Osteoarthritis after an ankle fracture: we can't really avoid it
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 30, 2023 Category: Orthopaedics Source Type: research
Evaluation of painful total knee arthroplasty: an approach based on common etiologies for total knee arthroplasty revision
AbstractA differential diagnosis with emphasis on the common indications for revision should be utilized in the workup of painful total knee arthroplasty (TKA). The physician should identify the exact etiology of the patient ’s pain to maximize outcomes from treatment. Evaluation for infection should be completed using the Musculoskeletal Infection Society (MSIS) criteria. When common causes of revision TKA do not appear to be the cause of the pain, less likely causes should be not be ignored. Further advancements suc h as pressure sensing devices may be able to improve patient satisfaction and decrease the incidence of ...
Source: Musculoskeletal Surgery - November 21, 2023 Category: Orthopaedics Source Type: research
Adipose-derived stem cells applied to ankle pathologies: a systematic review
AbstractThe purpose of this systematic review was to analyze the current use of adipose-derived mesenchymal stem cells (ADMSCs) and present the available evidence on their therapeutic potential in the treatment of ankle orthopedic issues, evaluating the applications and results. A literature search of PubMed, Google Scholar, EMBASE and Cochrane Library database was performed. The review was conducted following PRISMA guidelines. Risk of bias assessment was conducted through the Methodological Index for Non-Randomized Studies (MINORS) criteria. Initial search results yielded 4348 articles. A total of 8 articles were include...
Source: Musculoskeletal Surgery - November 9, 2023 Category: Orthopaedics Source Type: research
Effect of denosumab in treatment of unresectable spine and sacrum giant cell tumor of bone
This study aimed to assess the treatment effects of Denosumab in patients with unresectable GCTB. This study was a case series. Patients with unresectable GCTB of vertebra and sacrum were enrolled in this study. Patients received 120 mg of monthly Denosumab and additional doses on days 8th and 15th of treatment. Images of patients before and after treatment were evaluated. Nine patients with a median age of 30 years with spine and sacrum GCTB were included in this study. The median time of treatment with denosumab was 28 month s (range: 3–67). Tumor control was seen in all patients. According to Inverse Choi density/si...
Source: Musculoskeletal Surgery - November 8, 2023 Category: Orthopaedics Source Type: research
Operational strategies to deal with the COVID-19 emergency: recommendations from the Italian national society SIAGASCOT following the introduction of vaccines against the SARS-CoV-2 infection
ConclusionsThis document presents national-wide recommendations for managing patients eligible to undergo elective orthopaedic surgery with the beginning of the vaccination campaign. This paper could be the basis for similar documents adapted to the local healthcare systems in other countries.Level of evidenceLevel IV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 2, 2023 Category: Orthopaedics Source Type: research
Development and external validation of a machine learning model for prediction of survival in undifferentiated pleomorphic sarcoma
ConclusionMachine learning models perform well for survival prediction in UPS, though this sarcoma subtype may be more difficult to prognosticate than other subtypes. Future studies are needed to further validate the machine learning approach for UPS prognostication. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 1, 2023 Category: Orthopaedics Source Type: research
Faster improvement in outcome scores in posterior stabilised total knee arthroplasty compared to medial congruent system with posterior cruciate ligament retained
AbstractMost studies comparing medial pivot to the posterior stabilised (PS) systems sacrifice the PCL. It is unknown whether retaining the PCL in the Medial Congruent (MC) system may provide further benefit compared to the more commonly used PS system. A retrospective review of a single-surgeon ’s registry data comparing 44 PS and 26 MC with PCL retained (MC-PCLR) TKAs was performed. Both groups had similar baseline demographics. The PS and MC-PCLR groups had similar pre-operative range of motion (ROM) (PS:104º ± 20º vs. MC-PCLR: 101º ± 19º,p = 0.70), Oxford Knee Score (OKS) (PS: 27 ± 6 vs. MC-PCL...
Source: Musculoskeletal Surgery - August 29, 2023 Category: Orthopaedics Source Type: research
Correction to: Mid ‑term clinical and radiographic outcome of metal-on-metal hip resurfacing through an anterolateral approach
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 3, 2023 Category: Orthopaedics Source Type: research
Influence of subscapularis tendon reattachment after reverse shoulder arthroplasty: clinical findings and ultrasonographic evaluation of the subscapularis at 89 months mean follow-up
ConclusionThis study showed no clinical effects of subscapularis reattachment after reverse shoulder arthroplasty on the mid- to long-term. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 3, 2023 Category: Orthopaedics Source Type: research
Total knee arthroplasty in pigmented villonodular synovitis osteoarthritis: a systematic review of literature
ConclusionTotal knee arthroplasty represents a valid treatment for patients with PVNS end-stage osteoarthritis, with good clinical and functional results, even in longer follow-up. It would be advisable a multidisciplinary management and a meticulous rehabilitation and monitoring following the procedure, to reduce the emergence of recurrence and overall complications. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 20, 2023 Category: Orthopaedics Source Type: research
Diagnosis and treatment of acute inflammatory sacroiliitis in pregnant or post-partum women: a systematic review of the current literature
AbstractThe aim of the present study is to systematically review the current literature about diagnosis and treatment of acute inflammatory sacroiliitis in pregnant or post-partum women. A systematic search was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about clinical presentation, diagnosis methods and treatment strategies were retrieved from included studies and reported in a table. After screening, five studies on 34 women were included; they were all affected by acute inflammatory sacroiliitis. Clinical examination and magnetic resonance imaging were...
Source: Musculoskeletal Surgery - June 20, 2023 Category: Orthopaedics Source Type: research
Which patient benefit most from minimally invasive direct anterior approach total hip arthroplasty in terms of perioperative blood loss? A retrospective comparative study from a cohort of patients with primary degenerative hips
ConclusionPatients treated by minimally invasive direct anterior approach undergo a significantly shorter hospitalization. From the analysis of patient ’s subgroups those aged between 66- and 75-years benefit from the DA approach mainly for the minor blood loss with less frequent transfusion requirement. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 14, 2023 Category: Orthopaedics Source Type: research
Mid-term clinical and radiographic outcome of metal-on-metal hip resurfacing through an anterolateral approach
ConclusionsThe early clinical and radiographic results of modern metal-on-metal hip resurfacing performed through an anterolateral approach are promising, but longer-term follow-up studies are necessary. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 7, 2023 Category: Orthopaedics Source Type: research
Closed reduction and cast immobilization of overriding distal forearm fractures under nitrous oxide as conscious sedation without the use of imaging control
ConclusionOverriding distal forearm fractures may be safely treated with CRCI at ED using eN2O2 as conscious sedation. However, fluoroscopic assistance during CRCI might significantly improve the quality of reduction thus avoiding further treatment as the lack of relaxed muscle can restrain reduction. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 5, 2023 Category: Orthopaedics Source Type: research
Constraint degree in revision total knee replacement: a registry study on 1432 patients
ConclusionConstraint degree in rTKR is typically higher than primary, CCK is the most used constraint in revision surgery with an overall survival of 87.5% at 10 years. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 26, 2023 Category: Orthopaedics Source Type: research
