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…

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

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

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Lumbar total disc arthroplasty: outdated surgery or here to stay procedure?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

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

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

Failure of the first step of two-stage revision due to polymicrobial prosthetic joint infection of the hip

The unsuccessful treatment of prosthetic joint infection (PJI) with two-stage revision leads to infection recurrence. The objectives of the study were to assess the clinical and demographic characteristics of ...

Authors: Svetlana Bozhkova, Rashid Tikhilov, Dmitry Labutin, Alexey Denisov, Igor Shubnyakov, Vadim Razorenov, Vasilii Artyukh and Anna Rukina

Is there an association between low serum 25-OH-D levels and the length of hospital stay in orthopaedic patients after arthroplasty?

The purpose of this observational study was to evaluate serum levels of 25-OH-D in patients scheduled to undergo elective hip or knee arthroplasty. We hypothesised that 25-OH-D level is an independent risk fac...

Authors: Gerrit Steffen Maier, Uwe Maus, Djordje Lazovic, Konstantin Horas, Klaus Edgar Roth and Andreas Alois Kurth

Factors preventing kneeling in a group of pre-educated patients post total knee arthroplasty

Difficulties in kneeling, one of the poorest scoring functional outcomes post total knee arthroplasty (TKA),have been attributed to a lack of patient education. This is the first study to investigate specific ...

Authors: Leigh White, T. Stockwell, N. Hartnell, M. Hennessy and J. Mullan

Does the hyperextension maneuver prevent knee extension loss after arthroscopic anterior cruciate ligament reconstruction?

Disruption of the anterior cruciate ligament (ACL) is one of the most frequent musculoskeletal injuries affecting physically active men and women. In the United States, an estimated 200,000 ACL reconstructions...

Authors: Hamidreza Yazdi, Amin Moradi, Aida Sanaie and Armin Ghadi

In vivo bactericidal efficacy of the Ti6Al4V surface after ultraviolet C treatment

Biomaterial-associated infections are one of the most important complications in orthopedic surgery. The main goal of this study was to demonstrate the in vivo bactericidal effect of ultraviolet (UV) irradiati...

Authors: Juan A. Constantino, María Delgado-Rastrollo, Miguel A. Pacha-Olivenza, M. Luisa González-Martín, Manuel Quiles, C. Pérez-Giraldo, José M. Bruque and Amparo M. Gallardo-Moreno

Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace

The concept of utilizing nonabsorbable suture tape fixed directly to bone to augment Brostrom repairs of the anterior talofibular ligament (ATFL) has been proposed. However, no clinical data are currently avai...

Authors: Jae-Sung Yoo and Eun-Ah Yang

Can the frontal tibiofemoral alignment be assessed on anteroposterior knee radiographs?

The aim of total knee arthroplasty is, amongst others, the reconstruction of a physiological axis of the leg with a tibiofemoral angle in the frontal plane of an average of 6°. The aim of this study is to clar...

Authors: M. Sgroi, M. Faschingbauer, H. Reichel and T. Kappe