Single- and double-dose of platelet-rich plasma versus hyaluronic acid for treatment of knee osteoarthritis: A randomized controlled trial.
Authors: Tavassoli M, Janmohammadi N, Hosseini A, Khafri S, Esmaeilnejad-Ganji SM Abstract BACKGROUND: Platelet-rich plasma (PRP) and hyaluronic acid have been shown to be useful in the treatment of knee osteoarthritis. However, investigations comparing the efficacy of these two drugs together are insufficient. AIM: To compare the outcomes of PRP vs hyaluronic acid injections in three groups of patients with bilateral knee osteoarthritis. METHODS: This randomized controlled trial study involved 95 patients. Thirty-one subjects received a single injection of PRP (group PRP-1), 33 subjects received two inject...
Source: World Journal of Orthopaedics - October 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Who should you be following? The top 100 social media influencers in orthopaedic surgery.
CONCLUSION: The top orthopaedic social media influencers on Twitter were predominantly board-certified, sports-medicine subspecialists working in private practice in the United States. Social media influence was highly concordant with academic productivity as measured by the academic h-index. Though the majority of influencers are orthopaedic surgeons, 22% of top influencers on Twitter are not, which is important to identify given the potential for these individuals to influence patients' perceptions and expectations. This study also provides the top influencer network for other orthopaedic surgeons to engage with on socia...
Source: World Journal of Orthopaedics - October 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Calcaneal osteochondroma masquerading as plantar fasciitis: An approach to plantar heel pain - A case report and literature review.
CONCLUSION: Osteochondromas are rarely symptomatic in skeletally mature patients. While most are benign with a very low risk of malignant transformation, surgical excision can yield excellent results and significant pain relief in symptomatic patients. PMID: 31572670 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - October 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Rigid locked nail fixation for pediatric tibia fractures - Where are the data?
Authors: Weltsch D, Baldwin KD Abstract Tibial shaft fractures are common injuries among the pediatric and adolescent population. Conservative treatment remains the preferred treatment. However, over the last two decades, there has been an increasing trend of operative fixation in pediatric tibia fractures, commonly with intramedullary nail fixation (IMN). Elastic stable intramedullary nails (ESIN) are heavily used especially in skeletally immature patients as they are physeal respecting and the technique for insertion is familiar. Alternatively, reamed locked intramedullary nails (RIMN) have gained traction in ado...
Source: World Journal of Orthopaedics - August 28, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Subtraction hemiarthoplasty in basal joint arthritis: A case report.
CONCLUSION: Subtraction hemiarthroplasty with ligament tightening imbrication and reconstruction of the radial ligament led to excellent results in motion and pain. PMID: 31448205 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - August 28, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Exercise as medicine to be prescribed in osteoarthritis.
Authors: Ravalli S, Castrogiovanni P, Musumeci G Abstract Inactivity contributes to chronic diseases, including diabetes, hypertension, cardiovascular disorders, and obesity. Sedentary habits can shorten life expectancy. Exercise has been widely proposed as a valuable approach to prevention. Regular physical activity, as part of one's daily routine, may help to manage pathological conditions. This editorial especially addresses osteoarthritis (OA), a degenerative disease of the articular cartilage, which is one of the most common causes of disability worldwide. Standard treatments for this illness include surgical ...
Source: World Journal of Orthopaedics - August 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Randomised controlled trial of triclosan coated vs uncoated sutures in primary hip and knee arthroplasty.
CONCLUSION: No clear advantage was demonstrated for using the TCS. However, larger multi-centred RCTs are required to validate their use in hip and knee arthroplasty surgery. PMID: 31363457 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - August 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Platelet-rich plasma for muscle injuries: A systematic review of the basic science literature.
CONCLUSION: The basic science literature on the use of PRP in muscle pathology demonstrates that PRP treatment confers several potentially beneficial effects on healing in comparison to controls. Future research is needed to determine optimal cytology, dosing, timing, and delivery methods of PRP for muscle pathologies. PMID: 31363458 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - August 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Os calcis lipoma: To graft or not to graft? - A case report and literature review.
