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European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie

https://read.qxmd.com/read/38874780/can-we-encourage-the-endoscopic-treatment-for-external-snapping-hip-esh-a-systematic-review-of-current-concepts
#1
REVIEW
Riccardo Giai Via, Ahmed Elzeiny, Salvatore Pantè, Simone De Vivo, Alessandro Massè, Matteo Giachino
BACKGROUND: Snapping hip syndrome (SHS) is characterized by snapping sensation and pain and affects up to 10% of the general population. External snapping hip syndrome (ESHS), the most common form, is often due to repetitive movements in sports or anatomical predispositions. Conservative treatment includes physiotherapy and corticosteroid injections, while surgery is considered if conservative measures fail. Open surgical techniques carry several risks, while modern arthroscopic techniques offer less invasive options, such as endoscopic iliotibial band release (ITB) and gluteus maximus tenotomy...
June 14, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38869628/distal-femur-fractures-in-elderly-treated-with-internal-fixation-or-distal-femoral-replacement-retrospective-cohort-study-on-75-patients-assessing-functional-outcomes-reoperations-and-mortality
#2
JOURNAL ARTICLE
Germán Garabano, Sebastian Pereira, Andres Juri, Fernando Bidolegui, Cesar Angel Pesciallo
PURPOSE: This cohort study aimed to describe the functional outcomes, complications, and mortality of patients over 65 with acute distal femur fractures treated with open reduction and internal fixation (ORIF) or distal femoral replacement (DFR). METHODS: We retrospectively analyzed all patients older than 65, operated consecutively for a distal femur fracture treated with ORIF or DFR. We included 75 patients (9 33A, 5 33B, and 61 33C AO/OTA fractures), 55 treated with ORIF, and 20 with DFR...
June 13, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38869627/open-ankle-fractures-in-the-elderly-predisposing-factors-and-the-associated-mortality
#3
JOURNAL ARTICLE
Haggai Schermann, Takahisa Ogawa, Bart Lubberts, Gregory R Waryasz, Philip Kaiser, Christopher W DiGiovanni, Daniel Guss
The purpose of this study was to investigate the independent effect of open ankle fractures on postoperative mortality and to identify factors leading to open ankle fractures in the elderly population. This is a retrospective case-control study of 1,045 patients aged 65 years and older, with ankle fractures undergoing surgical fixation between 2010 and 2020 at three medical centers (Levels 1-2). A logistic regression analysis was used to identify risk factors for open fractures. Propensity score matching and survival analysis were used to measure the hazard of mortality attributable to open versus closed ankle fractures...
June 13, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38869626/evaluating-patient-satisfaction-with-walant-for-hand-surgery-a-comprehensive-questionnaire-based-study
#4
JOURNAL ARTICLE
Ahmed Elsaftawy, Patryk Ostrowski, Michał Bonczar, Dominika Pupka, Szymon Manasterski, Michał Chęciński, Paweł Stajniak
INTRODUCTION: There has been an increase in the popularity of the wide-awake local anesthesia no-tourniquet (WALANT) procedure for various upper limb surgeries. The present study aims to conduct a comprehensive analysis of the satisfaction levels of 106 patients, considering factors such as age, gender, comorbidities, and the specific procedures they underwent. METHOD: The present study was a retrospective cohort study conducted to analyze the overall satisfaction of a cohort of 106 patients who underwent various surgical procedures of the hand between 2018 and 2023...
June 13, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38862847/endoscopic-management-of-greater-trochanteric-pain-syndrome-gtps-a-comprehensive-systematic-review
#5
REVIEW
Riccardo Giai Via, Ahmed Elzeiny, Marco Bufalo, Alessandro Massè, Matteo Giachino
BACKGROUND: Greater trochanteric pain syndrome (GTPS) presents challenges in clinical management due to its chronic nature and uncertain etiology. Historically attributed to greater trochanteric bursitis, current understanding implicates abductor tendinopathy as the primary cause. Diagnosis usually involves a clinical examination and additional tests such as imaging and provocative testing. Surgical intervention may be considered for cases refractory to conservative therapy, with endoscopic techniques gaining ground over open procedures...
