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Musculoskeletal Surgery

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https://www.readbyqxmd.com/read/30628029/recovery-of-knee-range-of-motion-after-total-knee-arthroplasty-in-the-first-postoperative-weeks-poor-recovery-can-be-detected-early
#1
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
https://www.readbyqxmd.com/read/30617813/is-there-any-difference-between-tapered-titanium-stems-with-similar-geometry-and-hydroxyapatite-coating
#2
G Cinotti, G Mazzotta, F Romana Ripani, G La Torre, G Giannicola
PURPOSE: Several tapered stems with similar geometry and extensive hydroxyapatite coating have recently been introduced. It is not clear, however, whether they share the same design or whether they exhibit any difference that might affect their clinical performances. In this study, we analysed five tapered stems fully coated with hydroxyapatite to establish whether they exhibit similar geometric features and may therefore be used indifferently when a cementless stem is indicated. METHODS: The length of the stem, the coronal and sagittal diameters, the length of the stem shoulder and the metadiaphyseal angle were measured...
January 8, 2019: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30617732/a-combined-tension-band-braided-polyester-and-suture-button-technique-is-a-valuable-treatment-alternative-for-transverse-patellar-fractures-in-athletes
#3
B Bukva, P D'Hooghe, B Poberaj, K Alkhelaifi, M Hutchinson, P Landreau
PURPOSE: Transverse patellar fractures (TPFs) are uncommon in athletes, and their treatment can be challenging. Stable fixation is commonly achieved by compression screw fixation and stainless steel cerclage wire, but this technique can be associated with complications like nonunion, infection and the need for early hardware removal. We used a combined tension-band (figure-of-eight) braided polyester and suture button technique to treat four athletes who presented with transverse patellar fractures...
January 7, 2019: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30600438/functional-outcome-of-de-quervain-s-tenosynovitis-with-longitudinal-incision-in-surgically-treated-patients
#4
H J Mangukiya, A Kale, N P Mahajan, U Ramteke, J Manna
INTRODUCTION: De Quervain described tenosynovitis of first dorsal compartment more than 120 years ago. Women, particularly of 4th-5th decades, are at more risk of developing disease. Steroid injection has been described as first line of management over many decades, but it is associated with some significant complications like depigmentation of skin, atrophy of subcutaneous tissue, suppurative tenosynovitis and even tendon rupture. Animal studies have also reported increased risk of peritendinous adhesions with steroid injection...
January 1, 2019: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30600437/relationship-between-hospital-size-and-teaching-status-on-outcomes-for-reverse-shoulder-arthroplasty
#5
V J Sabesan, J D Whaley, M LaVelle, G Petersen-Fitts, D Lombardo, D Yong, D Malone, J Khan, D J L Lima
BACKGROUND: The use of reverse shoulder arthroplasty (RSA) continues to grow with expanding indications and increased surgeon awareness. Previous data for other lower extremity joint replacements indicate that high-volume centers have better outcomes, with lower complication rates, decreased length of stay, and complications for both hemiarthroplasty and total shoulder arthroplasty. The purpose of this study is to evaluate the effects of hospital size and setting on adverse events for RSA...
January 1, 2019: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30536224/surgical-technique-and-outcomes-for-bilateral-humeral-lengthening-for-achondroplasia-26-year-experience
#6
I Ginebreda, D Campillo-Recio, C Cárdenas, J Tapiolas, P Rovira, A Isart
BACKGROUND: Elongation in patients with achondroplasia provides better overall skeletal proportionality and significantly improves such individuals' access to their perineal region to self-manage personal hygiene. This paper describes our surgical technique and outcomes for bilateral humeral lengthening in achondroplasia patients over 26 years. METHODS: Ours was a retrospective study of 55 patients with achondroplasia-related short stature, in whom bilateral humeral lengthening was performed from 1990 to 2016...
December 10, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30536223/peek-versus-metal-cages-in-posterior-lumbar-interbody-fusion-a-clinical-and-radiological-comparative-study
#7
F Cuzzocrea, A Ivone, E Jannelli, A Fioruzzi, E Ferranti, R Vanelli, F Benazzo
BACKGROUND: Low back pain and sciatica represent a common disabling condition with a significant impact on the social, working and economic lives of patients. Transforaminal lumbar interbody fusion (TLIF) is a surgical procedure used in degenerative spine conditions. Several types of cages were used in the TLIF procedure. PURPOSE: To determine whether there is a difference in terms of symptomatology improvement, return to daily activities and fusion rate between metal cages and polyetheretherketone (PEEK) cages...
