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International Orthopaedics

Marco Scardino, Berardo Di Matteo, Federica Martorelli, Dario Tanzi, Elizaveta Kon, Tiziana D'Amato
PURPOSE: To compare post-operative recovery of prosthetic hip surgery patients with or without the implementation of iron supplementation with a new highly absorbable oral iron formulation. METHODS: Observational retrospective quality improvement assessment conducted on patients who had undergone elective prosthetic hip surgery (first implant) with ferritin < 100 mcg/dl and Hb values between 13 and 14 g/dl for men and 12 g/dl and 13.5 g/dl for women, or having ferritin levels > 100 mcg/dl but C-reactive protein (CRP) > 3 mg/l and transferrin saturation (TSAT) < 20%, which together are suggestive of functional iron deficiency...
September 20, 2018: International Orthopaedics
Goksel Dikmen, Vahit Emre Ozden, Burak Beksac, Ismail Remzi Tozun
PURPOSE: The aim of this study was to assess the long-term performance of tapered one-third proximally coated stems in dysplastic hips. METHODS: This study included 135 dysplasia patients (150 hips) who underwent a total hip arthroplasty and had a minimum follow-up of ten years. Single design tapered stems were used in all patients. There were 112 women (83%) and 23 men (17%) with a mean age of 45 years (23 to 72) at the time of surgery. The mean follow-up was 14...
September 19, 2018: International Orthopaedics
Markku A Vuorinen, Riku A Palanne, Tatu J Mäkinen, Jarkko T Leskinen, Heini Huhtala, Kaisa A Huotari
PURPOSE: Dexamethasone has been shown to prevent post-operative nausea and vomiting (PONV) and seems to reduce post-operative pain. Both factors, which can extend the hospital stay, delay rehabilitation, and impact patient satisfaction. Because of the immunosuppressive and glucose-rising effects of dexamethasone, there has been concern of its safety in arthroplasty surgery. The purpose of our study was to examine infection safety of dexamethasone in arthroplasty surgery with enough large study material to reliably detect a possible, even small, difference in infection incidence...
September 19, 2018: International Orthopaedics
Hatem G Said, Mohamed Abd El-Radi, Mohamed Y Hassanein, Galal Z Said
INTRODUCTION: This review was done to find the trend for orthopaedic publications from Egypt in the last 5 years, detailing the specialties that are most published and comparing this with the surrounding Middle East region. METHODS: The search included orthopaedic-related articles published in journals that are listed in PubMed, including author affiliation from Egypt between 2013 and 2017. RESULTS: Four hundred eighty-one publications were found...
September 18, 2018: International Orthopaedics
Francesco Liuzza, Noemi Silluzio, Michela Florio, Omar El Ezzo, Gianpiero Cazzato, Gianluca Ciolli, Carlo Perisano, Giulio Maccauro
PURPOSE: The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality. METHODS: The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization...
September 17, 2018: International Orthopaedics
Philip P Roessler, Matthias D Wimmer, Cornelius Jacobs, Rahel Bornemann, Thomas Stein, Matthias Lahner
PURPOSE: Medial patellofemoral ligament reconstruction (MPFL-R) is the gold standard in patella soft tissue surgery for patellofemoral instability. Although claimed, recent reports indicate that MPFL-R may fail to distalize the patella in mild cases of patella alta. The present study is a retrospective case-control study to compare radiographic patella height between MPFL-R and historical Insall's proximal realignment (IPR) pre- and post-operatively with respect to distalization and assess redislocation rates at a mid-term follow-up...
September 17, 2018: International Orthopaedics
Sascha Karunaratne, Michael Duan, Evangelos Pappas, Brett Fritsch, Richard Boyle, Sanjeev Gupta, Paul Stalley, Mark Horsley, Daniel Steffens
PURPOSE: The purpose of the study is to determine the effectiveness of semi-active and active robotic hip and knee arthroplasty on post-operative patient-reported outcomes of function, pain, quality of life and satisfaction with surgery. METHODS: PubMed, Medline, Embase and CENTRAL were searched. Included were comparative studies investigating the effectiveness of semi-active or active robotic hip or knee arthroplasty compared to any other surgical intervention on function, pain, quality of life and satisfaction with surgery...
