Revision surgery for refractory cubital tunnel syndrome: A systematic review
ConclusionThis is the first study to summarize the functional outcomes of revision surgery for refractory cubital tunnel syndrome which showed to be favorable. Functional outcomes were averagely reported and varied widely. A consensus regarding the functional outcomes parameter after surgery for cubital tunnel syndrome is urgently needed.Level of evidenceIII, systematic review. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 20, 2019 Category: Orthopaedics Source Type: research

Arthroscopic treatment of posterior instability of the shoulder with an associated reverse Hill–Sachs lesion using an iliac bone-block autograft
We describe a new arthroscopic procedure that fills the reverse Hill–Sachs lesion with an iliac bone-block autograft and repairs the posterior articular capsule arthroscopically, which can stabilize the posterior shoulder. It avoids the need to detach the subscapularis tendon and can reduce the risks associated with open procedures.Level of evidenceV, technical note. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 20, 2019 Category: Orthopaedics Source Type: research

The first shoulder replacement in Ancient Greek Mythology: The story of Pelops, King of Elis
Publication date: Available online 19 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Nikitasas. N. Nomikos, Chris K. YiannakopoulosAbstractMedical science and the need for the treatment of diseases and injuries, is as old as human history. This research aims to identify and study the first registered shoulder replacement in Ancient Greek Mythology. After a review of literature, the texts that referred to the myth of Pelops’ ivory shoulder were identified and analysed, as were the texts which contain the first citation for shoulder replacement in the prehistoric era. (Source: Orthop...
Source: Orthopaedics and Traumatology: Surgery and Research - July 20, 2019 Category: Orthopaedics Source Type: research

Comments on: “Cervical myelopathy due to ossification of the transverse atlantal ligament: A Caucasian case report operated on and literature analysis” of L. Proietti *, L. Scaramuzzo, S. Sessa, G.R. Schirò, C.A. Logroscino published in Orthop Traumatol Surg Res. 2012, 98(4):470-474
Publication date: Available online 19 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Sen Yang, Weimin Jiang (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 20, 2019 Category: Orthopaedics Source Type: research

Homage to Christian Delloye (1952–2019)
Publication date: Available online 18 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Olivier Cornu (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 19, 2019 Category: Orthopaedics Source Type: research

Screw-plate fixation for displaced middle-third clavicular fractures with three or more fragments: A report of 172 cases
ConclusionInternal fixation using a curved pelvic reconstruction plate fixed with 3.5-mm screws provides excellent functional and anatomical outcomes in patients who have displaced mid-shaft clavicular fractures with three or more fragments.Level of evidenceIV, retrospective cohort study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 19, 2019 Category: Orthopaedics Source Type: research

Three-dimensional analyses to predict surgical outcomes in non-displaced or valgus impaction fractures of the femoral neck: A multicenter retrospective study
DiscussionPrimary hip arthroplasty should be considered when a posterior tilt angle of more than 9 degrees on Lorenz images or a retroversion angle of more than 13 degrees on axial CT images is identified in patients with osteoporotic valgus impaction fractures.Type of study and level of proofIII, Retrospective comparative study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 17, 2019 Category: Orthopaedics Source Type: research

rhBMP-2 (Recombinant Human Bone Morphogenetic Protein-2) In real world spine surgery. A phase IV, National, multicentre, retrospective study collecting data from patient medical files in French spinal centres
DiscussionIn years 2011 and 2012 when the surgeries captured in this retrospective study were done, rhBMP-2 was indicated for single level (L4–S1) anterior lumbar spine fusion as a substitute for autogenous bone graft in adults with DDD. The most common procedure for the treatment with rhBMP-2 was PLF (off-label use), followed by ALIF (on-label use). The safety findings confirm a predictable and manageable safety profile.Level of evidenceIV. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 17, 2019 Category: Orthopaedics Source Type: research

