Articles

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

Clinical guidelines for the prevention and treatment of osteoporosis from the Italian Society for Orthopaedics and Traumatology: preface

Authors: Giuseppe Sessa

Clinical guidelines for the prevention and treatment of osteoporosis: summary statements and recommendations from the Italian Society for Orthopaedics and Traumatology

The Italian Society for Orthopaedics and Traumatology conceived this guidance—which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general...

Authors: Umberto Tarantino, Giovanni Iolascon, Luisella Cianferotti, Laura Masi, Gemma Marcucci, Francesca Giusti, Francesca Marini, Simone Parri, Maurizio Feola, Cecilia Rao, Eleonora Piccirilli, Emanuela Basilici Zanetti, Noemi Cittadini, Rosaria Alvaro, Antimo Moretti, Dario Calafiore…

Circulating levels of proinflammatory mediators as potential biomarkers of post-traumatic knee osteoarthritis development

The identification of biomarkers of post-traumatic osteoarthritis (PTOA) progression is of clinical importance. The aims of this study were: (1) to assess the abilities of various soluble proinflammatory media...

Authors: Svetlana B. Panina, Igor V. Krolevets, Natalia P. Milyutina, Alexander B. Sagakyants, Igor V. Kornienko, Anzhelika A. Ananyan, Mikhail A. Zabrodin, Andrey A. Plotnikov and Valeriy V. Vnukov

Cam morphology and inguinal pathologies: is there a possible connection?

To analyse the prevalences of the cam and pincer morphologies in a cohort of patients with groin pain syndrome caused by inguinal pathologies.

Authors: G. N. Bisciotti, F. Di Marzo, A. Auci, F. Parra, G. Cassaghi, A. Corsini, M. Petrera, P. Volpi, Z. Vuckovic, M. Panascì and R. Zini

We are operating too much

With the increase of superspecialisation, there has been a recent trend for a rising number of operations for both trauma and orthopaedic ailments. This flies against the results of properly planned, well perf...

Authors: Nicola Maffulli

Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis

Several aspects of slipped capital femoral epiphysis (SCFE) treatment remain controversial. Loder’s work has been instrumental in changing our understanding and approach to the management of the condition when...

Authors: H. Naseem, S. Chatterji, K. Tsang, M. Hakimi, A. Chytas and S. Alshryda

Functional and quality of life outcome after non-operatively managed proximal humeral fractures

Fractures of the proximal humerus are common and most often treated non-operatively. However, long-term follow-up studies focusing on functional results and quality of life in patients after this type of fract...

Authors: Ronnart N. Kruithof, Henk A. Formijne Jonkers, Denise J. C. van der Ven, Ger D. J. van Olden and Tim K. Timmers

Subtrochanteric femoral shortening osteotomy combined with cementless total hip replacement for Crowe type IV developmental dysplasia: a retrospective study

Total hip replacement for high dislocation of the hip presents some difficulties, considering patients’ young ages, the abnormal hip anatomy and the high rate of complications. In this study, we present our ex...

Authors: Giuseppe Rollo, Giuseppe Solarino, Giovanni Vicenti, Girolamo Picca, Massimiliano Carrozzo and Biagio Moretti

Hidden and overall haemorrhage following minimally invasive and open transforaminal lumbar interbody fusion

Hidden haemorrhage has been proved to be significant in joint surgery. However, when referring to lumbar interbody fusion, it is often ignored because of its invisibility. This randomized controlled study aime...

Authors: Yang Yang, Liangming Zhang, Bin Liu, Mao Pang, Peigen Xie, Zihao Chen, Wenbin Wu, Feng Feng and Limin Rong

Cross-cultural adaptation and validation of the Italian version of the Kerlan–Jobe Orthopaedic Clinic Shoulder and Elbow score

The Kerlan–Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow score is a reliable and sensitive tool to measure the performance of overhead athletes. The purpose of this study was to carry out a cross-cultural ...

