Articles

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

Retrospective analysis of risk factors for deep infection in lower limb Gustilo–Anderson type III fractures

Open fractures are among the most severe injuries observed in orthopedic patients. Treating open fractures is difficult because such patients with infections may require multiple operations and amputations. Fu...

Authors: Taku Ukai, Kosuke Hamahashi, Yoshiyasu Uchiyama, Yuka Kobayashi and Masahiko Watanabe

Bioabsorbable magnesium screw versus conventional titanium screw fixation for medial malleolar fractures

It is still unknown whether bioabsorbable magnesium (Mg) screws provide an advantage over titanium screws in the treatment of medial malleolar (MM) fractures. The purpose of this retrospective study is to comp...

Authors: Hasan May, Yusuf Alper Kati, Gurkan Gumussuyu, Tuluhan Yunus Emre, Melih Unal and Ozkan Kose

Intraoperative complications in total hip arthroplasty using a new cementless femoral implant (SP-CL^®)

Considering the excellent results already achieved in total hip arthroplasty (THA), new implants must be at least as safe as currently used implants and lead to longer survival. A new cementless femoral stem, ...

Authors: Kaspar Tootsi, Loviisa Lees, Boris Geiko and Aare Märtson

Understanding the role of total knee arthroplasty for primary treatment of tibial plateau fracture: a systematic review of the literature

Surgical fixation of tibial plateau fracture in elderly patients with open reduction and internal fixation (ORIF) provides inferior outcomes compared with younger patients. Primary total knee arthroplasty (TKA...

Authors: Murray T. Wong, Jonathan Bourget-Murray, Kelly Johnston and Nicholas M. Desy

Bone density of first and second segments of normal and dysmorphic sacra

Iliosacral screw fixation is safe and effective but can be complicated by loss of fixation, particularly in patients with osteopenic bone. Sacral morphology dictates where iliosacral screws may be placed when ...

Authors: Joseph M. Radley, Brian W. Hill, Daemeon A. Nicolaou, Stephen B. Huebner, Kelby B. Napier and Dane H. Salazar

Partial rupture of anterior cruciate ligament: preliminary experience of selective reconstruction

Partial lesions of the anterior cruciate ligament (ACL) are more common than is generally thought, accounting for about 10–12% of ACL injuries. Selective reconstruction may be considered as an option in isolat...

Authors: Christian Carulli, Matteo Innocenti, Giuliana Roselli, Luigi Sirleo, Fabrizio Matassi and Massimo Innocenti

Reliability and reproducibility of the new AO/OTA 2018 classification system for proximal humeral fractures: a comparison of three different classification systems

The classification systems for proximal humeral fractures routinely used in clinical practice include the Neer and Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) 2007 syste...

Authors: Giuseppe Marongiu, Lorenzo Leinardi, Stefano Congia, Luca Frigau, Francesco Mola and Antonio Capone

Limb lengthening history, evolution, complications and current concepts

Limb lengthening continues to be a real challenge to both the patient and the orthopaedic surgeon. Although it is not a difficult operative problem, there is a long and exhausting postoperative commitment whic...

Authors: Gamal A. Hosny

C-reactive protein is not a screening tool for late periprosthetic joint infection

Preoperative diagnosis of periprosthetic joint infection (PJI) is important because of the therapeutic consequences. The aim of the present study is to investigate whether the serum C-reactive protein (CRP) le...

Authors: Bernd Fink, Michael Schlumberger, Julian Beyersdorff and Philipp Schuster

Measuring the placebo effect in carpal tunnel syndrome

The placebo effect can account for part of the improvement seen in patients undergoing any type of treatment, be it surgical or pharmacological. The objective of this study is to quantify the placebo effect in...

Authors: Jordi Faig-Martí and Adriana Martínez-Catassús

Femoroacetabular impingement: question-driven review of hip joint pathophysiology from asymptomatic skeletal deformity to end-stage osteoarthritis

Femoroacetabular impingement (FAI), together with its two main pathomechanisms, cam and pincer, has become a trending topic since the end of the 1990s. Despite massive academic research, this hip disorder stil...