Femoral neck shortening after internal fixation of Garden I fractures increases the risk of femoral head collapse
The objective of this study was to determine whether femoral neck impaction was associated with avascular necrosis (AVN).HypothesisFracture healing with femoral neck shortening by impaction after internal fixation of a femoral neck fracture is associated with AVN.Material and methodsA single-centre retrospective study in patients with Garden I fractures managed by screw fixation was performed to compare outcomes in the groups with and without femoral neck impaction. Follow-up radiographs were assessed for evidence of the femoral neck impaction during fracture healing. The occurrence of AVN was the primary evaluation criter...
Source: Orthopaedics and Traumatology: Surgery and Research - July 16, 2019 Category: Orthopaedics Source Type: research

Shoulder arthrodesis using a vascularized scapular pillar graft: Cadaver study and surgical technique
DiscussionThe latex injection study confirmed that the scapular pillar always has two vascularization sources: circumflex scapular artery and angular branch of the thoracodorsal artery. While there are anatomical variations, the scapular pillar shares its vascularization with the latissimus dorsi and teres major muscles. It can be preserved when transferring the graft for reconstruction. Our anatomical description of shoulder arthrodesis using this composite graft allows surgeons to anticipate potential technical and anatomical problems that could be encountered during this complex surgical procedure. (Source: Orthopaedics...
Source: Orthopaedics and Traumatology: Surgery and Research - July 13, 2019 Category: Orthopaedics Source Type: research

Non-operative treatment is a reliable option in over two thirds of patients with Garden I hip fractures. Rates and risk factors for failure in 298 patients
Publication date: Available online 11 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Delphine Amsellem, Sébastien Parratte, Xavier Flecher, Jean-Noël Argenson, Matthieu OllivierAbstractBackgroundNon-operative treatment for impacted femoral neck fractures is a now rarely used strategy whose indications are controversial. No outcome predictors have been convincingly identified, in part due to the small sizes of available studies. We conducted a large retrospective study with the following objectives: (1) to evaluate the percentage of patients older than 65 years of age with non...
Source: Orthopaedics and Traumatology: Surgery and Research - July 13, 2019 Category: Orthopaedics Source Type: research

Impact of time to surgery in upper femoral fracture in orthogeriatrics
Publication date: Available online 10 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Adrien Delaveau, Florian Saint-Genez, Louis-Etienne Gayet, Marc Paccalin, Amine Ounajim, Tanguy VendeuvreAbstractIntroductionTreatment of hip fracture in the elderly is a major public health issue. Orthogeriatric departments have been developed for these patients at high risk of complications. Time to surgery seems to be an important factor in the care pathway, but remains controversial.ObjectivesThe aim of this study was to assess the impact of less than 24 hours’ time to surgery on 1-year morbidi...
Source: Orthopaedics and Traumatology: Surgery and Research - July 11, 2019 Category: Orthopaedics Source Type: research

Application of computer-assisted virtual surgical procedures and three-dimensional printing of patient-specific pre-contoured plates in bicolumnar acetabular fracture fixation
Publication date: Available online 9 July 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Kaifang Chen, Fan Yang, Sheng Yao, Zekang Xiong, Tingfang Sun, Fengzhao Zhu, Dionne Telemacque, Deepak Drepaul, Zhengwei Ren, Xiaodong GuoAbstractIntroductionWith the rapid development of three-dimensional (3D) printing and computer technology, adopting computer-assisted virtual surgical procedures and 3D printing of patient-specific pre-contoured plates can greatly reduce surgical invasiveness and operative time and simplify the procedure.HypothesisUse of computer-assisted virtual surgical procedures and...
Source: Orthopaedics and Traumatology: Surgery and Research - July 10, 2019 Category: Orthopaedics Source Type: research

The effect of knee bracing on the knee function and stability following anterior cruciate ligament reconstruction: A systematic review and meta-analysis of randomized controlled trials
DiscussionKnee bracing does not appear to improve the clinical outcomes on the function and stability for ACL-reconstructed knees. Thus, bracing for patients treated with ACL reconstruction should not be recommended routinely.Level of EvidenceI, Meta-analysis. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 4, 2019 Category: Orthopaedics Source Type: research

