechanism-based reasoning. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 26, 2023 Category: Orthopaedics Source Type: research

Comparison of mortality rate and septic and aseptic revisions in total hip arthroplasties for osteoarthritis and femoral neck fracture: an analysis of the German Arthroplasty Registry
ConclusionIn femoral neck fractures treated with THA, a significant higher mortality, as well as septic and aseptic failure rate, was demonstrated compared with prosthesis for the therapy of osteoarthritis. Increased Elixhauser comorbidity score and BMI are the main influencing factors for development of septic or aseptic failure and can represent a potential approach for prevention measures.Level of evidence: Level III, Prognostic. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 17, 2023 Category: Orthopaedics Source Type: research

Pipkin type III femoral head fracture: which treatment strategy can be recommended?
ConclusionLimited by the high incidence of osteonecrosis of the femoral head, it is difficult to achieve satisfactory functional outcomes when treating Pipkin type III femoral head fractures using ORIF, and a primary THA may be considered. However, for younger patients, considering the survivorship of prosthesis, ORIF may be recommended with the proviso that the patient is fully informed of the high complication rate associated with this procedure.Level of evidence: IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 16, 2023 Category: Orthopaedics Source Type: research

Scientometric analysis of highly cited papers on avascular necrosis of the femoral head from 1991 to 2022
ConclusionThe HCPs contributed to the knowledge of AVNFH by examining research perspectives and identifying important subareas through keyword analysis.Level of evidence: Not applicable.Trial registration: Not applicable. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 15, 2023 Category: Orthopaedics Source Type: research

The value of sonication in the differential diagnosis of septic and aseptic femoral and tibial shaft nonunion in comparison to conventional tissue culture and histopathology: a prospective multicenter clinical study
ConclusionsOur findings support a multimodal approach for the differential diagnosis of nonunion, with sonication demonstrating substantial usefulness.Level of Evidence: Level 2Trial registration DRKS00014657 (date of registration: 2018/04/26) (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 12, 2023 Category: Orthopaedics Source Type: research