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Musculoskeletal Surgery

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https://www.readbyqxmd.com/read/28875272/lars%C3%A2-in-acl-reconstruction-evaluation-of-60-cases-with-5-year-minimum-follow-up
#1
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...
September 5, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28861851/a-comparison-between-two-double-button-endoscopically-assisted-surgical-techniques-for-the-treatment-acute-acromioclavicular-dislocations
#2
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)...
August 31, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28853024/does-experience-matter-a-meta-analysis-of-physician-rating-websites-of-orthopaedic-surgeons
#3
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...
August 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28808982/radial-head-prosthesis-results-overview
#4
E Carità, A Donadelli, L Cugola, P Perazzini
BACKGROUND/PURPOSE: Radial head replacement is frequently used in treatment of radial head fractures or sequela. Impossibility to restore a correct anatomy, acute elbow traumatic instability and failure of osteosynthesis hardware are the most common indications. The authors describe their case studies and results on the implantation of various radial head prostheses. MATERIALS: Between June 2005 and June 2016, 28 radial head prostheses were implanted in the same number of patients with an average follow-up of 49 months (6-104)...
August 14, 2017: 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
#5
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...
August 11, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28770512/immediate-intensive-mobilization-compared-with-immediate-conventional-mobilization-for-the-impacted-osteoporotic-conservatively-treated-proximal-humeral-fracture-a-randomized-controlled-trial
#6
S Carbone, C Razzano, P Albino, R Mezzoprete
PURPOSE: To select in a 2-year survey of proximal humerus fractures accessing the emergency department, a population of osteoporotic stable impacted fractures and to randomize them into two groups, one with an immediate intensive mobilization program and the other with an immediate conventional mobilization program. METHODS: In emergency department, patients with clinical signs of shoulder girdle fracture were submitted to standard X-ray examination and CT scan...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28770511/dynamic-brace-is-a-good-option-to-treat-first-anterior-shoulder-dislocation-in-season
#7
M Conti, R Garofalo, A Castagna, G Massazza, E Ceccarelli
PURPOSE: We evaluate the ability of in-season competitive athletes to return to competition after an anterior shoulder instability treated conservatively with a new dynamic brace combined with a specific rehabilitation program. METHODS: Twenty soccer players affected by traumatic anterior shoulder dislocation have been enrolled in the "Footballer In Season Fast Rehab" project during 2 consecutive football seasons. We excluded patients affected by rotator cuff tears and the bony defect over 25%...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28770510/the-posterior-bundle-of-the-elbow-medial-collateral-ligament-biomechanical-study-and-proposal-for-a-new-reconstruction-surgical-technique
#8
A Sard, E Dutto, R Rotini, S Vanni, S Pastorelli, B Battiston
BACKGROUND: The medial collateral ligament (MCL) is one of the primary elbows stabilizers. It is composed of an anterior bundle (AB), a posterior bundle (PB) and a transverse bundle. In elbow dislocations, until today MCL reconstruction has addressed the AB only. The purpose of this paper is to understand the biomechanical role of the PB of the MCL and to propose a new surgical technique for the simultaneous reconstruction of the anterior and posterior bundles, preventing the risk of recurrent posterior dislocation or posteromedial rotational instability (PMRI)...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28770509/it-s-time-to-change-perspective-new-diagnostic-tools-for-lateral-elbow-pain
#9
P Arrigoni, D Cucchi, A Menon, P Randelli
PURPOSE: The presence of intra-articular findings that may complement the extra-articular pathology in lateral epicondilytis has been suggested, and a role for minor instability of the elbow as part of the causative process of this disease has been postulated. This study was designed to describe two new clinical tests, aimed at detecting intra-articular pathology in patients affected by recalcitrant lateral epicondylitis and investigate their diagnostic performance. METHODS: Ten patients suffering of atraumatic lateral elbow pain unresponsive to conservative treatment were considered in this study...
August 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28766275/a-mini-invasive-tenolysis-of-the-flexor-tendons-following-hand-fractures-case-series
#10
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...
August 1, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28762021/retroverted-glenoid-reconstruction-using-glenoid-plate-in-reverse-shoulder-arthroplasty
#11
R Lanzone, S Carbone, P Albino, J-B Cassio, P Métais
PURPOSE: The objective of this study is to evaluate the clinical and radiological results of reverse shoulder arthroplasty (RSA) with glenoid plating in a consecutive series of patients affected by cuff tear glenohumeral arthropathy with glenoid retroversion >15°. We hypothesized that autologous humeral head graft may be better stabilized between the baseplate and the native glenoid surface with the use of a glenoid plate. METHODS: Twenty consecutive patients affected by cuff tear arthropathy with glenoid retroversion >15° (B2 or C according to Walch classification) were enrolled in this study...