Authors: L. Pierannunzii

Mid-term results of a new-generation calcar-guided short stem in THA: clinical and radiological 5-year follow-up of 216 cases

In recent years, a variety of short stems have been introduced. To date, mid- and long-term results of calcar-guided short-stem designs have been rarely available.

Authors: Karl Philipp Kutzner, Stefanie Donner, Lennard Loweg, Philipp Rehbein, Jens Dargel, Philipp Drees and Joachim Pfeil

Lower limb lengthening over an intramedullary nail: a long-term follow-up study of 28 cases

Limb lengthening using an external fixator requires a long period of external fixation and may be associated with several complications such as axial deformity, fracture of the regenerated bone, and joint stif...

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

Volar locking plates not touching the flexor pollicis longus tendon appear as prominences on radiographs: a cadaver study

Plate protrusion is a risk factor for flexor pollicis longus (FPL) rupture following volar locking plate (VLP) surgery. However, plate prominence on follow-up radiographs is common. We hypothesised that a VLP ...

Authors: Kotaro Sato, Yuki Kikuchi, Yoshikuni Mimata, Kenya Murakami, Gaku Takahashi and Minoru Doita

Epsilon-aminocaproic acid versus tranexamic acid in total knee arthroplasty: a meta-analysis study

Total knee arthroplasty (TKA) surgery can be associated with significant blood loss. Among the problems associated with such blood loss is the need for transfusions of banked blood [1]. Transfusions not only have...

Authors: Osman Riaz, Adeel Aqil, Samir Asmar, Raees Vanker, James Hahnel, Christopher Brew, Richard Grogan and Graham Radcliffe

Technology applications in shoulder replacement

The advancement of technologies in orthopaedic surgery should provide the surgeon with precise and trustworthy support for pre-operative planning, intra-operative guidance and post-operative follow-up. The req...

Authors: G. Porcellini, L. Tarallo, M. Novi, F. Spiezia and F. Catani

Rotator cuff tear with concomitant long head of biceps tendon (LHBT) degeneration: what is the preferred choice? Open subpectoral versus arthroscopic intraarticular tenodesis

Lesions associated with the biceps tendon are commonly detected during arthroscopic repair of rotator cuff tears. Acquiring a preferable technique to repair both cuff and long head of biceps tendon (LHBT) lesi...

Authors: Mohsen Mardani-Kivi, Sohrab Keyhani, Mohammad-Hossein Ebrahim-Zadeh, Keyvan Hashemi-Motlagh and Khashayar Saheb-Ekhtiari

Surgical treatment of primary trapezio-metacarpal osteoarthritis by trapeziectomy and ligament reconstruction without tendon interposition. Long-term results of 50 cases

Primary trapezio-metacarpal osteoarthritis can be painful and disabling. Surgical treatment is used when conservative treatment, such as splinting or oral analgesics, fails. The purpose of this study was to re...

Authors: Fernando De Maio, Pasquale Farsetti, Vito Potenza, Lidio Petrungaro, Martina Marsiolo and Alessandro Caterini

Acute medial clavicle fracture in adults: a systematic review of demographics, clinical features and treatment outcomes in 220 patients

Medial third clavicle fractures are rare injuries, with limited information available on their characteristics or treatment results.

Authors: Saeed Asadollahi and Andrew Bucknill

Enhancing biology and providing structural support for acetabular reconstruction in single-stage revision for infection

Reconstruction of combined segmental and cavitary defects of the acetabulum is a challenge to the hip surgeon. One question regards the efficacy of reconstruction of acetabular defects using a combination of t...

Authors: Ayman M. Ebied, Ahmed A. Ebied, Sameh Marei and Evert Smith

Ilizarov bone transport and treatment of critical-sized tibial bone defects: a narrative review

Critical-sized bone defects of the tibia are complex injuries associated with significant problems that are difficult to treat, and they are associated with a significant burden of disease in clinical practice...

