Articles

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

Development and validation of a guide for the continuity of care in perioperative medication management

Increased longevity and the prevalence of associated pathologies is leading to more hospital admissions involving chronic patients with multiple pathological problems. In orthopedic surgical patients, it is ve...

Authors: Carmen Matoses-Chirivella, Andrés Navarro-Ruíz and Blanca Lumbreras

Pyrocarbon arthroplasty in acute unreconstructable radial head fractures: mid-term to long term results

The aim of this study is to describe the mid-term radiological findings appearing in patients with a pyrocarbon radial head prosthesis, and to correlate them to patient symptoms.

Authors: F. Javier Ricón, Francisco Lajara, Alfonso Fuentes, María Luz Aguilar, Alberto Boix and Juan A. Lozano

ORIF versus arthroplasty for open proximal humerus fractures: Nationwide Inpatient Sample data between 1998 and 2013

Limited data exists in analyzing open reduction and internal fixation (ORIF) and arthroplasty in the management of open proximal humerus fractures. We analyzed differences in hospital course between these proc...

Authors: Anant Dixit, Frank S. Cautela, Colin S. Cooper, George A. Beyer, James C. Messina, Jeffrey E. Mait, Neil V. Shah, Bassel G. Diebo, Carl B. Paulino and William P. Urban

Can tape–screw fixation of a quadrupled semitendinosus graft in a full-length tibial tunnel provide superior fixation compared with a doubled semitendinosus–gracilis held with an interference screw? A matched-pair cadaveric biomechanical comparison

In anterior cruciate ligament reconstruction, quadrupled semitendinosus (Quad ST) grafts have potential advantages over doubled semitendinosus–gracilis (ST/G) including larger diameter and gracilis preservatio...

Authors: Christopher J. Vertullo, Joseph Cadman, Dané Dabirrahmani and Richard Appleyard

Percutaneous suction and irrigation for the treatment of recalcitrant pyogenic spondylodiscitis

The primary management of pyogenic spondylodiscitis is conservative. Once the causative organism has been identified, by blood culture or biopsy, administration of appropriate intravenous antibiotics is starte...

Authors: William Griffith-Jones, Luigi Aurelio Nasto, Enrico Pola, Oliver M. Stokes and Hossein Mehdian

Clinical and radiographic comparison of a single LP-PRP injection, a single hyaluronic acid injection and daily NSAID administration with a 52-week follow-up: a randomized controlled trial

Knee osteoarthritis (OA) is a disease with a high prevalence in the adult population. Nonsteroidal anti-inflammatory drugs (NSAID) or intra-articular injections [hyaluronic acid (HA) or platelet-rich plasma (P...

Authors: David Buendía-López, Manuel Medina-Quirós and Miguel Ángel Fernández-Villacañas Marín

Some patients (and some of us) respond better to some biological therapies: the as yet unsolved conundrum

Very often, treatment for many common musculoskeletal conditions is only palliative, or involves surgery with major shortcomings. Biological interventions—in particular, platelet-rich plasma (PRP) therapies—ma...

Authors: Isabel Andia and Nicola Maffulli

The loading patterns of a short femoral stem in total hip arthroplasty: gait analysis at increasing walking speeds and inclines

The purpose of this study was to examine the gait pattern of total hip arthroplasty (THA) patients with a new short femoral stem at different speeds and inclinations.

Authors: Anatole V. Wiik, Mads Brevadt, Hardeep Johal, Kartik Logishetty, Oliver Boughton, Adeel Aqil and Justin P. Cobb

Revision total knee arthroplasty: hybrid vs standard cemented fixation

Modular systems with stems are necessary for the stability of revision total knee arthroplasty (rTKA), but controversy remains as to the best fixation method: cemented or hybrid (noncemented stem). The aim of ...

