Continuous adductor canal block is superior to adductor canal block alone or adductor canal block combined with IPACK block (interspace between the popliteal artery and the posterior capsule of knee) in postoperative analgesia and ambulation following total knee arthroplasty: randomized control trial
ConclusionCACB allows better pain control and less opioid consumption in the immediate postoperative period after TKA compared to ACB alone or ACB with IPACK resulting in better ambulation and rehabilitation.Clinical Trial Registration Number CTRI/2019/03/018239 registered on March 25, 2019. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 26, 2020 Category: Orthopaedics Source Type: research
Muscle strength but not balance improves after arthroscopic biodegradable polyurethane meniscus scaffold application
ConclusionBPMSI led to decreased pain and improved function at postoperative week 36. Although muscle strength almost returned to normal, balance parameters did not recover within 36 weeks after the procedure. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 21, 2020 Category: Orthopaedics Source Type: research
Clinical and radiographical outcome after surgical treatment of periprosthetic type B proximal femur fractures: a retrospective study
ConclusionsPeriprosthetic type B fractures are difficult to manage and require careful preoperative planning and appropriate intraoperative management. However, the overall clinical and radiographic result was satisfactory, although patients should still be aware of the risk of complications associated with this type of fracture. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 17, 2020 Category: Orthopaedics Source Type: research
Two-stage bone and meniscus allograft and autologous chondrocytes implant for unicompartmental osteoarthritis: midterm results
ConclusionsSimultaneous tibia plateau allograft and autologous chondrocyte implantation in the femur, after correction of the angular deformity, were performed, restoring the anatomy of the medial compartment and knee function in 82% of the patients 2 years after the operation.Level of evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 25, 2020 Category: Orthopaedics Source Type: research
MRI in acute simple elbow dislocations: correlation of preoperative imaging and intraoperative findings of collateral ligaments and associated soft tissue injuries
ConclusionOur study demonstrated that MRI is a reliable and useful tool to investigate collateral ligaments and soft tissue injuries around the elbow and to plan the most adequate surgical treatment. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 16, 2020 Category: Orthopaedics Source Type: research
Biomechanics of external fixator of distal radius fracture, a new approach: Mutifix Wrist
ConclusionsFrom the tests performed, it emerged that the addiction of aK-wire provides a construct stiffening and a consequent local stress reduction; while span increase reduces stiffness and increase the local stress. If aK-wire is implanted through the fracture site, the axial stiffness is significantly increased. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 11, 2020 Category: Orthopaedics Source Type: research
Short-term improvement of patellofemoral pain in medial unicompartmental knee arthroplasty with patellar denervation: a prospective comparative study
ConclusionsPatellar denervation seems to provide short-term benefits improving the Kujala score in patients with PF OA undergoing UKA.Level of evidenceIII.Trial Registration ClinicalTrials.gov: NCT03676179 (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2020 Category: Orthopaedics Source Type: research
Mental health and tobacco use are correlated with PROMIS upper extremity and pain interference scores in patients with shoulder pathology
ConclusionThere is an inverse relationship between upper extremity physical function and pain and depression, as measured by PROMIS scores. Smoking and increased BMI are significant contributors to worse outcomes in patients with shoulder pathology, even in nonoperative populations. Counseling patients regarding prognosis and functional outcomes is important in managing their expectations in this patient population. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 12, 2020 Category: Orthopaedics Source Type: research
Bone metastasis in extremity soft tissue sarcomas: risk factors and survival analysis using the SEER registry
ConclusionHigh tumor grade, deep location to fascia and regional lymph node metastasis are significant risk factors for skeletal metastasis at diagnosis of an extremity STS. While neither systemic chemotherapy nor radiotherapy of the primary sarcoma has a significant influence on survival in the presence of bone metastasis, radical resection of the primary STS is associated with increased survival. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 6, 2020 Category: Orthopaedics Source Type: research
A new and improved acetabular cup digital templating method and its clinical application
ConclusionAll the patients with clear teardrop bottom and lateral superior edge of acetabulum were able to use our method to predict the size of the acetabular cup. The method has the following advantages: (1) it does not require the measuring person to have any previous experience of the THA surgery, which reduces the labor cost of the templating; (2) the differences between the measuring persons is small, the measurement result can be repeated; (3) it can predict the probability of acetabular cup with poor positioning according to the templating error, and thereby reminding the surgeon to recheck and correct the position...
Source: Musculoskeletal Surgery - July 1, 2020 Category: Orthopaedics Source Type: research
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 25, 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 10, 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 4, 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 24, 2020 Category: Orthopaedics Source Type: research
Outcomes of ketorolac versus depomedrol infiltrations for subacromial impingement syndrome: a randomized controlled trial
ConclusionSubacromial ketorolac infiltration has an equivalent outcome as that of steroid infiltration. Ketorolac could be considered as a reasonable alternative to steroids in cases where it is contraindicated. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 21, 2020 Category: Orthopaedics Source Type: research
