Isolated radial tears of the lateral meniscus midbody: a case series of professional athletes treated with outside-in repair
ConclusionA good functional recovery and a high rate of return to play has been observed in a population of professional athletes, at 4 months after outside-in repair. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 9, 2022 Category: Orthopaedics Source Type: research
Freehand power-assisted pedicle screw placement in scoliotic patients: results on 5522 consecutive pedicle screws
AbstractPedicle screws is the current gold standard in spine surgery, achieving a solid tricolumnar fixation which is unreachable by wires and hooks. The freehand technique is the most widely adopted for pedicle screws placing. While freehand technique has been classically performed with manual tools, there has been a recent trend toward the use of power tools. However, placing a pedicle screw remains a technically demanding procedure with significant risk of complications. The aim of this article is to retrospectively evaluate safety and accuracy of free-hand power-assisted pedicle screw placement in a cohort of patients ...
Source: Musculoskeletal Surgery - August 9, 2022 Category: Orthopaedics Source Type: research
MRI study of the cruciate ligaments and menisco-femoral ligaments of the knee
ConclusionWe found a strong correlation between ACL length and PCL length. In our study, the presence of the posterior MFL was more frequent, being present in 55.68%, while the anterior MFL was found in 30% of the knees. We did not observe that the presence of LMF decreases with age. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - August 8, 2022 Category: Orthopaedics Source Type: research
SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery
ConclusionOur study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - July 7, 2022 Category: Orthopaedics Source Type: research
Current trends on limb length discrepancy treatment: results of a survey among 11 dedicated Italian centres
AbstractLimb length discrepancies (LLD) are quite frequent, especially in lower limbs. The evolution of the available devices and the refinement of the techniques for correcting the differences in limb length have progressively improved the approach to these deformities. Nevertheless, several points still remain debated. The aim of the study was to investigate the Italian pediatric orthopedic surgeons ’ choices in approaching and treating LLD in both lower and upper limbs. A survey on the treatment of limb length discrepancy was sent to a group of 11 Italian orthopedic centers, specialising in limb lengthening and belong...
Source: Musculoskeletal Surgery - June 30, 2022 Category: Orthopaedics Source Type: research
Congenital metatarsus varus: early diagnosis and conservative treatment in 112 patients
ConclusionAn early diagnosis allowed by an orthopedic examination in all newborns may be a valid instrument to avoid Congenital Metatarsus Varus misdiagnosis. Early treatment with manipulation and orthosis resulted in good clinical outcome, with only few complications. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 18, 2022 Category: Orthopaedics Source Type: research
Does transepiphyseal drilling and closure of the greater trochanter in early Legg-Calve-Perthes disease improve natural history?
ConclusionsBased on our preliminary experience, our protocol can be effective in the treatment of patients with LCPD in the initial or early fragmentation stages by improving the clinical and radiographic outcomes of the disease. This minimally invasive approach does not compromise any future treatment options.Level of evidenceIV. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - June 18, 2022 Category: Orthopaedics Source Type: research
Surgical management of 2- or 3-part proximal humeral fractures: comparison of plate, nail and K-wires
ConclusionsIntramedullary nails showed better functional results and a lower complication rate than the locking plates. Both techniques showed superior results compared to those available with retrogradeK-wires. So the nail seems to be a more reliable and adequate method for treating 2- and 3-part proximal humeral fractures. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 25, 2022 Category: Orthopaedics Source Type: research
Management of glenoid bone loss with impaction and structural bone grafting in reverse shoulder arthroplasty
ConclusionImpaction bone grafting along with structural grafting when required is an effective and reproducible way of managing severe glenoid bone loss. This technique gives consistent and good clinical and radiological results. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 22, 2022 Category: Orthopaedics Source Type: research
How to treat proximal and middle one-third humeral shaft fractures: the role of helical plates
ConclusionsIn our opinion, the helical plate may be an effective surgical tool for management of proximal and middle one-third diaphyseal humeral fractures. The humeral helical plate allows stable fixation avoiding the deltoid tuberosity proximally and radial nerve distally, thus increasing the possibility of rapid functional recovery after surgery. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - May 17, 2022 Category: Orthopaedics Source Type: research
Subtalar dislocation: a narrative review
ConclusionsSubtalar dislocations, especially the lateral one, represent a challenge for surgeons. Lateral subtalar dislocation occurs following high-energy trauma often involving associated injuries. Closed reduction could be unsuccessful and patients must undergo surgical reduction. After reduction CT scan is recommended. Our narrative review confirms these findings. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 18, 2022 Category: Orthopaedics Source Type: research
Mason type III fractures of the radial head: ORIF, resection or prosthetic replacement?
ConclusionThe ORIF group did not show good results with greater elbow stiffness and higher revision rate than the other two techniques. RHR may be suitable for elderly patients with lower functional demands as it reported good clinical results and reduced operation time. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 16, 2022 Category: Orthopaedics Source Type: research
Modified pin and plate fixation for low intercondylar fractures of the humerus: biomechanical study corroborated with a case series
ConclusionBy the biomechanical performance, PP fixation is a reliable technique for fixation of low intercondylar fractures of the humerus. Supported by the clinical outcomes, the present technique could be an alternative for this particular fracture especially when severe comminution prevents the use of the standard dual plating technique. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - April 1, 2022 Category: Orthopaedics Source Type: research
Clinical long-term results of radial head arthroplasty in comminuted radial head fractures
AbstractModern radial head prostheses have recently become more common in the treatment of comminuted radial head fractures. The goal of this study was to evaluate how well the EVOLVE® modular metallic radial head implant prosthetic restores the functional range of motion and stability of the elbow. 30 patients with comminuted radial head fractures received an arthroplasty with an EVOLVE® prosthesis in our institution. 20 of those patients were available for long-term follow-up (mean > 10 years). The outcomes were assessed on the basis of pain, motion, and strength. The overall outcome was scored with functiona...
Source: Musculoskeletal Surgery - March 30, 2022 Category: Orthopaedics Source Type: research
Influence of preoperative coronal and sagittal tibiofemoral subluxation in knee osteoarthritis on the outcome of primary total knee arthroplasty
ConclusionCoronal and sagittal tibiofemoral subluxation had a significant association with poor preoperative clinical scores. The degree of CTF subluxation reduces with the increasing magnitude of varus deformity and JLCA. STF subluxation was associated with the posterior tibial slope. Patients who underwent posterior stabilized TKA had excellent clinical outcomes irrespective of preoperative knee subluxation. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 24, 2022 Category: Orthopaedics Source Type: research
