Articles

Limited value of serum neutrophil-to-lymphocyte ratio in the diagnosis of chronic periprosthetic joint infection

Diagnosing chronic periprosthetic joint infection (PJI) is challenging. No single biomarker can accurately recognize PJI preoperatively in a timely manner. Therefore, the aim of the present study was to invest...

Authors: Yongyu Ye, Weishen Chen, Minghui Gu, Qiaoli Liu, Guoyan Xian, Baiqi Pan, Linli Zheng, Xiaoling Chen, Ziji Zhang and Puyi Sheng

Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty

The primary purpose of the present prospective study was to consecutively analyse the outcomes of the return to sports activity of patients with positive patch tests undergoing a medial mobile-bearing titanium...

Authors: Riccardo D’Ambrosi, Alessandro Nuara, Ilaria Mariani, Katia Corona, Stefan Mogos, Francesco Catellani, Michael Hantes and Nicola Ursino

Medial closure supracondylar femoral osteotomy: an effective solution for long-term treatment of arthritic valgus knee?

The aim of this work was to retrospectively analyze the clinical, subjective, and radiological results of medial closing-wedge distal femur osteotomy (MCW-DFO) for the treatment of osteoarthritis (OA) in valgu...

Authors: Francesco Mattia Uboldi, Martino Travi, Daniele Tradati, Alessio Maione, Andrea Fabio Manunta and Massimo Berruto

The imaging evaluation of acetabular labral lesions

The acetabular labrum is an important structure that contributes to hip joint stability and function. Diagnosing labral tears involves a comprehensive assessment of clinical symptoms, physical examinations, im...

Authors: Yuwei Liu, Wei Lu, Kan Ouyang and Zhenhan Deng

Locking retrograde nail, non-locking retrograde nail and plate fixation in the treatment of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcomes

Distal third femoral shaft fractures are characterized by increasing incidence and complexity and are still considered a challenging problem (high morbidity and mortality). No consensus on best surgical option...

Authors: Luigi Meccariello, Michele Bisaccia, Mario Ronga, Gabriele Falzarano, Auro Caraffa, Giuseppe Rinonapoli, Predrag Grubor, Valerio Pace and Giuseppe Rollo

Parameters affecting baseline hip function in patients with cam-derived femoroacetabular impingement syndrome: data analysis from the German Cartilage Registry

Using the database of the German Cartilage Registry (KnorpelRegister DGOU), this study aims to present patient- and joint-related baseline data in a large cohort of patients with cam-derived femoroacetabular i...

Authors: Sebastian Serong, Moritz Schutzbach, Stefan Fickert, Philipp Niemeyer, Christian Sobau, Gunther Spahn, Wolfgang Zinser and Stefan Landgraeber

Bent or broken: analysis of set screw fracture in the TFNa implant

To evaluate set screw fracture in the Trochanteric Femoral Nail Advanced implant (TFNa, Synthes, West Chester, PA) and to identify additional mechanisms of set screw failure in the TFNa.

Authors: Matthew Klima

Arthroscopic incidence of lateral meniscal root avulsion in patients with anterior cruciate ligament injury

To arthroscopically evaluate the incidence of lateral meniscal root avulsion (LMRA) and associated intra-articular injuries in patients undergoing anterior cruciate ligament (ACL) reconstruction.

Authors: Riccardo Ciatti, Armando Gabrielli, Germando Iannella and Pier Paolo Mariani

Survival rates and reasons for revision of different stem designs in total hip arthroplasty for developmental dysplasia: a regional registry study

Total hip arthroplasty (THA) in dysplastic hips is challenging, and each specific implant used in this context has been associated with specific complications. A registry study was performed to query survival ...

Authors: Alberto Di Martino, Francesco Castagnini, Niccolò Stefanini, Barbara Bordini, Giuseppe Geraci, Federico Pilla, Francesco Traina and Cesare Faldini

The effectiveness of vibration therapy for muscle peak torque and postural control in individuals with anterior cruciate ligament reconstruction: a systematic review and meta-analysis of clinical trials

This study aimed to review and summarize the existing evidence on the effectiveness of vibration therapy (VT) in comparison with conventional rehabilitation in anterior cruciate ligament (ACL)-reconstructed pa...

