Simultaneous removal of a locking plate and implantation of a reversed shoulder prosthesis in elderly patients suffering from fracture sequelae of the proximal humerus
AbstractPurposeOpen reduction and internal fixation with a locking plate are performed frequently to treat fractures of the proximal humerus. Avascular necrosis and non-union or malunion are potential complications of this procedure, which lead to specific fracture sequelae. The aim of this study was to investigate the clinical and radiological results of patients treated by removal of a failed locking plate of the proximal humerus and simultaneous implantation of a reverse total shoulder prosthesis.MethodsTwenty-one patients (f = 17,m = 4; mean age 70 years) out of 29 patients were availab...
Source: Musculoskeletal Surgery - August 14, 2019 Category: Orthopaedics Source Type: research

Nandrolone decanoate in induced fracture nonunion with vascular deficit in rat model: morphological aspects
ConclusionThe anabolic steroid nandrolone decanoate improved bone mass and regeneration without affecting collagen production and therefore has potential for improving outcomes for atrophic fracture nonunion. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 12, 2019 Category: Orthopaedics Source Type: research

Interobserver and intraobserver reliability of a new radiological classification for femoroacetabular impingement syndrome
ConclusionsThe new classification system shows excellent levels of inter- and intraobserver agreement for both deformities. This classification is demonstrated to be a useful tool in planning hip arthroscopy. Further studies are needed to correlate the classification itself with specific intraoperative findings. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 30, 2019 Category: Orthopaedics Source Type: research

Long-term results of Zweym üller SLL femoral stem in revision hip arthroplasty for stage II and IIIA femoral bone defect: a 9–15-year follow-up study
ConclusionsZweym üller Alloclassic® SLL stem showed excellent or good results in about 59% of revision surgery for aseptic loosening. The survival rate of the stem at 9 –15 years of follow-up was satisfactory. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 15, 2019 Category: Orthopaedics Source Type: research

The subacromial balloon spacer for massive irreparable rotator cuff tears: approximately 3  years of prospective follow-up
ConclusionsArthroscopic implantation of the biodegradable balloon spacer in the subacromial space is a safe and minimally invasive intervention. It leads to significant reduction in pain and significant improvement of functional daily activities in patients with irreparable RCT during 3  years of follow-up starting postoperative and maintain over time beyond device degradation. A high percentage of patients are satisfied postoperatively. Despite of these positive results after 3 years of follow-up, the specific contribution of the balloon needs further investigation. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 27, 2019 Category: Orthopaedics Source Type: research

Double-plate fixation together with bridging bone grafting in nonunion of femoral supracondylar, subtrochanteric, and shaft fractures is an effective technique
ConclusionDouble-plate fixation in combination with bridging bone grafting is an effective method in the treatment of nonunion of femoral supracondylar, subtrochanteric, and shaft fractures even in the infected cases. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 26, 2019 Category: Orthopaedics Source Type: research

Comparative study of the influence of adductor canal block plus multimodal periarticular infiltration versus combined adductor canal block, multimodal periarticular infiltration and intra-articular epidural catheter ropivacaine infiltration on pain relief after total knee arthroplasty: a prospective study
ConclusionIntermittent knee infiltration with ropivacaine is a safe, reproducible and effective method to control pain in the first 48  h postoperative period after TKA. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 25, 2019 Category: Orthopaedics Source Type: research

A comparative study evaluating the role of adductor canal block catheter versus intraarticular analgesic infusion on knee pain and range of motion in the immediate postoperative period: a prospective multicenter trial
This study shows that both ACB and IAC provide satisfactory postoperative analgesia with sparing of quadriceps function and good knee ROM leading to early rehabilitation and reduced hospital with no advantage of one technique over another. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 24, 2019 Category: Orthopaedics Source Type: research

Is antegrade nailing a proper option in 2- and 3-part proximal humeral fractures?
ConclusionsAntegrade short locked intramedullary nail allows stable fixation, minimal soft tissue dissection, early mobilization of the shoulder and good outcomes. It is an efficacious therapeutic solution for 2- and 3-part proximal humeral fractures. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 10, 2019 Category: Orthopaedics Source Type: research

