Outcomes of cementless fixation in medial unicompartmental knee arthroplasty: review of recent literature
ConclusionCementless UKA represents a surgical option allowing low revision rate. Further high-quality long-term studies would better clarify complications, clinical and radiological results of this promising fixation method. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 26, 2020 Category: Orthopaedics Source Type: research

Total shoulder arthroplasty with hybrid fixation of glenoid components consisting of cementless porous metal pegs or cage along with cemented backside polyethylene surface: a systematic review
AbstractRecently, hybrid glenoid components have been developed, consisting of cementless highly porous metal central peg, monoblock keel or cage along with cemented backside polyethylene surface. The aims of this study were twofold: (1) to determine the revision and complication rates of hybrid glenoid components, consisting of porous metal pegs or coatings attached to the polyethylene, for aseptic loosening in TSA and (2) to evaluate the rate of radiolucent lines in patients who underwent TSA with hybrid glenoid components consisting of porous metal pegs or coatings attached to the polyethylene. The US National Library o...
Source: Musculoskeletal Surgery - June 11, 2020 Category: Orthopaedics Source Type: research

Angular stable plate versus reverse shoulder arthroplasty for proximal humeral fractures in elderly patient
ConclusionIn this study, both treatments showed good clinical outcomes, but RTSA resulted in lower revision rate than ORIF. Even if external and internal rotation in RTSA patients were worse than ORIF, they did not affect the patient ’s quality of life. So, the reverse arthroplasty seems to be a more reliable treatment. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 5, 2020 Category: Orthopaedics Source Type: research

Management of humeral impending or pathological fractures with intramedullary nailing: reaming versus non reaming technique —a retrospective comparative study
ConclusionOur study suggests possible benefit of URIM in terms of less blood transfusions with no difference in consolidation rates. Even though without significance, a tendency to less blood loss, less events of systemic complication and lower length of stay was observed with URIM. Despite its limitations, this study can be used to design future prospective ventures that quantify patient-reported outcomes and provide more clear evidence. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 25, 2020 Category: Orthopaedics Source Type: research

Outcomes of ketorolac versus depomedrol infiltrations for subacromial impingement syndrome: a randomized controlled trial
This study compares the effect of subacromial injections of ketorolac with steroids.MethodsA randomized controlled study was planned with 35 patients in each group. Patients in group-1 were infiltrated with subacromial ketorolac (60  mg with 2% lignocaine) and in group-2 with a steroid (methylprednisolone-40 mg with 2% lignocaine). A similar rehabilitation protocol was followed, and clinical outcomes were analyzed using visual analog scale (VAS) for pain and shoulder pain and disability score (SPADI) and range of motion at on e-month and three-months follow-up.ResultsTotal data of 67 patients were analyzed, as th...
Source: Musculoskeletal Surgery - May 22, 2020 Category: Orthopaedics Source Type: research

Midterm results after revision rotator cuff reconstruction: Can ultrasound predict outcome of revision surgery?
Conclusion(1) Clinical outcomes after revision RCR improve in both patients with an intact RC and those with a retear at midterm follow-up. (2) Ultrasound seems to be a useful tool to predict whether reconstruction of recurrent rotator cuff tears is feasible.Level of evidenceIV, Case series. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 21, 2020 Category: Orthopaedics Source Type: research

Coracoid tunnels in open and arthroscopic treatment of acromioclavicular dislocation: an experimental cadaveric study
ConclusionThe evidences collected enable the orthopedic surgeon to choose equally between the two techniques in the treatment of AC joint dislocation toward precision. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 13, 2020 Category: Orthopaedics Source Type: research

Conservative or surgical treatment of carpal tunnel syndrome based on the severity and patient risk factors
This study was carried out to determine which treatment is more appropriate for moderate or severe CTS patients with or without risk factors.Materials and methodsIn a cohort prospective study, the patients with moderate CTS received a conservative treatment including night splint for 3  months, one methyl prednisolone injection whereas patients with severe CTS underwent surgical release. They were followed for 1 year using the bland scale based on the electromyography and nerve conduction velocity studies and five-point global assessment outcome scale.ResultsTotally, 68 moderate CTS cases (32 patients with risk f...
Source: Musculoskeletal Surgery - May 11, 2020 Category: Orthopaedics Source Type: research