Impact of preoperative varus deformity on postoperative mechanical alignment and long-term results of “mechanical” aligned total knee arthroplasty
In this study, we aimed to determine whether (1) greater degrees of preoperative varus deformity increase the incidence of varus-aligned TKAs and (2) residual varus alignment improves the long-term survival rate in TKAs with preoperative varus deformity.MethodsWe retrospectively reviewed 905 primary TKAs for varus-type osteoarthritis from November 1998 to June 2009. The mean follow-up was 8.23 years (± 3.47 years). We measured pre- and postoperative mechanical hip-knee-ankle axis angle (HKA) on full-length standing radiographs to assess the severity of preoperative varus deformities, defined as mild (0° 
Source: Orthopaedics and Traumatology: Surgery and Research - July 4, 2019 Category: Orthopaedics Source Type: research

Reverse shoulder arthroplasty for recent proximal humerus fractures: Outcomes in 422 cases
ConclusionClinical outcomes of RSA for PHF in elderly patients were not only satisfactory but also reproducible and sustained over time. Tuberosity re-implantation around the prosthesis is the key step for optimising the functional outcomes, notably by restoring rotations and decreasing the risk of complications (prosthesis instability and humeral loosening).Level of evidenceIV, retrospective observational study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - July 4, 2019 Category: Orthopaedics Source Type: research

InSafeLock humeral nail provides a safe application for proximal and distal locking screws with distal endopin – An anatomical study
Publication date: Available online 28 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Murat Tasci, İsmail Turkmen, Haluk Celik, Mehmet Akif Akcal, Rahime Kelesci, Nigar Keles, Necdet Saglam, Fuat AkpinarAbstractIntroductionEfforts to prevent iatrogenic neurovascular injuries with humeral intramedullary nailing lead to design new implants and inside to out distal locking technique using an endopin aims to provide a safer screw application. InSafeLock (TST, Istanbul, Turkey) humeral nail have been recently developed to minimize the possible screw related complications. The anatomical relat...
Source: Orthopaedics and Traumatology: Surgery and Research - June 29, 2019 Category: Orthopaedics Source Type: research

Reconstruction of pelvic ring and acetabular fractures: What lies ahead?
Publication date: Available online 28 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Jérôme Tonetti, Pomme Jouffroy, Franck Dujardin (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 29, 2019 Category: Orthopaedics Source Type: research

Ten-year outcomes of cementless anatomical femoral implants after 3D computed tomography planning. Follow-up note
DiscussionThe SPS® stem produced good 10-year clinical and radiographic outcomes. No patients experienced complications related to use of a titanium modular femoral neck. The restoration of anatomical hip geometry made possible by pre-operative CT planning provided sustained clinical improvements with a low complication rate.Level of evidenceIV, retrospective observational cohort study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 28, 2019 Category: Orthopaedics Source Type: research

Total hip arthroplasty with accolade/trident through the direct minimally invasive anterior approach without traction table: Learning curve and results after a minimum of 5 years
Publication date: Available online 26 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Kersten Berndt, Stefan Rahm, Claudio Dora, Patrick O. ZinggAbstractBackgroundThe direct minimally invasive anterior approach (DMIAA) in total hip arthroplasty (THA) is widely accepted. In our department the DMIAA according to Rachbauer together with the Trident cup and Accolade stem was introduced in 2004. The purpose of the study was to demonstrate the five-year results and to analyze the learning curve of a new introduced approach.Patients and methodsBetween July 2004 and May 2006, a consecutive series...
Source: Orthopaedics and Traumatology: Surgery and Research - June 28, 2019 Category: Orthopaedics Source Type: research

Jacques-Hubert Aubriot, 1936–2019
Publication date: Available online 26 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Sylvain Leclercq, Dominique Richter, the GUEPAR (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 28, 2019 Category: Orthopaedics Source Type: research

Does migration of osseointegrated implants for transfemoral amputees predict later revision? A prospective 2-year radiostereometric analysis with 5-years clinical follow-up
ConclusionLater removed OI implants migrated from 3 months to last follow-up and more than the non-removed OI implants. Distal implant migration greatly increased the odds of implant removal. Ten out of 17 OI implants were removed within 5 years of follow-up. We advise to use OI implants with caution and close follow-up in consideration of the risk of complications.Level of EvidenceIV, Prospective study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 28, 2019 Category: Orthopaedics Source Type: research