June 11, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38850291/factors-that-influence-surgical-decision-making-for-geriatric-displaced-femoral-neck-fractures-bullet-health-analysis-bha-i-worldwide-orthopaedic-research-collaboration-leveraging-big-data-world-i
#6
JOURNAL ARTICLE
Clary J Foote, Chirag Soni, Shaun P Patel, Derek Moore, Jan Szatkowski
PURPOSE: The management of geriatric femoral neck fractures, which includes options like hemiarthroplasty (HA), total hip arthroplasty (THA), and fixation, exhibits regional and healthcare setting variations. However, there is a lack of information on global variations in practice patterns and surgical decision factors for this injury. METHODS: Survey data were collected from April 2020 to June 2023 via Orthobullets Case Studies, a global clinical case collaboration platform hosted on a prominent orthopedic educational website...
June 8, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38847914/nsqip-data-collection-up-to-30-postoperative-days-is-sufficient-to-capture-some-complications-in-orthopedic-surgeries
#7
JOURNAL ARTICLE
Haleigh M Hopper, Chase T Nelson, James R Satalich, Conor N O'Neill, Alexander R Vap
PURPOSE: The primary aim of this study is to determine if the 30-day follow-up period used by the National Surgical Quality Improvement Program (NSIQP) is an appropriate timeframe to capture complications after orthopedic surgeries. METHODS: The 2019 NSQIP data were used. The independent variables were complication type. The dependent variable was days to complication. A Shapiro-Wilk test was used to determine if the data were normally distributed. RESULTS: 271,397 orthopedic cases were included...
June 7, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38847913/trimodal-wireless-intramuscular-device-detects-muscle-pressure-flow-and-oxygenation-changes-in-porcine-model-of-lower-extremity-compartment-syndrome
#8
JOURNAL ARTICLE
Amanda M Westman, Joseph Ribaudo, Seung Gi Seo, William Moritz, Lauren M Tatman, Sung Hun Jin, Seungyeob Kim, Seyong Oh, John A Rogers, Mitchell A Pet
PURPOSE: Compartment syndrome remains difficult to diagnose early in its clinical course. Pressure transducer catheters have been used to directly measure intracompartmental pressure (ICP), but this method is unreliable, with a false positive rate of 35%. We have previously used intramuscular near infrared spectroscopy to detect changes in tissue oxygen saturation (StO2 ) in response to increasing ICP using a novel implantable probe. However, measuring StO2 may not be sufficient to identify CS in the clinical setting...
June 7, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38844565/delay-to-surgery-beyond-12-hours-is-associated-with-increased-hip-fracture-mortality
#9
JOURNAL ARTICLE
Madeline Warren, Chris Bretherton, Martyn Parker
PURPOSE: Time to surgery from admission is one of the few variables known to influence outcome after a hip fracture. We reviewed our hip fracture database to determine correlation between delays to surgery and mortality in our elderly hip fracture population. METHODS: Data on all hip fracture patients admitted to a large district hospital were prospectively collected between January 1989 and August 2021. Time of the injury, time of admission and time of surgery were recorded...
June 7, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38844564/intracapsular-neck-of-femur-fractures-secondary-to-civilian-gunshot-injuries-an-inter-and-intra-observer-agreement-study-on-classification-and-treatment-using-the-ao-ota-classification
#10
JOURNAL ARTICLE
Sithombo Maqungo, Andrew Nicol, Maritz Laubscher, Kaylin Williams, Simon Graham, Michelle Henry, Ntambue Kauta, Kirsty Berry
PURPOSE: Numerous classification systems have been developed for neck of femur fractures, but none have been tested for reliability in gunshot injuries. Our primary objective was to assess the inter-observer and intra-observer reliability of the AO/OTA classification system when applied to intracapsular neck of femur fractures secondary to low-velocity civilian gunshots wounds (GSWs). Our secondary objective was to test the reliability of the AO/OTA classification system in guiding surgeon treatment choices for these fractures...