September 15, 2018: International Orthopaedics
Ivo Dumic-Cule, Mihaela Peric, Lucija Kucko, Lovorka Grgurevic, Marko Pecina, Slobodan Vukicevic
Bone fractures represent a significant medical morbidity among aged population with osteoporosis. Bone morphogenetic proteins (BMPs) are suggested to have therapeutic potential to enhance fracture healing in such patients. Though BMP-mediated fracture healing has been well-documented in preclinical models, there has been no clinical study that demonstrated unequivocally that indeed a BMP when presented with an appropriate scaffold could provide basis for robust outcome for delayed or non-union diaphyseal bone fractures...
September 15, 2018: International Orthopaedics
Jeffrey Sundblad, Mary Nixon, Nancy Jackson, Rahul Vaidya, David Markel
PURPOSE: To examine the role of polymerization temperature on the cement porosity and antibiotic elution to optimize antibiotic release from antibiotic-laden cement (ABLC). METHODS: Elution profiles of vancomycin and tobramycin from ABLC discs prepared with low- and high-dose antibiotic dosages, cured at 8, 21, and 37 °C, and placed in phosphate buffered saline (PBS) at 37 °C were examined. Samples were collected at one, four, eight, 24, 72, 168, 336, and 1008 hours to calculate the quantity of antibiotic eluted...
September 15, 2018: International Orthopaedics
Zhao Xiaobing, Li Xingchen, Zhou Honggang, Cao Xiaoqiang, Yuan Qidong, Ma Haijun, Yang Hejun, Wang Bisheng
PURPOSES: To describe the rationale, surgical technique, and short-term follow-up results of a new minimally invasive treatment for thoracic spinal stenosis (TSS) caused by herniation, ossification of the ligamentum flavum (OLF), and/or ossification of the posterior longitudinal ligament (OPLL) with a "U" route transforaminal percutaneous endoscopic thoracic discectomy (PETD). METHODS: Fourteen patients, including seven males and seven females, underwent "U" route PETD...
September 15, 2018: International Orthopaedics
Francesc Malagelada, Cyrus Sahirad, Miki Dalmau-Pastor, Jordi Vega, Rej Bhumbra, Maria Cristina Manzanares-Céspedes, Olivier Laffenêtre
PURPOSE: The aim of this study was to systematically evaluate the available literature on minimally invasive surgical (MIS) treatment for hallux valgus and to provide an overview of the different surgical techniques. METHODS: A systematic review of the literature available in MEDLINE, EMBASE, and the Cochrane database was performed including studies from January 2001 to 1 January 2018. The radiological outcomes (hallux valgus angle (HVA), intermetatarsal angle (IMA)), complication rates, and clinical outcome scores were evaluated...
September 14, 2018: International Orthopaedics
Stefano Gumina, Filippo Camerota, Claudia Celletti, Teresa Venditto, Vittorio Candela
PURPOSE: To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS: We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group included 82 subjects (38 M-44 F; mean age ± SD, 65.87 ± 8.06; range, 41-75) with no RCT. All participants, wearing an eye mask, were submitted to the evaluation of the joint position sense (JPS) at 30°, 60°, 90°, 120°, and 150° of shoulder forward flexion during the sitting position, using a digital inclinometer securely attached to the subject's arm using hook-and-loop straps...
September 14, 2018: International Orthopaedics
Marco Crostelli, Osvaldo Mazza, Massimo Mariani, Dario Mascello, Carlo Iorio
PURPOSE: Mucopolysaccharidosis (MPS) are rare inherited metabolic diseases, causing lysosomal storage of mucopolysaccharides; clinical presentation involves skeletal system and particularly the spine. Anomalies include developing kyphosis at thoracolumbar junction, that can causes nervous symptoms, and dens hypoplasia with associated atlantoaxial subluxation that can cause myelopathy. We present our experience in the treatment of spine pathology in MPS. METHODS: Medical treatments of MPS seem to have little impact on spine disease: treatment of cervical instability often includes surgical decompression and stabilization, as in patient MPS1 that we present, while thoracic lumbar kyphosis is treated by bracing and, in severe cases, with surgery...