Authors: Nastaran Maghbouli, Mahmoud Khodadost and Saeed Pourhassan

Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I—complications)

Several modifications to the original Grammont reverse shoulder arthroplasty (RSA) design have been proposed to prevent distinctive issues, such as both glenoid and humeral lateralization. The aim of this syst...

Authors: Francesco Ascione, Alfredo Schiavone Panni, Adriano Braile, Katia Corona, Giuseppe Toro, Nicola Capuano and Alfonso M. Romano

The effectiveness of preliminary traction in the treatment of congenital dislocation of the hip

Historical papers on the treatment of congenital dislocation of the hip suggest the use of preliminary traction to facilitate closed reduction or to decrease the risk of avascular necrosis (AVN) of the femoral...

Authors: Pasquale Farsetti, Kristian Efremov, Alessandro Caterini, Martina Marsiolo, Fernando De Maio and Ernesto Ippolito

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair

The role of postoperative pain in incidence of shoulder stiffness (SS) after shoulder arthroscopy has not been thoroughly investigated. The present study was conducted to assess the effects of early postoperat...

Authors: Mohammad Reza Guity, Amir Sobhani Eraghi and Fatemeh Sadat Hosseini-Baharanchi

Failed Latarjet procedure: a systematic review of surgery revision options

Revision surgery after the Latarjet procedure is a rare and challenging surgical problem, and various bony or capsular procedures have been proposed. This systematic review examines clinical and radiographic o...

Authors: Matteo Buda, Riccardo D’Ambrosi, Enrico Bellato, Davide Blonna, Alessandro Cappellari, Giacomo Delle Rose and Giovanni Merolla

Arthroscopy versus mini-arthrotomy approach for matrix-induced autologous chondrocyte implantation in the knee: a systematic review

Matrix-induced autologous chondrocyte implantation (mACI) can be performed in a full arthroscopic or mini-open fashion. A systematic review was conducted to investigate whether arthroscopy provides better surg...

Authors: Filippo Migliorini, Jörg Eschweiler, Filippo Spiezia, Bryan J. M. van de Wall, Matthias Knobe, Markus Tingart and Nicola Maffulli

Do standards of care and early outcomes of periprosthetic fractures change during the COVID-19 pandemic? A multicentre study

Periprosthetic fractures (PPFs) are a growing matter for orthopaedic surgeons, and patients with PPFs may represent a frail target in the case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in...

Authors: Luigi Zagra, Rocco D’Apolito, Nicola Guindani, Giovanni Zatti, Fabrizio Rivera, Flavio Ravasi, Mario Mosconi, Alberto Momoli, Alessandro Massè, Massimo Franceschini, Fabio D’Angelo, Dante Dallari, Fabio Catani, Alessandro Casiraghi, Federico Bove and Claudio Carlo Castelli

Bone marrow aspirate concentrate/platelet-rich fibrin augmentation accelerates healing of aseptic upper limb nonunions

Nonunions remain a significant burden in orthopedics, often afflicting young males of working age. Positive findings have been published using bone marrow aspirate concentrate (BMAC) and platelet-rich fibrin (...

Authors: Alessandro Mazzotta, Cesare Stagni, Martina Rocchi, Nicola Rani, Nicolandrea Del Piccolo, Giuseppe Filardo and Dante Dallari

Comparison of hamstring and quadriceps tendon autografts in anterior cruciate ligament reconstruction with gait analysis and surface electromyography

Anterior cruciate ligament (ACL) tear is the most frequent ligamentous injury of the knee joint. Autografts of hamstring (HS) or quadriceps tendons (QT) are used for primary ACL reconstruction. In this study, ...

Authors: J. Schagemann, T. Koebrich, R. Wendlandt, A. P. Schulz, J. Gille and R. Oheim

Low rate of early periprosthetic fractures in cementless short-stem total hip arthroplasty using a minimally invasive anterolateral approach

Minimally invasive (MIS) approaches in combination with short stems have gained popularity in recent years in total hip arthroplasty (THA). A decreased risk for periprosthetic femoral fractures (PFFs) is repor...

Authors: Matthias Luger, Günter Hipmair, Clemens Schopper, Bernhard Schauer, Rainer Hochgatterer, Jakob Allerstorfer, Tobias Gotterbarm and Antonio Klasan

The association between intracompartmental pressure and skeletal muscle recovery after tibial diaphyseal fractures: an ambispective cohort study

Due to the special anatomy of the lower leg, tibial diaphyseal fracture causes increased intracompartmental pressure (ICP). Not only is this increased ICP the manifestation of skeletal muscle injury, but it in...