Fast track care for pertrochanteric hip fractures: How does it impact length of stay and complications?
ConclusionThe FT approach to treating pertrochanteric fractures reduces total LOS without increasing mortality or complication rates. The 1-year survival is comparable.Level of evidenceIIB, Exposed/Unexposed cohort. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 26, 2019 Category: Orthopaedics Source Type: research

Is surface modification effective to prevent periprosthetic joint infection? A systematic review of preclinical and clinical studies
DiscussionThe results from the publications included in this review indicate that surface modification, especially antibiotic and silver modifications, are helpful preventing PJI in both preclinical animal models and in clinical trials.Level of evidenceIII, systematic review of level III retrospective comparative studies and level IV case series and animal experiments. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 19, 2019 Category: Orthopaedics Source Type: research

Correction of thoracic adolescent idiopathic scoliosis via a direct convex rod manoeuvre
Publication date: Available online 19 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Philippe Violas, Cyril Bryand, Constantin Gomes, Paul Sauleau, Grégory Lucas, the Orthopedics, Traumatology Society of Western France (SOO)AbstractThe various techniques available for scoliosis surgery via the posterior approach involve positioning implants on either side of the curve and reducing the deformity by manoeuvres on the concave rod or simultaneously on both rods. Correction solely via a direct convex rod manoeuvre would eliminate the need for implants on the concave side. This techniqu...
Source: Orthopaedics and Traumatology: Surgery and Research - June 19, 2019 Category: Orthopaedics Source Type: research

Intra- and extra-articular proximal tibia malunion
Publication date: Available online 14 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): D. Saragaglia, B. Rubens-Duval, R. PailhéAbstractExtra- and intra-articular proximal tibia malunion is not uncommon. Functional impact is variable but may lead to almost total impotence. The present study aimed to provide a review on malunion, answering 5 questions: (1) How should malunion be classified, and with what pathogenicity? Malunion results from reduction defect and/or secondary displacement in tibial plateau fracture (A2, A3, B, C on the AO classification), but also from previous epiphys...
Source: Orthopaedics and Traumatology: Surgery and Research - June 16, 2019 Category: Orthopaedics Source Type: research

Same-stage total knee arthroplasty and osteotomy for osteoarthritis with extra-articular deformity. Part I: Tibial osteotomy, prospective study of 26 cases
The objective of this study was to assess outcomes in 26 patients managed with 1S-TKA-TO.Hypothesis1S-TKA-TO produces satisfactory clinical and anatomical outcomes and is not associated with higher morbidity rates compared to TKA alone or two-stage TKA-TO.Material and methodsA prospective study was conducted in 25 patients (26 knees) managed with 1S-TKA-TO between 1995 and 2014. There were 16 males and 9 females with a mean age of 64 years (range, 29–80 years) and a mean body mass index of 29.6 (range, 24–49). The EKD was constitutional in 14 knees, post-traumatic in 5 knees, and induced by TO in 7 knees. None ...
Source: Orthopaedics and Traumatology: Surgery and Research - June 16, 2019 Category: Orthopaedics Source Type: research

A technical note to prevent superficial tumor cell dissemination at fungating soft tissue tumor resection
We present eight patients treated with wide resection (3 myxofibrosarcomas, 2 malignant melanomas, 1 spindle cell sarcoma, 1 basal cell carcinoma, and 1 exulcerated lipoma). No complications were observed using this technique. An intraoperative local control, confirmed histologically, was achieved in all patients. Tumor covering could help local tumor control at fungating tumor resection. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 16, 2019 Category: Orthopaedics Source Type: research

Factors associated with hospital stay length, discharge destination, and 30-day readmission rate after primary hip or knee arthroplasty: Retrospective Cohort Study
In this study, predictors of LOS were identified using a survival model that considered age as a continuous variable, separate comorbidities, and the discharge destination. Our findings are consistent with earlier reports and confirm the strong associations linking LOS to diabetes, day of surgery, and discharge destination in France. We also identified predictors of discharge to rehabilitation and of readmission within 30 days.Level of evidenceIV, retrospective observational cohort study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 16, 2019 Category: Orthopaedics Source Type: research

