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Journals Journal of Orthopaedics and Tr...

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology

https://read.qxmd.com/read/38622334/capacitive-biophysical-stimulation-improves-the-healing-of-vertebral-fragility-fractures-a-prospective-multicentre-randomized-controlled-trial
#1
JOURNAL ARTICLE
Andrea Piazzolla, Davide Bizzoca, Giovanni Barbanti-Brodano, Matteo Formica, Luca Pietrogrande, Umberto Tarantino, Stefania Setti, Biagio Moretti, Giuseppe Solarino
BACKGROUND: Capacitively coupling electric fields (CCEF) is a method of non-invasive biophysical stimulation that enhances fracture repair and spinal fusion. This multicentre randomized controlled trial aimed to further examine the roles of CCEF in (1) the resolution of vertebral bone marrow oedema (VBME) using a follow-up MRI study and (2) pain relief, analgesic drug consumption and quality of life improvement in stimulated patients who were referred with acute vertebral fragility fractures (VFFs) compared to non-stimulated patients...
April 15, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38615140/interlocking-intramedullary-nail-for-forearm-diaphyseal-fractures-in-adults-a-systematic-review-and-meta-analysis-of-outcomes-and-complications
#2
Ali Lari, Yousef Hassan, Abdulwahab Altammar, Ali Esmaeil, Abdulaziz Altammar, Carlos Prada, Ali Jarragh
PURPOSE: The purpose of this systematic review is to examine the outcomes, complications, and potential advantages of using anatomical interlocking intramedullary nails (IMN) in the treatment of radius and ulnar shaft diaphyseal fractures in adults. METHODS: Medline, Embase, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched between January 2000 and January 2023. Studies meeting criteria were observational or randomized controlled trials evaluating outcomes in IMN for adult diaphyseal forearm fractures...
April 13, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38528169/evaluation-of-time-to-reimplantation-as-a-risk-factor-in-two-stage-revision-with-static-spacers-for-periprosthetic-knee-joint-infection
#3
JOURNAL ARTICLE
Jan Puetzler, Marc Hofschneider, Georg Gosheger, Christoph Theil, Martin Schulze, Jan Schwarze, Raphael Koch, Burkhard Moellenbeck
INTRODUCTION: We investigated the time to reimplantation (TTR) during two-stage revision using static spacers with regard to treatment success and function in patients with chronic periprosthetic joint infection (PJI) of the knee. METHODS: 163 patients (median age 72 years, 72 women) who underwent two-stage exchange for chronic knee PJI between 2012 and 2020 were retrospectively analyzed (based on the 2011 Musculoskeletal Infection Society criteria). A cutoff TTR for increased risk of reinfection was identified using the maximally selected log-rank statistic...
March 25, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38521890/tiktok-content-as-a-source-of-health-education-regarding-epicondylitis-a-content-analysis
#4
JOURNAL ARTICLE
Riccardo D'Ambrosi, Enrico Bellato, Gianluca Bullitta, Antonio Benedetto Cecere, Katia Corona, Angelo De Crescenzo, Valentina Fogliata, Gian Mario Micheloni, Maristella Francesca Saccomanno, Fabrizio Vitullo, Andrea Celli
PURPOSE: This study aimed to assess the validity and informational value of TikTok content about epicondylitis. The hypothesis tested herein was that TikTok video content would not provide adequate and valid information. METHODS: The term "epicondylitis" was used as a keyword to comprehensively search for TikTok videos, and the first 100 videos that were retrieved were subsequently included for analysis. The duration, number of likes, number of shares and number of views were recorded for each video...
March 23, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38451303/optimizing-periprosthetic-fracture-management-and-in-hospital-outcome-insights-from-the-pippas-multicentric-study-of-1387-cases-in-spain
#5
MULTICENTER STUDY
(no author information available yet)
BACKGROUND: The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to evaluate their implications for the community. METHODS: PIPPAS (Peri-Implant PeriProsthetic Survival Analysis) was a prospective multicentre observational study of 1387 PPF performed during 2021...
March 7, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38430413/unexpected-early-loosening-of-rectangular-straight-femoral-zweym%C3%A3-ller-stems-with-an-alumina-reduced-surface-after-total-hip-arthroplasty-a-prospective-double-blind-randomized-controlled-trial
#6
JOURNAL ARTICLE
Céline S Moret, Salim El Masri, Benjamin L Schelker, Niklaus F Friederich, Michael T Hirschmann
BACKGROUND: Alumina particles from the grit blasting of Ti-alloy stems are suspected to contribute to aseptic loosening. An alumina-reduced stem surface was hypothesized to improve osseointegration and show comparable short-term outcomes to those of a standard stem. METHODS: In this prospective, double-blind, randomized trial, 26 standard (STD) and 27 experimental new technology (NT) stems were implanted. The latter were additionally treated by acid etching and ice blasting to remove alumina particles from the grit-blasting process...