June 7, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38836905/novel-positioning-guiders-accurately-assist-in-situ-acetabular-reconstruction-for-patients-undergoing-pelvic-bone-tumor-resection
#11
JOURNAL ARTICLE
Donghua Huang, Zehao Chen, Xiaobo Yan, Xin Huang, Meng Liu, Zhaonong Yao, Hengyuan Li, Hao Qu, Xiao Ma, Zhaoming Ye, Nong Lin
PURPOSE: Acetabular reconstruction in situ after extensive pelvic resection is technically challenging. The aim of this study was to investigate the feasibility of positioning guiders for acetabular reconstruction following pelvic tumor resection and the clinical benefit brought by the approach. METHODS: The study included patients who underwent acetabular reconstruction following periacetabular tumor resection using a modular hemipelvic prosthesis. In the guider-assisted group (n = 14), guiders were designed and applied to assist acetabular reconstruction...
June 5, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38836904/response-rate-specific-to-bone-metastasis-of-various-cancers-for-immune-checkpoint-inhibitors-a-systematic-review
#12
REVIEW
Shinji Tsukamoto, Andreas F Mavrogenis, Tomoya Masunaga, Hisaki Aiba, Ayano Aso, Kanya Honoki, Hiromasa Fujii, Akira Kido, Yuu Tanaka, Yasuhito Tanaka, Costantino Errani
PURPOSE: Immune checkpoint inhibitors (ICIs) have improved the prognosis of patients with cancer, such as melanoma, renal cell carcinoma, head and neck cancer, non-small cell lung cancer (NSCLC), and urothelial carcinoma. The extension of life expectancy has led to an increased incidence of bone metastases (BM) among patients with cancer. BM result in skeletal-related events, including severe pain, pathological fractures, and nerve palsy. Surgery is typically required for the treatment of BM in patients with an impending fracture; however, it may be avoided in those who respond to ICIs...
June 5, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38832997/postoperative-3d-computed-tomographic-evaluation-of-92-calcaneal-fracture-reduction-using-the-sinus-tarsi-technique-and-fixation-with-3-5%C3%A2-mm-cortical-screws
#13
JOURNAL ARTICLE
Adisorn Chongmuenwai, Oragarn Wongfukiat, Kongtush Choovongkomol
BACKGROUND: Fixation of calcaneus through the sinus tarsi approach is increasingly popular due to the lower rate of wound complications. The use of postoperative CT provided a better evaluation tool than using plain radiography. Our objective of the present study is to evaluate the quality of fracture reductions by postoperative 3D CT scans after surgical intervention using the sinus tarsi approach and fixation with 3.5 cortical screws. METHODS: Between January 2018 and April 2020, 86 consecutive patients with 92 closed displaced intra-articular calcaneal fractures underwent ORIF with 3...
June 4, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38831052/minimally-invasive-technique-for-acute-fixation-and-subtalar-fusion-of-displaced-intra-articular-calcaneus-fractures
#14
JOURNAL ARTICLE
Paul E Matuszewski, Seth A Phillips, Gary L Ulrich, Gavin S Hautala, Ainsley K Bloomer, Joseph R Hsu
Displaced intra-articular calcaneus fractures (DIACFs) are difficult injuries to treat and are often encountered by orthopedic surgeons. For DIACFs treated nonoperatively or with open reduction internal fixation (ORIF), a common complication is painful subtalar arthritis and the need for a secondary subtalar fusion, which prolongs the overall recovery time. One treatment option to address this sequela involves ORIF with subtalar fusion as the primary treatment. We describe a reproducible, minimally invasive surgical technique for primary ORIF with subtalar fusion when the calcaneal tuberosity is amendable to cannulated screw fixation to treat these complex calcaneal fractures...
June 3, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38822154/multi-center-study-of-use-of-the-exeter-stem-in-japan-a-10-year-follow-up-report
#15
JOURNAL ARTICLE
Tatsuro Sakurai, Hiroshi Fujita, Toshiki Iwase, Kan Sasaki, Naoyuki Katayama, Hiromi Otsuka
PURPOSE: Since the introduction of the Exeter stem for clinical use in Japan in 1996, the number of stems used has continued to rise owing to its favorable results. We investigated the outcomes of patients who had previously undergone total hip arthroplasty with the Exeter stem in Japan with a 10-year + follow-up period. METHODS: This retrospective cohort study used clinical and radiographic data of 682 cases of primary total hip arthroplasty performed using the Exeter stem...
