Articles

In-Depth Oral Presentations and Oral Communications

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In memoriam of prof. Francesco Pipino

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Reverse sural fasciocutaneous flap with a cutaneous pedicle to cover distal lower limb soft tissue defects: experience of 109 clinical cases

Soft tissue defects over the mid- and distal third tibia, heel, dorsum and plantar aspect of the foot and over the medial, lateral and posterior aspect of the ankle are a common scenario in clinical orthopaedi...

Authors: Anoop C. Dhamangaonkar and Hemant S. Patankar

Is intramedullary nailing more effective than non-operative treatment in adults with displaced middle-third clavicle fractures?

Clavicle fractures are common, accounting for 5–12 % of all fractures. Traditionally, displaced middle-third clavicle fractures have been managed non-operatively but the associated displacement often leads to ...

Authors: Christopher Edward Hill

Long term results after surgical management of posterior wall acetabular fractures

Posterior wall fractures are the most common of all acetabular fractures, and there is universal consensus that displaced fractures are best treated with anatomical reduction and stable internal fixation. Thou...

Authors: Narender Kumar Magu, Paritosh Gogna, Amanpreet Singh, Rohit Singla, Rajesh Rohilla, Amit Batra and Reetadyuti Mukhopadhyay

Surgical fixation of displaced midshaft clavicle fractures: elastic intramedullary nailing versus precontoured plating

This prospective comparative study was done to evaluate the effectiveness of implants of different design (titanium elastic intramedullary nail versus anatomical precontoured dynamic compression plate) in trea...

Authors: Nidhi Narsaria, Ashutosh K. Singh, G. R. Arun and R. R. S. Seth

The pubic midline exposure for symphyseal open reduction and plate fixation

Open reduction and plate fixation of the disrupted symphysis pubis is commonly performed through a horizontal Pfannenstiel incision. Certain clinical situations that complicate the soft tissue conditions of th...

Authors: Mark R. Adams, John A. Scolaro and Milton Lee Chip Routt Jr.

Plate osteosynthesis of fractures of the shaft of the humerus: comparison of limited contact dynamic compression plates and locking compression plates

The aim of this retrospective study was to compare outcomes and complications of displaced fractures of the shaft of the humerus treated with limited-contact dynamic compression plates (LCDCPs) and locking com...

Authors: Ashutosh Kumar Singh, Nidhi Narsaria, R. R. Seth and S. Garg

Periprosthetic supracondylar femoral fractures following total knee arthroplasty: clinical comparison and related complications of the femur plate system and retrograde-inserted supracondylar nail

The purpose of this study is to analyze the clinical results and related complications of the femur plate system (FP) and the retrograde-inserted supracondylar nail (RISN).

Authors: Viral Gondalia, Duck Hyun Choi, Su Chan Lee, Chang Hyun Nam, Bo Hyun Hwang, Hye Sun Ahn, Alvin C. Ong, Ha Young Park and Kwang Am Jung

Bone graft from greater trochanter in posterior wall fractures with impacted fragments

Posterior wall fracture is the most common acetabular fracture. Comminuted fractures with an impacted segment represent a subtype of this injury. The subchondral bone of the articular zone is compressed and ca...

Authors: R. Pascarella, M. Commessatti, R. Politano, A. Maresca, M. Del Torto, M. Chehrassan and R. Fantasia

2013 Scientific Referees

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Is LOE test useful to recognize LCA insufficiency?

Authors: Giuseppe Laurà

Primary total hip arthroplasty versus internal fixation in displaced fracture of femoral neck in sexa- and septuagenarians

The optimal treatment of femoral neck fracture in the elderly patient is still under debate. In patients aged 60–80 years, the decision between internal fixation and arthroplasty remains controversial. The pri...

Authors: Iftikhar H. Wani, Sidhartha Sharma, Irfan Latoo, A. Q. Salaria, Munir Farooq and Masrat Jan

A prospective randomized comparison of two skin closure techniques in acetabular fracture surgery

Recent publications have shown an infection rate of 5–7 % for acetabular fractures treated with the Kocher-Langenbeck (K-L) approach. Using metallic staples to close hip skin incisions has been considered the ...

