Clinical results in patients affected by moderate –severe knee osteoarthritis and treated with micro-fragmented adipose tissue: the therapeutic effects on symptomatology
This study analyzed the clinical potential benefits of using autologous adipose tissue to treat patients with moderate –severe knee osteoarthritis.In 2021, a total of 50 knees, affected by moderate –severe knee osteoarthritis, were treated with an intra-articular injection of micro-fragmented subcutaneous adipose tissue. Patients were submitted to the KOOS questionnaire before the operation and one year after the operation and VAS pain score at time 0, 3, 6, 12 months.Of the 50 patients treated, 2 patients were excluded from the study. Of the remaining 48 patients, improvements have been achieved in all subclasses of K...
Source: Musculoskeletal Surgery - April 11, 2024 Category: Orthopaedics Source Type: research
Correction to: Adipose ‑derived stem cells applied to ankle pathologies: a systematic review
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 6, 2024 Category: Orthopaedics Source Type: research
Infrapatellar branch of the saphenous nerve lesion following tibial nailing: it is possible to avoid it?
ConclusionsIn order to avoid infrapatellar nerve lesion, horizontal or oblique incisions or percutaneous approaches should be favored, although in some cases a longitudinal incision is required. Limited-extension incisions could minimize the risk and the incidence of this complication. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 1, 2024 Category: Orthopaedics Source Type: research
The Musculoskeletal Tumor Society Scoring system is a valid subjective and objective tool to evaluate outcomes of surgical treatment of patients affected by upper and lower extremity tumors
ConclusionsThe Italian version of the MSTS is a valid tool to evaluate outcomes of surgical treatment of patients affected by extremities tumors and it can be used as a subjective tool for both lower and upper extremity. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 14, 2024 Category: Orthopaedics Source Type: research
Computed tomography changes diagnosis, management and surgical planning of ankle fractures
ConclusionsThe CR may fail to demonstrate subtle lesions, such as posterior malleolus fractures and syndesmotic injuries. The CT evaluation increases the diagnostic precision and improves the quality of information the surgeon receives, what might positively affect patient care.Level of evidence IIIRetrospective Comparative Study. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 11, 2024 Category: Orthopaedics Source Type: research
Arthroscopic surgery for scaphoid nonunion: a 10-year systematic literature review
AbstractThe purpose of the study was to investigate whether arthroscopic treatment of carpal scaphoid nonunions by osteosynthesis with bone grafting represents a successful surgical technique. This systematic literature review, conducted following the PRISMA guidelines, explores the past 10 years of clinical studies concerning the arthroscopic treatment of scaphoid nonunions. The most relevant keywords were used to search the databases, and the Downs and Black 27-item checklist has been used as quality assessment tool. Twelve papers that meet the premised eligibility criteria have be en identified. These studies demonstr...
Source: Musculoskeletal Surgery - February 10, 2024 Category: Orthopaedics Source Type: research
Cross-cultural adaptation and validation of the Italian version of the Western Ontario Rotator Cuff (WORC) index
AbstractThe aim of the study was to accomplish translation, cross-cultural adaptation and validation of the Western Ontario Rotator Cuff (WORC) Index questionnaire for its use in Italy. The WORC original version was translated and cross-culturally adapted into Italian. Subsequently, it was administered to a population of 60 patients suffering from rotator cuff disease to evaluate the validity and reliability of the Italian version. The content validity evaluated the correlation between questions and total score of each domain through Pearson ’s correlation coefficient. The construct validity was similarly assessed throug...
Source: Musculoskeletal Surgery - January 29, 2024 Category: Orthopaedics Source Type: research
The gender role in the publishing of Authorships in high-impact orthopedic journals
AbstractTo evidence the existence of a gender gap in the orthopedic scientific literature by including also differences between some specific orthopedic surgery specialities, such as hands and feet. Then, we also considered gender role in the Authorship linked with the economic wealth of each country belonging to each Author. The gender of the first Authors of journals on orthopedics and sports medicine indexing in the Scopus database with the highest impact factor (IF) related to the year 2019, for the period from January 1, 2015, to December 31, 2020, were considered. A total of 11 journals were considered, including a t...
