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Journals Archives of Orthopaedic and Tr...

Archives of Orthopaedic and Trauma Surgery

https://read.qxmd.com/read/38758237/the-use-of-preoperative-continuous-positive-airway-pressure-in-patients-with-obstructive-sleep-apnea-following-total-knee-arthroplasty-a-propensity-score-matched-analysis
#1
JOURNAL ARTICLE
Jeremy A Dubin, Sandeep S Bains, Daniel Hameed, Zhongming Chen, Hani A Mayassi, James Nace, Ronald E Delanois
INTRODUCTION: Patients with sleep apnea, affecting up to 1 in 4 older men in the United States, may be at increased risk of postoperative complications after total knee arthroplasty (TKA), including increased thromboembolic and cerebrovascular events, as well as respiratory, cardiac, and digestive complications. However, the extent to which the use of CPAP in patients with sleep apnea has been studied in TKA is limited. METHODS: A national, all-payer database was queried to identify all patients who underwent a primary TKA between 2010 and 2021...
May 17, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38753014/a-novel-surgical-technique-for-revision-anterior-cruciate-ligament-reconstruction-using-an-isolated-rectus-femoris-tendon-autograft
#2
JOURNAL ARTICLE
Thorsten Huber, Marcel Frühwirth, Florian Hartenbach, Sarah Franzmair, David Ullmann, Björn Rath
INTRODUCTION: Only a few anatomic studies have described an isolated rectus femoris tendon autograft for anterior cruciate ligament (ACL) reconstruction. This study aims to demonstrate a new surgical technique utilising the rectus femoris tendon for ACL reconstruction. This study hypothesises that the rectus tendon autograft will yield satisfying postoperative outcomes in terms of stability, with minimal complications at the harvest site. METHODS: This retrospective study investigated the outcomes of 28 revision ACL reconstructions using a rectus tendon autograft with a mean follow-up of 41...
May 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38753013/a-novel-imageless-accelerometer-based-navigation-system-improves-acetabular-cup-placement-accuracy-during-total-hip-arthroplasty-in-the-lateral-decubitus-position
#3
JOURNAL ARTICLE
Yohei Ohyama, Yukihide Minoda, Ryo Sugama, Sho Masuda, Yoichi Ohta, Hiroaki Nakamura
INTRODUCTION: The accuracy of acetabular cup placement using conventional portable imageless navigation systems in total hip arthroplasty (THA) in the lateral decubitus position remains challenging. Several novel portable imageless navigation systems have been developed recently to improve cup placement accuracy in THA. This study compared the accuracy of acetabular cup placement using a conventional accelerometer-based portable navigation (c-APN) system and a novel accelerometer-based portable navigation (n-APN) system during THA in the lateral decubitus position...
May 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38748257/periosteal-wrapping-of-the-hamstring-tendon-autograft-improves-graft-healing-and-prevents-tunnel-widening-after-anterior-cruciate-ligament-anatomic-reconstruction
#4
JOURNAL ARTICLE
Ahmed Helal, Osama El-Gebaly, Hany Hamed, Ali M Omran, ElSayed ELForse
INTRODUCTION: The periosteum is a readily available tissue at the hamstring harvest site that could be utilized to enhance graft healing and prevent tunnel widening without additional cost or morbidity. This study aimed to compare graft healing using magnetic resonance imaging (MRI) and functional clinical outcome scores in a matched cohort of patients who underwent anterior cruciate ligament (ACL) reconstruction with hamstring autografts with or without periosteal augmentation. MATERIAL AND METHODS: Forty-eight patients who underwent ACL reconstruction (ACLR) were prospectively enrolled: 25 with standard ACLR (ST-ACLR) and 23 with periosteal augmented grafts (PA-ACLR)...
May 15, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38744693/nailing-precision-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials-comparing-piriformis-and-trochanteric-entry-points-for-femoral-antegrade-nailing
#5
JOURNAL ARTICLE
Daniel Acevedo, Andy Suarez, Taylor Checkley, Iman Fakhoury, Mariafe Reyes, David Constantinescu, Giselle M Hernandez
INTRODUCTION: Entry point selection, a crucial aspect of femoral antegrade nailing, can impact nail fit and consequently fracture reduction. In adults, the standard entry portals used are the piriformis fossa and the tip of the greater trochanter. Previous systematic reviews comparing the two techniques have not been limited to Randomized Controlled Trials (RCTs) and have not consistently included the same available RCTs. MATERIALS AND METHODS: A systematic search of comparative studies regarding entry portal selection in femoral antegrade nailing was conducted on seven databases...