Authors: Kemal Aktuglu, Kubilay Erol and Arman Vahabi

The ‘diamond concept’ for long bone non-union management

Long bone non-union continues to be a significant worldwide problem. Since its inception over a decade ago, the ‘diamond concept’, a conceptual framework of what is essential for a successful bone healing resp...

Authors: Paul Andrzejowski and Peter V. Giannoudis

Long-term functional outcome after a low-energy hip fracture in elderly patients

The incidence of hip fractures is increasing. Elderly patients with a hip fracture frequently present with comorbidities, which are associated with higher mortality rates. Clinical studies regarding long-term ...

Authors: Stijn G. C. J. de Joode, Pishtiwan H. S. Kalmet, Audrey A. A. Fiddelers, Martijn Poeze and Taco J. Blokhuis

Should evoked potential monitoring be used in degenerative cervical spine surgery? A systematic review

Intraoperative somatosensory evoked potential (SSEP) and transcranial motor evoked potential (tcMEP) monitoring are frequently used in spinal as well as spinal cord surgery for so-called intraoperative neuromo...

Authors: Alberto Di Martino, Rocco Papalia, Antonio Caldaria, Guglielmo Torre, Luca Denaro and Vincenzo Denaro

Final outcomes of radial nerve palsy associated with humeral shaft fracture and nonunion

Little evidence regarding the extent of recovery of radial nerve lesions with associated humerus trauma exists. The aim of this study is to examine the incidence and resolution of types of radial nerve palsy (...

Authors: Rebekah Belayneh, Ariana Lott, Jack Haglin, Sanjit Konda, Philipp Leucht and Kenneth Egol

Proximal medial patellar restraints and their surgical reconstruction

Reconstruction of the medial patellofemoral ligament (MPFL) has been increasing as a surgical solution for treatment of recurrent lateral patellofemoral dislocation. Recent attention has been given to fibers e...

Authors: Paolo Ferrua, Bradley M. Kruckeberg, Stefano Pasqualotto, Massimo Berruto, Pietro Randelli and Elizabeth A. Arendt

Temporal patterns of commonly used clinical outcome scales during a 5-year period after total knee arthroplasty

It is not established beyond doubt whether improvements in functional outcome after total knee arthroplasty (TKA) are maintained in the long term. We therefore investigated the temporal patterns of functional ...

Authors: Vivek Tiwari, Jonggeun Lee, Gaurav Sharma, Yeon Gwi Kang and Tae Kyun Kim

Maximizing outcomes in the treatment of radial head fractures

The radial head plays a critical role in the stability of the elbow joint and its range of motion. Injuries may occur across a spectrum of severity, ranging from low energy non-displaced fractures to high ener...

Authors: Stephanie J. Swensen, Vineet Tyagi, Carlos Uquillas, Rachel J. Shakked, Richard S. Yoon and Frank A. Liporace

Changes of and interrelationships between performance-based function and gait and patient-reported function 1 year after total hip arthroplasty

The aim of this prospective study is to evaluate the degree of improvement in, and interrelationships between, performance-based function, gait, and patient-reported function 1 year after total hip arthroplast...

Authors: Josefine E. Naili, Margareta Hedström and Eva W. Broström

Induced membrane technique using enriched bone grafts for treatment of posttraumatic segmental long bone defects

Reconstruction of posttraumatic bone defects represents a difficult challenge. The induced membrane technique is an effective two-stage procedure for bone defect reconstruction. To overcome the problems of aut...

Authors: F. Piacentini, M. J. Ceglia, L. Bettini, S. Bianco, R. Buzzi and D. A. Campanacci

Tibia plateau fracture mapping and its influence on fracture fixation

Tibial plateau fracture classifications are based on anteroposterior radiographs. Precontoured locking plates are commonly used to treat such fractures. The aims of this study are to: (1) describe tibial plate...

Authors: Lorcan McGonagle, Tim Cordier, Bjorn C. Link, Mark S. Rickman and Lucian B. Solomon

48 h for femur fracture treatment: are we choosing the wrong quality index?

In the last 10 years, the rate of femur fractures treated within 48 h from trauma has been introduced as a performance index for hospital management in Italy. Literature showed a significant indirect correlati...