Same-stage total knee arthroplasty and osteotomy for osteoarthritis with extra-articular deformity. Part II: Femoral osteotomy, prospective study of 6 cases
The objective of this study was to assess clinical and radiological outcomes and morbidity (complications and revisions) in 6 patients managed with S1-TKA-FO.Hypothesis1S-TKA-FO produces satisfactory outcomes and is not associated with higher morbidity rates compared to two-stage TKA-TO or TKA with intra-articular EKD correction, while also significantly shortening total treatment duration.Material and methodsA prospective study was performed in 6 patients managed with 1S-TKA-FO between 1999 and 2011; mean age was 64 years (range, 59–72 years) and mean body mass index was 29.5 (range, 26–35). The EKD was consis...
Source: Orthopaedics and Traumatology: Surgery and Research - June 14, 2019 Category: Orthopaedics Source Type: research

Clinical and radiological outcomes of osteoarthritis twenty years after rotator cuff repair
ConclusionTwenty years after open rotator cuff repair, the rate of osteoarthritis was 29%. Massive rotator cuff tears were significantly associated with a higher rate of osteoarthritis. Less osteoarthritis was observed when suprasupinatus healed.Level of evidenceIV. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 14, 2019 Category: Orthopaedics Source Type: research

Supine versus lateral position for accurate positioning of acetabular cup in total hip arthroplasty using the modified Watson-Jones approach: A randomized single-blind controlled trial
Publication date: Available online 14 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Ryohei Takada, Tetsuya Jinno, Kazumasa Miyatake, Masanobu Hirao, Kazuyoshi Yagishita, Toshitaka Yoshii, Atsushi OkawaAbstractBackgroundThe orientation of the acetabular cup is a critical factor for prevention of various postoperative complications in total hip arthroplasty (THA). Although most patients are treated in either supine or lateral position during surgery, it is still unclear which position is superior to achieve more accurate cup positioning. Our study was conducted in order to answer the foll...
Source: Orthopaedics and Traumatology: Surgery and Research - June 14, 2019 Category: Orthopaedics Source Type: research

Critical shoulder angle and greater tuberosity angle according to the partial thickness rotator cuff tear patterns
Publication date: Available online 13 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Joongbae Seo, Kang Heo, Soonmin Kwon, Jaesung YooAbstractBackgroundCurrent studies suggest that radiographic markers such as the critical shoulder angle (CSA) and the greater tuberosity angle (GTA) are associated with rotator cuff tears (RCTs). However, because the analysis of CSAs and GTAs according to the partial thickness rotator cuff tear patterns is limited, the purpose of the present study was to evaluate the relationship of CSAs and GTAs with partial thickness rotator cuff tear (PTRCT) patterns.Me...
Source: Orthopaedics and Traumatology: Surgery and Research - June 13, 2019 Category: Orthopaedics Source Type: research

Comparison of outcomes following arthroscopic capsular release for idiopathic, diabetic and secondary shoulder adhesive capsulitis: A Systematic Review
DiscussionArthroscopic capsular release has a high success rate regardless of the underlying aetiology. However, diabetic patients are reported to have more residual pain, reduced motion and inferior function compared to idiopathic cases. The rate of revision capsular release is higher among patients with post-surgical adhesive capsulitis when compared to idiopathic cases.Level of evidenceIV, systematic review. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 13, 2019 Category: Orthopaedics Source Type: research

Complications after surgical treatment of distal clavicle fractures
ConclusionThis study compared the outcomes of three different fixation methods for unstable distal clavicle fractures. The overall union rate with any method of operative intervention was very high (98.6%), consistent with previous studies. Hook plates had a much higher re-operation rate, mostly owing to a higher incidence of hardware removal, an expected outcome owing to the prominence of these plates in the subacromial space. Contoured clavicular plates were associated with a lower incidence of irritation and hardware removal than hook plates, although one patient in this group experienced loss of fracture fixation and w...
Source: Orthopaedics and Traumatology: Surgery and Research - June 13, 2019 Category: Orthopaedics Source Type: research

