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The semi-extended infrapatellar intramedullary nailing of distal tibia fractures: a randomized clinical trial
ConclusionsIn summary, we demonstrated that the SEIP IMN provides markedly enhanced alignment of extraarticular and nondisplaced intra-articular DTFs compared to the traditional HFIP IMN procedure. The described technique represents an effective option for IMN of DTFs.Level of evidenceLevel 2.Trial registration The Chinese Clinical Trial Registry, ChiCTR2100043673. Registered 26 February 2021, retrospectively registered,http://www.chictr.org.cn/showprojen.aspx?proj=122263 (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - November 28, 2022 Category: Orthopaedics Source Type: research

VOLCON: a randomized controlled trial investigating complications and functional outcome of volar plating vs casting of unstable distal radius fractures in patients older than 65 years
ConclusionsComplication rates after operative and non-operative treatment of DRF were similar. Volar plating did not improve the functional outcome after 5  weeks, 6 months, and 12 months. These findings are in line with recent RCTs and mandate a revision of guidelines towards more conservative treatment. Take home messages: (1) consider non-operative treatment in elderly patients sustaining unstable DRFs; (2) choosing operative treatment in patient s older than 65 years should not be the gold standard; (3) however, non-operative treatment still carries a risk for complications.Level of evidenceII.Trial registration Cli...
Source: Journal of Orthopaedics and Traumatology - November 28, 2022 Category: Orthopaedics Source Type: research

Synovial fluid pH is as specific as synovial leukocyte count but less sensitive for the diagnosis of chronic prosthetic joint infection
ConclusionSynovial pH may be a useful adjunct parameter in the diagnosis of chronic PJI after hip or knee arthroplasty, but showed low sensitivity in this preliminary cohort. Future studies with larger numbers are needed.Level of evidence2a, diagnostic study.Trial registration German Clinical Trials Register (Registration number: DRKS00021038). (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - November 19, 2022 Category: Orthopaedics Source Type: research

Anatomically reduced fixation should always be considered when treating B and C proximal epiphyseal humeral fractures
ConclusionAnatomically reduced fractures showed better outcomes compared with RSA in type B/C fractures. Surgeons should always try to perform a reduction of the fracture in order to understand if a plate fixation could be feasible. If it is impossible to perform an anatomical reduction, we suggest to consider RSA. This is a retrospective observational study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - November 5, 2022 Category: Orthopaedics Source Type: research

Transepicondylar distance measured on MRI can predict the length of the graft required for different anterior cruciate ligament reconstruction (ACLR) techniques useful for revision surgery
ConclusionAccurate formulas were created to calculate the graft length needed for different ACL revision techniques and ALL reconstruction/LET techniques from TD. These formulas can be used during preoperative planning of ACL revision cases. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - October 15, 2022 Category: Orthopaedics Source Type: research

Efficacy and safety of robotic spine surgery: systematic review and meta-analysis
ConclusionsNo conclusive results were found suggesting that there are benefits in using RS over FS for spinal fusion. Further research with adequate patient selection, robot type and quality-of-life variables is needed.Level of evidence: level 1. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - October 15, 2022 Category: Orthopaedics Source Type: research

Functional and radiological outcomes after treatment of congenital pseudarthrosis of the tibia using the Ilizarov technique: a retrospective single-center study
ConclusionsThe Ilizarov technique combined with intramedullary rod and primary or secondary bone graft provides a high union rate of CPT and can achieve simultaneous effective management of problems related to pseudarthrosis, including non-union, deformity, limb shortening, and adjacent joint contracture and subluxation.Level of evidence Level IV. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 23, 2022 Category: Orthopaedics Source Type: research

Multilevel non-contiguous thoracic pedicle subtraction osteotomy for fixed rounded hyperkyphotic deformity of the thoraco-lumbar junction with anterior bony fusion: technical note
ConclusionsThe presented technique, although technically demanding, proved to be a safe and effective alternative for the management of fixed severe thoraco-lumbar junction hyperkyphotic deformities.Level of evidence: IVTRIAL REGISTRATION Retrospectively registered (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 19, 2022 Category: Orthopaedics Source Type: research

Preliminary results of two novel devices for epiphysiodesis in the reduction of excessive predicted final height in tall stature
ConclusionstED and pED have both proven to be efficient at achieving growth inhibition to reduce excessive predicted height. However, tED has been associated with an increased risk of secondary angular deformities  of the knee. Furthermore, the risk of implant-related complications and the necessity of a subsequent surgical intervention for implant removal have led our study group to abandon tED when treating tall stature. Long-term results of both procedures are pending.Level of evidence4. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 17, 2022 Category: Orthopaedics Source Type: research

Which serum markers predict the success of reimplantation after periprosthetic joint infection?
ConclusionPlasma CRP and fibrinogen are good tests for predicting reimplantation success after two-stage revision procedures for patients with PJI. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 16, 2022 Category: Orthopaedics Source Type: research

Intraoperative CT-guided navigation versus fluoroscopy for percutaneous pedicle screw placement in 192 patients: a comparative analysis
ConclusionsCTNav technique increases accuracy of pedicle screw placement compared with FA technique without affecting operative time. Nevertheless, no significant difference was noted in terms of reoperation rate due to screw malpositioning between CTNav and FA techniques. Radiation exposure of patients was significantly higher with CTNav technique.Level of Evidence: Level 3. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - September 1, 2022 Category: Orthopaedics Source Type: research

Epidemiology of distal radius fractures: a detailed survey on a large sample of patients in a suburban area
ConclusionsDRFs have a higher prevalence in females, an increase in incidence with older age, and no seasonal predisposition. Low-energy trauma occurring at home is the main cause of fracture among younger males sustaining fractures after sports trauma; Complete articular is the most frequent fracture pattern, while 2R3A2.2 is most frequent fracture type.Level of evidenceLevel IV; case series; descriptive epidemiology study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 30, 2022 Category: Orthopaedics Source Type: research

Plating versus elastic stable intramedullary nailing for displaced pediatric midshaft clavicular fractures
ConclusionA conservative approach remains the first choice for a pediatric clavicle fracture. Both the ESIN and the plate are safe and effective treatment methods for displaced midshaft clavicle fractures in adolescents. The ESIN is superior to the plate given its shorter operative time, shorter hospital stay, lower rate of scar concern, and easier implant removal.Level of evidenceIII, retrospective observational study. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 22, 2022 Category: Orthopaedics Source Type: research

Synthetic graft for medial patellofemoral ligament reconstruction: a systematic review
ConclusionSynthetic graft may be reliable and feasible for primary MPFL reconstruction in patients with recurrent patellofemoral instability. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 22, 2022 Category: Orthopaedics Source Type: research

Is double-crossed retrograde elastic stable intramedullary nailing an alternative method for the treatment of diaphyseal fractures in the adult humerus?
ConclusionsThe DCR-ESIN technique, used to treat diaphyseal fractures of the humerus, has shorter operative times, less intra-operative blood loss, shorter union times, and better functional outcomes at 1-year follow-up than the LC-DCP technique. DCR-ESIN may be an alternative method for the surgical treatment of diaphyseal humeral fractures in adults. (Source: Journal of Orthopaedics and Traumatology)
Source: Journal of Orthopaedics and Traumatology - August 17, 2022 Category: Orthopaedics Source Type: research