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 ± 28.48 (range 6...
Source: Musculoskeletal Surgery - May 6, 2019 Category: Orthopaedics Source Type: research
Nylon sutures versus skin staples in foot and ankle surgery: is there a clinical difference?
ConclusionThe present results indicate that a skin staple wound closure is a considerable alternative to the nylon suture closure in foot and ankle surgeries. Nevertheless, further prospective randomized trials must cement these insights. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 3, 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 2, 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 2, 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 3, 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 2, 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 - March 31, 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 - March 31, 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 - March 31, 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, asepti...
Source: Musculoskeletal Surgery - March 15, 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.” From the 55 initial studie...
Source: Musculoskeletal Surgery - March 7, 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 7, 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 7, 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