May 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38743114/coxa-valga-and-antetorta-configuration-leads-to-underestimation-of-the-femoral-component-size-a-matched-case-control-study-of-patients-undergoing-cementless-total-hip-arthroplasty
#6
JOURNAL ARTICLE
Conradin Schweizer, Oliver Niggemeyer, Jan-Hauke Jens, Marius Junker
BACKGROUND: Total hip arthroplasty (THA) is the gold standard procedure for patients with end-stage osteoarthritis after failed conservative therapy. Digital templating is commonly employed in preoperative preparation for THA and contributes positively to its outcome. However, the impact of coxa valga and antetorta (CVA) configurations on stem size prediction accuracy remains not reported. Previous studies demonstrated that the size of the lesser trochanter (LT) can be used to determine femoral anteversion on pelvis radiographs...
May 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38743113/ipsilateral-pubic-ramus-fracture-during-total-hip-arthroplasty-is-not-rare-does-it-matter
#7
JOURNAL ARTICLE
Young-Seung Ko, Han Jin Lee, Hong Seok Kim, Jeong Joon Yoo
INTRODUCTION: Periprosthetic fractures in total hip arthroplasty (THA) have been well described and studied. However, there is a lack of reports on ipsilateral pubic ramus fractures during THA due to the rare occurrence of such fractures and ambiguity of symptoms. With the use of postoperative computed tomography (CT) examinations, we have identified that asymptomatic ipsilateral pubic ramus fractures occur frequently during THA. This study aims to evaluate the incidence, location, clinical outcomes, and risk factors of ipsilateral pubic ramus fractures during THA...
May 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38743112/iatrogenic-open-humeral-shaft-fractures-following-functional-bracing
#8
JOURNAL ARTICLE
Stephen A Doxey, Megan M Sorich, Sarah C Abraham, Julie A Switzer, Brian P Cunningham, Michael D McKee, Chad M Myeroff
INTRODUCTION: The treatment of closed humeral shaft fractures tends to be successful with functional bracing. Treatment failure due to iatrogenic conversion to an open fracture has not been described in the literature. We present a case series of patients that experienced open humeral shaft fractures after initially being treated with functional bracing for closed humeral shaft fractures and describe what factors are associated with this complication. MATERIALS AND METHODS: This was a retrospective case series performed at three level 1 trauma centers across North America...
May 14, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38740648/better-outcomes-using-suture-button-compared-to-screw-fixation-in-talofibular-syndesmotic-injuries-of-the-ankle-a-level-i-evidence-based-meta-analysis
#9
REVIEW
Filippo Migliorini, Nicola Maffulli, Federico Cocconi, Luise Schäfer, Andreas Bell, Dragana Katusic, Raju Vaishya
INTRODUCTION: The present meta-analysis evaluated current level I clinical trials which compared the use of a suture button (SB) versus syndesmotic screw (SS) fixation techniques for syndesmosis injuries of the ankle. The outcomes of interest were to compare patient-reported outcome measures (PROMs) and complications. It was hypothesised that SB might achieve better PROMs along with a lower rate of complications. METHODS: This study was conducted according to the 2020 PRISMA statement...
May 13, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38739154/risk-factors-for-amputation-in-opioid-related-compartment-syndrome
#10
JOURNAL ARTICLE
Frederick Mun, Andrew H Kim, Jean Fleuriscar, Rachel S Bronheim, Ahnryul Choi, Rachel B Sotsky, Alice J Hughes, Amiethab A Aiyer
No abstract text is available yet for this article.