July 31, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28756510/latarjet-procedure-evolution-of-the-bone-block-and-correspondent-clinical-relevance-a-clinical-and-radiological-study
#12
A Vadalà, R M Lanzetti, A De Carli, D Lupariello, M Guzzini, D Desideri, A Ferretti
PURPOSE: The purpose of this study was to correlate the bone block graft position, its dimension, its reabsorption and its integration with clinical outcome in patients operated on for recurrent anterior shoulder instability. METHODS: Twenty-four patients affected by recurrent anterior shoulder dislocation and operated on using the Latarjet procedure were enrolled in this study. At 6 and 24 months, patients were evaluated with the following scales: ROWE, WOSI, Oxford instability score, UCLA, DASH and Constant score...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28756509/glenohumeral-and-scapulohumeral-kinematic-analysis-of-patients-with-traumatic-anterior-instability-wearing-a-shoulder-brace-a-prospective-laboratory-study
#13
F Dellabiancia, I Parel, M V Filippi, G Porcellini, G Merolla
PURPOSE: To assess the effectiveness of a novel glenohumeral joint immobilizer, the S2 Shoulder Stabilizer(®), by evaluating shoulder kinematics with a stereophotogrammetry system. METHODS: Participants in this prospective laboratory study were recruited from patients with anterior traumatic instability awaiting arthroscopic glenohumeral stabilization. Glenohumeral and scapulohumeral kinematic data (arm abduction-adduction and internal-external rotation, and scapular pronation-retraction and mediolateral rotation) were collected twice, without and with the brace, using a VICON™ motion capture system, and processed with MATLAB(®) software...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28756508/orthopedic-resident-s-learning-curve-for-arthroscopic-subscapularis-tendon-repair-short-term-clinical-and-radiographic-outcomes
#14
E Visonà, S Vio, G Franceschi, A Maron, K Corona, S Cerciello, G Merolla, A Berizzi, R Aldegheri
BACKGROUND: Arthroscopic subscapularis (SSC) repair is a technically demanding procedure with a long learning curve. As effective completion of resident's practical experience remains controversial, a prospective clinical study was performed to assess the functional and anatomical outcomes of subscapularis (SSC) arthroscopic repair by orthopedic residents. The pathological anatomy of the tears, the surgical approach and the difficulties encountered at the beginning of the learning curve were reported...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28756507/adhesive-capsulitis-of-the-shoulder-pain-intensity-and-distribution
#15
V Candela, G Giannicola, D Passaretti, T Venditto, S Gumina
PURPOSE: Papers regarding adhesive capsulitis (AC) of the shoulder focused on etiology, epidemiology, diagnosis, and treatment; until now, information on shoulder pain characteristics is still scarce. Our aim was to analyze pain intensity and distribution in patients with AC. METHODS: The study group was composed of 278 (133M-145F) consecutive patients with AC. After diagnosis, shoulder pain distribution was assessed through an upper limb pain map and pain intensity through a visual analog scale...
July 29, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28741174/angiosarcoma-around-total-hip-arthroplasty-case-series-and-review-of-the-literature
#16
REVIEW
S Terrando, A Sambri, G Bianchi, L Cevolani, L Foschi, E Gozzi, G Pignatti, D M Donati
BACKGROUND: Angiosarcoma (AS) is a rare and malignant tumor which mainly arises in the skin and superficial soft tissue and less frequently in deep soft tissue and bones. Some cases of AS are described in association with vascular and orthopedic devices. Nonetheless, only a few cases of AS around THA are reported in the literature. MATERIALS AND METHODS: We describe five cases of AS arising around total hip arthroplasty who received surgery at our institution (Istituto Ortopedico Rizzoli, Bologna, Italy), and we report the cases described in literature...
July 24, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28733774/a-study-of-anatomy-of-distal-femur-pertaining-to-total-knee-replacement-an-analysis-conclusions-and-recommendations
#17
K Kumar, D Sharma
BACKGROUND: Multiple landmarks including the transepicondylar axis (TEA), posterior condylar axis (PCA) and anterior trochlear line (TL) have been used to set up the femoral component rotation, but each is faced with its own practical obstacle that limits its usage. Also a common practice is to set the femoral component rotation at 3° external rotation to PCA and valgus resection angle at 5°-7° to anatomical axis of femur. For the reason that the anatomy of each knee is different, it may not be justified to practice such a set protocol in all cases...
July 21, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28717988/bioabsorbable-implants-for-subtalar-arthroereisis-in-pediatric-flatfoot
#18
REVIEW
C Faldini, A Mazzotti, A Panciera, F Perna, N Stefanini, S Giannini
Flatfoot is a common condition in growing-age patients. Despite its common presentation, nowadays surgical indications and treatments are still debated. Arthroereisis is a widely used technique, and several implants designs have been proposed over time. Despite the good results shown in the literature, the main drawback of these techniques has always been the need for a second surgery for implant removal. Bioabsorbable devices have been introduced to overcome this necessity.Correct approach to the patient, indications and contraindications and available studies on bioabsorbable implants for subtalar arthroereisis in pediatric flatfoot were analyzed in this narrative review...
July 17, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28699136/intrawound-application-of-vancomycin-changes-the-responsible-germ-in-elective-spine-surgery-without-significant-effect-on-the-rate-of-infection-a-randomized-prospective-study
#19
B Mirzashahi, M Chehrassan, S M J Mortazavi
PURPOSE: Surgical site infection (SSI) is a costly complication associated with spine surgery. The impact of intrawound vancomycin has not been strongly postulated to decrease the risk of surgical site infection. We designed study to determine whether intrawound vancomycin application reduces the risk of SSI in patients after spine surgery. METHODS: A prospective randomized control trial study to evaluate the patients with elective spine surgery in a period of 15 month was designed...
July 11, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28681161/functional-and-cosmetic-outcome-of-single-digit-ray-amputation-in-hand
#20
A K Bhat, A M Acharya, J K Narayanakurup, B Kumar, P S Nagpal, A Kamath
PURPOSE: To assess patient satisfaction, functional and cosmetic outcomes of single-digit ray amputation in hand and identify factors that might affect the outcome. METHODS: Forty-five patients who underwent ray amputation were evaluated, 37 males and eight females whose mean age was 36.6 years ranging between 15 and 67 years. Twenty-eight patients had dominant hand involvement. Twenty-one patients underwent primary ray amputation, and 24 patients had secondary ray amputation...
July 5, 2017: Musculoskeletal Surgery
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