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Musculoskeletal Surgery

N Della Rosa, V Duca, E Lancellotti, F Pilla, A Panciera, R Adani
PURPOSE: Percutaneous fixation of scaphoid fractures often does not allow the evaluation of potential ligamentous lesions. Arthroscopy is an useful tool in the management of scaphoid fractures to visualize potentially associated lesions. With arthroscopic assistance, we often found scapholunate ligament lesions. Our study's aim was to evaluate the role of arthroscopy in the treatment of scaphoid fracture and in particular if the alteration found was a real lesion causing instability or just a paraphysiologic laxity...
May 15, 2019: Musculoskeletal Surgery
A Aprato, M Olivero, G Iannizzi, A Bistolfi, L Sabatini, A Masse
PURPOSE: 3D CT scan is actually the gold standard for preoperative diagnosis of pelvic discontinuity (PD) in hip revision surgery. Aim of this study was to compare the accuracy of 3D-modeling with traditional and 3D CT scan. MATERIALS AND METHODS: We retrospectively identified 56 patients who underwent total hip arthroplasty revisions with Paprosky Type-3 periacetabular bone defects. Preoperative X-rays, CT scans and 3D-models were blindly reviewed by two orthopedic surgeons to detect possible pelvic discontinuities...
May 14, 2019: Musculoskeletal Surgery
M Subbiah, S Shiromi, K Yegumuthu
BACKGROUND: Surgery in tubercular spondylodiscitis involves radical debridement and fusion by combined anterior and posterior or all posterior approaches with a posterolateral window with its associated morbidities. This study evaluates the outcome of a comprehensive treatment algorithm for thoracic and lumbar tubercular spondylodiscitis by a single-stage posterior transforaminal approach. METHODS: One hundred and twenty-six patients with tubercular spondylodiscitis between T1 and S1 who underwent posterior surgery with/without fusion by transforaminal approach with a minimum follow-up of 2 years were analyzed...
May 7, 2019: Musculoskeletal Surgery
G Colò, L Cavagnaro, M Alessio-Mazzola, A Zanirato, L Felli, M Formica
The sacroiliac joint (SIJ) is a possible source of persistent or new onset pain after lumbar or lumbosacral fusion. The aim of this paper is to systematically review and analyze the available literature related to the incidence, diagnosis and management of sacroiliitis after spinal arthrodesis. The authors independently screened the titles and abstracts of all articles identified concerning sacroiliac joint pain after lumbar or lumbosacral fusion, to assess their suitability to the research focus. The average incidence of sacroiliitis after lumbar or lumbosacral arthrodesis was found to be 37 ± 28...
May 7, 2019: Musculoskeletal Surgery
K Daniilidis, C Stukenborg-Colsman, S Ettinger, L Claassen, C Plaass, M Lerch, H Waizy, N Martinelli, D Yao
BACKGROUND: Staple sutures have already been proven as a good alternative to nylon sutures for wound closure in hip and knee surgeries. One such advantage to using staple sutures is the significant decrease in surgical time. In foot surgeries, staple sutures are still considered critical and are only used sporadically. OBJECTIVE: The aim of this retrospective study was to compare nylon sutures and skin staples for wound closure in foot and ankle surgeries with respect to complications and patient satisfaction...
May 4, 2019: Musculoskeletal Surgery
D Yao, C Stukenborg-Colsman, S Ettinger, L Claassen, C Plaass, N Martinelli, K Daniilidis
BACKGROUND: Drop foot can be caused by many conditions. Stroke is one of the major causes of drop foot and 5% of stroke survivors suffer from hemiplegia, which in some cases, can manifest as drop foot. The abnormal gait resulting from the lack of innervation of the extensor muscles may result in a secondary malposition of the foot and lead to a steppage gait. Among the several therapy options for the treatment of drop foot, functional electrostimulation (FES) with a transcutaneous peroneal nerve stimulator (tPNS) or an implantable peroneal nerve stimulator (iPNS) represents the two recent approaches...
