The effect of Medicaid payer status on patient outcomes following repair of massive rotator cuff tears
ConclusionMedicaid coverage will expand to millions of uninsured Americans under current healthcare reform. Medicaid patients with massive RCT appear to significantly improve with surgical treatment. (Source: Musculoskeletal Surgery)
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
Pediatric tibia and femur fractures in patients weighing more than 50 kg (110 lb): mini-review on current treatment options and outcome
AbstractThe main objective of this paper is to review the current literature on treatment of tibial and femur fractures in children and adolescents guided by body weight in patients weighing 50 kg (110 lb) or more. A secondary aim of this mini-review was to determine, as per literature review, whether weight > 50 kg (110 lb) is an identifiable factor associated with increased complication rate. A search of the PubMed/MEDLINE, EMBASE and Cochrane Database of Systematic Reviews databases from 1954 to September 2017 was performed to identify papers related to pediatric tibia and femur fractures in child ren weig...
Source: Musculoskeletal Surgery - October 11, 2018 Category: Orthopaedics Source Type: research
Monographic issue of the italian society for shoulder and elbow surgery
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 5, 2018 Category: Orthopaedics Source Type: research
Rotator cuff failure after surgery: an all-arthroscopic transosseous approach
ConclusionsOur results favor the use of the all-arthroscopic transosseous rotator cuff revision surgery with the 2MC configuration (double MC means the initials of the authors —MM and CC, who have originally described it). It appears to be safe and effective, providing good clinical, functional, and radiological results, with a very high patient satisfaction. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique
ConclusionAcute antero-inferior glenoid rim fractures are uncommon but they are increasing in over 55 years population (frequently associated with cuff tear). Correct classification and treatment are necessary to achieve good results. The X-ray assessment includes the Neer’s trauma series and the CT study with PICO measurement of glenoid fragment size. Wrong treatment can lead to chronic instabi lity, degenerative joint disease and poor results. The arthroscopic repair with ligamentotaxis is a good solution and permits the treatment of the associated rotator cuff tear. Arthroscopic technique imposes a long learning cur...
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Comparison of CFR-PEEK and conventional titanium locking plates for proximal humeral fractures: a retrospective controlled study of patient outcomes
ConclusionsCFR-PEEK plates provide a viable alternative to conventional titanium plates in PHFs, ensuring similar clinical outcomes and a lower rate of tuberosity resorption, but they involve higher stress shielding under the plate. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Arthroscopic single-row repair of massive potentially irreparable postero-superior cuff tear
ConclusionsThe complete repair of massive potentially irreparable rotator cuff tear in patients younger than 60 years old yielded good results at a short-term follow-up, with a sonographic re-tear rate of about 20%. Even if it is logical to consider a tendon with severe fatty degeneration as non-functional, the superior soft tissue reconstruction we achieved may have at least the same results of a superior capsular reconstruction, with obvious lower costs.Level of evidenceLevel 4, case series with no comparison group. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Annular ligament reconstruction in chronic Monteggia fracture-dislocations in the adult population: indications and surgical technique
AbstractChronic Monteggia fracture is defined as dislocation of the radial head that is still present 4 weeks after injury. The cause may reside in residual ulnar deformity after internal fixation, in failure of annular ligament healing, or both. This situation may lead to elbow pain, decreased motion, neurologic problems and valgus deformity. The aim of the present study is to investigate indicatio ns and surgical technique for annular ligament reconstruction (ALR) in chronic Monteggia fractures. Relevant articles on annular ligament anatomy and biomechanics, clinical–radiographic evaluation of chronic Monteggia lesio...
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Shoulder adhesive capsulitis and hypercholesterolemia: role of APO A1 lipoprotein polymorphism on etiology and severity
ConclusionsApo-A1-G75A-polymorphism is not necessary for the genesis, but it is a risk factor for severity of AC.Level of EvidenceIII. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
Six-year experience with antegrade intramedullary nail for the treatment of proximal and diaphyseal humeral fractures
ConclusionIn our study, intramedullary nail proved to be a minimally invasive technique with a rapid improvement in range of motion, an earlier rehabilitation and acceptable pain. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 1, 2018 Category: Orthopaedics Source Type: research