Reconstruction of the pelvic ring in iliac or iliosacral resections: allograft or autograft?
ConclusionsBiological reconstruction of pelvic ring with autologous or homologous bone graft gives acceptable functional results. However, the decision on how to reconstruct the pelvic ring after iliac resection should be taken on a patient-by-patient basis. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 10, 2020 Category: Orthopaedics Source Type: research

Nerve palsy, dislocation and revision rate among the approaches for total hip arthroplasty: a Bayesian network meta-analysis
ConclusionAccording to our network comparisons, the posterolateral approach for THA represent the favourable exposure with regards to nerve palsy, further dislocations and revision surgeries. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 5, 2020 Category: Orthopaedics Source Type: research

Arthroscopic anatomic complete versus non-anatomic repair of massive rotator cuff tears: a systematic review of comparative trials
AbstractSeveral clinical studies have compared the clinical and functional outcomes of arthroscopic anatomic complete repair and arthroscopic partial repair for massive rotator cuff tears (MRCTs). To our knowledge, no systematic review of these comparative trials has been published yet. A systematic analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews. Six studies were eligible for analysis, and they were level III case –control studies. There were 223 cases of complete repa...
Source: Musculoskeletal Surgery - May 1, 2020 Category: Orthopaedics Source Type: research

Reduction in pain from corticosteroid injection for the treatment of trigger finger with subcutaneous single-injection digital block: a randomized controlled trial
AbstractPurposeThe pain from corticosteroid injections is not an insignificant issue for patients with trigger finger. The aim of this study was to evaluate the efficacy of subcutaneous single-injection digital block (SSIDB) for pain reduction during trigger finger corticosteroid injection.MethodsNinety patients requiring corticosteroid injections for trigger finger were randomized to three groups: SSIDB with 2  ml of 1% lidocaine, SSIDB with 1 ml of 1% lidocaine and no digital block (control group). In SSIDB groups, the intrasynovial corticosteroid injections were performed after digital nerve block. In control ...
Source: Musculoskeletal Surgery - April 29, 2020 Category: Orthopaedics Source Type: research

Curve severity and apical vertebral rotation and their association with curve flexibility in adolescent idiopathic scoliosis
AbstractPurposeTo determine the association between coronal Cobb ’s angle and Nash–Moe index in patients with adolescent idiopathic scoliosis. We also attempted to determine whether apical vertebral derotation depended upon the curve flexibility.Overview of literatureThe three-dimensional nature of adolescent idiopathic scoliosis (AIS) is well established. Knowledge of all components of this complex deformity is essential to formulate effective treatment strategies. Though the importance of quantifying all the components of the deformity, in AIS, has been analysed in detail, very few studies have been done to a...
Source: Musculoskeletal Surgery - April 22, 2020 Category: Orthopaedics Source Type: research

Minimally versus conventional-invasive transforaminal lumbar interbody fusion in patients with failed back surgery syndrome
ConclusionTLIF is a valuable option after failed back surgery syndrome providing statistically significant improvement postoperatively. Both minimally and conventional-invasive TLIF represent a safe and reliable treatment of patients with failed back syndrome, achieving satisfactory outcome along with low rate of complications. Although the minimally invasive TLIF scored better, these differences did not reach the threshold of significance. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 21, 2020 Category: Orthopaedics Source Type: research

ARoCuS Web application promotes standardized treatment and documentation of rotator cuff tears
ConclusionThe ARoCuS app is a supportive tool for integration of standardized treatment procedures and documentation of rotator cuff tears in clinical routine. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 20, 2020 Category: Orthopaedics Source Type: research

Hospitalization length, surgical duration, and blood lost among the approaches for total hip arthroplasty: a Bayesian network meta-analysis
AbstractDespite the numerous studies, there is no consensus concerning the best approach for total hip arthroplasty (THA), and debates are ongoing. The purpose of this study was to perform a Bayesian network meta-analysis (NMA) comparing several approaches for primary THA. The focus was on peri-operative outcomes: surgical duration, total estimated blood loss, and length of the hospitalization. This Bayesian network meta-analysis was conducted according to the PRISMA extension statement for reporting systematic reviews incorporating network meta-analyses of health care interventions. In October 2019, the main databases wer...
Source: Musculoskeletal Surgery - April 4, 2020 Category: Orthopaedics Source Type: research