Authors: Christopher D. Mudd, John A. Boudreau and Berton R. Moed

Thromboelastography platelet mapping for surgical patients: lessons from cardiac surgery

Authors: Priyadharshanan Ariyaratnam, Lindsay A. Mclean, Kostas Kotidis and Mahmoud Loubani

Breast cancer bone metastases: an orthopedic emergency

Authors: Andrea Piccioli

Analysis on anatomical references to assess the coronal alignment of tibial and femoral cuts in mega prosthetic knee replacement

In megaprosthetic knee replacement, surgeons use cutting guides that depend on anatomLevel of evidence

Authors: Vikas Karade and Bhallamudi Ravi

Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection

Management of distal tibial tumours with limb salvage surgery poses a challenge for the orthopaedic surgeon. This study was done to evaluate the results of fibular centralisation as a technique to reconstruct ...

Authors: Zile Singh Kundu, Paritosh Gogna, Vinay Gupta, Rohit Singla, Sukhbir Singh Sangwan, Mukul Mohindra and Amanpreet Singh

Supraspinatus rupture at the musculotendinous junction in a young woman

The vast majority of rotator cuff tears occur within the tendon or as an avulsion from the greater tuberosity. Supraspinatus injury at the musculotendinous junction is a very uncommon event. We describe a case...

Authors: Francesco Benazzo, Matteo Marullo and Luigi Pietrobono

An evidence-based warfarin management protocol reduces surgical delay in hip fracture patients

Up to 4 % of patients presenting with a hip fracture may be on warfarin at admission. There is little consensus on the timing, dosage or route of vitamin K administration. We aimed to evaluate the impact of a ...

Authors: I. Ahmed, M. A. Khan, V. Nayak and A. Mohsen

A biomechanical comparison between locked 3.5-mm plates and 4.5-mm plates for the treatment of simple bicondylar tibial plateau fractures: is bigger necessarily better?

Evolution of periarticular implant technology has led to stiffer, more stable fixation constructs. However, as plate options increase, comparisons between different sized constructs have not been performed. Th...

Authors: Saqib Hasan, Omri B. Ayalon, Richard S. Yoon, Amit Sood, Ulises Militano, Mark Cavanaugh and Frank A. Liporace

Proximal fractures of the humerus in patients older than 75 years of age: should we consider operative treatment?

Over 75 % of patients presenting with a proximal humerus fracture are 70 years or older. Very little is known about the outcome after operative treatment of these fractures in very old patients. This study was...

Authors: Marjolein de Kruijf, J. P. A. M. Vroemen, K. de Leur, E. A. M. van der Voort, D. I. Vos and L. Van der Laan

Application of distraction osteogenesis in managing bone cysts

Despite the great amount of research concerning bone cysts, there is still no commonly accepted method of treatment. The aim of this study was to evaluate the effectiveness managing bone cyst with hybrid exter...

Authors: Vagif Verdiyev and Farhad Verdiyev

Rigid intramedullary nail fixation of femoral fractures in adolescents: what evidence is available?

Femoral fracture in adolescents is a significant injury. It is generally agreed that operative fixation is the treatment of choice, and rigid intramedullary nail fixation is a treatment option. However, numero...

Authors: D. S. Angadi, D. E. T. Shepherd, R. Vadivelu and T. Barrett

From amputation to limb salvage reconstruction: evolution and role of the endoprosthesis in musculoskeletal oncology

In 1943, Austin Moore developed the first endoprosthesis fashioned from Vitallium, providing the first alternative to traditional amputation as primary treatment of bone tumors. The success of the Vitallium en...

Authors: John S. Hwang, Anokhi D. Mehta, Richard S. Yoon and Kathleen S. Beebe

Impact of patellar height on unicompartment knee arthroplasty: does patella baja lead to an inferior outcome?

Though a number of series with long-term results have been published, there is still a paucity of literature on the role of patellar height after unicompartment knee arthroplasty (UKA). The present study was c...

Authors: Devdatta Suhas Neogi, Ji Hoon Bae, Chang Woo Seok and Hong Chul Lim

Structural and biomechanical responses of osseous healing: a novel murine nonunion model

Understanding the biological mechanisms of why certain fractures are at risk for delayed healing or nonunion requires translational animal models that take advantage of transgenic and other genetic manipulatio...