March 2, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38418743/three-dimensional-printed-models-can-reduce-costs-and-surgical-time-for-complex-proximal-humeral-fractures-preoperative-planning-patient-satisfaction-and-improved-resident-skills
#7
JOURNAL ARTICLE
Andrea Fidanza, Gianfilippo Caggiari, Francesco Di Petrillo, Enrico Fiori, Alberto Momoli, Giandomenico Logroscino
BACKGROUND: Proximal humeral fractures (PHFs) are still controversial with regards to treatment and are difficult to classify. The study's objective is to show that preoperative planning performed while handling a three-dimensional (3D) printed anatomical model of the fracture can ensure a better understanding of trauma for both surgeons and patients. MATERIALS AND METHODS: Twenty patients (group A, cases) with complex PHF were evaluated preoperatively by reproducing life-size, full-touch 3D anatomical models...
February 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38418742/reverse-shoulder-arthroplasty-with-a-155%C3%A2-neck-shaft-angle-inlay-implant-design-without-reattachment-of-the-subscapularis-tendon-results-in-satisfactory-functional-internal-rotation-and-no-instability-a-cohort-study
#8
JOURNAL ARTICLE
Arno A Macken, Wouter J van der Poel, Geert A Buijze, Joris J Beckers, Denise Eygendaal, Laurent Lafosse, Thibault Lafosse
BACKGROUND: The aim of this study was to use the Activities of Daily Living which require Internal Rotation (ADLIR) questionnaire to assess the functional internal rotation in patients who had undergone reverse shoulder arthroplasty (RSA) without reattachment of the subscapularis (SSc) tendon at a minimum follow-up of 2 years. The secondary aim was to report the objective range of motion (ROM) and the rate of postoperative instability. MATERIALS AND METHODS: All consecutive primary RSA procedures without reattachment of the SSc tendon that were performed using a Delta Xtend prosthesis (an inlay system with a 155° neck-shaft angle) between January 2015 and December 2020 were identified to ensure a minimum follow-up of 2 years...
February 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38381320/direct-anterior-approach-with-conventional-instruments-versus-robotic-posterolateral-approach-in-elective-total-hip-replacement-for-primary-osteoarthritis-a-case-control-study
#9
JOURNAL ARTICLE
Mattia Alessio-Mazzola, Pietro Colombo, Niccolo' Barducci, Elena Ghezzi, Luigi Zagra, Patrizio Caldora, Marco Ometti, Giacomo Placella, Vincenzo Salini
BACKGROUND: The purpose of this study is to compare peri-operative and short-term outcomes in patients who underwent elective total hip replacement (THA) for primary osteoarthritis (OA) with direct anterior approach (DAA) versus a pair-matched cohort of patients who underwent robotic-assisted THA with posterolateral approach. MATERIALS AND METHODS: Data from consecutive patients who underwent elective hip replacement from 2021 to 2023 for primary OA were retrospectively retrieved and divided into two groups: the DAA group, who underwent THA with the DAA approach using conventional instruments, and the robotic posterolateral (R-PL group), who underwent robot arm-assisted THA with the posterolateral approach...
February 21, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38381214/the-effect-of-cellular-nuclear-function-alteration-on-the-pathogenesis-of-shoulder-adhesive-capsulitis-an-immunohistochemical-study-on-lamin-a-c-expression
#10
JOURNAL ARTICLE
Vittorio Candela, Barbara Peruzzi, Martina Leopizzi, Natale Porta, Valeria Di Maio, Benjamin Greenberg, Carlo Della Rocca, Stefano Gumina
BACKGROUND: The network of intermediate filament proteins underlying the inner nuclear membrane forms the nuclear lamina. Lamins have been associated with important cellular functions: DNA replication, chromatin organization, differentiation of the cell, apoptosis and in maintenance of nuclear structure. Little is known regarding the etiopathogenesis of adhesive capsulitis (AC); recently, a dysregulating fibrotic response starting from a subpopulation has been described within the fibroblast compartment, which suddenly turns on an activated phenotype...