Non-anatomic arthroscopic repair of massive rotator cuff tears versus anatomic complete arthroscopic repair: a case-control study
AbstractPurposeTo investigate whether a non-anatomic arthroscopic repair of massive rotator cuff tear (RCT) produces satisfactory clinical outcomes comparable to those of an anatomic complete arthroscopic repair.MethodsA retrospective case-control study (prospectively collected data, mean follow-up: 32.7  months ± 29.5; range 12–80 months) was conducted with patients with massive RCT who underwent either an anatomic complete arthroscopic repair (group A: 34 patients) or a non-anatomic arthroscopic repair (partial repair or medialized repair, group B: 30 patients). The rate of success wa...
Source: Musculoskeletal Surgery - May 30, 2019 Category: Orthopaedics Source Type: research

Single-use, patient-specific instrumentation technology in knee arthroplasty: a comparative study between standard instrumentation and PSI efficiency system
This study is a single-center, single-surgeon randomized clinical trial. The aim of this work was to evaluate clinical efficacy of PSI versus standard surgical instrumentation in malalignment risk and blood loss reduction. From April 2015 to September 2016, 40 patients for a total of 40 knees were included in the randomization process. Each patient underwent CT scan of the lower limb including hip, knee and ankle joint with the realization of the PSI system and the TKA with Medacta GMK Primary®. Patients were evaluated 1  month after surgery with X-ray and after 2 months with clinical examination and assessme...
Source: Musculoskeletal Surgery - May 30, 2019 Category: Orthopaedics Source Type: research

Scaphoid fractures with scapholunate ligament involvement: Instability or ligamentous laxity? Role of arthroscopy and pinning
ConclusionsBased on our experience and the literature available, we believe the systematic use of arthroscopy to be useful in patients needing surgical treatment for scaphoid fractures. This is because arthroscopy allows the control of the fracture reduction, screw protrusion evaluation and ligamentous lesions assessment. In cases of partial scapholunate ligament alteration in which no sign of acute lesion is present (hemorrhage and clear rupture), pinning is not necessary since it might just be a paraphysiologic laxity.Level of evidenceIV (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 15, 2019 Category: Orthopaedics Source Type: research

Pelvic discontinuity in acetabular revisions: does CT scan overestimate it? A comparative study of diagnostic accuracy of 3D-modeling and traditional 3D CT scan
Conclusions3D-modeling showed higher specificity than traditional and 3D CT scans in identification of PD in Paprosky Type-3 periacetabular bone defects. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 14, 2019 Category: Orthopaedics Source Type: research

Comprehensive treatment algorithm for management of thoracic and lumbar tubercular spondylodiscitis by single-stage posterior transforaminal approach
ConclusionThis comprehensive treatment algorithm of single-stage posterior surgery by transforaminal approach in thoracic and lumbar tubercular  spondylodiscitis provided good clinical and radiological outcomes. It aids in achieving the same surgical goals, obviating the need for extensive posterior or combined surgical approaches. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 7, 2019 Category: Orthopaedics Source Type: research

Incidence, diagnosis and management of sacroiliitis after spinal surgery: a systematic review of the literature
AbstractThe sacroiliac joint (SIJ) is a possible source of persistent or new onset pain after lumbar or lumbosacral fusion. The aim of this paper is to systematically review and analyze the available literature related to the incidence, diagnosis and management of sacroiliitis after spinal arthrodesis. The authors independently screened the titles and abstracts of all articles identified concerning sacroiliac joint pain after lumbar or lumbosacral fusion, to assess their suitability to the research focus. The average incidence of sacroiliitis after lumbar or lumbosacral arthrodesis was found to be 37  ±&thins...
Source: Musculoskeletal Surgery - May 7, 2019 Category: Orthopaedics Source Type: research

Nylon sutures versus skin staples in foot and ankle surgery: is there a clinical difference?
AbstractBackgroundStaple sutures have already been proven as a good alternative to nylon sutures for wound closure in hip and knee surgeries. One such advantage to using staple sutures is the significant decrease in surgical time. In foot surgeries, staple sutures are still considered critical and are only used sporadically.ObjectiveThe aim of this retrospective study was to compare nylon sutures and skin staples for wound closure in foot and ankle surgeries with respect to complications and patient satisfaction.MethodsA total of 61 patients underwent different operations in the fore-, mid-, and hindfoot areas, which were ...
Source: Musculoskeletal Surgery - May 4, 2019 Category: Orthopaedics Source Type: research

Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery
ConclusionsThe implementation of an ERAS program for hip and knee replacement surgery allows early patient ’s discharge and a quick return to independency in the daily activities.Level of evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 3, 2019 Category: Orthopaedics Source Type: research

Subjective outcome following neurostimulator implantation as drop foot therapy due to lesions in the central nervous system —midterm results
ConclusionA significant improvement in patient satisfaction was detected with the use of an activated iPNS after a mean time span of 4  years. Due to the marked mobility, an increase in the social satisfaction and integration could be achieved. Both aspects represent essential components for the recovery and quality of life of the patients. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 3, 2019 Category: Orthopaedics Source Type: research

3D preoperative planning for humeral head selection in total shoulder arthroplasty
ConclusionThere was a high level of consistency between independent and manufacturer preoperative planning software for humeral head measurements. These preoperative planning systems can improve efficiency and workflow during surgery by guiding surgeons on implant size selection to optimally reconstruct the glenohumeral kinematics, in order to improve patient outcomes.Level of evidenceLevel III, study of nonconsecutive patients and without a universally applied “gold” standard study of diagnostic test. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 4, 2019 Category: Orthopaedics Source Type: research

Arthroscopic release for the severely stiff elbow
ConclusionsArthroscopic release for the severely stiff elbow could improve range of motion. Careful attention should be given during surgery to avoid complications such as intramuscular bleeding or nerve damage. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 3, 2019 Category: Orthopaedics Source Type: research

Systematic review of the outcome of cemented versus uncemented total hip arthroplasty following pelvic irradiation
ConclusionOverall outcomes appear to be better for uncemented THAs in post-radiotherapy patients, with a significantly lower rate of aseptic loosening and an appreciable (but not statistically significant) reduction in revision rate. The best outcomes seem to be associated with the use of acetabular reinforcement across both cemented and uncemented groups, but further work is needed to evaluate this. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 1, 2019 Category: Orthopaedics Source Type: research

Ultrastructural and histological changes in tibial remnant of ruptured anterior cruciate ligament stumps: a transmission electron microscopy and immunochemistry-based observational study
ConclusionFollowing injury to ACL, the ruptured tibial stump undergoes a series of changes at the cellular level vis- à-vis changes in collagen fibril thickness, vascular density and fibroblast density that possibly suggest an intrinsic healing response. This further may have implications on the functional outcome following ACL reconstruction with remnant preservation.Level of evidenceIII (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 1, 2019 Category: Orthopaedics Source Type: research

The kringle suture: maximizing tendon repair stability while limiting hardware utilization —description of the technique and preliminary results
ConclusionThekringle suture technique is cost saving, easy to perform, versatile and provides excellent initial fixation strength as required for tendon to bone healing of the reinserted cuff. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 1, 2019 Category: Orthopaedics Source Type: research

Metaphyseal cones and sleeves in revision total knee arthroplasty: Two sides of the same coin? Complications, clinical and radiological results —a systematic review of the literature
AbstractRevision total knee arthroplasty (rTKA) is increasing of relevance in orthopaedic surgeon daily practice and this trend is likely to continue in the years ahead. The aim of this systematic review of English literature is to summarize and compare indications, complications, clinical and radiological results of metaphyseal cones and sleeves in management of bone loss in rTKA. Retrospective or prospective studies with at least 1  year of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review. Clinical and radiological results, rates of intraoperative fractures, as...
Source: Musculoskeletal Surgery - March 16, 2019 Category: Orthopaedics Source Type: research