December 10, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30523601/long-term-deterioration-after-one-stage-unicompartmental-knee-arthroplasty-and-anterior-cruciate-ligament-reconstruction
#8
I Iriberri, S Suau, L Payán, J F Aragón
PURPOSE: Treatment for unicompartmental knee osteoarthritis (OA) is controversial in young patients with concomitant anterior cruciate ligament (ACL) deficiency. The aim of the current study is to report long-term results after the combination of unicompartmental knee arthroplasty (UKA) and ACL reconstruction. METHODS: Retrospective study of one-stage medial UKA and ACL reconstruction was performed on eight patients at a mean age of 52 years (42-60). Clinical and radiological results were assessed and analyzed after a mean follow-up of 14...
December 6, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30519988/minimally-invasive-plate-osteosynthesis-mipo-in-ao-ota-type-b-displaced-clavicle-fractures
#9
R S Kundangar, S P Mohanty, N S Bhat
INTRODUCTION: Open reduction and plate fixation is known to reduce chances of malunion and symptomatic nonunion in displaced middle-third clavicle fractures. However, this treatment modality is also associated with several complications, such as hardware irritation, numbness around the surgical scar, infection, nonunion and implant failure. The minimally invasive plate osteosynthesis (MIPO) technique may reduce these complications. OBJECTIVE: To study clinical, radiological and functional outcomes of MIPO in AO/OTA type B displaced clavicle fractures and report any complications...
December 5, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30515742/single-stage-anterior-debridement-posterior-instrumentation-and-global-fusion-in-thoracic-and-thoracolumbar-tubercular-spondylodiscitis
#10
S P Mohanty, M Pai Kanhangad, B Yogesh Kumar, A Singh
PURPOSE: The present study evaluated the clinical and radiological outcomes in patients with tuberculosis of the thoracic and thoracolumbar spine, treated by an operative technique in which anterior debridement with posterior instrumentation and global fusion was performed through a single-stage posterior approach. METHODS: Ninty-seven patients with spinal tuberculosis, between T1 and L1, in whom anterior debridement, bone grafting, with posterior instrumentation and fusion was performed through a single-stage posterior approach, with a minimum follow-up of 2 years, formed the basis of this study...
December 4, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30515741/primary-cemented-bipolar-radial-head-prostheses-for-acute-elbow-injuries-with-comminuted-radial-head-fractures-mid-term-results-of-37-patients
#11
R Laun, S Tanner, J-P Grassmann, J Schneppendahl, M Wild, M Hakimi, J Windolf, P Jungbluth
BACKGROUND: Radial head arthroplasty represents a widely accepted treatment for elbow injuries with non-reconstructible radial head fractures. The aim of this retrospective multicenter study was to assess mid-term results of patients with clearly defined elbow injuries including type III fractures of the radial head according to Mason's classification type III after primary arthroplasty using a cemented bipolar design. MATERIALS AND METHODS: In 45 cases a primary cemented bipolar arthroplasty of the radial head was implanted for elbow injuries combined with an acute Mason type III radial head fracture...
December 4, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30515740/surgical-treatment-of-pediatric-supracondylar-humerus-fracture-could-be-safely-performed-by-general-orthopedists
#12
P Osateerakun, I Thara, N Limpaphayom
PURPOSE: Displaced pediatric supracondylar humerus fracture (SCHF) requires a reduction and instrumentation. The trend is to send the cases to a fellowship-trained pediatric orthopedist. This study reviewed the outcomes and complications of SCHF surgically managed by orthopedic surgeons with different backgrounds of subspecialty training. METHODS: The medical records of 87 children (87 elbows) with an average age of 5.9 ± 3.1 (range 1.3-14.1) years with SCHF Gartland 2 and 3 who underwent operative fixation were reviewed...
December 4, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30511239/bilateral-unicompartmental-knee-arthroplasty-one-stage-or-two-stages
#13
A Biazzo, F Masia, F Verde
BACKGROUND: Bilateral unicompartmental knee arthroplasty (UKA) may be performed as one- or two-stage procedure. Previous reports suggest that UKA provides a more rapid functional recovery than total knee arthroplasty. However, little data exist on whether bilateral UKA can be performed without increasing the perioperative risk compared with unilateral cases. METHODS: We retrospectively compared 51 patients treated between January 2014 and March 2017 with single-stage UKA (group A) with 51 patients who underwent unilateral procedure (group B) to evaluate perioperative complications...
December 3, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/30361837/current-practice-postoperative-and-return-to-play-trends-after-acl-reconstruction-by-fellowship-trained-sports-surgeons
#14
N E Marshall, R A Keller, J Dines, C Bush-Joseph, O Limpisvasti
PURPOSE: Advances in anterior cruciate ligament (ACL) reconstruction have allowed for many progressions in postoperative management. However, there is no standardized protocol for immediate postoperative management or return to play. Our objective was to evaluate current trends in immediate postoperative and return to sport practices after ACL reconstruction. LEVEL OF EVIDENCE: Cross sectional study, Level IV. METHODS: Surveys were obtained from four large sports fellowship alumni networks...