Segmental endoprosthesis replacement in a resource-constrained setting
ConclusionEarly results indicate fair outcomes; however, factors limiting the use of endoprosthesis still persist. These include high cost of endoprosthesis, restricted availability of appropriate equipment and the requisite trained specialists in the field. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 13, 2020 Category: Orthopaedics Source Type: research

Hidden blood loss in direct anterior total hip arthroplasty: a prospective, double blind, randomized controlled trial on topical versus intravenous tranexamic acid
ConclusionsThis study provides detailed insights into the intra- and post-operative blood loss in DAA THA and shows that topical and IV TXA have similar effects on hidden blood loss.Clinical Trial Number: NCT01940692.Level of evidence ILevel I —Randomized Controlled Trial. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 10, 2020 Category: Orthopaedics Source Type: research

Barbed sutures reduce arthrotomy closure duration compared to interrupted conventional sutures for total knee arthroplasty: a randomized controlled trial
AbstractBackgroundThe broad aim of this study was to compare the safety and efficacy of using barbed sutures versus standard-of-care sutures for closure of arthrotomy during total knee arthroplasty. Specifically, we compared the  duration of arthrotomy closure, the number of sutures utilized for arthrotomy closure, and 90-day outcomes, including wound-related readmission, reoperation, and complications.Materials and methodsA total of 60 patients undergoing primary  total knee arthroplasty were enrolled in a prospective, blinded trial and randomized to receive either running closure of the arthrotomy with bar...
Source: Musculoskeletal Surgery - March 7, 2020 Category: Orthopaedics Source Type: research

Assessment of the young adult hip joint using plain radiographs
AbstractRadiographic examination remains the mainstay of the initial assessment of the young adult hip; however, common parameters are required to assist in the formation of accurate diagnoses and appropriate management plans. This paper aims to summarise the most important aspects of the assessment of plain radiographs performed on the young adult hip joint. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 3, 2020 Category: Orthopaedics Source Type: research

Short-term results of a new self-locking cementless femoral stem: a prospective cohort study of the Lima Master SL
ConclusionsThe MasterSL femoral stem performed well in this short-term follow-up study, with high patient satisfaction and good signs of osteointegration. Long-term follow-up will be necessary to evaluate longevity.Level of evidenceLevel 3, Prospective cohort study.Trial registrationThe study was registered on the 30.03.2016 with Australia New Zealand Clinical Trials Registry (ACTRN12617000550303). (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 2, 2020 Category: Orthopaedics Source Type: research

Intercostal or ulnar nerve: Which donor nerve is to be used for reanimation of elbow flexion?
ConclusionThe evidence from the present study indicates that although ICN –MCN transfer is a viable method for reanimation of elbow flexion in BPI, mFCU nerve is a better donor if exists. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 2, 2020 Category: Orthopaedics Source Type: research

Arthroscopic electrothermal collagen shrinkage for partial scapholunate ligament tears, isolated or with associated triangular fibrocartilage complex injuries: a prospective study
ConclusionsSL ligament and TFCC electrothermal shrinkage effectively provided pain relief and grip strength increase for most of the patients treated.Level of evidenceLevel IV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 2, 2020 Category: Orthopaedics Source Type: research

Arthroscopic partial repair with versus without biodegradable subacromial spacer for patients with massive rotator cuff tears: a case –control study
ConclusionArthroscopic partial repair, either with or without ISB implantation, resulted in significantly improved clinical and functional short-term outcomes for the treatment of MRCT. Patients who were treated with combined partial repair and ISB implantation had a potential propensity toward better functional outcomes and higher patient satisfaction compared to the single-partial-repair-treated group. However, given that these differences were not significant, we feel that further studies are required to clarify the potential therapeutic value of ISB implantation in the treatment of irreparable MRCT.Level of EvidenceLev...
Source: Musculoskeletal Surgery - March 2, 2020 Category: Orthopaedics Source Type: research