The clinical outcome of chondrolabral-preserving arthroscopic acetabuloplasty for pincer- or mixed-type  femoroacetabular impingement: A systematic review
AbstractWhile preservation and repair of the acetabular labrum are increasingly being recognized as important goals in hip arthroscopy, controversies still exist regarding  the clinical outcome of arthroscopic acetabuloplasty with chondrolabral preservation. A systematic review was conducted and implemented by two independent reviewers, who used the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews for their search. These databases were queried with the terms “arthroscopic acetabuloplasty” and “chondrolabral preservation” and “arthroscopic acetabular recession.&rdquo...
Source: Musculoskeletal Surgery - March 8, 2019 Category: Orthopaedics Source Type: research

Letter to the editor regarding: Intrawound application of vancomycin changes the responsible germ in elective spine surgery without significant effect on the rate of infection: a randomized prospective study
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 8, 2019 Category: Orthopaedics Source Type: research

Failure rates and functional results for intercalary femur reconstructions after tumour resection
ConclusionsWe have demonstrated similar failure rates for both reconstructions. In both techniques, mechanical failure was the most common complication with a low rate of limb amputation and good functional results.Level of evidenceLevel III, therapeutic study. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 8, 2019 Category: Orthopaedics Source Type: research

Biomechanical comparison of the three techniques for arthroscopic suprapectoral biceps tenodesis: implant-free intraosseous tendon fixation with Cobra Guide, interference screw and suture anchor
ConclusionsASIIBT showed higher failure loads compared with IS and SA. Better construct performance of ASIIBT is due to greater absorption of distension forces which may improve final tenodesis healing. Also, the absence of an implant lowers additional costs and the chances for postoperative complications may be decreased significantly. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - February 14, 2019 Category: Orthopaedics Source Type: research

Claims in total hip arthroplasty: analysis of the instigating factors, costs and possible solution
ConclusionThis study shows the necessity of preventive strategies to reduce the higher number of claims for malpractice in total hip arthroplasty. Some complications such as nerve injuries and infection are frequently considered directly dependent on physician ’s errors. Litigations can be reduced providing evidence of a diligent execution of the surgical procedure and of a proper postoperative management: the correct compilation of a specific informed consent and adequate doctor–patient communication. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - February 13, 2019 Category: Orthopaedics Source Type: research

Outcomes of neck modularity in total hip arthroplasty: an Italian perspective
ConclusionThis review showed excellent survival rate and bone stability and good clinical outcomes in Italian cohort patients treated with modular neck THA, and these clinical results are comparable with international cohort rates. This review suggests that modular implants represent a very satisfying choice when practised by expert orthopaedic joint surgeons. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 23, 2019 Category: Orthopaedics Source Type: research

Recovery of knee range of motion after total knee arthroplasty in the first postoperative weeks: poor recovery can be detected early
AbstractPurposeThe aim of this study was to analyze in detail how knee flexion and extension progress in the first 8  weeks after primary total knee arthroplasty (TKA). The secondary goal was to compare knee range of motion (ROM) recovery patterns between patients with normal and delayed ROM recovery 8 weeks after TKA.MethodsThis prospective clinical trial included all patients who underwent a primary unilateral TKA between February and December 2016 with weekly ROM data documented by the treating outpatient physical therapists (n = 137). Goniometry was used to measure knee ROM preoperatively, posto...
Source: Musculoskeletal Surgery - January 9, 2019 Category: Orthopaedics Source Type: research

Is there any difference between tapered titanium stems with similar geometry and hydroxyapatite coating?
ConclusionsLookalike tapered stems with extensive HA coating actually exhibit significant differences in several geometric features potentially affecting their clinical performances. As a result, these stems should not be used indifferently, but rather they should be selected on the basis of the femoral morphology of the operated patient. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 8, 2019 Category: Orthopaedics Source Type: research

A combined tension-band braided polyester and suture button technique is a valuable treatment alternative for transverse patellar fractures in athletes
ConclusionThe combination of a suture button fixation and a braided polyester tension-band technique has shown to be a valuable alternative to the fracture management of transverse patella fractures in athletes. This results in fracture healing, low risk of complications and no need for hardware removal. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 7, 2019 Category: Orthopaedics Source Type: research

Functional outcome of De Quervain ’s tenosynovitis with longitudinal incision in surgically treated patients
ConclusionSurgical release of De Quervain ’s tenosynovitis remains the gold standard treatment, and longitudinal incision offers advantage of easy identification of compartment, more complete releases of tendon sheath and peritendinous adhesions and less risk of palmar subluxation of tendons. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 1, 2019 Category: Orthopaedics Source Type: research