September 14, 2018: International Orthopaedics
Fabricio Bolpato Loures, Wesley Correia, João Henrique Reis, Rodrigo Sattamini Pires E Albuquerque, Alan de Paula Mozela, Eduardo Branco de Souza, Phelippe Valente Maia, João Maurício Barretto
PURPOSE: To assess functional outcomes in patients undergoing total knee arthroplasty (TKA) without previous corrective osteotomy for treatment of knee osteoarthritis associated with extra-articular deformity. METHODS: From January to December 2016, patients with knee osteoarthritis with extra-articular deformities who presented for preoperative assessment before TKA were evaluated prospectively. Physical and radiological characteristics were documented pre- and postoperatively...
September 14, 2018: International Orthopaedics
Christian von Rüden, Lisa Wenzel, Johannes Becker, Andreas Thannheimer, Peter Augat, Alexander Woltmann, Volker Bühren, Mario Perl
INTRODUCTION: Aim of this retrospective analysis of prospectively collected data was to evaluate the functional mid-term outcome two years after open reduction and internal fixation of acetabular fractures involving the anterior column with affection of the quadrilateral plate using the pararectus approach on a large cohort. METHOD: Fifty-two patients (12 female, 40 male) with a median age of 55 (range 18-90) years and displaced acetabular fractures involving the anterior column were surgically treated in a single level I trauma centre between July 2012 and February 2016 using the pararectus approach...
September 14, 2018: International Orthopaedics
Emmanuel Gibon, Luc Kerboull, Jean-Pierre Courpied, Moussa Hamadouche
Acetabular revisions with severe bone defects can be challenging procedures. Several grading systems have been set into place to help the surgeon adequately gauge the degree of bone loss within the acetabulum. Internationally innovative research in orthopedics and bio-engineering has helped with progression of successful techniques and rings to re-establish the normal anatomy of the hip. The purpose of this review is to evaluate the outcomes of the different acetabular reinforcement rings in the setting of severe acetabular defects...
September 13, 2018: International Orthopaedics
Michael W Maier, Stefan Aschauer, Sebastian I Wolf, Thomas Dreher, Christian Merle, Rudi G Bitsch
PURPOSE: Purpose of the present cohort study was the determination of lower body function and rotation in patients with symptomatic component mal-rotation after total knee arthroplasty using instrumented 3D gait analysis. METHODS: A consecutive series of 12 patients (61.3 years ± 11.4 years) were included suffering under remaining pain or limited range of motion at least six months after total knee arthroplasty. A CT-scan according to the protocol of Berger et al...
September 10, 2018: International Orthopaedics
Michele d'Amato, Andrea Ensini, Alberto Leardini, Paolo Barbadoro, Andrea Illuminati, Claudio Belvedere
PURPOSE: Computer-assisted systems (CAS) for total knee arthroplasty (TKA) were expected to result in more accurate prosthesis implantation, better patient outcomes, and longer implant survival when compared to conventional instrumentation (CI). The aim of this study was to compare two groups of patients operated using CAS or CI at ten years follow-up. METHODS: One hundred twenty TKA patients, 60 using CAS and 60 using CI, were contacted after a decade for follow-up...
September 8, 2018: International Orthopaedics
Julian Scherer, Simon Tiziani, Kai Sprengel, Hans-Christoph Pape, Georg Osterhoff
INTRODUCTION: Subcutaneous internal fixation (InFix) has become a valid alternative for anterior fixation of pelvic ring injuries. Complications associated with this technique are lateral femoral cutaneous nerve (LFCN) irritation and anterior thigh pain due to prominent implants. The aim of this study was to identify a configuration of the InFix that causes the least adverse side effects. METHODS: Nineteen patients (6 females, mean age 61 years) with 38 hemipelves were included...
September 8, 2018: International Orthopaedics
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