CONCLUSION: The treatment of an os calcis lipoma should be individualized, depending on the symptoms, the location and size of the lesion. Surgeons, electing to proceed with bone grafting, should consider the probability of bone graft resorption. PMID: 31360644 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - August 1, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Delirium after emergency hip surgery - common and serious, but rarely consented for.
Authors: Koizia LJ, Wilson F, Reilly P, Fertleman MB Abstract A quarter of patients admitted with a proximal femoral fracture suffer from an acute episode of delirium during their hospital stay. Yet it is often unrecognised, poorly managed, and rarely discussed by doctors. Delirium is important not only to the affected individuals and their families, but also socioeconomically to the broader community. Delirium increases mortality and morbidity, leads to lasting cognitive and functional decline, and increases both length of stay and dependence on discharge. Delirium should be routinely and openly discussed by all m...
Source: World Journal of Orthopaedics - July 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Functional physiotherapy method results for the treatment of idiopathic clubfoot.
Authors: García-González NC, Hodgson-Ravina J, Aguirre-Jaime A Abstract BACKGROUND: Idiopathic clubfoot is a congenital deformity of multifactorial etiology. The initial treatment is eminently conservative; one of the methods applied is the Functional physiotherapy method (FPM), which includes different approaches: Robert Debré (RD) and Saint-Vincent-de-Paul (SVP) among them. This method is based on manipulations of the foot, bandages, splints and exercises adapted to the motor development of the child aimed to achieve a plantigrade and functional foot. Our hypothesis was that the SVP method co...
Source: World Journal of Orthopaedics - July 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Bilateral sequential femoral neck stress fractures in young adult with HIV infection on antiretroviral therapy: A case report.
CONCLUSION: In the absence of co-morbidities, several mechanisms of HIV/antiretroviral therapy may have played a role in predisposing our patient towards such a presentation. We recommend routine screening all HIV-infected patients for osteopenia, especially in younger individuals. In low resource settings and district hospitals, pelvis radiograph & Singh's index can be used for screening. PMID: 31259148 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - July 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Recurrent surgical site infection after anterior cruciate ligament reconstruction: A case report.
CONCLUSION: Prompt and accurate diagnosis of surgical site infection following ACL reconstruction, including the exclusion of intra-articular involvement, is important for timely and appropriate treatment. Arthroscopic debridement and removal of implant with graft preservation, together with a course of antibiotics, is a suitable treatment option for extra-articular knee infections following ACL reconstruction. PMID: 31259149 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - July 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Precontoured buttress plate vs reconstruction plate for acetabulum posterior wall fractures: A biomechanical study.
CONCLUSION: PABP provides more stable fixation in acetabulum posterior wall fractures than 5-hole CCRP, allowing for proximal or distal fracture line screw application without reshaping. PMID: 31149562 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - June 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Investigational growth factors utilized in animal models of spinal fusion: Systematic review.
CONCLUSION: Several promising investigational growth factors for spinal fusion have been identified herein; directly comparing the fusion efficacy and safety of these agents may inform clinical translation. PMID: 31041160 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Growing pains: What do we know about etiology? A systematic review.
CONCLUSION: The scientific literature about the etiology of growing pains presents heterogeneity and lack of consensus; more studies are needed to understand the genesis of benign musculoskeletal pain syndrome of childhood. PMID: 31041161 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Fracture of allograft interbody spacer resulting in post-operative radiculopathy: A case report.
CONCLUSION: Displacement of broken allograft interbody spacer following TLIF procedures can result in neurological sequelae that require revision. To avoid such an occurrence, the authors recommend allowing sufficient time for the reconstitution of the graft in saline prior to use to decrease brittleness, to use an impactor size that is as close as possible to the spacer size and meticulous inspection of the cortical allograft spacer for any visible imperfection prior to insertion. PMID: 31041162 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Recalcitrant distal humeral non-union following previous Leiomyosarcoma excision treated with retainment of a radiated non-angiogenic segment augmented with 20 cm free fibula composite graft: A case report.
CONCLUSION: This combinatory treatment approach led to a successful clinical outcome and can be considered in similar challenging cases. PMID: 31041163 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Linkage of microbiota and osteoporosis: A mini literature review.