Neurolysis versus anterior transposition of the ulnar nerve in cubital tunnel syndrome: a 12  years single secondary specialist centre experience
ConclusionsIn our experience, the surgical technique to treat the cubital tunnel syndrome most efficiently and feasibly has not yet been established in terms of indications and outcomes. This is supported by the data present in the international literature. Good and similar results were obtained with neurolysis alone and neurolysis associated with anterior transposition of the ulnar nerve (in line with the international data). In conclusion, more high-quality studies of greater statistical power are needed to provide a consensus on the surgical indications and techniques to treat the cubital tunnel syndrome and to establis...
Source: Musculoskeletal Surgery - February 8, 2020 Category: Orthopaedics Source Type: research

Management of high-grade hallux rigidus: a narrative review of the literature
AbstractHallux rigidus is a disease characterized by an osteoarthritic degeneration of the first metatarsophalangeal joint. Aetiology of hallux rigidus is not clear in the literature. History of trauma is considered one of the most common causes of unilateral hallux rigidus. Also, repetitive microtraumas or inflammatory and metabolic causes such as gout, rheumatoid arthritis and seronegative arthropathy can cause degeneration of the joint. The aim of this literature narrative overview is to summarize and expose the great amount of management concepts and information, including the well-codified main operative procedures to...
Source: Musculoskeletal Surgery - February 6, 2020 Category: Orthopaedics Source Type: research

Total hip arthroplasty and sexual activity: a systematic review
AbstractHip discomfort due to degenerative pathologies causes limitations in the everyday activities of patients, including sexual activity. To address such limitations, patients are usually treated with total hip arthroplasty (THA). The aim of this systematic review was to investigate the success of this surgical procedure to ameliorate sexual activity of patients. We performed a comprehensive research of four electronic databases for articles pertaining to the benefits of THA  on sexual activity. Exclusion criteria included articles not in English. The search initially yielded 34 articles. Two authors subsequently r...
Source: Musculoskeletal Surgery - February 6, 2020 Category: Orthopaedics Source Type: research

Surgical treatment of traumatic thoracolumbar fractures: a retrospective review of 101 cases
ConclusionsThis study confirmed the validity of the posterior approach in the surgical treatment of thoracolumbar fractures. Outcomes and complication risks are related to fracture severity. Surgical treatment can be recommended even with an AOSIS score of two or three. The combined antero-posterior approach could be useful in cases with LSC  >  8, especially in the thoracolumbar region. The degree of neurological recovery depends on fracture type, location, ASIA score and presence of comorbidities. Early intervention in myelic patients allows for a better prognosis.Level of evidence III retrospective case...
Source: Musculoskeletal Surgery - February 5, 2020 Category: Orthopaedics Source Type: research

Proximal humeral fracture in patients with high Charlson comorbidity index: mortality rate according to treatment choice
ConclusionsPatients with high preinjury comorbidities (CCI  >  5) experienced an increased mortality risk if they underwent surgical treatment for isolated PHFs. The use of a morbidity prognostic tool, such as the CCI, can help predict the outcome (particularly mortality) in these patients and may aid in making decisions in terms of operative versus non-oper ative treatment to minimize patient mortality.Level of evidenceLevel III; Retrospective Comparative Study; Treatment Study. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - February 1, 2020 Category: Orthopaedics Source Type: research

Revisiting the tibial crest as reference for the mechanical alignment of the tibial component in total knee arthroplasty: a cadaveric study on Caucasian tibiae
ConclusionThe TC of Caucasian subjects exhibits a marked variability in its course and relationship with the MA. Unlike the TC in Asian subjects, the TC of Caucasians cannot be considered an accurate anatomical reference to guide the coronal alignment of the tibial component in TKA. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 30, 2020 Category: Orthopaedics Source Type: research

Hip resurfacing as an outpatient procedure: a comparison of overall cost and review of safety
This study aims to evaluate the cost-effectiveness and safety of outpatient hip resurfacing. Two experienced surgeons performed 485 resurfacing surgeries. We retrospectively compared clinical outcomes and patient satisfaction with published outpatient total hip results. Furthermore, we compared average insurance reimbursement with that of local inpatient hip replacement. No major complications occurred within 6  weeks. Of the 39 patients with previous inpatient experience, 37 (95%) believed their outpatient experience was superior. The average reimbursement for hip arthroplasty at local hospitals was $50,000, while th...
Source: Musculoskeletal Surgery - January 29, 2020 Category: Orthopaedics Source Type: research