Authors: Shengjie Tian, Shimin Chang, Yaogang Lu, Jianhua Zhu and Xuqiang Kong

The relationship between quadriceps fat pad syndrome and patellofemoral morphology: a case–control study

The purpose of this prospective case–control study is to investigate the relationship between quadriceps fat pad syndrome (QFPS) and patellofemoral morphology.

Authors: Yavuz Yuksel, Tarkan Ergun, Ebru Torun, Melih Unal, Lena Sonnow and Ozkan Kose

Total hip arthroplasty for dysplastic coxarthrosis using a cementless Wagner Cone stem

Total hip arthroplasty (THA) is currently the best surgical option for hip osteoarthritis secondary to developmental hip dysplasia (DDH); it may be extremely challenging, because of the hypoplasic proximal met...

Authors: Giuseppe Solarino, Giovanni Vicenti, Andrea Piazzolla, Francesco Maruccia, Angela Notarnicola and Biagio Moretti

Early mortality in hip fracture patients admitted during first wave of the COVID-19 pandemic in Northern Italy: a multicentre study

Treatment of hip fractures during the coronavirus disease 2019 (COVID-19) pandemic has posed unique challenges for the management of COVID-19-infected patients and the maintenance of standards of care. The pri...

Authors: Dante Dallari, Luigi Zagra, Pietro Cimatti, Nicola Guindani, Rocco D’Apolito, Federico Bove, Alessandro Casiraghi, Fabio Catani, Fabio D’Angelo, Massimo Franceschini, Alessandro Massè, Alberto Momoli, Mario Mosconi, Flavio Ravasi, Fabrizio Rivera, Giovanni Zatti…

Nailing femoral shaft fracture with postless distraction technique: a new technique enabled by shape-conforming pad

Femoral shaft fractures are usually treated with nailing using a traction table and a perineal post, but this may occasionally result in various groin-related complications, including pudendal nerve neurapraxi...

Authors: Alessandro Aprato, Davide Carlo Secco, Andrea D’Amelio, Elena Grosso and Alessandro Massè

Clinical and radiological outcomes of total hip arthroplasty in patients affected by Paget’s disease: a combined registry and single-institution retrospective observational study

Total hip arthroplasty (THA) in patients with Paget’s disease can be associated with technical difficulties related to deformities and altered mechanical bone properties, and hypervascularity leads to signific...

Authors: Alberto Di Martino, Maria Antonietta Rita Coppola, Barbara Bordini, Niccolò Stefanini, Giuseppe Geraci, Federico Pilla, Francesco Traina and Cesare Faldini

Leg length discrepancy, overgrowth, and associated risk factors after a pediatric tibial shaft fracture

This study was performed to investigate leg length discrepancy (LLD), overgrowth, and associated risk factors after pediatric tibial shaft fractures.

Authors: Woo Young Choi, Moon Seok Park, Kyoung Min Lee, Kug Jin Choi, Hyon Soo Jung and Ki Hyuk Sung

Functional and radiographical results of asymmetrically reconstructed total hip arthroplasty in patients with bilateral dysplastic arthritic hips with one hip Crowe II–III and the other Crowe IV: a retrospective cohort study

The study aimed to evaluate the functional and radiographical results of asymmetrically reconstructed total hip arthroplasty in patients with bilateral dysplastic arthritic hips with one hip Crowe II–III and t...

Authors: Junmin Shen, Jingyang Sun, Yinqiao Du, Bohan Zhang, Tiejian Li and Yonggang Zhou

A low cartilage formation and repair endotype predicts radiographic progression of symptomatic knee osteoarthritis

Osteoarthritis (OA) is a disease with multiple endotypes. A hallmark of OA is loss of cartilage; however, it is evident that the rate of cartilage loss differs among patients, which may partly be attributed to...

Authors: Yunyun Luo, Jonathan Samuels, Svetlana Krasnokutsky, Inger Byrjalsen, Virginia B. Kraus, Yi He, Morten A. Karsdal, Steven B. Abramson, Mukundan Attur and Anne C. Bay-Jensen

Clinical and radiological outcomes of acetabular revision surgery with trabecular titanium cups in Paprosky type II and III bone defects

This prospective study aims to evaluate the mid-term clinical outcomes and radiographic stability of two different types of cementless trabecular titanium acetabular components in total hip revision surgery.