May 3, 2019: Musculoskeletal Surgery
L Frassanito, A Vergari, R Nestorini, G Cerulli, G Placella, V Pace, M Rossi
PURPOSE: Enhanced recovery after surgery (ERAS) protocols aim to develop peri-operative multidisciplinary programs to shorten length of hospital stay (LOS) and reduce complications, readmissions and costs for patients undergoing major surgery. The aim of this study is to evaluate the effects of an ERAS pathway for total hip (THR) and knee (TKR) replacement surgery in terms of length of stay, incidence of complications and patient satisfaction. METHODS: Patients scheduled for hip and knee replacement were included in the study...
May 3, 2019: Musculoskeletal Surgery
D J L Lima, J Markel, J P Yawman, J D Whaley, V J Sabesan
BACKGROUND: Recreation of glenohumeral biomechanics and humeral anatomy has been shown to improve outcomes in shoulder arthroplasty. Recent research has focused on utilizing simulation software and intraoperative instrumentation to improve glenoid implant selection and positioning, but no study had evaluated the reliability of new features in 3D preoperative planning software for humeral planning in total shoulder arthroplasty. MATERIALS AND METHODS: Preoperative plans were created for 26 patients using three different simulation software programs: an independent preoperative planning simulation (IPPS) software (OrthoVis) and two automated manufacturers preoperative simulation systems: ArthrexVIP™ (AMPS I) and Tornier Blueprint™ 3D Planning (AMPS II)...
April 4, 2019: Musculoskeletal Surgery
K Temporin, K Shimada, K Oura, H Owaki
BACKGROUND: Arthroscopic release for the stiff elbow has been widely used, but there are no reports limited to severe stiffness. The purpose of this study was to investigate the outcomes of severe cases. MATERIALS AND METHODS: Ten patients with 10 severely stiff elbows defined by a limited arc of ≤ 60° underwent this arthroscopic release. Causes of stiffness were post-traumatic stiffness (one patient), osteoarthritis (three patients), and rheumatoid arthritis (six patients)...
April 3, 2019: Musculoskeletal Surgery
S Walters, A Prasad, B Guevel, K M Sarraf, P Achan, S Dawson-Bowling, S Millington, S A Hanna
PURPOSE: The objective of this study is to evaluate the outcomes of total hip arthroplasty (THA) in patients with radiation-related changes to the bone, and specifically whether there is a difference in outcomes between cemented and uncemented acetabular components. METHODS: A database search was performed to identify available studies reporting adults undergoing THA who have previously had pelvic irradiation. Data were extracted and analysed with respect to the use of cemented versus uncemented acetabular components...
April 1, 2019: Musculoskeletal Surgery
M Nayak, H L Nag, T C Nag, V Digge, R Yadav
OBJECTIVES: Anterior cruciate ligament (ACL) rupture is a common injury and has a non-union rate of 40-100%. Important cellular events, such as fibroblast proliferation, angiogenesis and change in collagen fibril thickness in the ACL remnant, as described in other dense connective tissue, might have an implication in graft recovery following ACL reconstruction. Thus we conducted a study with an aim to characterize the ultrastructural and histological features of ruptured ACL tibial stump and correlate the same with the duration of injury...
April 1, 2019: Musculoskeletal Surgery
N Ivaldo, T Mangano, G Caione, M Rossoni
BACKGROUND: Arthroscopic repair currently represents the gold standard surgical treatment for rotator cuff tears, despite several aspects that are still matter of discussion between surgeons, and it is not clear yet what technique is better with respect to the others. Several evidences, however, support the assumption that the suture configuration is most important than the number of suture anchors used. MATERIALS AND METHODS: In this work, we describe a new suture technique for arthroscopic supraspinatus tendon repair using a single double-loaded common suture anchor, and based on a continue and multi-passage suture configuration, with final gross resemblance to the nordic kringle pastries or to the kringle protein domain...