Source: Musculoskeletal Surgery - January 24, 2024 Category: Orthopaedics Source Type: research
Machine learning can predict anterior elevation after reverse total shoulder arthroplasty: A new tool for daily outpatient clinic?
AbstractThe aim of the present study was to individuate and compare specific machine learning algorithms that could predict postoperative anterior elevation score after reverse shoulder arthroplasty surgery at different time points. Data from 105 patients who underwent reverse shoulder arthroplasty at the same institute have been collected with the purpose of generating algorithms which could predict the target. Twenty-eight features were extracted and applied to two different machine learning techniques: Linear regression and support vector regression (SVR). These two techniques were also compared in order to define to mo...
Source: Musculoskeletal Surgery - January 24, 2024 Category: Orthopaedics Source Type: research
Can we predict 1-year functional outcomes and mortality following hip fracture in middle-aged and geriatric patients at time of admission?
This study ’s purpose is to determine if patients treated for hip fracture at highest risk for poor functional outcomes, shorter time to death, and death within 1-year can be predicted at the time of admission. We hypothesized that the Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA) tool ca n be used to predict risk of these variables. Between February 2019–July 2020, 544 patients ≥ 55-years-old were treated for hip fracture [AO/OTA 31A/B, 32A/C]. Each patient’s demographics, functional status, and injury details were used to calculate their respective risk (STTGMA) score at time of admission....
Source: Musculoskeletal Surgery - January 13, 2024 Category: Orthopaedics Source Type: research
Interimplant femoral fracture: analysis of risk factors
This study aims to analyze and identify the primary risk factors associated with interimplant femoral fractures. We conducted a retrospective analysis involving 20 patients with interimplant femoral fracture (case group) and 18 patients who had both proximal and distal femoral implants but did not experience interimplant fractures (control group). Our analysis focused on demographic factors (age, sex, BMI) and radiographic parameters (implant types, gap between implants, cortical thickness, femoral canal area) to identify potential risk factors. In the case group, all patients were females, whereas in the control group, 16...
Source: Musculoskeletal Surgery - January 12, 2024 Category: Orthopaedics Source Type: research
Great tuberosity fixation does not affect healing and clinical outcomes in RSA performed in proximal humeral fractures in elderly patients
ConclusionGT reduction is not a predictive factor for GT healing; external stress shielding, instead, seems to be decreased in patients with postoperative anatomically reduced GT.In our study, GT healing did not affect clinical outcomes or patient ’s satisfaction in elderly low-demanding patients. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 4, 2024 Category: Orthopaedics Source Type: research
High-intensity focused ultrasound —a needleless management for osteoid osteoma: a systematic review
The objective of this study is to review the efficacy and side effects of HIFU in the management of osteoid osteoma. A comprehensive search was conducted in PubMed, Science Direct, and Clinical Key until June 30, 2022. Demographic data, baseline characteristics, success rates, pre- and post-procedure pain scores, recurrences, and complications were recorded. Eleven studies were included in this systematic review. Pooled analysis that involved 186 subjects resulted in an overall success rate of 91.94%. Recurrence was reported in two studies, in which it occurred in 4/177 (2.26%) subjects. Skin burn was found in 1 (0.54%) pa...
Source: Musculoskeletal Surgery - December 27, 2023 Category: Orthopaedics Source Type: research
The use of resurfacing capitate pyrocarbon implants (RCPI) in chronic diseases of the wrist: outcomes of more than 100 cases
ConclusionsProximal row carpectomy associated with RCPI is an excellent surgical strategy to relieve pain and to improve wrist range of motion and grip strength in patients with chronic diseases of the wrist. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 1, 2023 Category: Orthopaedics Source Type: research
An update on rehabilitative treatment of shoulder disease after breast cancer care
AbstractAccording to the latest statistics of the American Cancer Society 2022, breast cancer is a leading cause of morbidity and death among women worldwide. As a result of oncological procedures, breast cancer survivors often complain of pain and disability to the ipsilateral arm and shoulder.Objective: we aimed to analyze the latest literature regarding the efficacy of different rehabilitation treatments in patients affected by shoulder impairment secondary to breast cancer care. A comprehensive literature search was conducted on PubMed, PEDRO and Scopus databases. All English studies, published in the last decade up to...
Source: Musculoskeletal Surgery - December 1, 2023 Category: Orthopaedics Source Type: research