May 13, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38739153/the-cementless-taper-wedge-vs-fit-and-fill-stem-in-primary-total-hip-arthroplasty-risk-of-stem-related-complication-differs-across-dorr-types
#11
JOURNAL ARTICLE
Kun-Han Lee, Yueh-Ting Hung, Cheng-Yang Chang, Jui-Chien Wang, Shang-Wen Tsai, Cheng-Fong Chen, Po-Kuei Wu, Wei-Ming Chen
INTRODUCTION: The choice between a cementless taper wedge stem and a fit-and-fill stem in total Hip arthroplasty (THA) for various proximal femoral morphological types has not been thoroughly evaluated. This study aimed to compare the risk of stem-related complications between these two stem types in Dorr type A, B, and C femurs. MATERIALS AND METHODS: From January 2015 through April 2021, we retrospectively reviewed 1995 cementless THA procedures. We stratified all procedures into three groups: Dorr type A (N = 360, 18...
May 13, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38730048/correction-to-biomechanical-analysis-of-different-tha-cementless-femoral-stem-designs-in-physiological-and-osteoporotic-bone-during-static-loading-conditions
#12
Matteo Formica, Andrea Zanirato, Edoardo Bori, Tullio Andrea Revetria, Juljana Ditting, Bernardo Innocenti
No abstract text is available yet for this article.
May 10, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38727813/an-anteromedial-stabilization-procedure-has-the-most-protective-effect-on-the-anterior-cruciate-ligament-in-tibial-external-rotation-a-human-knee-model-study
#13
JOURNAL ARTICLE
Fabian Blanke, Matthias Boljen, Nicola Oehler, Christoph Lutter, Thomas Tischer, Stephan Vogt
INTRODUCTION: Anterior cruciate ligament (ACL) reconstruction remains associated with the risk of re-rupture and persisting rotational instability. Additional extraarticular anterolateral stabilization procedures stabilize the tibial internal rotation and lead to lower ACL failure rate and improved knee stability. However, data for additional stabilization of tibial external rotation is lacking and the importance of an anteromedial stabilization procedure is less well evaluated. Aim of this study is to investigate the influence of an extraarticular anteromedial stabilization procedure for the stabilization of the tibial external rotation and protection of the ACL from these rotational forces...
May 10, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38722364/treatment-of-femoral-neck-fractures-using-actis-stem-complication-rate-in-188-uncemented-hemiarthroplasties
#14
JOURNAL ARTICLE
L Leitner, F Schitz, P Sadoghi, P Puchwein, J Holinka, A Leithner, E Kalcher
INTRODUCTION: Cemented hemiarthroplasty (HA) is preferred in treating dislocated femoral neck fractures in elderly, osteoporotic patients, since uncemented HA was associated with mechanical complications more frequently. Cementation can conversely cause cardiopulmonary complications, leading to demand on safe, uncemented implants addressing osteoporosis. This study is set up as a retrospective feasibility study on the use of an uncemented, collared wedge implant (Actis®, DePuy Synthes, Warsaw, IN), for HA in elderly patients, focusing on complication rate...
May 9, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38713372/the-impact-of-epidural-analgesia-on-immobility-and-extended-hospital-stay-after-periacetabular-osteotomy
#15
JOURNAL ARTICLE
Sufian S Ahmad, Nils Becker, Laura-Vanessa Grap, Henning Windhagen, Marco Haertlé
AIMS: Early mobilisation after periacetabular osteotomy (PAO) represents an important goal after surgery. The purpose of this study was to determine whether the use of epidural aznalgesia (EA) is associated with prolonged immobility and an increased length of stay (LOS) after PAO surgery. METHODS: From January 2022 to July 2023, the study included a cohort of 150 PAO procedures all performed by the same surgeon (SSA). Patients were categorized into two distinct groups: those who received epidural analgesia (EA) (79 PAOs) and those who did not receive EA (71 PAOs)...
May 7, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38709289/long-term-outcomes-of-the-mayo-conservative-hip-system-in-patients-aged-30%C3%A2-years-or-less-with-osteonecrosis-of-the-femoral-head-mean-follow-up-of-more-than-10%C3%A2-years
#16
JOURNAL ARTICLE
Masanori Nishi, Takashi Atsumi, Yasushi Yoshikawa, Ryosuke Nakanishi, Minoru Watanabe, Yoshifumi Kudo
INTRODUCTION: Historically, total hip arthroplasty (THA) in very young patients has been associated with lower survivorship. However, the long-term outcomes of THA using short stems for osteonecrosis of the femoral head (ONFH) in very young patients remain unclear. Therefore, this study aimed to investigate the long-term outcomes of the Mayo conservative hip system, a short metaphyseal stabilised stem, in patients with ONFH aged ≦30 years. MATERIALS AND METHODS: We retrospectively reviewed 104 joints in 76 patients with ONFH who underwent THA using the Mayo conservative hip system with a minimum follow-up of 8 years...