Authors: Aditya Chaubey, Brian Grawe, Jeffrey A. Meganck, Nathaniel Dyment, Jason Inzana, Xi Jiang, Camille Connolley, Hani Awad, David Rowe, Keith Kenter, Steven A. Goldstein and David Butler

Is it possible? Predicting complications and morbidity in surgical patients on clopidogrel therapy with Thrombelastography Platelet Mapping

Authors: Rashida Callender, Alfonso Altamirano, Tiffney Tezino, Evan G. Pivalizza and Davide Cattano

Effectiveness of synthetic hydroxyapatite versus Persian Gulf coral in an animal model of long bone defect reconstruction

There is a continuing search for bone substitutes to avoid or minimize the need for autogenous bone grafts. Hydroxyapatite, a crystalline phase of calcium phosphate found naturally in bone minerals, has shown ...

Authors: A. Meimandi Parizi, A. Oryan, Z. Shafiei-Sarvestani and A. Bigham-Sadegh

Impact of specialty and level of training on CT measurement of femoral version: an interobserver agreement analysis

To determine the interobserver agreement on femoral version measurements between an orthopedic attending, orthopedic senior and junior residents, and an attending radiologist.

Authors: Richard S. Yoon, John D. Koerner, Neeraj M. Patel, Michael S. Sirkin, Mark C. Reilly and Frank A. Liporace

Ulnar variance as a predictor of persistent instability following Galeazzi fracture-dislocations

We investigated the radiographic parameters that may predict distal radial ulnar joint (DRUJ) instability in surgically treated radial shaft fractures. In our clinical experience, there are no previously repor...

Authors: Richelle Takemoto, Michelle Sugi, Igor Immerman, Nirmal Tejwani and Kenneth A. Egol

In-hospital complications following primary total hip and knee arthroplasty in octogenarian and nonagenarian patients

As life expectancy of patients increases, more elderly patients are undergoing primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). There is a general perception of increased risk of complic...

Authors: Shashi K. Nanjayan, Girish N. Swamy, Sunil Yellu, Sachin Yallappa, Tarek Abuzakuk and Robert Straw

Bilateral double osteotomy in severe torsional malalignment syndrome: 16 years follow-up

Torsional malalignment syndrome (TMS) is a well defined condition consisting of a combination of femoral antetorsion and tibial lateral torsion. The axis of knee motion is medially rotated. This may lead to pa...

Authors: Francesco Leonardi, Fabrizio Rivera, Alessandra Zorzan and Syed Mohsin Ali

Congenital absence of superficial posterior compartment calf muscles

Although various congenital abnormalities have been described, congenital absence of calf musculature is extremely rare, with only one report on its complete absence. We are the first to describe a case of con...

Authors: Saket Tibrewal, Faisal Alyas and Krishna Vemulapalli

Rotatory instability of the knee after ACL tear and reconstruction

Although ACL reconstructions provide satisfactory clinical results nowadays, regardless of the type of graft or the surgical technique used (out-in vs in-out or single- vs double-bundle), the residual rotatory...

Authors: Andrea Ferretti, Edoardo Monaco and Antonio Vadalà

Peri-articular diseases of the hip: emerging frontiers in arthroscopic and endoscopic treatments

The precise diagnosis of both intra and extra-capsular disease of the hip is now possible because of commonly available advanced diagnostic imaging techniques. An increasing number of reports in the orthopedic...

Authors: A. Aprato, N. Jayasekera, A. Bajwa and R. N. Villar

Concomitant ligamentous and meniscal knee injuries in femoral shaft fracture

Concomitant knee injury is a common finding in femoral fractures but can be easily missed during early management of the initial trauma. Degrees of damage to the articular structures vary considerably; from on...

Authors: Mohammad Kazem Emami Meybodi, Morteza Jannesari Ladani, Tohid Emami Meybodi, Alireza Rahimnia, Ahmad Dorostegan, Jalil Abrisham and Habib Yarbeygi

Neck of femur fractures in the over 90s: a select group of patients who require prompt surgical intervention for optimal results

Patients in the extremes of old age with a femoral neck fracture represent a challenging subgroup, and are thought to be associated with poorer outcomes due to increased numbers of comorbidities. Whilst many s...

Authors: K. S. Hapuarachchi, R. S. Ahluwalia and M. G. Bowditch

Management of displaced radial neck fractures in children: percutaneous pinning vs. elastic stable intramedullary nailing

The treatment of radial neck fractures in children varies according to the displacement, angulation, and skeletal maturity. There is a general agreement that displaced radial neck fractures with more than 30° ...

