Articles

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

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

Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature

The purpose of this study was to summarize the available evidence about total lumbar disc replacement (TDR), focusing our attention on four main topics: clinical and functional outcomes, comparison with fusion...

Authors: Matteo Formica, Stefano Divano, Luca Cavagnaro, Marco Basso, Andrea Zanirato, Carlo Formica and Lamberto Felli

Humeral shaft fractures: national trends in management

The incidence of humeral shaft fractures has been increasing over time. This represents a growing public health concern in a climate of cost containment. The purpose of this study is to analyze national trends...

Authors: Bradley S. Schoch, Eric M. Padegimas, Mitchell Maltenfort, James Krieg and Surena Namdari

Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center

The aims of this study were to evaluate treatment failure and revision rates of proximal humeral fracture (PHF) treatment with a standardized treatment algorithm within the reality of a level-1 trauma center a...

Authors: Jan Christoph Katthagen, Meret Huber, Svenja Grabowski, Alexander Ellwein, Gunnar Jensen and Helmut Lill

Evaluation of lower limb kinetics during gait, sprint and hop tests before and after anterior cruciate ligament reconstruction

The purpose of this study was to evaluate the functional status prior to and at different times after anterior cruciate ligament reconstruction (ACLR), and to analyze the changes in the kinetic patterns of the...

Authors: Joaquín Moya-Angeler, Javier Vaquero and Francisco Forriol

Interlocking horizontal mattress suture versus Kakiuchi technique in repair of Achilles tendon rupture: a biomechanical study

In recent years, the type of surgical treatment for Achilles tendon rupture has been the subject of controversial debate. This biomechanical study evaluates for the first time in literature the ultimate failur...

Authors: Matteo Guzzini, Riccardo Maria Lanzetti, Lorenzo Proietti, Daniele Mazza, Mattia Fabbri, Edoardo Monaco, Germano Ferri 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

Letter to the editor regarding the article: “All-inside meniscal repair surgery: factors affecting the outcome” by Haroon Majeed et al.

Authors: Alexander Zimmerer

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

Anterolateral Ligament Expert Group consensus paper on the management of internal rotation and instability of the anterior cruciate ligament - deficient knee

Purpose of this paper is to provide an overview of the latest research on the anterolateral ligament (ALL) and present the consensus of the ALL Expert Group on the anatomy, radiographic landmarks, biomechanics...

Authors: Bertrand Sonnery-Cottet, Matthew Daggett, Jean-Marie Fayard, Andrea Ferretti, Camilo Partezani Helito, Martin Lind, Edoardo Monaco, Vitor Barion Castro de Pádua, Mathieu Thaunat, Adrian Wilson, Stefano Zaffagnini, Jacco Zijl and Steven Claes

The influence of femoral tunnel length on graft rupture after anterior cruciate ligament reconstruction

For ACL reconstruction, the minimum length of the femoral tunnel and the flexor tendon graft length needed within the tunnel for proper integration have not been defined. The aim of this study was to assess wh...

Authors: Luiz Gabriel Betoni Guglielmetti, Leandro Girardi Shimba, Leonardo Cantarelli do Santos, Fabrício Roberto Severino, Nilson Roberto Severino, Patrícia Maria de Moraes Barros Fucs and Ricardo de Paula Leite Cury

Responsiveness and minimum important change of the Oswestry Disability Index in Italian subjects with symptomatic lumbar spondylolisthesis

This study aims to investigate the responsiveness and the minimum important change of the Italian version of the Oswestry Disability Index (ODI-I) in subjects with symptomatic specific low back pain associated...

Authors: Carla Vanti, Silvano Ferrari, Jorge Hugo Villafañe, Pedro Berjano and Marco Monticone

Short term results of anterior cruciate ligament augmentation in professional and amateur athletes

Anterior cruciate ligament (ACL) reconstruction is a widely accepted procedure; however, controversies exist about ACL augmentation. The purpose of this study was to assess the clinical outcomes of ACL augment...