Long-term comparative study of large-diameter metal-on-metal bearings: Resurfacing versus total arthroplasty with large-diameter Durom™ bearing
Publication date: Available online 11 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Pierre-Emmanuel Ridon, Sophie Putman, Henri Migaud, Charles Berton, Gilles Pasquier, Julien GirardAbstractIntroductionShort-term results in total hip arthroplasty (THA) with large-diameter metal-on-metal (MoM) bearings were encouraging, but high failure rates have been reported in the long term, notably implicating corrosion due to modularity. Several studies compared resurfacing (to which modularity does not apply) versus large-diameter MoM THA; but, to our knowledge, none compared the same bearing in t...
Source: Orthopaedics and Traumatology: Surgery and Research - June 11, 2019 Category: Orthopaedics Source Type: research

Is intraoperative fluoroscopy necessary in anterior cruciate ligament double-bundle reconstruction? A prospective randomized controlled trial
DiscussionFluoroscopy-assisted ACL DB reconstruction can make deeper placement of the femoral AM bundle than the conventional ACL DB reconstruction.Level of evidenceII, prospective randomized controlled trial. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 10, 2019 Category: Orthopaedics Source Type: research

Effect of increased posterior tibial slope on the anterior cruciate ligament status in medial open wedge high tibial osteotomy in an uninjured ACL population
Publication date: Available online 8 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Hiroyasu Ogawa, Kazu Matsumoto, Haruhiko AkiyamaAbstractPurposeThe purpose of this study was to clarify the relationship between posterior tibial slope angle (PTSA) and anterior cruciate ligament (ACL) status in medial open wedge high tibial osteotomy (OWHTO). Our hypothesis was that even though OWHTO may improve anteroposterior laxity of the knee, an increase in PTSA after OWHTO would be associated with ACL degeneration.MethodsSeventy-five patients treated with OWHTO were retrospectively analyzed. PTSA w...
Source: Orthopaedics and Traumatology: Surgery and Research - June 10, 2019 Category: Orthopaedics Source Type: research

Reply from the letter by Takaomi Kobayashi, Tadatsugu Morimoto, Masaru Kitajima, Motoki Sonohata, Masaaki Mawatari
Publication date: Available online 8 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Charles Rivière (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 9, 2019 Category: Orthopaedics Source Type: research

Non anatomic reinsertion after amputation of the anterior horn of the lateral meniscus
This study describes a salvage technical procedure performed in 3 cases of chronic anterior root avulsion of the lateral meniscus with profuse tissue degeneration in which remnant debridement resulted in amputation of the root. Reinsertion of the meniscus at the remaining healthy tissue was performed using an all-inside anchoring technique. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 9, 2019 Category: Orthopaedics Source Type: research

ALDI (Anterior Lateral Decubitus Intermuscular) approach to the hip: Comprehensive description of the surgical technique with operative video
We describe a modification of the anterior approach, undertaken keeping the patient in lateral decubitus, in order to gain a better range of leg movement and a significant reduction of the force applied to the retractors, the technique was named ALDI (anterior lateral decubitus intermuscular) approach. The surgeon starts behind the patient as in all the other traditional approaches, to maintain unchanged the acetabular view and the dexterity in cup implantation. For the femoral preparation, he moves in front of the patient to have a better visualization. In a series of 150 patients, with a mean operative time of 51.38 ...
Source: Orthopaedics and Traumatology: Surgery and Research - June 7, 2019 Category: Orthopaedics Source Type: research

Comments on: “The influence of spine-hip relations on total hip replacement: A systematic review” of Rivière C, Lazennec JY, Van Der Straeten C, Auvinet E, Cobb J, Muirhead-Allwood S. published in Orthop Traumatol Surg Res. 2017;103(4):559–568
Publication date: Available online 5 June 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Takaomi Kobayashi, Tadatsugu Morimoto, Masaru Kitajima, Motoki Sonohata, Masaaki Mawatari (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 6, 2019 Category: Orthopaedics Source Type: research

Flexion gap stabilization by oversizing posterior condylar offset in deep-dished total knee replacement does not compromise flexion: A single-surgeon, retrospective, observational, mid-term series
ConclusionBalancing the Flexion gap by oversizing the femoral component did not compromise flexion range and functional results.Level of evidenceIV, Retrospective cohort study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - June 6, 2019 Category: Orthopaedics Source Type: research