Authors: Luigi Tarallo, Raffaele Mugnai, Francesco Fiacchi, Francesco Capra and Fabio Catani

Spica cast as an alternative to general anesthesia for lower limb MRI in young children

The conventional approach for MRI procedures in very young children is to use general anesthesia which comes with inherent risks. Non-pharmacological strategies to reduce anxiety in children have also been des...

Authors: P.-Y. Rabattu, A. Courvoisier, E. Bourgeois, A. Eid, C. Durand and J. Griffet

Posterior dislocation of the Oxford knee meniscal bearing: a treatment option

Unicompartmental knee replacement (UKR) is now established as a treatment for medial compartment arthritis. The Oxford UKR (Biomet Orthopedics, Inc, Warsaw, IN, USA) has a mobile-bearing system, which minimize...

Authors: S. Tibrewal, H. Pandit, P. McLardy-Smith, S. B. Tibrewal and D. W. Murray

Percutaneous calcaneoplasty in displaced intraarticular calcaneal fractures

The ideal treatment for displaced intraarticular calcaneal fractures is still under debate. Open reduction and internal fixation is the most popular surgical procedure; however, wound complications, hardware f...

Authors: Francesco Biggi, Stefano Di Fabio, Corrado D’Antimo, Francesco Isoni, Cosimo Salfi and Silvia Trevisani

Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature

Flexor tendon rupture is a rare but major complication associated with volar plate fixation of distal radius fractures.

Authors: Saeed Asadollahi and Prue P. A. Keith

Surgical treatment of displaced intra-articular calcaneal fractures: is bone grafting necessary?

The aim of this retrospective study was to determine the need for bone grafting in the surgical treatment of displaced intra-articular calcaneal fractures. We reviewed 390 cases of displaced intra-articular ca...

Authors: A. K. Singh and K. Vinay

The Prolo Scale: history, evolution and psychometric properties

The Prolo Scale (PS) is a widely accepted assessment tool for lumbar spinal surgery results. Nevertheless, in the literature there is a dearth of consensus about its application, interpretation and accuracy. T...

Authors: Carla Vanti, Donatella Prosperi and Marco Boschi

Surgical treatment of chronic acromioclavicular dislocation with biologic graft vs synthetic ligament: a prospective randomized comparative study

Acromioclavicular (AC) dislocation involves complete loss of articular contact; it is defined as chronic when it follows conservative management or unsuccessful surgical treatment.

Authors: Francesco Fauci, Giovanni Merolla, Paolo Paladini, Fabrizio Campi and Giuseppe Porcellini

Calculation of pediatric femoral fracture rotation from direct roentgenograms

Radiologic determination of pediatric femoral fracture rotation has been debated. Measuring the antetorsion angle of the fractured femur by computed tomography and comparing it with the opposite side has been ...

Authors: M. S. Ozel, I. E. Ketenci, E. Kaya, S. Tuna and B. Saygi

Divergent elbow dislocation with radial shaft fracture, distal ulnar deformation, and distal radioulnar joint instability: an unclassifiable Monteggia variant

Originally described by Monteggia and later classified by Bado, elbow dislocations with concurrent radial and ulnar shaft fractures with distal radioulnar joint (DRUJ) disruption are considered operative cases...

Authors: Joseph L. Laratta, Richard S. Yoon, Matthew A. Frank, Kenneth Koury, Derek J. Donegan and Frank A. Liporace

Elbow instability secondary to lateral epicondylar nounion in an adult

Symptomatic nonunion of the lateral epicondyle of the elbow is a rare injury. We present the case of a 36-year-old woman who complained of elbow pain and instability several months after a conservatively treat...

Authors: Maria Valencia, Raul Barco and Samuel A. Antuña

The distally based lateral sural neuro-lesser saphenous veno-fasciocutaneous flap: anatomical basis and clinical applications

Soft tissue management around the lower third of the leg and foot presents a considerable challenge to the plastic surgeon. The aim of this research was to investigate the anatomical relationships of artery, n...

Authors: Chen Wang, Zhuyou Xiong, Jing Xu, Li Zhang, He Huang and Guangzao Li