Authors: Hamidreza Yazdi, Ali Torkaman, Morteza Ghahramani, Amin Moradi, Ara Nazarian and Mohammad Ghorbanhoseini

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

Fast-resorbable antibiotic-loaded hydrogel coating to reduce post-surgical infection after internal osteosynthesis: a multicenter randomized controlled trial

Infection is one of the main reasons for failure of orthopedic implants. Antibacterial coatings may prevent bacterial adhesion and biofilm formation, according to various preclinical studies. The aim of the pr...

Authors: Kostantinos Malizos, Michael Blauth, Adrian Danita, Nicola Capuano, Riccardo Mezzoprete, Nicola Logoluso, Lorenzo Drago and Carlo Luca Romanò

Outcomes and financial implications of intra-articular distal radius fractures: a comparative study of open reduction internal fixation (ORIF) with volar locking plates versus nonoperative management

To evaluate the functional and radiographic outcomes, as well as the treatment costs, of closed displaced intra-articular distal radius fractures treated with either open reduction internal fixation (ORIF) wit...

Authors: Dong Hao Toon, Rex Antony Xavier Premchand, Jane Sim and Rajaratnam Vaikunthan

Pelvic posture and kinematics in femoroacetabular impingement: a systematic review

Pelvic posture and kinematics influence acetabular orientation and are therefore expected to be involved in the pathomechanics of femoroacetabular impingement (FAI). This systematic review aims to determine wh...

Authors: Luca Pierannunzii

Clinical outcome and safety study of a newly developed instrumented French-door cervical laminoplasty technique

Standard laminectomy for treatment of cervical myelopathy is associated with secondary instability and kyphosis, while laminectomy combined with fusion puts adjacent segments at risk of degeneration. Single- a...

Authors: Luigi Aurelio Nasto, Samiul Muquit, Ana Belen Perez-Romera and Hossein Mehdian

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

Influence of perioperative complication severity on 1- and 2-year outcomes of low back surgery

Several factors potentially influence outcomes of surgery, including perioperative complications. Complications may take many forms and the Clavien–Dindo (CD) classification is designed to categorize them by d...

Authors: James Grainger, Thomas Hammett, Robert Isaacs and Chad Cook

Incidence and predictive risk factors of postoperative sepsis in orthopedic trauma patients

Postoperative sepsis is associated with high mortality and the national costs of septicemia exceed those of any other diagnosis. While numerous studies in the basic orthopedic science literature suggest that t...

Authors: Nikita Lakomkin, Vasanth Sathiyakumar, Brandon Wick, Michelle S. Shen, A. Alex Jahangir, Hassan Mir, William T. Obremskey, Ashley C. Dodd and Manish K. Sethi

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

Systematized water content calculation in cartilage using T1-mapping MR estimations: design and validation of a mathematical model

Up to 80 % of cartilage is water; the rest is collagen fibers and proteoglycans. Magnetic resonance (MR) T1-weighted measurements can be employed to calculate the water content of a tissue using T1 mapping. In...

Authors: J. M. Shiguetomi-Medina, J. L. Ramirez-GL, H. Stødkilde-Jørgensen and B. Møller-Madsen

Current concepts for the diagnosis and management of eosinophilic granuloma of bone

This review summarizes current concepts in the diagnosis and management of the patients with eosinophilic granuloma. Given the benign biology, the clinical course, and the pediatric group of patients that this...

Authors: Andrea Angelini, Andreas F. Mavrogenis, Eugenio Rimondi, Giuseppe Rossi and Pietro Ruggieri

Alteration of inflammatory cytokine production in primary total knee arthroplasty using antibiotic-loaded bone cement

The aim was to compare serum levels of interleukin-6 (SIL6), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and joint fluid IL-6 (JIL-6) level between total knee arthroplasty (TKA) that used bo...

Authors: Vajara Wilairatana, Peerasit Sinlapavilawan, Sittisak Honsawek and Noppachart Limpaphayom

A prospective multi-center study of intramedullary nailing vs casting of stable tibial shaft fractures

The purpose of this study was to determine optimal treatment of stable tibial shaft fractures using intramedullary nailing (IMN) or casting.

