Mathieu Vinet, Dylan Moullac, Guillaume David, Tristan Segalen, Caroline Lucas, Frédéric Dubrana, Hoel Letissier, Rémi Di Francia
PURPOSE: Open surgical approaches for the treatment of anterior pelvic arc lesions are associated with several complications. We present the first retrospective descriptive case series on the use of laparoscopy as an alternative. METHODS: This descriptive, retrospective, single-centre study enrolled all patients who underwent laparoscopy for the treatment of pelvic ring disruption between May 2020 and March 2022. The primary outcome was the procedure failure rate based on conversion to open surgery...
April 18, 2024: International Orthopaedics
Shicai Fan, Yilan Liao, Zhipeng Xiao, Yuhui Chen, Tao Li, Qiguang Mai, Sheqiang Chen, Haibo Xiang, Zhiyong Hou, Yingze Zhang
PURPOSE: To introduce anterior peri-sacroiliac joint osteotomy (APSJO) through the lateral-rectus approach (LRA) for treating pelvic fracture malunion and nonunion, and to evaluate the safety, feasibility, and potential effectiveness. METHODS: Data of 15 patients with pelvic fracture malunion and nonunion who underwent treatment by APSJO were selected and analyzed. The reduction quality was assessed using the Mears and Velyvis criteria, while the pre-operative and post-operative function was revealed by the Majeed scoring system...
April 17, 2024: International Orthopaedics
Biagio Zampogna, Francesco Rosario Parisi, Andrea Zampoli, Anna Prezioso, Ferruccio Vorini, Alice Laudisio, Matteo Papalia, Nicola Papapietro, Francesco Falez, Rocco Papalia
PURPOSE: In the last decades, there has been a refinement in total hip arthroplasty, which allowed surgeons to achieve the highest performance and better patient outcomes. Preoperative planning in primary hip arthroplasty is an essential step that guides the surgeon in restoring the anatomy and biomechanics of the joint. This study aims to evaluate the accuracy of the 2D digital planning, considering cup sizing, stem sizing, and limb length discrepancy. Additionally, we conducted a multivariable analysis of demographic data and comorbidities to find factors influencing preoperative planning...
April 15, 2024: International Orthopaedics
Raju Vaishya, Karthikeyan P Iyengar, Mohit Kumar Patralekh, Rajesh Botchu, Kapil Shirodkar, Vijay Kumar Jain, Abhishek Vaish, Marius M Scarlat
PURPOSE: This study analyses the performance and proficiency of the three Artificial Intelligence (AI) generative chatbots (ChatGPT-3.5, ChatGPT-4.0, Bard Google AI®) and in answering the Multiple Choice Questions (MCQs) of postgraduate (PG) level orthopaedic qualifying examinations. METHODS: A series of 120 mock Single Best Answer' (SBA) MCQs with four possible options named A, B, C and D as answers on various musculoskeletal (MSK) conditions covering Trauma and Orthopaedic curricula were compiled...
April 15, 2024: International Orthopaedics
Elina Huerfano, Maria Bautista, Manuel Huerfano, Juan M Nossa
PURPOSE: Total hip arthroplasty (THA) has demonstrated excellent results in elderly patients, however, the indications, outcomes, and long-term results in adolescent patients are less understood. This study aims to assess the outcomes of THA in patients under 21, providing insights for clinical decision-making in this exceptional population. METHODS: A systematic review in PubMed, Ovid MEDLINE, and Embase database was performed. We included studies reporting clinical, radiological, and functional outcomes of THA in patients younger than 21 years, for any cause, with a with a minimum follow-up of one year...
April 15, 2024: International Orthopaedics
Yijian Huang, Hongbin Xie, Jiafeng Yi, Minzhi Yang, Xiangpeng Kong, Wei Chai
PURPOSE: Pelvic support osteotomy (PSO) is regarded to provide pelvic stability and improve abductor function to delay or even avoid total hip arthroplasty (THA) in young patients with high-riding hip dysplasia. However, some of these patients eventually have to undergo THA. Because of the double-angulation deformity of the femur after PSO, subsequent THA is challenging. This study aimed to analyze whether PSO surgery is suitable for high-riding hip dysplasia and summarize orthopaedic strategy during THA for patients with previous PSO...
