Methodological issues on determining predictors of poor clinical outcome in patients with cervical spondylotic myelopathy undergoing cervical laminectomy and fusion
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 18, 2022 Category: Orthopaedics Source Type: research
Intra-femoral tunnel graft lengths less than 20 mm do not predispose to early graft failure, inferior outcomes or poor function. A prospective clinico-radiological comparative study
ConclusionsIntra-femoral tunnel graft length of less than 20 mm does not compromise early clinical and functional outcomes of ACL reconstructions. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 15, 2022 Category: Orthopaedics Source Type: research
Revision anterior cruciate ligament reconstruction and outcomes with different autografts in a population with kneeling customs
ConclusionsThe functional outcome of revision ACLR in this Middle Eastern Asian Omani population was good-to-excellent, with the patients experiencing no difficulty in performing activities of daily living, including kneeling activities. The outcome of different autografts, BTPB, QT, STSG is similar in high knee flexion patients with no autograft found to be superior. The findings of this study add to the literature on functional outcomes after primary and revision ACLR in a customary kneeling population.Level of evidence III (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - March 12, 2022 Category: Orthopaedics Source Type: research
Changes in sagittal and axial plane alignment in medial opening wedge high tibial osteotomy: a prospective observational study
ConclusionThis study has shown that mHTO significantly changes torsional and sagittal alignment. This is the first study to establish relation between correction in coronal plane and associated changes in sagittal and torsional alignments. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - February 24, 2022 Category: Orthopaedics Source Type: research
De Quervain ’s tenosynovitis: a non-randomized two-armed study comparing ultrasound-guided steroid injection with surgical release
ConclusionWe observed that USG guided steroid injections are comparable to surgical release in terms of pain relief, functional outcome, complications. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - February 23, 2022 Category: Orthopaedics Source Type: research
Strabismus and postural control: a systematic review
AbstractThe primary aim of this systematic review is to evaluate how postural balance and visual system are related in cross-eyed patients. The secondary goal is to assess the benefits of eye realignment on motor skills and body balance. Analyzing two different approaches: surgical or conservative, a systematic literature search was conducted using PubMed –Medline, Google Scholar and Cochrane Central in order to identify randomized controlled trials, case series and case–control studies which contained clinical evaluation of balance in strabismic patients as well as re-evaluation after surgery or conservative treatment...
Source: Musculoskeletal Surgery - February 20, 2022 Category: Orthopaedics Source Type: research
Clinical outcomes of medical treatments for progressive desmoid tumors following active surveillance: a systematic review
AbstractApproximately 80% of desmoid tumors (DTs) show spontaneous regression or disease stabilization during first-line active surveillance. Medical treatment can be considered in cases of disease progression. This systematic review aimed to evaluate the effectiveness and toxicity of each medical treatment by reviewing only the studies that included progressive disease as the inclusion criterion. We searched the EMBASE, PubMed, and CENTRAL databases to identify published studies for progressive DTs. The disease control rates of the medical treatments, such as low-dose chemotherapy with methotrexate plus vinblastine or vin...
Source: Musculoskeletal Surgery - February 12, 2022 Category: Orthopaedics Source Type: research
bcl-2 and p53 as novel biomarkers for predicting malignant transformation in chronic osteomyelitis
ConclusionsThe expression of bcl-2 and p-53 is significantly correlated with chronic osteomyelitis malignant transformation into squamous cell carcinoma. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 7, 2022 Category: Orthopaedics Source Type: research
Management of prosthetic joint infections: a guidelines comparison
ConclusionsPJI Guidelines differ in many parameters, therefore the choice of treatment for each case does not appear immediate; it would be desirable that, in the next few years, new scientific evidence will help clarify the indications of the most effective therapeutic protocols for PJI to determine the ultimate surgical strategy for every single patient. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 6, 2022 Category: Orthopaedics Source Type: research
Allergic reaction and metal hypersensitivity after shoulder joint replacement
ConclusionsShoulder arthroplasty is a source of metal ion release and might act as a sensitizing exposure. However, patch test positivity does not seem to correlate to hypersensitivity cutaneous manifestations or poor clinical results. Laboratory data showed small constant ion release over time, regardless of gender, type of shoulder replacement and implant used.Levels of evidenceLevel II. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 1, 2021 Category: Orthopaedics Source Type: research
Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses
ConclusionsOur study provided more favourable clinical results for using Kinematics-Retaining implant in primary TKA. Further studies should focus on radiological and functional outcomes from mid- to long-term follow-up. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 19, 2021 Category: Orthopaedics Source Type: research
The role of virtual reality in knee arthroscopic simulation: a systematic review
ConclusionsBenchtop and Virtual Reality simulators are excellent tools for accelerating and improving arthroscopic training and skills acquisition. The second ones, high-cost, and fidelity simulators, seem to be the best of the two. A greater diffusion of Virtual Reality in universities is to be considered to improve residents' training and patients ’ clinical outcomes. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 15, 2021 Category: Orthopaedics Source Type: research
Predictors of poor clinical outcome in patients with cervical spondylotic myelopathy undergoing cervical laminectomy and fusion
ConclusionsThe results of the present study showed that age and preoperative JOA scale were predictors of poor clinical outcome in patients with CSM undergoing LPSF. These findings will be of great value in preoperative counseling and management of postoperative expectations. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 26, 2021 Category: Orthopaedics Source Type: research
The effects of maximal radial bowing on forearm rotation in pediatric diaphyseal forearm fractures
ConclusionsChildren with MRB ≤ 6.84% can result in ≤ 70° forearm pronation, and MRB ≤ 5.75% can be presented with ≤ 80° forearm supination. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - September 24, 2021 Category: Orthopaedics Source Type: research
Clinical outcome of anterior cruciate ligament reconstruction with modified transtibial and anteromedial portal
AbstractArthroscopic ACL reconstruction is the current standard care of treatment for anterior cruciate ligament (ACL) injuries. Modified transtibial (mTT) and anteromedial portal (AMP) techniques aim at the anatomical placement of femoral tunnel. Controversy existed in the literature with regard to the outcome of these techniques. Hence, we designed a retrospective comparative study to analyse the clinical and functional outcomes of mTT and AMP techniques. We hypothesized that there would be no difference between the clinical and functional outcomes in mTT and AMP techniques. This retrospective observational study was con...
Source: Musculoskeletal Surgery - August 13, 2021 Category: Orthopaedics Source Type: research