Direct anterior approach and dual mobility cup: the “head-first” reduction technique: a technical note and early case series
ConclusionsSpecific difficulties can be anticipated when pairing dual mobility cup and direct anterior approach. The “head-first” technique is a useful technique in reducing the possible difficulties related to the reduction of double mobility cup through a less invasive direct anterior approach. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 28, 2020 Category: Orthopaedics Source Type: research

Epidemiology and microbiology of prosthetic joint infections: a nine-year, single-center experience in Pavia, Northern Italy
ConclusionsThe introduction of sonication dramatically increased our diagnostic accuracy. Our microbiological data are in line with those from other studies conducted in Italy, (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 28, 2020 Category: Orthopaedics Source Type: research

Two different posterior-stabilized mobile-bearing TKA designs: navigator evaluation of intraoperative kinematic differences
ConclusionDespite design variations, no difference has been found among the prostheses in terms of PROM, rotations and translations. Both design kinematics did not show paradoxical external rotations, but an increase in femoral translation in mid-flexion without affecting the functioning of the prosthesis.Level of evidenceII. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 28, 2020 Category: Orthopaedics Source Type: research

National Basketball Association combine performance after a partial meniscectomy
ConclusionsAthletes competing in the NBA combine who have undergone a partial meniscectomy perform as well as uninjured athletes in all NBA combine performance testing. Furthermore, as athletes are further out from surgery, they have an improvement in both standing and max vertical jump. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 27, 2020 Category: Orthopaedics Source Type: research

Paratricipital approach for distal humerus fractures
ConclusionsIn our experience, posterior paratricipital approach is useful and safe for managing the open reduction and internal fixation. It may provide preservation of the triceps and promote an earlier rehabilitation. Functional outcomes were satisfactory in this case series. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 25, 2020 Category: Orthopaedics Source Type: research

Percutaneous reduction and screw fixation for all types of intra-articular calcaneal fractures
ConclusionWe believed that for treatment of various types of calcaneal fracture compared with ORIF the percutaneous reduction and screw fixation may lead to shorter hospital stay, decreased subtalar joint stiffness and earlier weight bearing along with much favorable patients ’ satisfaction. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 6, 2020 Category: Orthopaedics Source Type: research

Fusion rate and influence of surgery-related factors in lumbar interbody arthrodesis for degenerative spine diseases: a meta-analysis and systematic review
AbstractThe aim of this meta-analysis and systematic review is to summarize and critically analyze the influence of surgery-related factors in lumbar interbody fusion for degenerative spine diseases. A systematic review of the literature was carried out with a primary search being performed on Medline through PubMed. The 2009 PRISMA flowchart and checklist were taken into account. Sixty-seven articles were included in the analysis: 48 studies were level IV of evidence, whereas 19 were level III. All interbody fusion techniques analyzed have proved to reach a good fusion rate. An overall mean fusion rate of 93% (95% CI 92 –95%,p 
Source: Musculoskeletal Surgery - January 1, 2020 Category: Orthopaedics Source Type: research

Clinical and functional outcomes of the remplissage technique to repair anterior shoulder dislocation: average 7  years of follow-up
ConclusionThe remplissage technique applied to repair anterior shoulder dislocation with humeral bone loss presents good results regarding clinical scores, shoulder stability and acceptable rates of return to sports, even in a mid- to long-term follow-up.Level of evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 1, 2020 Category: Orthopaedics Source Type: research

The comparison of efficacy of single intraarticular steroid injection versus the combination of genicular nerve block and intraarticular steroid injection in patients with knee osteoarthritis: a randomised study
ConclusionsWhen combined with IACSI, GNB yields better analgesic effect and improves function in patients with knee OA compared to only IACSI. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 11, 2019 Category: Orthopaedics Source Type: research

The use of articulated external fixation for complex elbow trauma treatment
DiscussionThe elbow joint stiffness is the main cause of functional inability for the patient suffering from posttraumatic outcomes. The FE-F4 allows an early mobilization, even in case of injuries or complex reconstructions, keeping the joint stable and protecting any bone synthesis and the damaged capsule-ligament structures.Levels of evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 27, 2019 Category: Orthopaedics Source Type: research

