PRP versus steroids in a deadlock for efficacy: long-term stability versus short-term intensity —results from a randomised trial
ConclusionsAlbeit corticosteroid injections show good short-term results at 6 weeks, patients receiving PRP injections fare better at 3 and 12 months. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 25, 2019 Category: Orthopaedics Source Type: research
Simultaneous removal of a locking plate and implantation of a reversed shoulder prosthesis in elderly patients suffering from fracture sequelae of the proximal humerus
ConclusionReverse total shoulder arthroplasty is a useful instrument for the treatment of failed locking plate osteosynthesis of the proximal humerus in elderly patients. The patients benefit from both pain relief and improved shoulder function. The rate of radiologic changes like scapular notching, radiolucency, stress-shielding and heterotopic ossifications at follow-up is notable. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 13, 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 11, 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 29, 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 14, 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 26, 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 25, 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 24, 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 23, 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 9, 2019 Category: Orthopaedics Source Type: research
Non-anatomic arthroscopic repair of massive rotator cuff tears versus anatomic complete arthroscopic repair: a case-control study
ConclusionsNon-anatomic arthroscopic repair of massive RCT illustrated satisfactory outcomes, which are not significantly different from those reported after an anatomic complete arthroscopic repair. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 29, 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 assessment by Knee ...
Source: Musculoskeletal Surgery - May 29, 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 14, 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 13, 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 6, 2019 Category: Orthopaedics Source Type: research