Authors: Yatsonsky Ii D, Pan K, Shendge VB, Liu J, Ebraheim NA Abstract The gut microbiota (GM) has become a recent topic of interest in the role of many disease states. Assessing patients with osteoporosis (OP), there is a strong correlation between gut microbe dysregulation and decreased bone density. Gut dysbiosis may lead to inflammation, dysregulation of nutrient and calcium transport across the intestine into circulation and systemic inflammation. Investigation of microbial profile relative to normal gut microbiomes, assessment of inflammatory markers such as interleukin-1 (IL-1), IL-6, and tumor necrosis fac...
Source: World Journal of Orthopaedics - March 30, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Short-term differences in anterior knee pain and clinical outcomes between rotating and fixed platform posterior stabilized total knee arthroplasty with a new femoral component design.
Authors: Bigoni M, Zanchi N, Turati M, Pirovano G, Zatti G, Munegato D Abstract AIM: To compare rotating versus fixed-bearing Press-Fit Condylar (PFC) Sigma posterior stabilized (PS) total knee arthroplasty (TKA) with the new "J curve" femoral design in terms of clinical outcomes and anterior knee pain. METHODS: We retrospectively analyzed 39 patients who underwent primary total knee replacement surgery for knee osteoarthritis using the PFC Sigma PS TKA with either fixed (FP group, 20 cases) or rotating platform (RP group, 19 cases) treated between 2009 and 2013 by the same surgeon. The two groups wer...
Source: World Journal of Orthopaedics - March 30, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Comparison of implant related complications amongst patients with opioid use disorder and non-users following total knee arthroplasty.
Authors: Vakharia RM, Sabeh KG, Vakharia AM, Damodar DM, Law TY, Roche MW Abstract BACKGROUND: The influence of opioid use disorder on implant related complications, infection and readmission rates, and total global episode-of-care costs following primary total knee arthroplasty (TKA) is limited. AIM: To examine whether opioid abuse in patients undergoing primary TKA. METHODS: A retrospective analysis of the Medicare dataset, using the PearlDiver database, from 2005-2014 comparing outcomes in patients with opioid abusers (OUD) to non-opioid abusers (NOU) undergoing primary TKA was performed. Patient outcome...
Source: World Journal of Orthopaedics - March 30, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Aetiology of Legg-Calv é-Perthes disease: A systematic review.
CONCLUSION: The literature available on the aetiology of LCPD presents major limitations in terms of great heterogeneity and a lack of high-profile studies. Although a lot of studies focused on the genetic, biomechanical and radiological background of the disease, there is a lack of consensus on one or multiple major actors of the etiopathogenesis. More studies are needed to understand the complex and multifactorial genesis of the avascular necrosis characterizing the disease. PMID: 30918798 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - March 30, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Changing trends in the mortality rate at 1-year post hip fracture - a systematic review.
CONCLUSION: There appears to be a consistent worldwide reduction in mortality at 1-year post hip fracture compared to previously published research. Globally, those which suffer hip fractures may currently be benefiting from the results of approximately 30 years of national registries, rigorous audit processes and international collaboration. The previously quoted mortality rates of 10% at 1-mo and 30% at 1-year may be outdated. PMID: 30918799 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - March 30, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Osteoarticular manifestations of human brucellosis: A review.
Authors: Esmaeilnejad-Ganji SM, Esmaeilnejad-Ganji SMR Abstract Brucellosis is a common global zoonotic disease, which is responsible for a range of clinical manifestations. Fever, sweating and musculoskeletal pains are observed in most patients. The most frequent complication of brucellosis is osteoarticular involvement, with 10% to 85% of patients affected. The sacroiliac (up to 80%) and spinal joints (up to 54%) are the most common affected sites. Spondylitis and spondylodiscitis are the most frequent complications of brucellar spinal involvement. Peripheral arthritis, osteomyelitis, discitis, bursitis and tenos...
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Allergy in total knee replacement surgery: Is it a real problem?
