Articles

XXXVIII Argentine Congress of Orthopaedics and Traumatology and II Italian-Argentine-Brazilian Congress

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Rapidly destructive bilateral hip disease: a case report and review of the literature

We describe the case of an elderly woman with rapid destruction of the right hip followed by the same involvement of her left hip 10 months later. The clinical history, the physical examination and radiographi...

Authors: C. Trevisan, G. Sportelli, S. Guerrasio and E. C. Marinoni

Percutaneous elastic fixation of proximal humeral fractures: operative indications, techniques, results and complications

We present a technique of osteosynthesis of proximal humeral fractures using Kirschner wires, assembled in an elastic manner. We report 29 patients (mean age, 68 years) with types II, III and V fractures, acco...

Authors: M. A. Rosa, G. Maccauro, T. Nizegorodcew, G. Falcone and F. Di Segni

Use of a modified IMHS for unstable intertrochanteric fractures

The treatment of unstable intertrochanteric fractures in elderly osteopenic patients, especially those who cannot follow limited weight bearing instructions, is controversial. Recent publications indicate conc...

Authors: P. Maniscalco, C. Bertone, F. Rivera and S. Urgelli

Extracorporeal shock wave therapy for chronic calcifying tendinitis of the shoulder

Over the past few years, extracorporeal shock wave therapy (ESWT) has been introduced for the treatment of some orthopedic diseases. The aim of this study was to assess the efficacy of ESWT on chronic calcifyi...

Authors: R. Padua, R. Bondì, E. Ceccarelli, S. Ripanti, L. Bondì and A. Campi

Latissimus dorsi transfer for primary treatment of irreparable rotator cuff tears

Transfer of the musculotendinous unit of the latissimus dorsi was performed in seven patients (5 men and 2 women, with a mean age of 57 years) with irreparable rotator cuff tear who had had no previous surgery...

Authors: F. Postacchini, S. Gumina, P. De Santis and R. Di Virgilio

Common peroneal nerve injuries in knee dislocations: results with one-stage nerve repair and tibialis posterior tendon transfer

We report our experience in the treatment of common peroneal nerve (CPN) palsy following knee dislocations: a twelve-year surgical series of 26 patients presenting with a traumatic injury of the lateral sciati...

Authors: D. Garozzo, S. Ferraresi and P. Buffatti

A comparative study on medium-term results of cementless acetabular components with metal-on-metal and metal-on-polyethylene articulations

The purpose of this study was to evaluate the medium-term clinical and radiological outcomes of two metal-backed acetabular cups with metal-on-metal and metal-on-polyethylene joint couples, in patients unselec...

Authors: F. Cozzolino, M. Mariconda, L. Costa, D. Scognamiglio, A. Cozzolino, D. Marinò and C. Milano

Heterotopic ossification after total hip replacement and the HLA system in the Sicilian population

Heterotopic ossification (HO) is a frequent complication following total hip arthroplasty (THA). At present, the etiology HO is unknown, however, genetic predisposition may be a cause of HO in individuals in w...

Authors: G. Sessa, L. Costarella, R. Mollica and V. Pavone

MP-Link cementless distal fixation modular prosthesis for revision total hip arthroplasty

The aseptic loosening of the femoral stem may require different treatments due to the complex problems related to the bone resorption (qualitatively and quantitatively): a minimum bone stock loss may result in...

Authors: F. Bellomo, L. Bertignone, L. Morino, P. Milano, E. Schiavone and M. Barale

Treatment of calcaneal fractures: the available evidence

Calcaneal fracture is the most common of the tarsal fractures and represents 1%–2% of all fractures. The fractures may be divided into extra-articular (not affecting the joint) and intra-articular (involving t...

Authors: R. Bondì, R. Padua, L. Bondì, A. Battaglia, E. Romanini and A. Campi

Vascular complications of orthopaedic surgery: an update on diagnosis and management

Vascular complications in orthopaedic surgery are not frequent, but they can be severe and occasionally life-threatening. Present technologies make it easier to detect and successfully manage them, provided a ...

Authors: F. Benedetti-Valentini, C. Villani, A. Laurito and M. Benedetti-Valentini

Do bisphosphonates reduce early micromotion and Periprosthetic bone loss in total knee arthroplasty? A review of the evidence

Early micromotion of implant components and periprosthetic bone loss in patients undergoing total knee arthroplasty are thought to contribute to late aseptic loosening. In the pursuit of longer implant surviva...

Authors: V. Calvisi, S. Lupparelli and R. Padua

Parosteal osteosarcoma of the ulna: a rare low-grade malignant neoplasm. Case report and review of the literature

Parosteal osteosarcoma is a rare low-grade malignant neoplasm. A case localized at the distal ulna is reported, and the tumour's radiological and histological features are described. Wide enbloc resection with...

