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Journals Archives of Orthopaedic and Tr...

Archives of Orthopaedic and Trauma Surgery

https://read.qxmd.com/read/38795188/app-based-analysis-of-the-femoral-tunnel-position-in-acl-reconstruction-using-the-quadrant-method
#21
JOURNAL ARTICLE
Maximilian M Mueller, Oliver Tenfelde, Nico Hinz, Geert Pagenstert, Karl-Heinz Frosch, Juergen Hoeher, Ralph Akoto
PURPOSE: The purpose of this study was to examine the intra- and interobserver variability of an app-based analysis of the femoral tunnel position using the quadrant method in primary anterior cruciate ligament reconstruction. MATERIALS AND METHODS: Between 12/2020 und 12/2021 50 patients who underwent primary anterior cruciate ligament reconstruction were included in this retrospective study. Intraoperative strictly lateral fluoroscopic images of the knee with marked femoral tunnel were analyzed by four observers using the quadrant method...
May 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38795187/brown-tumors-retrospective-analysis-of-26-cases
#22
JOURNAL ARTICLE
Mustafa Onur Karaca, Mustafa Özyıldıran, Merve Dursun Savran, Kerem Başarır, Hüseyin Yusuf Yıldız
INTRODUCTION: Brown tumors are reactive osteolytic lesions caused by hyperparathyroidism. These rare lesions are non-neoplastic processes that result from bone resorption. The purpose of this study was to retrospectively review a 34-year experience with brown tumors in our institution. MATERIALS AND METHODS: We retrospectively analyzed the records of 26 consecutive patients with brown tumor who were treated in our institution between May 1988 and October 2020, with a mean follow-up of 36,1 months...
May 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38795186/septic-complications-are-on-the-rise-and-aseptic-loosening-has-decreased-in-total-joint-arthroplasty-an-updated-complication-based-analysis-using-worldwide-arthroplasty-registers
#23
JOURNAL ARTICLE
Georg Hauer, Laura Rasic, Sebastian Klim, Lukas Leitner, Andreas Leithner, Patrick Sadoghi
INTRODUCTION: A decade ago, a comprehensive study was conducted to investigate the reasons for revision surgeries and their respective frequencies in cases of total hip arthroplasty (THA) and total knee arthroplasty (TKA) based on a complication-based analysis of joint replacement registries. The aim of the present study was to determine whether the causes and risks of their occurrence have changed over the last ten years and to present an updated analysis. MATERIALS AND METHODS: A systematic review of national arthroplasty registries from seven countries examined the causes and rates of revisions of THA and TKA...
May 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38795185/arthroscopic-and-open-reconstruction-of-the-posterolateral-corner-of-the-knee-have-equally-good-clinical-results-first-results-of-a-prospective-12-month-follow-up-study
#24
JOURNAL ARTICLE
H Fahlbusch, S Weiß, J Landenberger, F von Rehlingen Prinz, T Dust, R Akoto, M Krause, Karl-Heinz Frosch
PURPOSE: Arthroscopic reconstruction techniques for higher-grade posterolateral corner (PLC) injuries (Fanelli Type B, PoLIS LI-B) have not yet been validated in clinical studies. The open reconstruction technique described by Arciero is well-established and showed good restoration of joint stability in previous studies. This study aimed to compare clinical outcomes of this established open surgery technique to a newly developed arthroscopic technique in a prospective randomized clinical trial...
May 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38787456/mathematical-explanations-for-knee-osteotomies-dear-engineer-how-would-you-explain-it-in-a-simple-way
#25
JOURNAL ARTICLE
Marco Bechis, Federica Rosso, Marie Verocq, Bernardo Innocenti, Roberto Rossi, Davide Edoardo Bonasia
INTRODUCTION: Knee osteotomies are effective procedures to treat different deformities and to redistribute the load at the joint level, reducing the risk of wear and, consequently, the need for invasive procedures. Particularly, knee osteotomies are effective in treating early arthritis related to knee deformities in young and active patients with high functional demands, with excellent long-term results. Precise mathematical calculations are imperative during the preoperative phase to achieve tailored and accurate corrections for each patient and avoid complications, but sometimes those formulas are challenging to comprehend and apply...