Authors: Saccomanno MF, Sircana G, Masci G, Cazzato G, Florio M, Capasso L, Passiatore M, Autore G, Maccauro G, Pola E Abstract Total knee arthroplasty is a common procedure, with extremely good clinical results. Despite this success, it produces 20% unsatisfactory results. Among the causes of these failures is metal hypersensitivity. Metal sensitization is higher in patients with a knee arthroplasty than in the general population and is even higher in patients undergoing revision surgery. However, a clear correlation between metal sensitization and symptomatic knee after surgery has not been ascertained. Surely, p...
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Update on diagnosis and management of cuboid fractures.
Authors: Angoules AG, Angoules NA, Georgoudis M, Kapetanakis S Abstract Cuboid fractures due to the particular bone anatomy and its protected location in the midfoot are rare, and they are usually associated with complex injuries of the foot. Clinical examination to diagnose these fractures should be detailed and the differential diagnosis, especially in the case of vague symptoms, should include the exclusion of all lateral foot pain causes. Conventional radiographs do not always reveal occult fractures, which can be under diagnosed especially in children. In this case, further investigation including magnetic res...
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Mandated health insurance increases rates of elective knee surgery.
CONCLUSION: The increase in the rate of elective knee surgery in the post-reform period suggests that health care reform in Massachusetts has been successful in decreasing the uninsured population and may increase health care expenditures. This is a hypothesis generating study that suggests further avenues of study on how mandated coverage may change healthcare utilization and cost. PMID: 30788225 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Return to sport after lower limb arthroplasty - why not for all?
CONCLUSION: Patients receiving a joint replacement are able to participate in athletic activity to high levels and are satisfied with their outcomes. Reasons for non-participation are multi-factorial. PMID: 30788226 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Return to sport following scaphoid fractures: A systematic review and meta-analysis.
Authors: Goffin JS, Liao Q, Robertson GA Abstract BACKGROUND: Scaphoid fracture is the most commonly fractured carpal bone in the athletic patient, accounting for over 85% of all sport-related carpal bone fractures, and is particularly common in sports involving high impact injuries to the wrist. The management of such injuries comprises both conservative and surgical techniques, as guided by fracture location and type. Athletes demonstrate a unique challenge with regards to the management of scaphoid fractures due to their requirement to return to sport, as soon as able. AIM: To review systemically all studies...
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Adolescent Lisfranc injury treated with TightRopeTM: A case report and review of literature.
CONCLUSION: The "mini" TightRope™ syndesmosis device is a promising method of fixation for children with certain Lisfranc injuries. This method has many advantages, including the non-rigid type of the fixation and no need for subsequent metalwork removal. PMID: 30788228 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 25, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Damage control orthopaedics: State of the art.
Authors: Guerado E, Bertrand ML, Cano JR, Cerván AM, Galán A Abstract Damage control orthopaedics (DCO) originally consisted of the provisional immobilisation of long bone - mainly femur - fractures in order to achieve the advantages of early treatment and to minimise the risk of complications, such as major pain, fat embolism, clotting, pathological inflammatory response, severe haemorrhage triggering the lethal triad, and the traumatic effects of major surgery on a patient who is already traumatised (the "second hit" effect). In recent years, new locations have been added to the DCO concep...
Source: World Journal of Orthopaedics - February 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Inter- and intra-rater reliability of vertebral fracture classifications in the Swedish fracture register.
CONCLUSION: The classifications used in the Swedish fracture register for vertebral fractures have an acceptable inter- and intra-rater reliability with a moderate strength of agreement. PMID: 30705837 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Validation of the Danish version of the musculoskeletal tumour society score questionnaire.
This study is based on the hypothesis that the Danish MSTS questionnaire is a valid tool for measuring the end result after surgery for neoplasms in the extremities. AIM: To validate the Danish version of the upper and lower extremity version of the MSTS. METHODS: The translation of the MSTS was conducted in accordance with international guidelines. Patients operated for sarcomas and aggressive benign tumors were invited to participate in the study. The psychometric properties of the Danish version of the MSTS were tested in terms of validity and reliability and for the risk of floor or ceiling effect. Spearman's r...
Source: World Journal of Orthopaedics - February 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Contralateral trapezius transfer to treat scapular winging: A case report and review of literature.
CONCLUSION: Contralateral trapezius osteomuscular flap transfer succeeded in stabilizing scapular winging in this case, improving shoulder function and affording pain relief. PMID: 30705839 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Peroneus longus tendon rupture: A case report.
