Olecranon fractures in the elderly during the COVID-19 pandemic: Is non-operative treatment reasonable? Review of the current evidence
This article reviews the current literature regarding treatment of displaced olecranon fractures in the elderly. Literature search of the available databases. One randomised controlled trial has been published, comparing operative versus non-operative treatments of olecranon fractures in this age group. The study was terminated prematurely due to the high complication rate in the operative group. No difference in functional scores was recorded. Other publ ished retrospective case series report good functional outcome scores and high satisfaction rates in the majority of patients in whom olecranon fractures were treated non...
Source: Musculoskeletal Surgery - January 29, 2021 Category: Orthopaedics Source Type: research
Patient-reported outcomes of intra-articular hyaluronic acid for osteoarthritis of the knee: a prospective and multicentric case series
ConclusionAt 6 months after a single intra-articular injection of a high molecular weight, non-cross-linked HA associated with sorbitol, WOMAC scores decreased significantly. Clinical benefits were observed both in patients with low and in those with moderate OA grade, with better results in the first group. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 24, 2021 Category: Orthopaedics Source Type: research
11% complications rate after Latarjet procedure at up to 14 years follow-up
ConclusionOpen Latarjet procedure is an effective and safe method for the treatment of recurrent shoulder instability, resulting in good to excellent outcomes in 87.9% of our cases. However, it is related to a higher postoperative complication rate compared to some other treatment options. Overall, very good results with high level of patient satisfaction have been demonstrated. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 20, 2021 Category: Orthopaedics Source Type: research
The impact of spino-pelvic parameters on pathogenesis of lumbar disc herniation
ConclusionPatients with lumbar disc herniation have a more vertical sacrum compared to the normal population which may result in higher intradiscal pressure in these patients. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 6, 2021 Category: Orthopaedics Source Type: research
Is a single dose of preoperative antibiotic therapy effective for patients treated with megaendoprosthesis after metastatic bone tumour resection?
ConclusionSingle dose of preoperative antibiotics at anaesthetic induction seems to be safe and effective for preoperative prophylaxis in orthopaedic oncology. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 5, 2021 Category: Orthopaedics Source Type: research
Plate fixation in challenging traumatic carpal scaphoid lesions
ConclusionThe treatment of the selected scaphoid lesions with volar locked plate is a surely efficient technique. The plate can be easily adjusted to the shape of the scaphoid and can achieve an adequate correction of bone deformity and high degree of stability both in non-union and fractures. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - January 3, 2021 Category: Orthopaedics Source Type: research
Correction to: Short ‑term results of a new self‑locking cementless femoral stem: a prospective cohort study of the Lima Master SL
The article Short ‑term results of a new self‑locking cementless femoral stem: a prospective cohort study of the Lima MasterSL, written by C. E. Dlaska, I. A. Jovanovic, A. L. Grant, G. Graw, M. P. Wilkinson, K. Doma, K. Hazratwala, was originally published electronically on the publisher ’s internet portal on 02 March 2020 without open access. With the author(s)’ decision to opt for Open Choice the copyright of the article changed on 12 December 2020. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - December 31, 2020 Category: Orthopaedics Source Type: research
Migration of the femoral component and clinical outcomes after total knee replacement: a narrative review
AbstractLoosening is considered as a main cause of implant failure in total knee replacement (TKR). Among the predictive signs of loosening, migration is the most investigated quantitative parameter. Several studies focused on the migration of the tibial component in TKR, while no reviews have been focused on the migration of the femoral component and its influence on patients ’ clinical outcomes. The aim of this narrative review was (1) to provide information about of the influence of migration in femoral component of TKR prostheses, (2) to assess how migration may affect patient clinical outcomes and (3) to present alt...
Source: Musculoskeletal Surgery - December 14, 2020 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 - November 30, 2020 Category: Orthopaedics Source Type: research
Cost-effectiveness of introducing cone-beam computed tomography (CBCT) in the management of complex phalangeal fractures: economic simulation
ConclusionCBCT in complex finger fractures management is cost saving compared with MSCT and may be considered a valuable imaging tool in preoperative assessment, allowing early detection and appropriate treatment. It shortens the time to completion of diagnostic work-up, reduces the number of additional diagnostic procedures, improves quality of life, and may reduce costs in a societal perspective. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 19, 2020 Category: Orthopaedics Source Type: research
Reorganization of the Rizzoli Orthopaedic Institute during the COVID-19 outbreak
(Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 18, 2020 Category: Orthopaedics Source Type: research
Correction to: Hospitalization length, surgical duration, and blood lost among the approaches for total hip arthroplasty: a Bayesian network meta ‑analysis
The original version of this article unfortunately contained a mistake (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - November 4, 2020 Category: Orthopaedics Source Type: research
Managing bone defects in primary total knee arthroplasty: options and current trends
AbstractWhile tackling with bone deficiencies in the context of total knee arthroplasty, it is imperative for the arthroplasty surgeon to arm himself with an in-depth knowledge on the various management options available and to use the right option for the right type of defect in the right patient. Aim of this review paper is to focus on the various options available and discuss the evolving concepts and recent trends with regard to the implications and treatment of bone deficiencies, in primary total knee arthroplasty. Relevant literature is evaluated with specific focus on the modality used for managing a defect, their...
Source: Musculoskeletal Surgery - October 15, 2020 Category: Orthopaedics Source Type: research
Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature
ConclusionsThere is not a unique consensus about fracture management and treatment. Further studies are necessary to create univocal guidelines about optimal treatment, considering new techniques and available technologies. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 14, 2020 Category: Orthopaedics Source Type: research
Clinical outcomes after internal fixation, arthroplasty and resection for treatment of comminuted radial head fractures: a systematic review and network meta-analysis
ConclusionsThis study suggests that RHA is the best treatment of choice for efficacy and safety in the treatment of comminuted radial head fracture, while RHR is the safest choice to minimize postoperative complications and enable patients to perform all daily life activities. (Source: Musculoskeletal Surgery)
Source: Musculoskeletal Surgery - October 6, 2020 Category: Orthopaedics Source Type: research