February 21, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38376718/all-epiphyseal-anterior-cruciate-ligament-reconstruction-yields-superior-sports-performances-than-the-trans-epiphyseal-technique-in-skeletally-immature-patients-a-systematic-review
#11
Filippo Migliorini, Marco Pilone, Michael Kurt Memminger, Jörg Eschweiler, Riccardo Giorgino, Nicola Maffulli
BACKGROUND: Anterior cruciate ligament (ACL) tears in skeletally immature patients are increasingly common. Evidence comparing the outcomes of all-epiphyseal versus trans-epiphyseal ACL reconstruction in skeletally immature patients is limited, and the current literature could benefit from a comprehensive systematic review. The present study compared all-epiphyseal versus trans-epiphyseal ACL reconstruction in skeletally immature patients. The outcomes of interest were to compare joint laxity, patient-reported outcome measures (PROMs), return to sport, and complications...
February 20, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38347255/risk-factors-for-early-septic-failure-after-two-stage-exchange-total-knee-arthroplasty-for-treatment-of-periprosthetic-joint-infection
#12
JOURNAL ARTICLE
Woo-Suk Lee, Kwan Kyu Park, Byung-Woo Cho, Jun Young Park, Inuk Kim, Hyuck Min Kwon
BACKGROUND: The cause of early septic failure after two-stage exchange revision total knee arthroplasty (TKA) for chronic periprosthetic joint infection (PJI) and the factors affecting it are not well known. The purpose of this study was to determine the surgical outcomes and the risk factors for early septic failure after two-stage revision TKA for chronic PJI. METHODS: We identified a total of 246 adult patients who met the Musculoskeletal Infection Society (MSIS) diagnostic criteria for chronic PJI at two academic tertiary hospitals from March 2012 to December 2018...
February 12, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38282128/preoperative-antibiotic-prophylaxis-and-the-incidence-of-surgical-site-infections-in-elective-clean-soft-tissue-surgery-of-the-hand-and-upper-limb-a-systematic-review-and-meta-analysis
#13
Gabrielle Avelar Negri, Antônio Clodoildo Andrade Junior, Manuela Amoedo Cox, Marcos Felipe Marcatto de Abreu, Simone Appenzeller, Rodrigo Gonçalves Pagnano
BACKGROUND: Surgical site infections (SSI) are the most frequent early complications of hand surgeries. However, the indications still remain uncertain for antibiotic prophylaxis in elective clean soft tissue surgeries of the hand and upper limb. Therefore, a systematic review of the literature and a meta-analysis was conducted to investigate the impact of antibiotic prophylaxis on the prevention of SSI in these types of surgeries. METHODS: An electronic search was performed in the following databases: MEDLINE/Pubmed, PMC/Pubmed, Web of Science/Clarivate Analytics, Embase/Elsevier, Scopus/Elsevier, BVS/Lilacs, and the Cochrane Library, with no restrictions regarding publication language or date...
January 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38282098/suprapatellar-tibial-fracture-nailing-is-associated-with-lower-rate-for-acute-compartment-syndrome-and-the-need-for-fasciotomy-compared-with-the-infrapatellar-approach
#14
JOURNAL ARTICLE
Essi E Honkonen, Jussi P Repo, Heidi Lehtokangas, Emma Luoma, Mikko Uimonen, Sami Nurmi, Antti Ylitalo, Antti Riuttanen, Tiia Kivelä, Ville M Mattila, Piia Suomalainen
BACKGROUND: Intramedullary tibial nailing (IMN) is the gold standard for stabilizing tibial shaft fractures. IMN can be performed through an infra- or suprapatellar approach. PURPOSE: The aim of this study is to compare the rate of fasciotomies for acute compartment syndrome between infra- and suprapatellar approaches. METHODS: A total of 614 consecutive patients who were treated with IMN for tibial fracture between October 2007 and February 2020 were included in the study...
January 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38282068/high-satisfaction-rate-and-range-of-motion-can-be-expected-in-frozen-shoulder-after-awake-manipulation-with-brachial-plexus-block
#15
JOURNAL ARTICLE
F Inglese, M Montemagno, A Brigo, M Nigro, A Giorgini, G M Micheloni, G Porcellini
BACKGROUND: Adhesive capsulitis (AC) is a disease of the glenohumeral joint that is characterized by pain and both passive and active global stiffness with a slow and insidious onset. The disease can occur spontaneously (primary AC) or it can be secondary to other comorbidities, surgery, or trauma, such as fracture or dislocation. Multiple treatment approaches have been suggested: intra-articular steroid injection, physical therapy, manipulation under total anesthesia, and arthroscopic or open surgery...