CONCLUSION: We aim to share our experience in managing this patient and propose some pointers guided by available literature to avoid missing this commonly overlooked pathology. PMID: 30705840 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - February 2, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Socio-demographic factors impact time to discharge following total knee arthroplasty.
Authors: Ihekweazu UN, Sohn GH, Laughlin MS, Goytia RN, Mathews V, Stocks GW, Patel AR, Brinker MR Abstract AIM: To determine social, logistical and demographic factors that influence time to discharge in a short stay pathway (SSP) by following total knee arthroplasty (TKA). METHODS: The study included primary TKA's performed in a high-volume arthroplasty center from January 2016 through December 2016. Potential variables associated with increased hospital length of stay (LOS) were obtained from patient medical records. These included age, gender, race, zip code, body mass index (BMI), number of pre-operative m...
Source: World Journal of Orthopaedics - January 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Humeral retroversion and shoulder muscle changes in infants with internal rotation contractures following brachial plexus birth palsy.
Authors: van de Bunt F, Pearl ML, van Essen T, van der Sluijs JA Abstract AIM: To examine humeral retroversion in infants who sustained brachial plexus birth palsy (BPBI) and suffered from an internal rotation contracture. Additionally, the role of the infraspinatus (IS) and subscapularis (SSc) muscles in the genesis of this bony deformation is explored. METHODS: Bilateral magnetic resonance imaging (MRI) scans of 35 infants (age range: 2-7 mo old) with BPBI were retrospectively analyzed. Retroversion was measured according to two proximal axes and one distal axis (transepicondylar axis). The proximal axes were...
Source: World Journal of Orthopaedics - January 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Metallosis following a clip breakage in a total knee arthroplasty implant: A case report.
CONCLUSION: This case highlights this very rare complication which has never been reported in the literature and the success of this patient's management. PMID: 30598874 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - January 3, 2019 Category: Orthopaedics Tags: World J Orthop Source Type: research

Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence?
Authors: Robertson GA, Wood AM Abstract This editorial reviews and summarises the current evidence (meta-analyses and Cochrane reviews) relating to the use of hip hemi-arthroplasty for neck of femur fractures. Regarding the optimal surgical approach, two recent meta-analyses have found that posterior approaches are associated with: higher rates of dislocation compared to lateral and anterior approaches; and higher rates of re-operation compared to lateral approaches. Posterior approaches should therefore be avoided when performing hip hemi-arthroplasty procedures. Assessing the optimal prosthesis head component, th...
Source: World Journal of Orthopaedics - November 29, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Biomechanics of posterior shoulder instability - current knowledge and literature review.
Authors: Bäcker HC, Galle SE, Maniglio M, Rosenwasser MP Abstract Posterior instability of the shoulder is a rare condition and represents about 10% of shoulder instability. It has become more frequently recognized in the last year, even though it is more difficult to diagnose than anterior shoulder instability. As this form of shoulder pathology is somewhat rare, biomechanical knowledge is limited. The purpose of our study was to perform an extensive literature search, including PubMed and Medline, and to give an overview of the current knowledge on the biomechanics of posterior shoulder instability. The PubM...
Source: World Journal of Orthopaedics - November 29, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Recently highlighted nutraceuticals for preventive management of osteoarthritis.
Authors: Ravalli S, Szychlinska MA, Leonardi RM, Musumeci G Abstract Osteoarthritis (OA) is a chronic degenerative disease of articular cartilage with limited treatment options. This reality encourages clinicians to suggest preventive measures to delay and contain the outbreak of the pathological conditions. Articular cartilage and synovium suffering from OA are characterised by an inflammatory state and by significant oxidative stress, responsible for pain, swelling and loss of mobility in the advanced stages. This review will focus on the ability of olive oil to exert positive effects on the entire joint to reduc...
Source: World Journal of Orthopaedics - November 29, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Should antibiotics be administered before arthroscopic knee surgery? A systematic review of the literature.