Does Medicaid payer status affect patient ’s shoulder outcomes after shoulder arthroplasty?
DiscussionOverall results suggest that Medicaid patients can expect significant improvement after SA and the same level of PRO ’s compared to non-Medicaid-insured population.Level of evidenceLevel III, Retrospective Comparative Design, Treatment Study. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 11, 2019 Category: Orthopaedics Source Type: research

Reliability of stemless shoulder arthroplasty in rheumatoid arthritis: observation of early lysis around the humeral component
ConclusionStemless shoulder implants can provide significant improvement in functional scores in RA patients in the short term. However, early bone loss around the humeral implant is a concern and the authors recommend long-term clinical and radiological follow-up. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 6, 2019 Category: Orthopaedics Source Type: research

Comparison of efficacy of supraspinatus tendon tears diagnostic tests: a prospective study on the “full-can,” the “empty-can,” and the “Whipple” tests
ConclusionsCompared with the empty-can test and the full-can test, the Whipple  test was less specific, while its sensitivity was equal to that of the empty-can test and higher than that for the full-can test. Because of its low specificity, the Whipple test has a high risk of false-positive results in comparison with the other tests. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 5, 2019 Category: Orthopaedics Source Type: research

Epidemiology of rotator cuff surgery in Italy: regional variation in access to health care. Results from a 14-year nationwide registry
ConclusionsThis study shows the existence of geographical disparities in access to RC surgery and patients ’ necessity to migrate among regions in order to obtain it. Southern regions of Italy are characterized by a lower number of surgeries compared to the northern part of Italy. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 28, 2019 Category: Orthopaedics Source Type: research

Periprosthetic fractures about total knee arthroplasty
AbstractPeriprosthetic fracture after total knee arthroplasty presents a difficult complication for many orthopaedic surgeons. These fractures occur most frequently around the distal femur followed by the patella and then tibia. These fractures are frequently complicated by poor bone quality or compromised bone due to the presence of the implants. Surgical treatment is typically necessary and requires varied techniques of open fixation, intramedullary fixation, or revision arthroplasty. Outcomes of these injuries vary widely. This review aims to describe the epidemiology, classification, treatment options and outcomes for ...
Source: Musculoskeletal Surgery - October 23, 2019 Category: Orthopaedics Source Type: research

Management of ramp lesions of the knee: a systematic review of the literature
ConclusionThere is a lack of literature focused on the management of ramp lesion and ACL injuries. The repair resulted in the most used approach with good clinical results and low failure rate. However, further high-quality studies evaluating the long-term outcomes of different surgical strategies are needed. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 8, 2019 Category: Orthopaedics Source Type: research

Unyvero ITI ® system for the clinical resolution of discrepancies in periprosthetic joint infection diagnosis
ConclusionsThe Unyvero system showed good performances and a significantly shorter turnaround time compared to cultural methods, presenting an added value to PJI diagnosis even when performed following a composite approach. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 8, 2019 Category: Orthopaedics Source Type: research

Clinical and radiological evaluation of surgical management in olecranon fracture –dislocations
ConclusionsOFDs are complex injuries of the proximal ulna and may involve the radial head, coronoid process, and lateral collateral ligament. The effective treatment of OFDs begins with the proper identification of the injury with 3D CT. A secure fixation including the coronoid process is mandatory for the elbow joint stability. Insufficient restoration of the trochlear notch may lead to problems with loss of motion and arthrosis. Although an application of a pre-contoured locking anatomical olecranon plate can simplify the fixation procedure in most cases, the surgeons ’ equipment should also include radial head imp...
Source: Musculoskeletal Surgery - October 3, 2019 Category: Orthopaedics Source Type: research

Comparison of early femoral bone remodeling and functional outcome after total hip arthroplasty using the SL-PLUS MIA stem with and without hydroxyapatite coating
ConclusionAddition of HA to the SL-MIA stem can help enhance the initial fixation and early osseointegration. Further studies are required on the long-term effects of adding HA to reduce stress shielding of the proximal area of the stem. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 23, 2019 Category: Orthopaedics Source Type: research