Authors: Loris Perticarini, Stefano Marco Paolo Rossi, Marta Medetti and Francesco Benazzo

Promising medium-term results of anterior approach with an anatomical short stem in primary hip arthroplasty

In the last decade, the increase in the use of the direct anterior approach to the hip has contributed to the diffusion of the use of short stems in orthopedic surgery. The aim of the study is to verify the me...

Authors: Fabrizio Rivera, Alessandro Bardelli and Andrea Giolitti

Correction to: Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation

An amendment to this paper has been published and can be accessed via the original article.

Authors: Francesca Gimigliano, Sara Liguori, Antimo Moretti, Giuseppe Toro, Alexandra Rauch, Stefano Negrini and Giovanni Iolascon

Comparison of short-term outcomes of anterolateral supine approach and posterolateral approach for primary total hip arthroplasty: a retrospective study

This study aims to evaluate postoperative pain and functional and clinical outcomes of anterolateral supine (ALS) and posterolateral (PL) approaches for primary total hip arthroplasty.

Authors: Taku Ukai, Goro Ebihara and Masahiko Watanabe

Removal of cement-augmented screws in distal femoral fractures and the effect of retained screws and cement on total knee arthroplasty: a biomechanical investigation

Given the increasing number of osteoporotic fractures of the distal femur, screw augmentation with bone cement is an option to enhance implant anchorage. However, in implant removal or revision surgeries, the ...

Authors: Dirk Wähnert, Niklas Grüneweller, Boyko Gueorguiev, Thomas Vordemvenne and Dominic Gehweiler

Risk factors for refracture of the femoral shaft in children after removal of external fixation

External fixation is the primary treatment option in children for femoral shaft fractures, such as open femoral or multiple fractures. One complication is refracture, which is the biggest limitation of fixatio...

Authors: Meizhen Guo and Yuxi Su

Arthroscopic rotator cuff repair in patients over 70 years of age: a systematic review

Failure of conservative treatment in patients over 70 years of age with a rotator cuff tear makes surgery a possible option, considering the increase in life expectancy and the high functional demands of elder...

Authors: Chiara Fossati, Carlo Stoppani, Alessandra Menon, Luca Pierannunzii, Riccardo Compagnoni and Pietro S. Randelli

Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results

The treatment of severe glenoid bone loss in shoulder arthroplasty represents a challenge, and the results of current prosthetic designs with only glenoid fixation still remain unsatisfactory. In the past deca...

Authors: G. Porcellini, G. M. Micheloni, L. Tarallo, P. Paladini, G. Merolla and F. Catani

Arthrofibrosis after total knee arthroplasty: patients with keloids at risk

Arthrofibrosis remains one of the leading causes for revision in primary total knee arthroplasty (TKA). Similar in nature to arthrofibrosis, hypertrophic scars and keloid formation are a result of excessive co...

Authors: Travis R. Flick, Cindy X. Wang, Akshar H. Patel, Thomas W. Hodo, William F. Sherman and Fernando L. Sanchez

Hip fracture patients admitted to hospital on weekends are not at increased risk of 30-day mortality as compared with weekdays

Hip fractures remain a major health concern owing to the increasing elderly population and their association with significant morbidity and mortality. The effects of weekend admission on mortality have been st...

Authors: Calver Pang, A. Aqil, A. Mannan, G. Thomas and F. S. Hossain

Satisfactory mid-term outcomes of condylar-constrained knee implants in primary total knee arthroplasty: clinical and radiological follow-up

The purpose of this study was to evaluate (1) the reoperation rates and survivorship for septic and aseptic causes, (2) radiographic outcomes, and (3) clinical outcomes of condylar-constrained knee (CCK) impla...

Authors: Fabio Mancino, Ivan De Martino, Aaron Burrofato, Carmine De Ieso, Maristella F. Saccomanno, Giulio Maccauro and Vincenzo De Santis

Fracture–dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system

Monteggia, Galeazzi, and Essex-Lopresti injuries are the most common types of fracture–dislocation of the forearm. Uncommon variants and rare traumatic patterns of forearm fracture–dislocations have sometimes ...