April 1, 2019: Musculoskeletal Surgery
A Zanirato, M Formica, L Cavagnaro, S Divano, G Burastero, L Felli
Revision total knee arthroplasty (rTKA) is increasing of relevance in orthopaedic surgeon daily practice and this trend is likely to continue in the years ahead. The aim of this systematic review of English literature is to summarize and compare indications, complications, clinical and radiological results of metaphyseal cones and sleeves in management of bone loss in rTKA. Retrospective or prospective studies with at least 1 year of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review...
March 16, 2019: Musculoskeletal Surgery
M-A Malahias, M M Alexiades
While preservation and repair of the acetabular labrum are increasingly being recognized as important goals in hip arthroscopy, controversies still exist regarding the clinical outcome of arthroscopic acetabuloplasty with chondrolabral preservation. A systematic review was conducted and implemented by two independent reviewers, who used the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews for their search. These databases were queried with the terms "arthroscopic acetabuloplasty" and "chondrolabral preservation" and "arthroscopic acetabular recession...
March 8, 2019: Musculoskeletal Surgery
J I Albergo, L C Gaston, G L Farfalli, M Laitinen, M Parry, M A Ayerza, M Risk, L M Jeys, L A Aponte-Tinao
PURPOSE: To compare the results for patients treated with intercalary endoprosthetic replacement (EPR) or intercalary allograft reconstruction for diaphyseal tumours of the femur in terms of: (1) reconstruction failure rates; (2) cause of failure; (3) risk of amputation of the limb; and (4) functional result. METHODS: Patients with bone sarcomas of the femoral diaphysis, treated with en bloc resection and reconstructed with an intercalary EPR or allograft, were reviewed...
March 8, 2019: Musculoskeletal Surgery
B Poberaj, B Marjanovič, M Zupančič, M Nabergoj, E Cvetko, M Balažic, V Senekovič
PURPOSE: A new arthroscopic technique with Cobra Guide (CG) was developed to enable fast, controlled and strong intraosseous biceps tenodesis while avoiding an implant. The purpose of this study was to compare the newly developed suture-only biceps tenodesis technique [arthroscopic suprapectoral intraosseous implant-free biceps tenodesis (ASIIBT) with the new CG] to classical interference screws (IS) and suture anchors (SA) in terms of construct resistance to failure. MATERIALS AND METHODS: Fifty-eight human cadaveric shoulders were randomized into three treatment groups...
February 14, 2019: Musculoskeletal Surgery
M Novi, C Vanni, P D Parchi, M Di Paolo, N Piolanti, M Scaglione
PURPOSE: Over the years, the number of total hip replacements has been steadily increasing. Despite the improvement in surgical results, the number of claims for malpractice is higher. The primary endpoint of this work is to provide an analysis of litigation after hip replacement, to outline what are the instigating causes and costs. The secondary endpoint is to propose a possible preventive strategy for an improved care and a reduction in legal proceedings. MATERIALS AND METHODS: The data of this study were collected from medical and legal files and from professional liability insurance of our institution from January 2005 to December 2016...
February 13, 2019: Musculoskeletal Surgery
R Papalia, A Di Martino, A Caldaria, B Zampogna, V Denaro
BACKGROUND: The aim of this study is to conduct a systematic review of clinical outcomes and complications of modular neck THA among Italian cohorts. METHODS: Only reviewed publications focused on Italian cohort patients in English language were considered for inclusion. Studies were included if they involved patients who underwent total hip replacement surgery with modular necks, and reported aetiology or survival rate or bone stability or clinical scores or complications...
January 23, 2019: Musculoskeletal Surgery
A Kornuijt, G J L de Kort, D Das, A F Lenssen, W van der Weegen
PURPOSE: The aim of this study was to analyze in detail how knee flexion and extension progress in the first 8 weeks after primary total knee arthroplasty (TKA). The secondary goal was to compare knee range of motion (ROM) recovery patterns between patients with normal and delayed ROM recovery 8 weeks after TKA. METHODS: This prospective clinical trial included all patients who underwent a primary unilateral TKA between February and December 2016 with weekly ROM data documented by the treating outpatient physical therapists (n = 137)...
January 9, 2019: Musculoskeletal Surgery
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