Authors: Jesús Gómez-Vallejo, Jorge Albareda-Albareda, Belén Seral-García, Nieves Blanco-Rubio and Laura Ezquerra-Herrando

Are clinical outcomes affected by type of plate used for management of mid-shaft clavicle fractures?

Open reduction and internal fixation (ORIF) using plate osteosynthesis for midshaft clavicle fractures is often complicated by the prominence of the implant due to the subcutaneous position of the clavicle. Re...

Authors: Mohammad M. Alzahrani, Adam Cota, Khalid Alkhelaifi, Aljarrah Aleidan, Gregory Berry, Rudy Reindl and Edward Harvey

Alleged malpractice in orthopaedics. Analysis of a series of medmal insurance claims

Medical malpractice is an important topic worldwide, and orthopedics is a clinical branch that is considered to be at a high risk for claims. The analysis of a series of medmal insurance claims allows forensic...

Authors: M. B. Casali, A. Blandino, S. Del Sordo, G. Vignali, S. Novello, G. Travaini, M. Berlusconi and U. Genovese

Assessing the real benefits of surgery for degenerative lumbar spinal stenosis without instability and spondylolisthesis: a single surgeon experience with a mean 8-year follow-up

The degenerative lumbar spinal stenosis is one of the most commonly treated spinal disorders in older adults; despite its increasing frequency, it is not yet clear what the most effective therapy might be. The...

Authors: Riccardo Caruso, Alessandro Pesce, Valentina Martines, Venceslao Wierzbicki, Emanuele Piccione, Sergio Paolini and Tiziana Lanciano

Quantitative correlation of mechanoreceptors in tibial remnant of ruptured human anterior cruciate ligament with duration of injury and its significance: an immunohistochemistry-based observational study

Proprioception is a specialized sensory modality encompassing the movement of the joint and its position in space. Reconstruction of the anterior cruciate ligament (ACL) does not always yield expected outcome,...

Authors: Mayur Nayak, H. L. Nag, Sahil Gaba, T. C. Nag and Saurabh Sharma

Fixed-bearing versus high-flexion RP total knee arthroplasty (TKA): midterm results of a randomized controlled trial

We compared the midterm results after total knee arthroplasty (TKA) using PFC Sigma RP-F mobile model with PFC Sigma PS fixed model.

Authors: Amit Chaudhry and V. K. Goyal

Open treatment of ankle fracture as inpatient increases risk of complication

Ankle fracture is one of the most common injuries treated by orthopaedic surgeons, and its incidence is only expected to rise with an aging population. It is also associated with often costly complications, ye...

Authors: Michelle S. Shen, Ashley C. Dodd, Nikita Lakomkin, Idine Mousavi, Catherine Bulka, A. Alex Jahangir and Manish K. Sethi

Thresholds for the Oxford Hip Score after total hip replacement surgery: a novel approach to postoperative evaluation

This is a prospective cohort study to define the thresholds to distinguish patients with a satisfactory or unsatisfactory outcome after total hip replacement (THR) based on patient-reported outcome measures (P...

Authors: Nicolai Kjærgaard, Jonas B. Kjærsgaard, Christian L. Petersen, Michael U. Jensen and Mogens B. Laursen

Do obstetric risk factors truly influence the etiopathogenesis of congenital muscular torticollis?

Congenital muscular torticollis (CMT) is seen in childhood and presents within months after birth. The etiology remains unknown; however, medical textbooks suggest trauma at birth as a main reason. The aim of ...

Authors: N. Hardgrib, O. Rahbek, B. Møller-Madsen and R. D. Maimburg

In–out versus out–in technique for ACL reconstruction: a prospective clinical and radiological comparison

Several studies have recently shown better restoration of normal knee kinematics and improvement of rotator knee stability after reconstruction with higher femoral tunnel obliquity. The aim of this study is to...

Authors: Edoardo Monaco, Mattia Fabbri, Andrea Redler, Raffaele Iorio, Jacopo Conteduca, Giuseppe Argento and Andrea Ferretti