Authors: Alessandro Aprato, Alessandro Casiraghi, Giovanni Pesenti, Marco Bechis, Alessandro Samuelly, Claudio Galante, Dario Capitani and Alessandro Massè

A research update on the state of play for return to sport after anterior cruciate ligament reconstruction

Most athletes who undergo anterior cruciate ligament (ACL) reconstruction surgery plan to return to some level of sporting activity. However, rates of return to pre-injury sport are often less than might be ex...

Authors: Kate E. Webster and Julian A. Feller

Factors influencing return to work after hip and knee arthroplasty

A substantial proportion of patients undergoing lower limb arthroplasty are of working age. This study aims to identify when patients return to work (RTW) and if they return to normal hours and duties, and to ...

Authors: Lorcan McGonagle, Lila Convery-Chan, Penelope DeCruz, Samantha Haebich, Daniel P. Fick and Riaz J. K. Khan

JORT celebrates 18 years of publication

Authors: Marco d’Imporzano and Luca Pierannunzii

Long-term results of the M²A-38-mm metal-on-metal articulation

Large-diameter head metal-on-metal (MoM) bearings in total hip arthroplasty (THA) are associated with increased whole blood levels of chromium (Cr) and cobalt (Co), adverse reactions to metal debris (ARMD) and...

Authors: Carlo Trevisan, Stefano Piscitello, Raymond Klumpp and Tonino Mascitti

The final implant position of a commonly used collarless straight tapered stem design (Corail^®) does not correlate with femoral neck resection height in cement-free total hip arthroplasty: a retrospective computed tomography analysis

In total hip arthroplasty, inadequate femoral component positioning can be associated with instability, impingement and component wear and subsequently with patient dissatisfaction. In this study, we investiga...

Authors: Michael Worlicek, Markus Weber, Michael Wörner, Timo Schwarz, Florian Zeman, Joachim Grifka, Tobias Renkawitz and Benjamin Craiovan

Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument

The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors.

Authors: Sebastian Manegold, Serafim Tsitsilonis, Jakob Schumann, Tobias Gehlen, Alison N. Agres, Johannes Keller, Markus Gesslein and Florian Wichlas

Cross-cultural adaptation and validation of the Italian versions of the Kujala, Larsen, Lysholm and Fulkerson scores in patients with patellofemoral disorders

The Kujala, Fulkerson, Larsen and Lysholm questionnaires have been demonstrated to be reliable and sensitive in assessing patients with patellofemoral pathology. The purpose of this study is to translate and c...

Authors: Simone Cerciello, Katia Corona, Brent Joseph Morris, Enrico Visonà, Giulio Maccauro, Nicola Maffulli and Mario Ronga

How to prevent dislocation after revision total hip arthroplasty: a systematic review of the risk factors and a focus on treatment options

Dislocation represents the most common complication after revision total hip arthroplasty (rTHA). Understanding risk factors for dislocation has a great clinical relevance for every hip surgeon in order to con...

Authors: C. Faldini, N. Stefanini, D. Fenga, E. M. Neonakis, F. Perna, A. Mazzotti, F. Pilla, I. K. Triantafyllopoulos and F. Traina

Correction to: Tension band wiring for simple olecranon fractures: evaluation of surgical technique

Unfortunately, after publication of this article [1], it was noticed that the author J. Carel Goslings was tagged incorrectly during the production process. This resulted in the PubMed display of the author na...

Authors: Femke M. A. P. Claessen, Michel P. J. van den Bekerom, C. Niek van Dijk, J. Carel Goslings, Gino M. M. J. Kerkhoffs and Job N. Doornberg

Functional outcomes and clinical strength assessment after infraspinatus-sparing surgical approach to scapular fracture: Does it really make a difference?

Surgical treatment of scapular fractures with posterior approach is frequently associated with postoperative infraspinatus hypotrophy and weakness. The aim of this retrospective study is to compare infraspinat...

Authors: Giuseppe Porcellini, Paolo Palladini, Stefano Congia, Alessandro Palmas, Giovanni Merolla and Antonio Capone