January 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38217751/validation-of-roussouly-classification-in-predicting-the-occurrence-of-adjacent-segment-disease-after-short-level-lumbar-fusion-surgery
#16
JOURNAL ARTICLE
Muyi Wang, Xin Wang, Hao Wang, Yifei Shen, Yong Qiu, Xu Sun, Dong Zhou, Yuqing Jiang
BACKGROUND: Recent studies demonstrated that restoring sagittal alignment to the original Roussouly type can remarkably reduce complication rates after adult spinal deformity surgery. However, there is still no data proving the benefit of maintaining ideal Roussouly shape in the lumbar degenerative diseases and its association with the development of adjacent segment disease (ASD). Thus, this study was performed to validate the usefulness of Roussouly classification to predict the occurrence of ASD after lumbar fusion surgery...
January 13, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38194191/antithrombotic-prophylaxis-following-total-hip-arthroplasty-a-level-i-bayesian-network-meta-analysis
#17
Filippo Migliorini, Nicola Maffulli, Erlis Velaj, Andreas Bell, Daniel Kämmer, Frank Hildebrand, Ulf Krister Hofmann, Jörg Eschweiler
BACKGROUND: Several clinical investigations have compared different pharmacologic agents for the prophylaxis of venous thromboembolism (VTE). However, no consensus has been reached. The present investigation compared enoxaparin, fondaparinux, aspirin and non-vitamin K antagonist oral anticoagulants (NOACs) commonly used as prophylaxis following total hip arthroplasty (THA). A Bayesian network meta-analysis was performed, setting as outcomes of interest the rate of deep venous thrombosis (DVT), pulmonary embolism (PE) and major and minor haemorrhages...
January 9, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38091159/transforaminal-lumbar-interbody-fusion-with-a-tantalum-cage-lumbar-lordosis-redistribution-and-sacral-slope-restoration-with-a-modified-posterior-technique
#18
JOURNAL ARTICLE
Marcello Ferraro, Francesco Puglia, Andrea Della Valle, Vincenzo Cerbone, Alfonso Cicatelli, Donata Rita Peroni, Davide Cecconi, Bernardo Misaggi, Giovanni Andrea La Maida
BACKGROUND: Transforaminal lumbar interbody fusion (TLIF), a commonly used procedure in spine surgery, has the advantage of a lower incidence of nerve lesions compared to the posterior lumbar interbody fusion (PLIF) technique. The intersomatic arthrodesis has always been carried out with a single tantalum cage normally used for PLIF. Tantalum is a metal that is particularly used in orthopedic surgery. It has a modulus of elasticity similar to marrow and leads to high primary stability of the implant...
December 13, 2023: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38015298/arthrosis-diagnosis-and-treatment-recommendations-in-clinical-practice-an-exploratory-investigation-with-the-generative-ai-model-gpt-4
#19
JOURNAL ARTICLE
Stefano Pagano, Sabrina Holzapfel, Tobias Kappenschneider, Matthias Meyer, Günther Maderbacher, Joachim Grifka, Dominik Emanuel Holzapfel
BACKGROUND: The spread of artificial intelligence (AI) has led to transformative advancements in diverse sectors, including healthcare. Specifically, generative writing systems have shown potential in various applications, but their effectiveness in clinical settings has been barely investigated. In this context, we evaluated the proficiency of ChatGPT-4 in diagnosing gonarthrosis and coxarthrosis and recommending appropriate treatments compared with orthopaedic specialists. METHODS: A retrospective review was conducted using anonymized medical records of 100 patients previously diagnosed with either knee or hip arthrosis...
November 28, 2023: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38015276/greater-medial-proximal-tibial-slope-is-associated-with-bone-marrow-lesions-in-middle-aged-women-with-early-knee-osteoarthritis
#20
JOURNAL ARTICLE
Hikaru K Ishibashi, Eiji Sasaki, Kyota Ishibashi, Daisuke Chiba, Takahiro Tsushima, Yuka Kimura, Gentaro Kumagai, Eiichi Tsuda, Kaori Sawada, Tatsuya Mikami, Yasuyuki Ishibashi
BACKGROUND: Bone marrow lesion (BML) is an important magnetic resonance finding (MRI) finding that predicts knee osteoarthritis. The purpose of this study was to investigate the influence of proximal tibial morphology on BML, including the spreading root sign (SRS), in women without radiographic knee osteoarthritis (OA). It was hypothesized that varus alignment and a greater posterior tibial slopes (PTS) are associated with BML. MATERIALS AND METHODS: A total of 359 female volunteers without knee OA who were participants in the Iwaki Health Promotion Project in 2017 or 2019 were enrolled...
November 28, 2023: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
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