Risk factors for dislocation after revision total hip arthroplasty with a dual-mobility cup. Matched case-control study (16 cases vs. 48 controls)
ConclusionRisk factors for dislocation consisted of a history of instability and, most importantly, abductor apparatus compromise. A constrained cup should be considererd in patients with impaired abductor apparatus. No further dislocations occurred after reduction of the first episode in 31.25% of cases. Recurrent dislocation should prompt measures to correct impaired abductor apparatus whenever possible, as well as correction of any component malposition. Whether a retentive cup should be implanted routinely remains unclear.Level of evidenceIII, matched case-control study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - May 31, 2019 Category: Orthopaedics Source Type: research

Correction of adult spinal deformity with a minimally invasive fusionless bipolar construct: Preliminary results
Publication date: Available online 29 May 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Stéphane Wolff, Khalil Habboubi, Amer Sebaaly, Pierre Emmanuel Moreau, Lofti Miladi, Guillaume RiouallonAbstractIntroductionFusion in adult spinal deformity has a high rate of complications. Fusionless constructs in children and percutaneous fixation in adults are now being used routinely. The aim of this study was to evaluate the preliminary results of a minimally invasive fusionless surgical technique used to correct adult spinal deformity.Materials and methodsThirty-eight patients with an averag...
Source: Orthopaedics and Traumatology: Surgery and Research - May 31, 2019 Category: Orthopaedics Source Type: research

Incidence of erectile dysfunction in pelvic ring injuries: Study of 48 patients at the Antananarivo hospital, Madagascar
ConclusionErectile function should be assessed in the medium and long term in patients with pelvic ring fractures. If left untreated, erectile dysfunction may lead to depression in these often young patients.Level of evidenceIV, retrospective observational study. (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - May 31, 2019 Category: Orthopaedics Source Type: research

Use of morselized allografts for acetabular reconstruction during THA revision: French multicenter study of 508 cases with 8 years’ average follow-up
Publication date: Available online 27 May 2019Source: Orthopaedics & Traumatology: Surgery & ResearchAuthor(s): Roger Erivan, Pierre-Alain Matthieu, Bertrand Boyer, Nicolas Reina, Michel Rhame, René-Christopher Rouchy, Sébastien Moreau, Thomas Sanchez, Olivier Roche, Jacques Caton, Jean-Louis Rouvillain, Gilles Missenard, Nassima Ramdane, Aurélien Mulliez, Stéphane Descamps, Stéphane Boisgard, French Society of Orthopedic and Traumatological Surgery (SoFCOT)AbstractBackgroundIn the context of acetabular reconstruction, bone defects can be filled with processed or unprocessed bone ...
Source: Orthopaedics and Traumatology: Surgery and Research - May 29, 2019 Category: Orthopaedics Source Type: research

Editorial Board
Publication date: June 2019Source: Orthopaedics & Traumatology: Surgery & Research, Volume 105, Issue 4Author(s): (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - May 29, 2019 Category: Orthopaedics Source Type: research

Contents
Publication date: June 2019Source: Orthopaedics & Traumatology: Surgery & Research, Volume 105, Issue 4Author(s): (Source: Orthopaedics and Traumatology: Surgery and Research)
Source: Orthopaedics and Traumatology: Surgery and Research - May 29, 2019 Category: Orthopaedics Source Type: research

Reliability of a new dynamic ultrasound test for quantifying first-ray mobility
The objective of this study was to assess the feasibility and the inter- and intra-observer reproducibility of a new dynamic ultrasound test that quantifies TMT1 mobility and is simple to use provided a good-quality ultrasound machine is available.HypothesisThe new ultrasound TMT1 mobility test is reproducible.Material and methodsThe 32 feet of 16 consecutive patients whose first ray was considered normal were included. Ultrasonography was performed at rest and during a stress test consisting in causing TMT1 gaping by applying a distal dorsal drawer movement to the first metatarsal. The two plantar bony prominences on eith...
Source: Orthopaedics and Traumatology: Surgery and Research - May 25, 2019 Category: Orthopaedics Source Type: research