May 24, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38780774/treatment-of-anterior-knee-pain-due-to-chondromalacia-patellae-with-platelet-rich-plasma-and-hyaluronic-acid-in-young-and-middle-aged-adults-a-cohort-study
#26
JOURNAL ARTICLE
Marko Ostojic, Hassan Tarek Hakam, Bruno Lovrekovic, Nikolai Ramadanov, Robert Prill
INTRODUCTION: Anterior knee pain commonly affects young women resulting in the declination of the quality of life. One of the possible pathologies causing this symptom is chondromalacia patellae (CMP). Although CMP is used to describe the softening of patellar articular cartilage, it remains a general descriptive term as it cannot be associated with a specific pathophysiologic mechanism. The objective of this study is to investigate the effect of injectable PRP on patients with anterior knee pain in absence of altered patellofemoral joint anatomy...
May 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38780773/minimally-invasive-hallux-valgus-surgery-using-3d-printed-patient-specific-instrumentation
#27
JOURNAL ARTICLE
Gabriel Ferraz Ferreira, Gustavo Araujo Nunes, Vitor La Banca, Luiz Fernando Michaelis, Thomas Lorchan Lewis, Robbie Ray, Peter Lam, Miguel Viana Pereira Filho
In this technical report study, we describe technique for performing the osteotomy and screw passage in minimally invasive fourth-generation hallux valgus surgery with transverse and akin extra-articular metaphyseal osteotomy (META) using a 3D-printed patient-specific surgical instrumentation guide. In an effort to minimize the learning curve and address the variability associated with technical corrections and screw placement, we have initiated the creation of personalized patient-specific instrumentation guides using 3D printing...
May 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38777908/return-to-athletics-after-total-knee-arthroplasty-a-survey-study-of-784-recreational-athletes-across-12-sports
#28
JOURNAL ARTICLE
Kyle W Lawrence, David A Bloom, Vinaya Rajahraman, Casey Cardillo, Ran Schwarzkopf, Joshua C Rozell, Armin Arshi
BACKGROUND: Postoperative return to recreational activity is a common concern among the increasingly active total knee arthroplasty (TKA) patient population, though there is a paucity of research characterizing sport-specific return and function. This study aimed to assess participation level, postoperative return to activity, sport function, and limitations for recreational athletes undergoing TKA. METHODS: A survey of recreational sports participation among primary, elective TKA patients from a single academic center between June 2011 and January 2022 was conducted...
May 22, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38777907/implantation-of-c2-prosthesis-with-dorsal-fusion-c0-c4-due-to-pathologic-c2-fracture-case-report-and-literature-review
#29
JOURNAL ARTICLE
Laurin Feuerstein, Benjamin Martens, Roman Schwizer, Thomas Forster, Michal Ziga
INTRODUCTION: Pathological destruction of the axis vertebra leads to a highly unstable condition in an upper cervical spine. As surgical resection and anatomical reconstruction of the second cervical vertebrae represents a life threatening procedure, less radical approaches are preferred and only few cases of C2 prosthesis are described in literature. CASE DESCRIPTION: The focus of this case report is a 21-year-old man with a pathological fracture of C2 managed primarily surgically with the C1-C3 dorsal fusion...
May 22, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38772929/versatility-of-the-medial-corticoperiosteal-flap-from-recalcitrant-non-unions-up-to-large-bony-defects
#30
JOURNAL ARTICLE
Ignacio Roger de Oña, Andrea Garcia Villanueva, Jose Ignacio Garcia Lopez, Fernando Garcia de Lucas
BACKGROUND: Reconstructive microsurgery techniques using vascularized bone grafts have revolutionized the treatment of complex cases associated with recalcitrant non-unions or osteomyelitis. The medial femoral corticoperiosteal flap (MFCP flap) has emerged as a valuable option in bone reconstruction. Its clinical applications have been extended over the years considering this flap from non-unions with minimal bone lost, up to large intercalary defects of the upper and lower extremities...
May 21, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38771361/the-assessment-of-canal-flare-index-and-proximal-femoral-bone-density-can-improve-stem-selection-for-peri-prosthetic-bone-maintenance-after-total-hip-arthroplasty
#31
JOURNAL ARTICLE
Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Tomoyuki Matsumoto, Tomoyuki Kamenaga, Masanori Tsubosaka, Shotaro Tachibana, Ryosuke Kuroda
INTRODUCTION: Bone maintenance after total hip arthroplasty (THA) is important for implant success. This study aimed to investigate the relationship between patient characteristics and periprosthetic bone maintenance after THA for better implant selection. MATERIALS AND METHODS: This retrospective cohort study enrolled 112 consecutive patients who underwent THA using full hydroxyapatite (HA) compaction with short (n = 55) or short-tapered wedge (n = 61) stems...