Authors: Giovanni Merolla, Katia Corona, Gustavo Zanoli, Simone Cerciello, Stefano Giannotti and Giuseppe Porcellini

Segond’s fracture: a biomechanical cadaveric study using navigation

Segond’s fracture is a well-recognised radiological sign of an anterior cruciate ligament (ACL) tear. While previous studies evaluated the role of the anterolateral ligament (ALL) and complex injuries on rotat...

Authors: E. Monaco, Daniele Mazza, A. Redler, D. Lupariello, R. Lanzetti, M. Guzzini and A. Ferretti

Transfixing Kirshner wires for fixation of intertrochanteric valgus osteotomies in management of pediatric coxa vara

Coxa vara is a radiological term describing a decrease in the neck–shaft angle to 120° or less. Coxa vara is associated with pathomechanical changes that can manifest clinically. If left untreated, coxa vara c...

Authors: Ahmed Shawkat Rizk

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

Use of palmitoylethanolamide in carpal tunnel syndrome: a prospective randomized study

Palmitoylethanolamide (PEA) is an endogenous fatty acid amide that has shown anti-inflammatory activity and neuroprotection and has been used for the treatment of compressive syndromes. The aim of this study i...

Authors: Jordi Faig-Martí and Adriana Martínez-Catassús

Management of chronic unstable acromioclavicular joint injuries

The acromioclavicular joint represents the link between the clavicle and the scapula, which is responsible for the synchronized dynamic of the shoulder girdle. Chronic acromioclavicular joint instability invol...

Authors: Luis Natera Cisneros and Juan Sarasquete Reiriz

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

In some settings, specific techniques for open reduction and internal fixation are preferred based on the eminence of a surgeon or professional organization. An emphasis on technical aspects of surgery that ar...

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

Post-operative outcomes and complications of suspensory loop fixation device versus hook plate in acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis

Treatment of acute (≤3 weeks) acromioclavicular joint dislocation type III–VI is still controversial. Currently, the two modern techniques that are widely used are hook plate (HP) fixation and coracoclavicular...

Authors: Alisara Arirachakaran, Manusak Boonard, Peerapong Piyapittayanun, Wichan Kanchanatawan, Kornkit Chaijenkij, Akom Prommahachai and Jatupon Kongtharvonskul

A prospective randomized study in 20 patients undergoing bilateral TKA comparing midline incision to anterolateral incision

Lateral flap numbness is a known side-effect of midline skin incision in total knee arthroplasty (TKA) and a cause of patient dissatisfaction. Anterolateral incision is an alternative approach which preserves ...

Authors: Rajesh N. Maniar, Tushar Singhi, Arun Nanivadekar, Parul R. Maniar and Jaivardhan Singh

Management and radiographic outcomes of femoral head fractures

Femoral head fractures are uncommon injuries. Small series constitute the majority of the available literature. Surgical approach and fracture management is variable. The purpose of this study was to evaluate...

Authors: John A. Scolaro, Geoffrey Marecek, Reza Firoozabadi, James C. Krieg and Milton Lee “Chip” Routt

Do ethnicity and gender influence posterior tibial slope?

Ethnicity and gender can affect posterior tibial slope; however, studies on this topic have limitations and are in disagreement. The aim of the present study was to evaluate posterior tibial slope in a large g...

Authors: Salvatore Bisicchia, Gavinca M. Scordo, Johan Prins and Cosimo Tudisco

Glenoid baseplate fixation using hybrid configurations of locked and unlocked peripheral screws

The use of peripheral locked screws has reduced glenoid baseplate failure rates in reverse shoulder arthroplasty. However, situations may arise when one or more non-locked screws may be preferred. We aimed to ...

Authors: Nathan T. Formaini, Nathan G. Everding, Jonathan C. Levy, Brandon G. Santoni, Aniruddh N. Nayak and Cooper Wilson

Tourniquet use during total knee arthroplasty does not modulate the neutrophil-to-lymphocyte ratio, pain, or activity

The purpose of our study was to identify the influence of tourniquet use during total knee arthroplasty (TKA) on the neutrophil-to-lymphocyte ratio (NLR) shortly after surgery and patient-reported outcomes (pa...

Authors: Tyler Barker, Victoria E. Rogers, Kimberly B. Brown, Vanessa T. Henriksen and G. Lynn Rasmussen