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Hormone replacement therapy in women and risk of carpal tunnel syndrome: a systematic review and metaanalysis
ConclusionsThis meta-analysis  supports the safety of using HRT in postmenopausal women with potential risk factors for CTS.Level of evidenceI, Prognosis.Registration: INPLASY (202280018). (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - June 12, 2023 Category: Orthopaedics Source Type: research

Coronal alignment in total knee arthroplasty: a review
AbstractTotal knee arthroplasty (TKA) alignment has recently become a hot topic in the orthopedics arthroplasty literature. Coronal plane alignment especially has gained increasing attention since it is considered a cornerstone for improved clinical outcomes. Various alignment techniques have been described, but none proved to be optimal and there is a lack of general consensus on which alignment provides best results. The aim of this narrative review is to describe the different types of coronal alignments in TKA, correctly defining the main principles and terms. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 22, 2023 Category: Orthopaedics Source Type: research

Scapho-luno-capitate fusion with proximal lunate articular surface preservation for management of grade IIIA Kienb öck’s disease: a prospective case series
ConclusionsScapho-luno-capitate fusion with partial lunate excision and preservation of the proximal lunate surface is a valuable option for treating stage IIIA Kienb öck’s disease, with satisfactory outcomes.Level of evidence Level IV.Trial registration Not applicable. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 18, 2023 Category: Orthopaedics Source Type: research

Blood-saving dissection with monopolar tungsten needle electrodes and Teflon-coated spatula electrodes in tumor orthopedics
ConclusionDissection with tungsten needle electrodes and PTFE-coated spatula electrodes appears an effective surgical blood-saving measure without increased risk of wound healing disorders.Level of evidenceIII, retrospective comparative study.Clinical trial registration. The study was registered at ClinicalTrials.gov. Identifier: NCT05164809. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 15, 2023 Category: Orthopaedics Source Type: research

Arthroscopic rotator cuff repair in fibromyalgia patients had comparable outcomes to a matched control group
ConclusionFibromyalgia patients with rotator cuff tears who undergo ARCR do not have inferior patient-reported outcomes compared with non-fibromyalgia controls. Fibromyalgia should not be a considered a contraindication for ARCR.Level of evidence: III (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 11, 2023 Category: Orthopaedics Source Type: research

Traumatic peripheral nerve injuries: a classification proposal
ConclusionsThe authors propose this novel classification for PNIs, with the main advantage to allow physicians to easily understand the characteristics of nerve lesions, severity, possibility of spontaneous recovery, onset of early complications, need for surgical treatment, and the best surgical approach.Level of evidence: according to the Oxford 2011 level of evidence, level 2. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 10, 2023 Category: Orthopaedics Source Type: research

A novel “7 sutures and 8 knots” surgical technique in reverse shoulder arthroplasty for proximal humeral fractures: tuberosity healing improves short-term clinical results
ConclusionsThe “7 sutures and 8 knots” technique, which relies on three sutures around the implant and five bridging sutures between the tuberosities, is a relatively simple procedure which provides a reliable means for anatomic restoration of the tuberosities and allows functional recovery of the shoulder in elderly patients with cPHFs treated with RSA.Level of evidence: IV; retrospective atudy.Trial registration: At our institution, no institutional review board nor ethical committee approval is necessary for retrospective studies. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 8, 2023 Category: Orthopaedics Source Type: research

Prevalence of preoperative deep vein thrombosis in long bone fractures of lower limbs: a systematic review and meta-analysis
ConclusionsDespite the heterogeneity among studies, this systematic review suggests that the prevalence of preoperative DVT, which may seriously affect the prognosis of patients, is high. Therefore, greater efforts should be devoted to the improvement of screening and prevention strategies for preoperative DVT in lower-extremity long bone fractures.Level of Evidence: Level III.Trial Registration The study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database with the registration number CRD42022324706. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - May 8, 2023 Category: Orthopaedics Source Type: research

Tourniquets can further reduce perioperative blood loss in patients on dexamethasone and tranexamic acid during cemented total knee arthritis: a single-center, double-blind, randomized controlled trial
ConclusionsThe results of this randomized clinical trial demonstrate that applying a tourniquet during cemented total knee arthroplasty to patients receiving multiple doses of dexamethasone and tranexamic acid can further reduce perioperative blood loss without increasing the risk of inflammation, fibrinolysis, or other complications. Thus, it is advised to use tourniquets combined with dexamethasone and tranexamic acid to reduce perioperative blood loss and avoid tourniquet-related adverse events.Level of evidence: Therapeutic Level I.Trial registration Chinese Clinical Trail Registry, ChiCTR2200060567. Registered 5 June ...
Source: Journal of Orthopaedics and Traumatology - April 29, 2023 Category: Orthopaedics Source Type: research

Does the pronator-sparing approach improve functional outcome, compared to a standard volar approach, in volar plating of distal radius fractures? A prospective, randomized controlled trial
ConclusionsThis randomized comparative clinical trial failed to demonstrate that a volar plate osteosynthesis performed with a PqSA could improve the outcome, compared to the SVA, in patients with DRF.Level of evidenceIITrial registration Comparison of Two Volar Plating Systems for Distal Radius Fractures, ClinicalTrials.gov (NCT03474445), registered 22 March 2018, retrospectively registered,https://clinicaltrials.gov/ct2/show/NCT03474445?cond=radius&cntry=AT&draw=2&rank=1 (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 28, 2023 Category: Orthopaedics Source Type: research

Study of a constrained finite element elbow prosthesis: the influence of the implant placement
ConclusionThe areas of greatest stress occur in specific regions of the ulnar and humeral components at the bone –cement–prosthesis interface. The heaviest configuration in terms of stresses was when the elbow was flexed at 90°. Variations in the positioning in the sagittal plane can mechanically affect the movement, possibly resulting in longer survival of the implant.Level of evidence: 5 (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 13, 2023 Category: Orthopaedics Source Type: research

Bionate ® nucleus disc replacement: bench testing comparing two different designs
ConclusionD1 performed better than D2. Further studies in cadaveric specimens, and eventually in a clinical setting, are recommended.Level of evidence 2c. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 11, 2023 Category: Orthopaedics Source Type: research

Suprapatellar vs infrapatellar approaches for intramedullary nailing of distal tibial fractures: a systematic review and meta-analysis
ConclusionsWith more advantages, the suprapatellar approach may be the preferred nailing technique over the infrapatellar approach when treating distal tibial fractures.Level of evidence: Level III, systematic review of non-randomized studies. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 11, 2023 Category: Orthopaedics Source Type: research

Long-term clinical results of using a posteromedial all-inside and anteromedial inside-out approach to repair unstable or irreducible bucket-handle medial meniscal tears
ConclusionPosterior knee arthroscopy with the all-inside posterior suture and inside-out anteromedial suture technique presented in this study yielded excellent clinical outcomes when used to repair chronic irreducible or unstable BHMMTs.Level of evidence: Level IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 6, 2023 Category: Orthopaedics Source Type: research

Incidence and progression of osteoarthritis following curettage and cementation of giant cell tumor of bone around the knee: long-term follow-up
ConclusionsCurettage and cementation can be used safely to treat GCTB around the knee. Arthritis of the knee is a possible complication, but mild grades are expected in most cases. There was no association between arthritis incidence and age, gender, pathological fractures, tumor location, or recurrent tumors.Level of evidenceLevel IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - April 6, 2023 Category: Orthopaedics Source Type: research