April 15, 2024: International Orthopaedics
Jiayuan Wu, Mingxing Fan, Da He, Yi Wei, Fangfang Duan, Xieyuan Jiang, Wei Tian
PURPOSE: To evaluate the accuracy and feasibility of robot-assisted cervical screw placement and factors that may affect the accuracy. METHODS: A comprehensive search was made on PubMed, Embase, Cochrane Library, Web of Science, CNKI, and Wanfang Med for the selection of potential eligible literature. The outcomes were evaluated in terms of the relative risk (RR) or standardized mean difference (MD) and corresponding 95% confidence interval (CI). Subgroup analyses of the accuracy of screw placement at different cervical segments and with different screw placement approaches were performed...
April 13, 2024: International Orthopaedics
Dell McLaughlin, Sara De Salvo, Kathryn Brewerton, Caitlyn Hui, Maryse Bouchard
PURPOSE: Despite the existence of guidelines for screening for developmental dysplasia of the hip (DDH), there remains controversy regarding the need for routine ultrasound screening for DDH in patients with clubfoot due to an unclear correlation between the two conditions. The purpose of this study is to determine whether ultrasound screening for DDH in this population improved the diagnostic accuracy of DDH over standard assessment for patient risk factors and physical exam. METHODS: This is a retrospective cross-sectional review of infants diagnosed with idiopathic clubfoot who underwent hip ultrasounds to assess for DDH as identified by keyword search in an institutional radiological database at a tertiary care paediatric hospital...
April 11, 2024: International Orthopaedics
Nath Adulkasem, Supphamard Lewsirirat, Varinthorn Adulyanukosol, Yuddhasert Sirirungruangsarn, Phoemlap Phongprapapan, Prangthong Unprasert, Pawaris Sukvanich, Pipattra Sailohit, Somchai Kulkittaya, Chatupon Chotigavanichaya, Thanase Ariyawatkul, Jidapa Wongcharoenwatana, Perajit Eamsobhana
PURPOSE: Lateral humeral condyle nonunion in children is a rare condition. The treatment protocol for nonunion of lateral humeral condyle remains controversial due to the potential complication. This study reports long-term functional outcomes of the nonunion of the lateral humeral condyle fracture. In addition, we identified the prognostic factors for nonunion of the lateral humeral condyle fracture. METHODS: We conducted a multicentre retrospective cohort study of nonunion of lateral humeral condyle between January 1995 and December 2022...
April 10, 2024: International Orthopaedics
Ashok N Johari, Rashid Anjum
PURPOSE: Congenital posteromedial bowing (CPMB) of tibia is a rare, usually self-resolving condition that is present at birth. The data on the long-term outcome of lengthening, choice of fixator, outcome in early and late age groups, and complications is sparse, hence the need for this study. METHODS: This retrospective study included 93 patients with 94 affected legs from 1991 to 2023. The patients were categorized into early (under 10 years) and late (10 years or above) intervention groups...
April 10, 2024: International Orthopaedics
Abraham Guadalupe Espinosa-Uribe, Fernando A Fernández-Garza, David Muñoz-Leija, José Félix Vílchez-Cavazos, Alejandro Quiroga-Garza, Víctor M Peña-Martínez, Rodrigo E Elizondo-Omaña, Jorge Gutiérrez-de la O
PURPOSE: Third and fourth-generation minimal invasive osteotomies (MIO) for the treatment of hallux valgus (HV) have become popular procedures worldwide with promising results due to the improvement in the fixation method. The tricortical cannulated screw placement remains a complex procedure that is technically challenging and requires a long skill learning curve with high radiation exposure mainly in the form of intensifier shots (IS) required for the MIO fixation. This study aims to compare the number of X-ray IS required using three different techniques for the cannulated guide placement...
April 8, 2024: International Orthopaedics
Fatih Barça, Ekin Barış Demir, Mithat İbolar, Halis Atıl Atilla, Mutlu Akdoğan
PURPOSE: There is no consensus on ideal short femoral stem design. A classification system proposed by Feyen and Shimmin divides short stems in two types according to femoral neck osteotomy levels: subcapital (IIIA) and standard (IIIB). The study aims to determine which design type is more successful in restoring native biomechanical parameters and whether stem type has an impact on clinical results. METHODS: In this retrospective comparative study, patients that have undergone short stem hip arthroplasty were evaluated according to stem types: type IIIA (n = 52, 66...
