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Musculoskeletal Surgery

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https://www.readbyqxmd.com/read/30006804/tension-band-wiring-versus-locking-plate-fixation-for-simple-two-part-mayo-2a-olecranon-fractures-a-comparison-of-post-operative-outcomes-complications-reoperations-and-economics
#1
A J Powell, O M Farhan-Alanie, I W W McGraw
PURPOSE: Simple displaced transverse olecranon fractures are traditionally managed operatively with a tension band wire device (TBW). We compared clinical outcomes, morbidity and the cost of treatment of TBW versus pre-countered low-profile locking plates for the treatment of Mayo 2A fractures. PATIENT AND METHODS: All olecranon fractures admitted to our unit between 2008 and 2014 were identified (n = 129). Patient notes and radiographs were studied from presentation to final follow-up...
July 13, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29974393/tibial-pilon-fractures-treated-with-hybrid-external-fixator-analysis-of-75-cases
#2
M Scaglione, F Celli, F Casella, L Fabbri
INTRODUCTION: The treatment of tibial pilon fractures is a surgical challenge due to the particular anatomical and vascular characteristics of this area, and the severity of the injury that can compromise soft tissues. Nowadays there is no gold-standard treatment for these fractures. MATERIALS AND METHODS: We reviewed 75 patients with tibial pilon fracture type C (AO classification) treated with hybrid external fixation (Stryker TenXor® ). The surgical technique was reported...
July 5, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29968233/clinical-outcomes-in-periarticular-knee-fractures-with-flexible-fixation-using-far-cortical-locking-screws-in-locking-plate-a-prospective-study
#3
B Kidiyoor, P Kilaru, K R Rachakonda, V M Joseph, G V Subramaniam, S R Sankineani, A Nugur, A V Gurava Reddy
PURPOSE: Periarticular fractures around the knee joint are treated traditionally by locking plates which provide excellent stability but suppress callus formation. Far cortical locking (FCL) screws allow axial motion and enhance uniform callus formation. Our study aims to evaluate the outcomes of FCL screws in traditional locking plate in periarticular fractures of the knee. METHODS: Thirty patients with periarticular fractures of the knee joint were operated with locking plate using FCL screws...
July 2, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29961233/surgical-strategy-in-extensive-proximal-brachial-plexus-palsies
#4
M Le Hanneur, T Lafosse, A Cambon-Binder, Z Belkheyar
PURPOSE: To describe and assess an overall surgical strategy addressing extensive proximal brachial plexus injuries (BPI). METHODS: Forty-five consecutive patients' charts with C5-C6-C7 and C5-C6-C7-C8 BPI were reviewed. Primary procedures were nerve transfers to restore elbow function and grafts to restore shoulder function when a cervical root was available; when nerve surgery was not possible or had failed, tendon transfers were conducted at the elbow while addressing shoulder function with glenohumeral arthrodesis or humeral osteotomy...
June 30, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29948937/antiresorptive-drug-related-osteonecrosis-of-the-jaws-literature-review-and-5-years-of-experience
#5
S Bernardi, M Di Girolamo, S Necozione, M A Continenza, T Cutilli
PURPOSE: Bisphosphonate drug therapy provides benefits in the case of osteoporosis and carcinomas metastasizing to the bones, but it exposes patients to important side effects. The aim of this study was to investigate the incidence and the appropriate surgical treatment of bone lesions and fractures due to antiresorptive drug-related osteonecrosis of the jaws (ARONJ). METHODS: Patients presenting with osteonecrosis lesions of the jaw, who were referred to the Maxillo-Facial unit of the University of L'Aquila, were considered for inclusion...
June 14, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29948936/assessment-of-return-to-play-in-professional-overhead-athletes-subjected-to-arthroscopic-repair-of-rotator-cuff-tears-and-associated-labral-injuries-using-the-italian-version-of-the-kerlan-jobe-orthopedic-clinic-shoulder-and-elbow-score
#6
G Merolla, P Paladini, G Porcellini
BACKGROUND: The self-administered Kerlan-Jobe Orthopedic Clinic (KJOC) Shoulder and Elbow questionnaire is a reliable and sensitive outcome tool to assess upper extremity athletic performance and functional changes affecting return to play in overhead athletes. We report the results of a study of return to sport in professional overhead athletes at a mean follow-up of 2 years after arthroscopic repair of rotator cuff tears and associated labral injuries using the Italian version of the score...