June 1, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38816627/do-preoperative-glucose-levels-predict-risk-of-complications-in-orthopaedic-surgery
#16
JOURNAL ARTICLE
Natalie Kieruzel, Sahil Sethi, Vivek Nair, Jennifer Moriatis Wolf, Jason Alexander Strelzow
PURPOSE: Post-operative hyperglycemia is a known risk factor for post-surgical complications. The predictive value of pre-operative blood glucose levels, however, is less understood. This study aimed to determine if pre-operative screening blood glucose levels affect the rate of post-operative infection or wound complications. We also investigated if case urgency or anatomic location alters this relationship. METHODS: A single-institution retrospective chart review was performed to evaluate patients treated between 2018 and 2021...
May 30, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38814449/clinical-outcomes-of-subtalar-arthroereisis-for-the-treatment-of-stage-1-flexible-progressive-collapsing-foot-deformity
#17
JOURNAL ARTICLE
Thomas L Lewis, Thomas A J Goff, Robbie Ray, Jagwinder Dhaliwal, David Carmody, Andrew P Wines
BACKGROUND: The use of subtalar arthroereisis as an adjunct to the surgical treatment of stage 1 flexible progressive collapsing foot deformity (PCFD) is controversial. The aim was to investigate the clinical outcomes and report the implant removal rate of subtalar arthroereisis as an adjunct for stage 1 PCFD. METHODS: A retrospective study of 212 consecutive feet undergoing operative management of stage 1 PCFD with adjunctive subtalar arthroereisis between October 2010 and April 2018...
May 30, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38809423/biomechanical-characteristics-of-the-meniscocapsular-junction-of-the-posterior-segment-of-the-medial-meniscus
#18
JOURNAL ARTICLE
Quentin Nicolas, Ramy Samargandi, Sylvain Calloch, Frederic Dubrana, Francois-Xavier Gunepin, Remi Di Francia
PURPOSE: Despite extensive literature available on the mechanical properties of knee ligaments and menisci, research on the mechanical properties of the meniscus-capsular junction (MCJ) is lacking. This study aims to investigate the biomechanical behavior of the MCJ of the medial meniscus using a tensile failure test. MATERIALS AND METHODS: Seven dissected cadaveric knees were used for biomechanical analysis. Tensile failure tests were performed using an INSTRON ElectroPuls E1000 stress system to measure stress/strain curves, maximum load at failure, elastic limit load, elongation at break, elongation at the elastic limit, and linear stiffness, were collected and analyzed...
May 29, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38809422/long-term-survival-of-resurfacing-humeral-hemiarthroplasty
#19
JOURNAL ARTICLE
Simo S A Miettinen, Yang Liu, Heikki Kröger
INTRODUCTION: The indication for shoulder resurfacing arthroplasty is controversial, and survival of these implants is somewhat inconsistent. This study aimed to evaluate the long-term survivorship of resurfacing humeral head implants (RHHIs) and determine risk factors for complications and revisions. MATERIALS AND METHODS: This retrospective cohort study consisted of 275 cases and two types of RHHIs. The survival rate was evaluated using the Kaplan-Meier method and Cox regression for risk factor analysis...
May 29, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38806688/rates-of-interlock-screw-back-out-are-high-with-the-retrograde-femoral-nailing-advanced-system-for-distal-femur-fractures
#20
JOURNAL ARTICLE
Rahul Bhale, Sean T Campbell, Ellen Fitzpatrick, Gillian Soles, Mark Lee, Augustine M Saiz
PURPOSE: The retrograde femoral nailing advanced (RFNA) system (DePuy synthes) is a commonly used implant for the fixation of low distal femur and periprosthetic fractures. There is concern that the rate of distal interlock screw back-out may be higher for the RFNA compared to other nails (ON). The purpose of this study was to evaluate the incidence of interlock screw back-out and associated screw removal for RFNA versus ON, along with associated risk factors. METHODS: A retrospective comparative study of patients who underwent retrograde nailing for a distal femur fracture at an academic level one trauma center was performed...
May 28, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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