Relationship between hospital size and teaching status on outcomes for reverse shoulder arthroplasty
ConclusionResults from this study indicate that large and non-teaching hospitals overall tend to burden the patients with higher hospital charges, longer hospital stay, and more frequent non-routine discharges. Also, larger hospitals are associated with higher risk of genitourinary and central nervous system complications rates, whereas non-teaching hospitals are associated with lower risk of infection and higher risk of anemia after RSA. With the growth in RSA in the USA, continued attention needs to be placed on improving outcomes and resource utilization for RSA patients even in larger hospitals. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 1, 2019 Category: Orthopaedics Source Type: research

Surgical technique and outcomes for bilateral humeral lengthening for achondroplasia: 26-year experience
ConclusionsBilateral humeral elongation yields significant improvements in patient autonomy, with a relatively low complication rate and very high patient satisfaction. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 10, 2018 Category: Orthopaedics Source Type: research

PEEK versus metal cages in posterior lumbar interbody fusion: a clinical and radiological comparative study
ConclusionsWe have found a better fusion rate and prevalence of fusion in the group treated with metal cages, reflecting the well-known osteoinductive properties of titanium and tantalum. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 10, 2018 Category: Orthopaedics Source Type: research

Long-term deterioration after one-stage unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction
ConclusionsCombined UKA and ACL reconstruction can be a therapeutic option for young and active patients with concomitant knee instability and unicompartmental OA. The procedure is highly demanding and reliable only in hands of experienced surgeons. Overall, satisfactory outcome can be achieved at a minimum follow-up of 10  years. However, clinical deterioration can be observed in the long term. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 6, 2018 Category: Orthopaedics Source Type: research

Minimally invasive plate osteosynthesis (MIPO) in AO/OTA type B displaced clavicle fractures
ConclusionInternal fixation of displaced AO/OTA type B clavicle fractures by MIPO showed high fracture union rates and good functional outcomes. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 5, 2018 Category: Orthopaedics Source Type: research

Single-stage anterior debridement, posterior instrumentation and global fusion in thoracic and thoracolumbar tubercular spondylodiscitis
AbstractPurposeThe present study evaluated the clinical and radiological outcomes in patients with tuberculosis of the thoracic and thoracolumbar spine, treated by an operative technique in which anterior debridement with posterior instrumentation and global fusion was performed through a single-stage posterior approach.MethodsNinty-seven patients with spinal tuberculosis, between T1 and L1, in whom anterior debridement, bone grafting, with posterior instrumentation and fusion was performed through a single-stage posterior approach, with a minimum follow-up of 2  years, formed the basis of this study. During each foll...
Source: Musculoskeletal Surgery - December 4, 2018 Category: Orthopaedics Source Type: research

Primary cemented bipolar radial head prostheses for acute elbow injuries with comminuted radial head fractures: mid-term results of 37 patients
ConclusionPrimary cemented bipolar arthroplasty for type III fractures according to Mason ’s classification in an elbow injury pattern only including associated coronoid fractures and/or ligamentous tears resulted in good-to-excellent mid-term results. These results suggest that primary bipolar radial head arthroplasty combined with distinct treatment of all associated injuries provide s good functional outcomes concerning range of motion, elbow stability, and strength in this cohort. However, the associated injuries may influence clinical and radiological outcome and need to be detected, classified, and treated care...
Source: Musculoskeletal Surgery - December 4, 2018 Category: Orthopaedics Source Type: research

Surgical treatment of pediatric supracondylar humerus fracture could be safely performed by general orthopedists
ConclusionsPediatric SCHF could be efficiently managed by a general orthopedic surgeon because the radiographic outcomes and complications were comparable to pediatric fellowship-trained orthopedists. Extra precautions need to be exercised in SCHF Gartland type 3 because the chance of complications is higher among these types of injuries.Level of evidenceLevel III. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 4, 2018 Category: Orthopaedics Source Type: research