June 11, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29858837/shoulder-arthroplasty-using-mini-stem-humeral-components-and-a-lesser-tuberosity-osteotomy
#7
E M Guerrero, M P Morwood, R A Kankaria, P S Johnston, G E Garrigues
PURPOSE: To determine whether lesser tuberosity osteotomy (LTO) and mini-stem humeral components (MSHCs) can be safely and effectively used together in total and hemi-shoulder arthroplasty (TSA/HHA). METHODS: This is a retrospective review of consecutive patients who underwent anatomic TSA/HHA utilizing combined LTO/MSHC with minimum 2-year follow-up. Six-week and final radiographs, range of motion, pain scores, and selected outcome measures were assessed. RESULTS: Seventy five shoulders with mean follow-up of 27...
June 1, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29855782/hand-function-outcome-in-closed-small-bone-fractures-treated-by-open-reduction-and-internal-fixation-by-mini-plate-or-closed-crossed-pinning-a-randomized-controlled-trail
#8
R Pandey, N Soni, H Bhayana, R Malhotra, A Pankaj, S S Arora
PURPOSE: No study in literature clearly gives advantage of one method of surgical fixation of fracture over the other in metacarpal and phalangeal bones of hand comparing wider outcome measures. MATERIALS AND METHODS: A randomized controlled trial between closed reduction and percutaneous Kirschner wire fixation or open reduction and internal fixation with mini fragment plates was conducted. A total of 32 patients with 16 in each group were taken in tertiary-level teaching hospital from 2014 to 2016...
May 31, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29845407/fractures-of-hamate-a-clinical-overview
#9
REVIEW
G Mouzopoulos, C Vlachos, L Karantzalis, K Vlachos
Hamate fractures are exceedingly rare clinical entities. However, the diagnosis and treatment of these injuries are often delayed and can severely handicap the performance of affected laborers or athletes. This review focuses on fractures of the hamate and provides an update on the current consensus as to mechanism, diagnosis, management, and complications after such injuries.
May 29, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29796762/comparative-functional-outcomes-of-patients-with-adhesive-capsulitis-receiving-intra-articular-versus-sub-acromial-steroid-injections-case-control-study
#10
T Goyal, A Singh, P Negi, B Kharkwal
PURPOSE: This is a prospective case-control study comparing short- and medium-term outcomes between sub-acromial and gleno-humeral corticosteroid injections in adhesive capsulitis. METHODS: The study population consisted of 105 patients (33 males, 72 females; mean age, 56.1 years). They were divided into three groups: (1) patients receiving 40 mg of methylprednisolone acetate as intra-articular injection (n = 35) followed by physical therapy; (2) patients receiving 40 mg of methylprednisolone acetate as sub-acromial injection (n = 35) followed by physical therapy; (3) patients receiving only physical therapy (heat, passive stretching exercises and wall climbing) and no injections (n = 35)...
May 23, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29744735/revision-shoulder-arthroplasty-for-failed-surface-replacement-hemiarthroplasty
#11
A Jaiswal, A Malhotra, S Hay, C P Kelly
PURPOSE: The aim of this study was to assess the reasons of failure of shoulder surface replacement hemiarthroplasty (SRH) and to evaluate the outcome of revision surgery. METHOD: The study group included 25 patients (26 shoulders) with failed SRHs. The mean time to revision surgery was 3.6 years. Their functional outcome was evaluated using adjusted Constant-Murley score at mean follow-up of 5.2 years (range 2-16 years). RESULT: Most common cause of failure was glenoid erosion (42%) and progressive failure of rotator cuff (31%)...
May 9, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29654551/reconstruction-of-failed-acetabular-component-in-the-presence-of-severe-acetabular-bone-loss-a-systematic-review
#12
REVIEW
A Volpin, S Konan, C Biz, R J Tansey, F S Haddad
Acetabular revision especially in the presence of severe bone loss is challenging. There is a paucity of literature critiquing contemporary techniques of revision acetabular reconstruction and their outcomes. The purpose of this study was to systematically review the literature and to report clinical outcomes and survival of contemporary acetabular revision arthroplasty techniques (tantalum metal shells, uncemented revision jumbo shells, reinforced cages and rings, oblong shells and custom-made triflange constructs)...
April 13, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29654550/bicompartmental-uni-plus-patellofemoral-versus-total-knee-arthroplasty-a-match-paired-study
#13
A Biazzo, F Silvestrini, A Manzotti, N Confalonieri
BACKGROUND: Osteoarthritis (OA) of the knee, whether primary or post-traumatic, does not always involve all three compartments (tibiofemoral medial and lateral and the patellofemoral ones). Bicompartmental knee arthroplasty (BKA) was proposed as a good alternative to total knee arthroplasty when two of the three knee compartments were affected. MATERIALS AND METHODS: We performed a retrospective comparative study collecting all BKAs performed between March 2010 and January 2016...