Authors: William T. Obremskey, Norele Cutrera and Christopher M. Kidd

Factors predicting outcome in whiplash injury: a systematic meta-review of prognostic factors

Whiplash injuries are among the leading injuries related to car crashes and it is important to determine the prognostic factors that predict the outcome of patients with these injuries. This meta-review aims t...

Authors: Pooria Sarrami, Elizabeth Armstrong, Justine M. Naylor and Ian A. Harris

Physeal histological morphology after thermal epiphysiodesis using radiofrequency ablation

Several treatments have been described for leg length discrepancy. Epiphysiodesis is the most commonly used because of its effectiveness. Thermal epiphysiodesis using radiofrequency ablation (RFA) alters the g...

Authors: Juan Manuel Shiguetomi-Medina, B. Møller-Madsen and O. Rahbek

Survival and clinical results of a modified "crosse de hockey" procedure for chronic isolated patellofemoral joint osteoarthritis: mid-term follow-up

The optimum treatment for isolated patellofemoral joint osteoarthritis (PFJ-OA) remains controversial. The aim of this study was to assess the mid-term clinical results of a modified crosse de hockey procedure fo...

Authors: Hiroaki Kanazawa, Yuichiro Maruyama, Katsuo Shitoto, Minoru Yokoyama and Kazuo Kaneko

Should hospital managers read the orthopedic literature before surgeons? The example of femur fracture management

Early surgical intervention in the treatment of proximal femur fractures has been shown to significantly reduce mortality and complications. Our study intends to evaluate early surgery rates in a single-center...

Authors: Alessandro Aprato, Denis Longo, Matteo Giachino, Gabriele Agati and Alessandro Massè

Nicotine consumption may lead to aseptic loosening in proximal mega-prosthetic femoral replacement

Aseptic loosening after total hip arthroplasty is likely related to nicotine ingestion. However, aseptic loosening as a direct consequence of smoking habits has not been described with regard to proximal mega-...

Authors: Philip J. F. Leute, Isabel Hoffmann, Ahmed Hammad, Stefan Lakemeier, Hans-Michael Klinger and Mike H. Baums

The natural course of shoulder instability and treatment trends: a systematic review

The natural course of shoulder instability is still not entirely clear. We aimed in this review to analyse the current scientific evidence of the natural history of shoulder instability.

Authors: W. Eljabu, H. M. Klinger and M. von Knoch

Neglected epiphyseal injuries of the distal end of the radius with ulnar impaction: analysis of distal osteotomy of both bones using a dorsal midline approach

To evaluate results of a technique for treating neglected epiphyseal injuries of the distal radius with ulnar impaction.

Authors: Paritosh Gogna, Sahil Gaba, Reetadyuti Mukhopadhyay, Rajesh Rohilla and Amanpreet Singh

Intramedullary nailing for correction of post-traumatic deformity in late-diagnosed distal radius fractures

Post-traumatic deformity of the distal radius may lead to multiple sequelae and severe functional impairment. Intramedullary fixation is a novel technique for treatment of distal radius fractures. The present ...

Authors: Alvin Chao-Yu Chen, Chun-Ying Cheng and Ying-Chao Chou

Retrograde entry portal for femoral interlocking nailing in femoral nonunion after plate failure: a prospective comparative study with antergrade portal

The piriformis fossa is the ideal portal of entry for antegrade interlocking nailing. Localizing this portal can be difficult and its eccentricity leads to complications. This prospective comparative study was...

Authors: Yasser Assaghir

Single harvesting in the all-inside graft-link technique: is the graft length crucial for success? A biomechanical study

The all-inside graft-link technique for anterior cruciate ligament reconstruction is performed with two cortical suspension devices with adjustable loops on both femur and tibia. This technique requires meticu...

Authors: Mattia Fabbri, Edoardo Monaco, Riccardo Maria Lanzetti, Dario Perugia, Matteo Guzzini, Luca Labianca and Andrea Ferretti

A protocol for staged arthroplasty to salvage infected nonunion of hip fractures

Nonunion of hip fractures is not uncommon. Total hip arthroplasty is used to salvage cases of non union or secondary arthritis in these fractures. However, this option may not be available or may be difficult ...

Authors: Ayman M. Ebied, Adel I. Elseedy and Osama Gamal