Reverdin –Isham procedure for mild or moderate hallux valgus: clinical and radiographic outcomes
DiscussionPercutaneous correction by Reverdin –Isham and Akin osteotomies seems to be effective in isolated medium-to-moderate hallux valgus. Stiffness observed is comparable to other percutaneous and open procedures but needs to be compared in a randomized controlled clinical trial to extra-articular percutaneous procedures without capsule d etachment in association with an internal fixation which allows an early mobilization.Level of clinical evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 27, 2018 Category: Orthopaedics Source Type: research
Treatment strategies for central low-grade chondrosarcoma of long bones: a systematic review of the literature and meta-analysis
AbstractThe need for wide local excision (WLE) versus intralesional (IL) treatment of low-grade chondrosarcomas (CS) of the appendicular skeleton remains controversial. We sought to perform a systematic review and meta-analysis to compare different conventional types of surgical treatments for grade I CS in terms of: (1) rate of local recurrence (LR) and metastases, (2) functional outcome as measured by the Musculoskeletal Tumor Society (MSTS) score, (3) complication rate. Eighteen studies enrolling 695 patients met our criteria. Studies reported on WLE versus IL treatment (n = 7), and IL treatment with or without differ...
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Percutaneous treatment of hallux valgus: What ’s the evidence? A systematic review
AbstractHallux and first MTP joint have a fundamental role in the transfer of the weight-bearing load during the normal ambulation. The aim of this paper is to review and analyze the available literature about the percutaneous surgical management of the hallux valgus to highlight its strengths and weakness, also comparing with other minimal invasive techniques. A systematic search of PubMed and Google Scholar databases has been performed, covering the period between 1981 and 2016. Various combinations of the keyword terms “PDO,” “hallux valgus,” “bunion,” “percutaneous,” “surgery,” “non-invasive,” ...
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Correlation between MRI and hip arthroscopy in children with Legg –Calve–Perthes disease
ConclusionsMRI cannot be completely relied upon for identifying all the intra-articular pathologies in children with LCPD, although it has a good complimentary role. In patients with severe persistent pain with suspicion for joint changes, hip arthroscopy can provide a safe and efficient procedure (better than MRI) for eliciting the associated joint pathology. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Surgical treatment of marginal osteochondral impaction in acetabular fractures
ConclusionDiagnose of marginal impaction fragment preoperatively makes operative technique by elevation, reduction, bone graft packing and fixation mandatory to obtain anatomic reduction and favorable outcome. This technique should be completed before final fixation of the main fracture acetabulum. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Reproducibility of length measurements of the lower limb by using EOS ™
Conclusion Our results indicate a very good reproducibility of EOS ™ length measurement, regardless of the method used. Automated 3D mode is preferred for the collection of angular and offset measurements. Furthermore, manual mode measurements are not affected by surgical history.Level of evidence IV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Biphasic bioresorbable scaffold (TruFit ® ) in knee osteochondral defects: 3-T MRI evaluation of osteointegration in patients with a 5-year minimum follow-up
ConclusionClinical and radiological results significantly improve in a longer follow-up time. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
The utility of botulinum toxin A in the repair of distal biceps tendon ruptures
ConclusionsInjection of BoNT-A is safe and effective to protect distal biceps tendon repair during the early phases of bone-tendon healing.Clinical relevanceBoNT-A may is safe and effective to protect distal biceps tendon repair. The utility of BoNT-A as an adjunct to surgical repair may be applicable to acute or chronic tears as well as repairs in the non-compliant patient without decreases in functional scores after return of function of the biceps muscle.Level of evidenceLevel 4. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Function and quality of life among primary osteosarcoma survivors in Iran: amputation versus limb salvage
ConclusionResults support the responsiveness of the EORTC QLQ-C30 for Iranian osteosarcoma
patients. Applying this questionnaire revealed similar functional outcome, quality of life, symptoms and financial burden between amputation and limb-salvage groups. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Baropodometry on patients after total knee arthroplasty
ConclusionThese data show the progressive recovery of stability after TKA from the immediate postoperative to the subsequent months. The clinical and functional improvement correlated with a load redistribution between the two limbs. The baropodometry could be an excellent noninvasive method for monitoring effects of rehabilitation treatment. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Failed back surgery syndrome: a new strategy by the epidural injection of MESNA
Conclusions Our preliminary results suggest that MESNA might be an efficacy alter native to common practice. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Biochemical stress evaluation after medial parapatellar and subvastus approach in total knee replacement
ConclusionsIn our experience, the medial subvastus approach, firstly associated with greater surgical stress, has then been characterized by a more favorable functional improvement trend. Moreover, the salivary cortisol measurement has proved to be a non-invasive and reliable method to evaluate the systemic surgery-related stress. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
A review of the management of tibial plateau fractures
AbstractTibial plateau fractures form a wide spectrum of injuries presenting varying challenges to the trauma surgeon. The prognosis of this injury spectrum is largely dependent on the management of each particular configuration, and the literature is as a result littered with a number of management strategies with limited consensus. The aim of this review is to provide a concise guide to the trauma surgeon based on newer and classical peer-reviewed publications in international orthopaedic journals. A PubMed search was conducted to identify peer-reviewed publications within the last 10 years and expanded to identify cla...
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
Comparative analysis of influence of adductor canal block and multimodal periarticular infiltration versus adductor canal block alone on pain and knee range of movement after total knee arthroplasty: a prospective non-randomised study
ConclusionsOur study concludes that patients receiving ACB + MPI have demonstrated better VAS scores in the immediate postoperative period but have no significant difference at the time of discharge. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 1, 2018 Category: Orthopaedics Source Type: research