April 13, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28965314/tantalum-in-type-iv-and-v-paprosky-periprosthetic-acetabular-fractures-surgery-in-paprosky-type-iv-and-v-periprosthetic-acetabular-fractures-surgery
#14
G Falzarano, A Piscopo, G Rollo, A Medici, P Grubor, M Bisaccia, V Pipola, R Cioffi, F Nobile, L Meccariello
PURPOSE: Periprosthetic acetabular fractures represent a growing and serious complication of total hip arthroplasty (THA). The purpose of the study is to report our experience in the use of tantalum for the treatment of Paprosky type IV and V periprosthetic acetabular fractures. METHOD: We analyzed 24 patients with type IV and V periprosthetic acetabular fractures. Patients were treated with a revision surgery using tantalum components, in some cases in association with posterior plating...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28956304/is-vegf-under-expressed-in-indian-children-with-perthes-disease
#15
V Tiwari, R R Poudel, S A Khan, S Mehra, S S Chauhan, A Raje
BACKGROUND: The role of vascular endothelial growth factor (VEGF) after ischaemic necrosis of the femoral head in Legg-Calve-Perthes disease (LCPD) has not been adequately studied in humans, especially in Indian population. Therefore, we aimed to evaluate the serum levels of VEGF-A in Indian children with various stages of LCPD and compare them with those of an age- and sex-matched control group of healthy children. METHODS: In this case-control study, we enrolled 42 children (below 14 years age) suffering from LCPD and 21 age- and sex-matched healthy controls...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28875272/lars%C3%A2-in-acl-reconstruction-evaluation-of-60-cases-with-5-year-minimum-follow-up
#16
G Bugelli, G Dell'Osso, F Ascione, E Gori, V Bottai, S Giannotti
PURPOSE: The injury of anterior cruciate ligament (ACL) causes joint instability and, in the absence of adequate treatment, progressive joint deterioration, meniscal lesions and development of post-traumatic osteoarthritis. METHODS: The purpose of this study was to evaluate the clinical, functional and radiographic outcomes and complications in a consecutive case series of 60 patients with minimum follow-up of 5 years who underwent an arthroscopic surgery for ACL reconstruction using LARS™ ligament...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28861851/a-comparison-between-two-double-button-endoscopically-assisted-surgical-techniques-for-the-treatment-acute-acromioclavicular-dislocations
#17
P Vulliet, M Le Hanneur, V Cladiere, P Loriaut, P Boyer
PURPOSE: To compare clinical and radiological outcomes between two endoscopically assisted double-button techniques in high-grade acute acromioclavicular separations. METHODS: A retrospective single-center study was conducted in patients with acute acromioclavicular joint dislocation Rockwood types III and V, from 2009 to 2014. All were treated endoscopically, with a 1-year minimum follow-up. Two consecutive series were conducted; the first (TR group) received the TightRope® system, whereas last series (DB group) was treated with the Dog Bone® button technology (Arthrex, Naples, FL, USA)...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28853024/does-experience-matter-a-meta-analysis-of-physician-rating-websites-of-orthopaedic-surgeons
#18
R A Jack, M B Burn, P C McCulloch, S R Liberman, K E Varner, J D Harris
PURPOSE: To perform a systematic review evaluating online ratings of Orthopaedic Surgeons to determine: (1) the number of reviews per surgeon by website, (2) whether the number of reviews and rate of review acquisition correlated with years in practice, and (3) whether the use of ratings websites varied based on the surgeons' geographic region of practice. METHODS: The USA was divided into nine geographic regions, and the most populous city in each region was selected...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28801863/pedicle-screw-fixation-in-thoracolumbar-and-lumbar-spine-assisted-by-lateral-fluoroscopic-imaging-a-study-to-evaluate-the-accuracy-of-screw-placement
#19
S P Mohanty, S N Bhat, M Pai Kanhangad, G S Gosal
BACKGROUND: The purpose of this study was to evaluate the accuracy of pedicle screw placement, its advantages, and limitations in posterior instrumentation of thoracolumbar and lumbar burst fractures assisted only by lateral fluoroscopic imaging. MATERIALS AND METHODS: Pre- and postoperative computerized tomographic (CT) scans of 117 patients with thoracolumbar and lumbar burst fractures, who underwent posterior instrumentation with pedicle screw fixation, were prospectively analyzed...
April 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28766275/a-mini-invasive-tenolysis-of-the-flexor-tendons-following-hand-fractures-case-series
#20
A Leti Acciaro, M Lando, A Russomando, G Colzani
INTRODUCTION: The treatment of the flexor tendon adhesions following phalanx and metacarpal fractures, in closed or open injuries, is a great challenge for the hand surgeon. The outcomes are often poor, because of the severity of the lesion and the aggressiveness of the surgical procedure of the secondary tenolysis. MATERIALS AND METHODS: The authors describe the technical findings and the results of a new mini-invasive tenolysis in order to treat the adhesions in zone 1 and 2 of the fingers, following phalangeal and metacarpal fractures...
April 2018: Musculoskeletal Surgery
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