Authors: Carney J, Heckmann N, Mayer EN, Alluri RK, Vangsness CT, Hatch Iii GF, Weber AE Abstract AIM: To explore the current evidence surrounding the administration of prophylactic antibiotics for arthroscopic knee surgery. METHODS: Databases were searched from inception through May of 2018 for studies examining prophylactic antibiotic use and efficacy in knee arthroscopy. Studies with patient data were further assessed for types of arthroscopic procedures performed, number of patients in the study, use of antibiotics, and outcomes with the intention of performing a pooled analysis. Data pertaining to "de...
Source: World Journal of Orthopaedics - November 29, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Analysis of a ten step protocol to decrease postoperative spinal wound infections.
CONCLUSION: The ten-step protocol defined herein has significantly helped in decreasing surgical site infection rate. Several of the steps have already been shown in the literature to have significant effect on infection rates. As several measures are required to prevent infection, instituting a standard protocol for all the described steps appears beneficial. PMID: 30479974 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - November 29, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Reducing costly falls after total knee arthroplasty.
CONCLUSION: Given the reduction in the number of falls with ACB, it is recommended that ACB be considered the preferred analgesia for patients undergoing a TKA procedure. PMID: 30364681 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Does ethnicity and education influence preoperative disability and expectations in patients undergoing total knee arthroplasty?
Authors: Kudibal MT, Kallemose T, Troelsen A, Husted H, Gromov K Abstract AIM: To investigate whether minority ethnicity and the duration of education influence preoperative disability and expectations in patients undergoing total knee arthroplasty. METHODS: We prospectively included 829 patients undergoing primary unilateral total knee arthroplasty (TKA) from April 2013 to December 2014 at a single centre. Patients filled in pre-operative questionnaires with information regarding place of birth, duration of education, expectations for outcome of surgery and baseline characteristics. Patients were stratified ba...
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Total knee arthroplasty in patients with Paget's disease of bone: A systematic review.
CONCLUSION: The findings support the use of TKA in patients with PDB. The post-operative functional outcomes are largely similar to other patients, however there are specific perioperative challenges that have been highlighted, in particular the high risk for patellar tendon avulsion. PMID: 30364786 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Long-term results of an anatomically implanted hip arthroplasty with a short stem prosthesis (MiniHipTM).
CONCLUSION: Regarding these first long-term results on the MiniHipTM, the implant performed exceedingly well with a high rate of survivorship for aseptic loosening. Our radiological results within the Gruen zones support the design rationale of the Minihip to provide a reliable metaphyseal anchoring with the expected proximal, more physiological load transfer. This might minimize or exclude a stress shielding which might be associated with thigh pain, proximal bone loss and an increased risk of aseptic loosening. The MiniHipTM is a reliable partial-neck retaining prosthesis with good a clinical long-term outcome in younger...
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Dose of alendronate directly increases trabeculae expansivity without altering bone volume in rat femurs.
CONCLUSION: It is likely that the use of alendronate did not have a direct influence on the amount of bone neoformation, however it did influence the bone quality in a dose-dependent manner, ultimately affecting the distance and quantity of the trabeculae. PMID: 30364827 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Screw placement is everything: Risk factors for loss of reduction with volar locking distal radius plates.
CONCLUSION: Distal locking screws should be placed as close as possible to the subchondral joint line to prevent postoperative loss of reduction. PMID: 30364833 [PubMed] (Source: World Journal of Orthopaedics)
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research

Intra-operative computed tomography guided navigation for pediatric pelvic instrumentation: A technique guide.
Authors: Anari JB, Cahill PJ, Flynn JM, Spiegel DA, Baldwin KD Abstract Pelvic instrumentation for neuromuscular scoliosis has been part of neuromuscular scoliosis surgery since the era of the Luque Galveston construct. Unit Rod (Medtronic Sofamor-Danek, Nashville, TN) instrumentation brought with it the concept of cantilever correction by placing the implants in the pelvis and then gradually bringing the rod to the spine by sequentially tightening the sublaminar wires, with the goal of creating a level pelvis over a straight spine. More recently surgeons have utilized pedicle screw constructs in which the correcti...
Source: World Journal of Orthopaedics - October 27, 2018 Category: Orthopaedics Tags: World J Orthop Source Type: research