Authors: G. Maccauro, A. Tulli, V. Prezioso, F. Muratori, C. Della Rocca and C. Barone

Arterial injury following a low energy pubic rami fracture

Patients with simple pubic rami fractures can be divided into two main groups: young people subject to high-energy trauma and elderly people who sustain osteoporotic fractures after minor falls. Cases associat...

Authors: M. Sivan, S. Glyn-Jones, J. Phillips Hughes and K. Willett

Usefulness of osteoprotegerin in assessing responses to neridronate treatment in Paget's disease of bone

Osteoprotegerin (OPG) is a protein that inhibits of osteoclastogenesis. The aim this study was to evaluate the response of serum OPG levels to neridronate treatment in patients with Paget's disease of bone res...

Authors: F. M. Ulivieri, L. P. Piodi, G. Marotta, D. Marchelli, C. Commadini, L. Parravicini, C. Verdoia and P. Gerundini

Time course of thrombosis and fibrinolysis during total hip surgery

Venous thrombosis is common in elective hip surgery, and prophylactic treatment is used up to 12 hours before or after surgery. Recent clinical trials suggested that the timing of initiating prophylaxis signif...

Authors: O. Reikerås, T. Clementsen and S. Bjørnsen

Revision hip arthroplasty prosthesis: a study implant stability

Revision total hip replacement has high rates of failure, which appear to be due in part to deficient bone stock that does not provide an adequate environment for implant fixation. We reviewed the clinical out...

Authors: M. El-Deen, S. Zahid, D. T. Miller, A. Nargol and R. Logishetty

A new hypothesis for the bone marrow edema pathogenesis during transient osteoporosis

Transient osteoporosis is an infrequent condition of uncertain etiology with pain, limited range of motion and radiographic evidence of osteoporosis affecting one or more joints. It is self-limited, reversible...

Authors: G. Negri, S. Grassi, M. Zappia, S. Cappabianca, P. F. Rambaldi and L. Mansi

Bone and joint alterations in acromegaly

Growth hormone (GH) is fundamental for the maintenance of bone mass and metabolism both during childhood and in adulthood. This effect is due to a complex interaction between circulating GH and IGF-I produced ...

Authors: L. L. Morselli, L. Manetti, C. Cosci, C. Sardella, F. Bogazzi, C. Faldini, E. Martino and M. Gasperi

Proximal load transfer with a stemless uncemented femoral implant

Bone stock preservation is crucial when performing total hip replacement in young patients. The aim is to save good bone stock for a possible revision procedure. Furthermore, there is an increasing demand from...

Authors: N. Santori, M. Lucidi and F. S. Santori

Total knee prosthesis infection by Brucella melitensis: case report and review of the literature

We refer a case of total knee prosthesis infected by Brucella melitensis: a 74-years-old woman, affected by knee arthritis and operated 9 years before in a different hospital with the implant of a total prosthesi...

Authors: M. Marchese, G. Bianchi and C. Cavenago

Migration of a Kirschner wire from the greater trochanter to the popliteal fossa: a case report

Migration of Kirschner (K) wires from the upper extremity joints has often been reported, but it is less common from the lower extremities. In this report, we describe an 85-year-old man treated, during a hip ...

Authors: R. Rossi, M. Germano and F. Castoldi

How four and twelve weeks of implantation affect the strength and stiffness of a tendon graft securely fixed in a bone tunnel: a study of Evolgate fixation in an extra-articular model ovine model

Healing of a tendon graft to a bone tunnel is slower than the healing of a bone plug. Therefore, the device chosen for hamstring fixation may need to maintain its strength and stiffness longer than the device ...

Authors: A. Ferretti, E. Monaco, L. Labianca, F. D’Angelo, A. De Carli and F. Conteduca

Scanning electron microscopic study of dermatoglyphics in carpal tunnel syndrome

The dermatoglyphics of the volar tip of the thumb and index finger of 20 patients in the first stage of carpal tunnel syndrome (CTS) without electromyographically detectable thenar impairment were examined by ...

Authors: M. C. Sbernardori, V. Mazzarello, P. Bandiera, A. Pirino, C. Fabbriciani and A. Montella

Biomechanical evaluation of six femurgraft-tibia complexes in ACL reconstruction

Soft tissue graft-tibial tunnel fixation is considered the weak point in reconstruction of the anterior cruciate ligament (ACL). We hypothesized that the biomechanical properties of fixation devices used in AC...