April 8, 2024: International Orthopaedics
Junya Matsuyama, Yoshinori Okamoto, Hitoshi Wakama, Kaito Nakamura, Takafumi Saika, Shuhei Otsuki, Masashi Neo
PURPOSE: The functional interaction between the hip and spine in patients undergoing total hip arthroplasty (THA) is clinically significant, as it impacts post-operative outcomes. Therefore, this study aimed to identify factors associated with the progression of sagittal spinal deformity and assess the association with patient-reported outcomes. METHODS: This retrospective case-control study included 200 patients who underwent primary THA and completed a mean follow-up duration of 42...
April 8, 2024: International Orthopaedics
Ashok N Johari, Amit Nemade, Arjun Dhawale, Farokh Wadia, Maulin Shah
PURPOSE: Early recognition is crucial for occult spinal dysraphism associated with congenital spinal deformities. There is limited literature available on its occurrence in congenital scoliosis and kyphosis in the Indian population. METHODS: Our study involved a retrospective review of 247 children who presented at a single centre. We analyzed their demographics and clinical and radiological findings, which included the type of deformity, its location, vertebral anomaly, Cobb angle, and MRI findings...
April 6, 2024: International Orthopaedics
Hengxin Zhao, Lianggang Li, Hong-Yu Wang, Lanfeng Ding, Yuanhe Wang, Xiaokai Liu, Shaoqi Tian, Yan Wang
PURPOSE: To investigate the incidence of periprosthetic joint infection (PJI) in patients with rheumatoid arthritis (RA) or osteoarthritis (OA) after primary joint arthroplasty; to analyze the optimal cut-off values of clinical serum markers C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and D-dimer for the diagnosis of PJI in RA patients; and to explore their diagnostic efficacy and clinical significance. METHODS: Clinical data of 15,702 patients with RA (578) or OA (15,124) who underwent total joint arthroplasty from 2013 to 2021 were retrospectively analyzed...
April 6, 2024: International Orthopaedics
Dongwei Wu, Tianyu Wang, Chengsi Li, Xinqun Cheng, Zhenbang Yang, Haichuan Guo, Yanjiang Yang, Yanbin Zhu, Yingze Zhang
PURPOSE: The optimal choice of distal locking modes remains a subject due to limited available data, and therefore, this study aims to investigate the relationship between distal locking mode and postoperative mechanical complications in an intertrochanteric fracture (ITF) population who underwent closed reduction and intramedullary fixation with a PFNA-II. METHODS: Patients aged 65 years or older who underwent surgery with PFNA-II fixation in a university teaching hospital between January 2020 and December 2021 were potentially eligible...
April 6, 2024: International Orthopaedics
Ignacio Sanpera, Marta Salom, Ana Fenandez-Ansorena, Guillem Frontera-Juan, Gabriel Pizà-Vallespir
PURPOSE: To evaluate the functional and cosmetic effects of elbow supracondylar fractures (SCF) in children with residual rotational deformity. METHODS: Retrospective review cohort of patients with evidence of malrotation after treatment for SCF. An analysis of the postoperative X-ray of 305 consecutive SCF type 3 treated surgically during five years identified 46 elbows with rotational deformity that fulfilled the selection criteria and were recalled for review; only 27 patients agreed to participate...
April 6, 2024: International Orthopaedics
Philipp Scheider, Sebastian Farr
PURPOSE: The aim of this study was to evaluate and compare different surgical treatment modalities for simple bone cysts (SBC) of the humerus regarding their effectiveness and recurrence rate. METHODS: In this retrospective study, patients who received surgical treatment for previously untreated primary SBCs of the humerus were analyzed. Demographic data, cyst-specific as well as treatment-specific parameters, complications, treatment failures, and recurrence rates were collected and correlated with different treatment modalities...
April 4, 2024: International Orthopaedics
Chen Zhao, Keyu Kong, Xiaohui Ding, Zhenan Zhu, Huiwu Li, Jingwei Zhang
PURPOSE: Although the principles of hip reconstruction are consistent, due to lack of reliable anatomical landmarks, how to decide the acetabular cup reaming centre intraoperatively in Crowe IV patients with developmental dysplasia of the hip (DDH) remains unclear. This study aims to address this question. METHODS: Fifty-eight Crowe IV patients were enrolled from 2017 to 2019. By examining our previous clinical data, we analyzed the anatomical morphology of Crowe IV acetabulum and proposed a method of locating intraoperative reaming centering for implantation of a standard-sized acetabular cup, which is the upper two thirds of the posterior border of the true acetabulum...
April 2, 2024: International Orthopaedics
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