Bilateral unicompartmental knee arthroplasty: one stage or two stages?
AbstractBackgroundBilateral unicompartmental knee arthroplasty (UKA) may be performed as one- or two-stage procedure. Previous reports suggest that UKA provides a more rapid functional recovery than total knee arthroplasty. However, little data exist on whether bilateral UKA can be performed without increasing the perioperative risk compared with unilateral cases.MethodsWe retrospectively compared 51 patients treated between January 2014 and March 2017 with single-stage UKA (group A) with 51 patients who underwent unilateral procedure (group B) to evaluate perioperative complications. We noted no statistically significant ...
Source: Musculoskeletal Surgery - December 3, 2018 Category: Orthopaedics Source Type: research

Meeting patient expectations: patient expectations and recovery after hip or knee surgery
ConclusionsAlthough an expectation for an outcome was not related to a greater improvement on that outcome, patient expectations were an indication of patients ’ improvement due to surgery. Differences in expectation fulfilment may be due to unrealistic expectations. To achieve optimal value, tailoring treatment using patient preferences and managing patient expectations is vital. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 8, 2018 Category: Orthopaedics Source Type: research

The effect of Medicaid payer status on patient outcomes following repair of massive rotator cuff tears
AbstractBackgroundThe influence of socioeconomic status and insurance type has not been studied extensively for RCR, particularly not in the high risk massive RCT population. The purpose of this study is to identify relationships between Medicaid payer status and patient outcomes following massive RCR.MethodsA retrospective review of shoulder surgery database identified 29 patients undergoing massive rotator cuff repair. Patients were stratified based on insurance type into two cohorts, Medicaid (14 patients) and non-Medicaid (15 patients). Missed routine follow-up appointments and comorbidities were recorded and compared ...
Source: Musculoskeletal Surgery - November 8, 2018 Category: Orthopaedics Source Type: research

Current practice: postoperative and return to play trends after ACL reconstruction by fellowship-trained sports surgeons
ConclusionImmediate weight bearing after surgery is commonplace with intermittent CPM use. Bracing is common postoperatively and half the time with return to play. Return to play is typically allowed after at least 6  months with no consensus on return to sport metrics. Years after fellowship and ACLs performed yearly had no correlation with postoperative practices. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 25, 2018 Category: Orthopaedics Source Type: research

Minimally invasive fixation for displaced intra-articular fractures of calcaneum: a short-term prospective study on functional and radiological outcome
ConclusionDisplaced intra-articular fractures pose a treatment dilemma, more so in cases of soft tissue complications like open injury or blisters. Percutaneous screw fixation with limited sinus tarsi incision has shown good functional and radiological outcome with minimal complications and can be undertaken without delay. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 23, 2018 Category: Orthopaedics Source Type: research

Use of dorsal buttress plate fixation for ulnar carpometacarpal joint fracture dislocations for early mobilization: outcomes of 11 cases
ConclusionThe dorsal buttress plate is a viable option for fixation of ulnar CMCJ fracture dislocations to allow early mobilization. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 22, 2018 Category: Orthopaedics Source Type: research

Passive anterior tibia translation in anterior cruciate ligament-injured, anterior cruciate ligament-reconstructed and healthy knees: a systematic review
AbstractAnterior tibia translation (ATT) is mainly prevented by the anterior cruciate ligament. Passive ATT tests are commonly used to diagnose an anterior cruciate ligament (ACL) injury, to select patients for an ACL reconstruction (ACLR), and as an outcome measure after an ACLR. The aim of this review was to present an overview of possible factors determining ATT. A second purpose was to give a summary of the ATT measured in the literature in healthy, ACL-injured and ACLR knees and a comparison between those groups. A literature search was conducted with PubMed. Inclusion criteria were full-text primary studies published...
Source: Musculoskeletal Surgery - October 16, 2018 Category: Orthopaedics Source Type: research

The biological acetabular reconstruction with bone allografts in hip revision arthroplasty
ConclusionsBone allografts may provide a good restoration of the acetabular bone stock and the hip biomechanics. Septic loosening does not seems a major concern, whereas a higher rate of aseptic cup loosening should be expected when bone grafts are used. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 16, 2018 Category: Orthopaedics Source Type: research