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 24, 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 5, 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 ...
Source: Musculoskeletal Surgery - December 31, 2019 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 - December 31, 2019 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 10, 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 26, 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 10, 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 5, 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 4, 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 27, 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 22, 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 7, 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 7, 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 implant...
Source: Musculoskeletal Surgery - October 2, 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 22, 2019 Category: Orthopaedics Source Type: research