October 25, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29546693/manipulation-under-anesthesia-following-total-knee-arthroplasty-a-comprehensive-review-of-literature
#15
REVIEW
A Kornuijt, D Das, T Sijbesma, L de Vries, W van der Weegen
INTRODUCTION: The etiology of the stiff knee after total knee arthroplasty (TKA) is largely unknown, although excessive scar tissue due to arthrofibrosis is an important reason for a limited range of motion (ROM) after this procedure. Persistent limited ROM after TKA results in poor patient-reported outcomes and is increasingly becoming a more prominent reason for TKA revision surgery. METHODS: A narrative review of current literature on manipulation under anesthesia (MUA) after TKA analyzing etiology and risk factors for stiffness after TKA, effectiveness of MUA and what is known about rehabilitation after MUA...
December 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29404964/are-contemporary-femoral-components-sizing-and-design-likely-to-affect-functional-results-in-tka-a-mathematical-model-of-an-implanted-knee-to-predict-knee-forces
#16
A Tecame, M Ferrari, B Violante, G Calafiore, R Papalia, P Adravanti
PURPOSE: This study is aimed to investigate the effects of the choice of femoral and tibial components on several mechanical outputs that might be associated with total knee replacement surgery outcomes using a validated computational model: the Kansas knee simulator. METHODS: Two models from the same range of implants were taken into account: Model 1, the femoral component fitted the femoral epiphysis, with physiological positioning of the articulating surface using a 10-mm-thick tibial component, and in Model 2, the femoral component was 4 mm smaller than in Model 1, and a 14-mm-thick tibial component was used with a similar tibial resection and the tibio-femoral joint line was 4 mm more proximal to compensate the increased posterior bone resection and maintain proper soft-tissue tension in flexion...
December 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29397548/morphometry-of-the-lower-thoracic-and-lumbar-pedicles-and-its-relevance-in-pedicle-fixation
#17
S P Mohanty, M Pai Kanhangad, S N Bhat, S Chawla
PURPOSE: To assess the pedicle morphology in the lower thoracic and lumbar spine in an Indian population and to determine the causes of pedicle wall violation by pedicle screws. METHODS: Computerised tomographic scans of 135 consecutive patients with thoracolumbar and lumbar spine fractures were prospectively analysed to determine the pedicle morphology. The transverse pedicle angle, pedicle diameter and screw path length at 527 uninjured levels were measured. Post-operative CT scans of 117 patients were analysed to determine the accuracy of 468 pedicle screws at 234 vertebrae...
December 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29392615/a-comprehensive-and-narrative-review-of-historical-aspects-and-management-of-low-grade-hallux-rigidus-conservative-and-surgical-possibilities
#18
REVIEW
S Caravelli, M Mosca, S Massimi, C Pungetti, A Russo, M Fuiano, G Catanese, S Zaffagnini
Hallux rigidus, Latin for Stiff Toe, is characterized by an osteoarthritic degeneration of the articular surfaces of the first metatarsophalangeal joint. The aim of this literature narrative overview is to summarize and expose the great amount of management concepts and information, including the well-codified operative procedures and the more up to date knowledge about non-operative and surgical treatment of hallux rigidus. This may provide current information for physicians, medschool attendants and researchers...
December 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29392614/treatment-modalities-and-outcomes-of-pleomorphic-hyalinizing-angiectatic-tumor-a-systematic-review-of-the-literature
#19
REVIEW
A J Rush, P D Patel, S Shemesh, T K Subhawong, J Pretell-Mazzini
A systematic review of the cases documented in the literature regarding Pleomorphic hyalinizing angiectatic tumor of soft parts (PHAT) was performed in order to identify (1) location on presentation (2) surgical treatment modality (3) recurrence rate (4) any associations between location, age, histology, surgery type on recurrence. A systematic review of medical literature listed on PubMed was conducted identifying any prior case report and/or case series of diagnosed PHAT, with no exclusion based on language or time...
December 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29388030/the-effect-of-subscapularis-tenotomy-in-athletes-operated-on-for-recurrent-anterior-shoulder-dislocation
#20
C Iorio, R M Lanzetti, D Lupariello, A Vadalà, M Fabbri, A Ciompi, A Ferretti, A De Carli
PURPOSE: Some authors consider preservation of the subscapularis tendon as one of the most important elements for a successful long-term outcome in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. The purpose of this study was to evaluate whether vertical tenotomy of the subscapularis tendon might affect internal rotation strength recovery in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. METHODS: Ninety-six patients were retrospectively followed up at a mean of 72...
December 2018: Musculoskeletal Surgery
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