May 21, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38771360/trends-and-outcomes-in-the-surgical-management-of-young-adults-with-knee-osteoarthritis-using-high-tibial-osteotomy-and-unicompartmental-knee-arthroplasty
#32
JOURNAL ARTICLE
Shayom Debopadhaya, Ernesto Acosta, Dionisio Ortiz
INTRODUCTION: A significant portion of knee osteoarthritis is diagnosed in patients under the age of 55, where greater activity demands make total knee arthroplasty less desirable. High tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) are useful alternatives, but there is little understanding of which procedure is advantageous. Hence, this study examines the utilization, complication, and reoperation rates among the HTO vs. UKA in young patients with primary osteoarthritis...
May 21, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38762654/the-effect-of-a-collar-on-primary-stability-of-standard-and-undersized-cementless-hip-stems-a-biomechanical-study
#33
JOURNAL ARTICLE
Manuel Kistler, Arnd Steinbrück, Florian Schmidutz, Alexander C Paulus, Boris Michael Holzapfel, Matthias Woiczinski
INTRODUCTION: Aseptic loosening and periprosthetic fractures are main reasons for revision after THA. Quite different from most other stem systems, Corail cementless hip stems show better survival rates than their cemented counterpart, which can possibly be explained by the use of a collar. The study aimed to investigate primary stability with standard and undersized hip stems both collared and collarless. MATERIALS AND METHODS: Primary stability of cementless, collared and collarless, femoral stems was measured in artificial bones using both undersized and standard size...
May 18, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38761237/acetabular-fractures-in-geriatric-patients-epidemiology-pathomechanism-classification-and-treatment-options
#34
JOURNAL ARTICLE
Dietmar Krappinger, Thomas Freude, Fabian Stuby, Richard A Lindtner
The incidence of geriatric acetabular fractures has shown a sharp increase in the last decades. The majority of patients are male, which is different to other osteoporotic fractures. The typical pathomechanism generally differs from acetabular fractures in young patients regarding both the direction and the amount of force transmission to the acetabulum via the femoral head. Geriatric fractures very frequently involve anterior structures of the acetabulum, while the posterior wall is less frequently involved...
May 18, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38761236/propensity-of-the-tight-mid-flexion-and-loose-flexion-gap-despite-the-adjustment-of-extension-and-flexion-gaps-in-oxford-unicompartmental-knee-arthroplasty-retrospective-study
#35
JOURNAL ARTICLE
Takafumi Hiranaka, Masamune Kamachi, Takuma Hayashi, Ryoma Inoue, Sota Ogino, Motoki Koide, Takaaki Fujishiro, Koji Okamoto
PURPOSE: A well-balanced joint gap is necessary in Oxford unicompartmental knee arthroplasty (OUKA) to prevent mobile-bearing dislocation. While the gaps between 20° (extension) and 100° (flexion) are precisely adjusted using the incremental mill system, there has been insufficient evaluation of gaps in other angles. We hypothesized that the gap is not always the same in other angles. This retrospective study aimed to evaluate the gap in full-extension (0°), mid-flexion (60°) and deep flexion (130°) for comparison with those in extension and flexion gaps...
May 18, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38761235/the-burden-of-knee-osteoarthritis-worldwide-regionally-and-nationally-from-1990-to-2019-along-with-an-analysis-of-cross-national-inequalities
#36
JOURNAL ARTICLE
Yunkang Kang, Chunlong Liu, Yuncong Ji, Haoran Zhang, Yanbo Wang, Wenzhi Bi, Jian Xu, Biao Guo
OBJECTIVE: To describe the disease burden of knee osteoarthritis (KOA) globally, regionally, and in 204 countries by age, sex, and sociodemographic index (SDI) from 1990 to 2019, and to explore cross-national inequalities across SDI. METHODS: The Global Burden of Disease (GBD) 2019 database collected data on KOA worldwide from 1990 to 2019, including prevalence, incidence, years lived with disability (YLDs). The average annual percentage change (AAPC) was used to measure temporal trends...
May 18, 2024: 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
#37
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
#38
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
#39
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
#40
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
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