Authors: Stefano Artiaco, Federico Fusini, Arman Sard, Elisa Dutto, Alessandro Massè and Bruno Battiston

Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO’s Package of Interventions for Rehabilitation

The identification of existing rehabilitation interventions and related evidence represents a crucial step along the development of the World Health Organization’s (WHO) Package of Interventions for Rehabilita...

Authors: Francesca Gimigliano, Sara Liguori, Antimo Moretti, Giuseppe Toro, Alexandra Rauch, Stefano Negrini, Claudio Curci, Michele Patrini, Livia Peschi, Sanaz Pournajaf, Maria Sgarbanti and Giovanni Iolascon

The necessity of routine postoperative laboratory tests after total hip arthroplasty for hip fracture in a semi-urgent clinical setting

Recent studies suggest that routine postoperative laboratory tests are not necessary after primary elective total hip arthroplasty (THA). This study aims to evaluate the utility of routine postoperative labora...

Authors: Xiang-Dong Wu, Jia-Cheng Liu, Yu-Jian Li, Jia-Wei Wang, Gui-Xing Qiu and Wei Huang

Acute primary repair of extraarticular ligaments and staged surgery in multiple ligament knee injuries

The purpose of this study is to compare the outcomes of acute primary repair of extraarticular ligaments with staged surgery for acute knee dislocations (KDs) and multiligament knee injuries (MLKIs).

Authors: Yasuyuki Ishibashi, Yuka Kimura, Eiji Sasaki, Shizuka Sasaki, Yuji Yamamoto and Eiichi Tsuda

A comparison of ice wrap and subacromial injection for postoperative pain and edema control following arthroscopic rotator cuff repair

Postoperative pain and edema are the most common problems associated with arthroscopic rotator cuff repair. The purpose of the present study was to compare ice wrap and subacromial injection (SI) as treatments...

Authors: Yavuz Selim Kara, Onur Hapa, Yağmur Işın, Ali İhsan Kılıç and Hasan Havitçioğlu

A new ligament-compatible patient-specific 3D-printed implant and instrumentation for total ankle arthroplasty: from biomechanical studies to clinical cases

Computer navigation and patient-specific instrumentation for total ankle arthroplasty have still to demonstrate their theoretical ability to improve implant positioning and functional outcomes. The purpose of ...

Authors: C. Faldini, A. Mazzotti, C. Belvedere, G. Durastanti, A. Panciera, G. Geraci and A. Leardini

Unicompartmental knee arthroplasty, an enigma, and the ten enigmas of medial UKA

Unicompartmental knee arthroplasty (UKA) is a bone- and ligament-sparing alternative to total knee arthroplasty in the patients with end-stage single-compartment degeneration of the knee. Despite being a succe...

Authors: Anurag Mittal, Prashant Meshram, Woo Hyun Kim and Tae Kyun Kim

The healing potential of an acutely repaired ACL: a sequential MRI study

Recently, there has been renewed interest in primary anterior cruciate ligament (ACL) repair. The aim of this study is to report early clinical and radiological results of a consecutive series of acute ACL tea...

Authors: Andrea Ferretti, Edoardo Monaco, Alessandro Annibaldi, Alessandro Carrozzo, Mattia Bruschi, Giuseppe Argento and Gregory S. DiFelice

Definitive surgery of primary lesion should be prioritized over preoperative chemotherapy to treat high-grade osteosarcoma in patients aged 41–65 years

Recently, the number of osteosarcomas in middle-aged and older patients has demonstrated an increasing trend; moreover, their results are comparatively worse than those of young patients. In Europe and the USA...

Authors: Keiko Hayakawa, Seiichi Matsumoto, Keisuke Ae, Taisuke Tanizawa, Yuki Funauchi, Yusuke Minami, Masanori Saito and Atsushi Okawa

No rest for elderly femur fracture patients: early surgery and early ambulation decrease mortality

Literature has shown a significant correlation between early treatment and mortality in femur fractures, but the influence of time to ambulation on mortality has not been studied. The purpose of the present st...

Authors: Alessandro Aprato, Marco Bechis, Marco Buzzone, Alessandro Bistolfi, Walter Daghino and Alessandro Massè

To heal or not to heal: the ACL dilemma

Authors: Andrea Ferretti