Authors: L. Labianca, E. Monaco, A. Speranza, G. Camillieri and A. Ferretti

What happens to the elbow joint after fractured radial head excision? Clinical and radiographic study at a mean 15-yearfollow-up

Comminuted fractures of the radial head can be treated by radial head excision, open reduction and internal fixation, or radial head replacement. The aim of this study was to evaluate the long-term clinical an...

Authors: C. Faldini, S. Pagkrati, G. Grandi, V. Digennaro, G. Lauretani, O. Faldini and S. Giannini

Total hip arthroplasty with a ribbed anatomic HA coated stem

In total hip arthroplasty, a straight stem seems to provide better results than an anatomic one. A new generation of anatomic stems is under evaluation, so the follow-up is still short and cannot compare with ...

Authors: M. Fortina, S. Carta, D. Gambera, E. Crainz, P. Pichierri and P. Ferrata

Surgical treatment of unstable intertrochanteric fractures by bipolar hip replacement or total hip replacement in elderly osteoporotic patients

A retrospective study was conducted to assess the complications, clinical and functional outcomes at 5 years of follow-up of a series of elderly osteoporotic patients with an unstable intertrochanteric fractur...

Authors: C. Faldini, G. Grandi, M. Romagnoli, S. Pagkrati, V. Digennaro, O. Faldini and S. Giannini

Tissue-sparing surgery with the bi-unicompartmental knee prosthesis: retrospective study with minimum follow-up of 36 months

Despite its theoretical advantages in terms of less invasive surgery, bi-unicompartmental knee replacement still represents a controversial knee reconstructive procedure. Many orthopaedic surgeons are skeptica...

Authors: N. Confalonieri and A. Manzotti

Patellar tendon autograft versus hamstring tendon autograft in arthroscopic anterior cruciate ligament reconstruction: appraisal of the evidence

Arthroscopy–assisted reconstruction of a torn anterior cruciate ligament (ACL) is a commonly performed surgical procedure. The type of graft used for ACL reconstruction has traditionally been an autograft; the...

Authors: V. Calvisi, S. Lupparelli and R. Padua

An unusual Monteggia type 2 fracture

This paper reports an unusual and undescribed Monteggia variant which was not diagnosed at its initial presentation. An extensive literature search did not reveal any similar case reports. This case report re–...

Authors: S. Sharma

The piriformis syndrome: a case report of an unusual cause of sciatica

Notwithstanding the advent of magnetic resonance imaging (MRI), some etiologies of piriformis syndrome continue to remain obscure and elude this investigation. We report a case characterized by a long history ...

Authors: S. Turtas and G. Zirattu

Uncemented total ankle arthroplasty in post-traumatic osteoarthritis: 3- to 7-year follow-up

Ankle replacement in post-traumatic arthritis is a challenging procedure, and adequate data are lacking about its results, as most studies are mainly focused on the results of ankle arthroplasty in primary ost...

Authors: M. Bardelli and G. Scoccianti

Effects of alendronate medication on the fate of the necrotic femoral head of rats with or without core decompression

After producing bilateral osteonecrosis of the femoral head, rats were medicated alendronate according to one of 6 schedules. In group 1 injection was administered one week prior to the operation of devascular...

Authors: E. Peled, J. H. Boss†, D. Norman, J. Bejar, H. Been-Noon and C. Zinman

Stiffness measurements to assess healing in bone transport: a preliminary report

Little is known about the pattern of healing in patients undergoing bone transport for limb reconstruction. We evaluated the possibility of using bone stiffness for assessing healing in 8 consecutive patients ...

Authors: G. Tselentakis, P. J. Owen, S. Z. Naqui, J. H. Kuiper and J. B. Richardson

Very low wear rate measured in a hip endoprosthesis removed after 38 years

A Marino Zuco hip prosthesis implanted in 1963 in a 13–year–old girl with congenital hip dislocation was revised in 2001 for aseptic loosening. At the time of revision surgery, no granulomatous tissue reaction...

Authors: G. Maccauro, R. Sgrambiglia, T. Micelli, V. De Santis, F. Muratori and C. Piconi

Computer-aided reconstruction of hip joint in revision arthroplasty

Geometric revision reconstruction of the hip joint of a female patient is presented. Because of extensive bone resorption and strong bone obstruction, we decided to employ a custom–made prosthesis not only in ...

Authors: K. Skalski, K. Kwiatkowski, J. Domanski and T. Sowinski

Degenerative lumbar scoliosis: features and surgical treatment

Degenerative lumbar scoliosis is a de novo deformity of the spine occurring after the fourth or fifth decade of life in patients with no history of scoliosis in the growing age. We evaluated complications and ...

Authors: C. Faldini, S. Pagkrati, G. Grandi, V. Digennaro, O. Faldini and S. Giannini