May 6, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38704436/retrospective-study-comparing-the-accuracies-of-handheld-infrared-stereo-camera-and-augmented-reality-based-navigation-systems-for-total-hip-arthroplasty
#17
JOURNAL ARTICLE
Shinya Tanaka, Yasuhiko Takegami, Yusuke Osawa, Masanori Okamoto, Shiro Imagama
BACKGROUND: The use of portable navigation systems (PNS) in total hip arthroplasty (THA) has become increasingly prevalent, with second-generation PNS (sPNS) demonstrating superior accuracy in the lateral decubitus position compared to first-generation PNS. However, few studies have compared different types of sPNS. This study retrospectively compares the accuracy and clinical outcomes of two different types of sPNS instruments in patients undergoing THA. METHODS: A total of 158 eligible patients who underwent THA at a single institution between 2019 and 2022 were enrolled in the study, including 89 who used an accelerometer-based PNS with handheld infrared stereo cameras in the Naviswiss group (group N) and 69 who used an augmented reality (AR)-based PNS in the AR-Hip group (group A)...
May 5, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38703216/postoperative-recreational-sports-and-subjective-shoulder-function-a-comprehensive-analysis-following-intramedullary-stabilization-of-displaced-midshaft-clavicular-fractures
#18
JOURNAL ARTICLE
Ronny Langenhan, Axel Probst, Stefan Bushuven, Stefanie Bushuven, Milena Trifunovic-Koenig
Introduction Sports-related outcomes and the role of recreational sports activities for shoulder function after intramedullary stabilization (IMS) of displaced midshaft clavicular fractures (DMCFs) in the general population are not well known. In this study, we aimed to determine the sport-related outcomes (return-to-sports [RTS] rate, type of sports, time until RTS, and intensity) and to explore the role of sports after IMS of DMCFs. Materials and Methods This single-center, retrospective, cohort study included patients who underwent IMS of DMCFs between 2009 and 2022 at a Level II trauma center in Germany, experienced no major complications, and had completed at least 1 year of follow-up...
May 4, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38703215/the-peak-force-to-push-a-trial-tibial-insert-into-position-cannot-be-used-to-select-the-correct-thickness-in-total-knee-arthroplasty
#19
JOURNAL ARTICLE
Gabriel Santana, S M Howell, M L Hull
An objective of a total knee arthroplasty (TKA) is to restore native (i.e. healthy) function, and a crucial step is determining the correct insert thickness for each patient. If the insert is too thick, then stiffness results, and if too thin, then instability results. Two methods to determine the insert thickness are by manually assessing the joint laxity and by using a trial insert with goniometric markings that measures the internal-external rotation of the trial with respect to a mark on the femoral component...
May 4, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38703214/ankle-fracture-surgery-performed-by-orthopaedic-residents-without-supervision-has-comparable-outcomes-to-surgery-performed-by-fellowship-trained-orthopaedic-surgeons
#20
JOURNAL ARTICLE
Shay A Tenenbaum, Yorye Shenkar, Itay Fogel, Or Maoz, Snir Balziano, Yuval Barzilai, Dan Prat
BACKGROUND: Unstable fractures often necessitate open reduction and internal fixation (ORIF), which generally yield favourable outcomes. However, the impact of surgical trainee autonomy on healthcare quality in these procedures remains uncertain. We hypothesized that surgery performed solely by residents, without supervision or participation of an attending surgeon, can provide similar outcomes to surgery performed by trauma or foot and ankle fellowship-trained orthopaedic surgeons. METHODS: A single-center cohort of an academic level-1 trauma center was retrospectively reviewed for all ankle ORIF between 2015 and 2019...
May 4, 2024: Archives of Orthopaedic and Trauma Surgery
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