Journal of Orthopaedics and Traumatology

Subsidence of the Corail stem in total hip arthroplasty: no influence of bony contact
Migliorini F, Maffulli N, Pilone M, Kämmer D, Hofmann UK, Nobili A, Velaj E and Bell A
This study investigated stem subsidence following primary total hip arthroplasty (THA) with a Corail stem in patients who underwent two-staged bilateral THA. The second outcome of interest was to investigate whether a specific single cortical bone contact point might reduce postoperative stem subsidence.
Biomechanical evaluation of percutaneous compression plate and femoral neck system in Pauwels type III femoral neck fractures
Xie X, Bi S, Song Q, Zhang Q, Yan Z, Zhou X and Yu T
The optimal treatment for Pauwels type III femoral neck fractures remains contentious. We aim to compare the biomechanical properties of three inverted cannulated compression screw (ICCS), femoral neck system (FNS), and percutaneous compression plate (PCCP) to determine which offers superior stability for unstable femoral neck fractures.
Outcomes of coronoid-first repair through an anterior approach in patients with terrible triad injury of the elbow: a prospective study with a minimum 2-year follow-up
Chang WC, Cheng MF, Hsu KH and Su YP
In the treatment of terrible triad injury of the elbow (TTIE), the indication and the appropriate approach and sequence for coronoid process (CP) fixation remain debatable. No gold standard protocol has been established for CP fixation. In this study, we evaluated the midterm outcomes of coronoid-first repair through an anterior approach in patients with unstable TTIE.
Novel perspectives on early diagnosis of acute compartment syndrome: the role of admission blood tests
Wang T, Long Y and Zhang Q
The role of admission blood indicators in patients with acute compartment syndrome (ACS) remains debated. Our primary purpose was to observe variations of admission blood indicators in patients with ACS, while our secondary goal was to explore potential biomarkers related to ACS.
TikTok and frozen shoulder: a cross-sectional study of social media content quality
D'Ambrosi R, Bellato E, Bullitta G, Cecere AB, Corona K, De Crescenzo A, Fogliata V, Micheloni GM, Saccomanno MF, Vitullo F, Celli A and
This study aimed to assess the validity and informational value of the material provided on TikTok regarding frozen shoulders. The hypothesis was that the video content on this platform would not provide adequate and valid information.
Magnesium degradation-induced variable fixation plates promote bone healing in rabbits
Wen J, Zeng Y, Su S, Song M, Wang Z, Chen X and Dong X
Both initial mechanical stability and subsequent axial interfragmentary micromotion at fracture ends play crucial roles in fracture healing. However, the conversion timing of variable fixation and its effect on and mechanism of fracture healing remain inadequately explored.
Comparison of survival, function and complication between intercalary frozen autograft versus massive allograft reconstruction after malignant bone tumors resection
Li Z, Guo H, Deng Z, Yang Y, Zhang Q and Liu W
This study aims to compare the clinical outcomes of intercalary frozen autograft and allograft reconstruction for primary malignant bone tumors.
The international Hip Outcome Tool 12 questionnaire (iHOT-12): an Italian language cross-cultural adaptation and validation
Randelli F, Fioruzzi A, Clemente A, Radaelli A, Menon A, Di Via D, Caria C, Mazzoleni MG, Buono C, Di Benedetto P, Paciotti M, Papalia R, Fiorentino G, Collarile M, Panasci M, Carulli C, Rosolani M, Rocca FD, Cerulli S, Potestio D, Conati M, Costantini A, Bisciotti GN, Aprato A, Perticarini L, Santori N, Loppini M, Solarino G, Vicenti G, Pavone V, Di Martino A and Rivera F
Patient-reported outcome (PRO) measures are essential for evaluating disease-related quality of life. The International Hip Outcome Tool 12 (iHOT12) assesses various aspects of hip-related symptoms, function, sports participation, and social limitations. This study aimed to adapt and validate an Italian version of the iHOT12 according to COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.
Risk factors for proximal radial abnormalities in children with untreated chronic Monteggia fractures: a review of 142 cases
Wang W, Mei Q, Liu H, Guo Y, Mei H, Canavese F, Andreacchio A, Lyu H, Chen S and He S
The risk factors for proximal radial abnormalities (PRA) in paediatric patients with untreated chronic Monteggia fractures (CMFs) are unclear. This multicentre study aimed to evaluate the risk factors for PRA in children with untreated CMFs.
Is there a difference in pelvic and femoral morphology in early periprosthetic femoral fracture in cementless short stem total hip arthroplasty via an anterolateral approach?
Luger M, Feldler S, Schopper C, Gotterbarm T and Stadler C
The pelvic and femoral morphology are associated with the occurrence of early periprosthetic femoral fractures (PFFs) in cementless total hip arthroplasty (THA). Differences exist depending on the performed approach and implanted stem design. Therefore, this study was conducted to analyze the pelvic and femoral morphology in cementless short stem THA via a minimally-invasive (MIS) anterolateral approach.
No difference in surgical time and total theatre time between robotically assisted and computer assisted total knee arthroplasty
Haslhofer DJ, Anelli-Monti V, Hausbrandt P, Kammerlander C and Klasan A
A number of studies have demonstrated a significant reduction of surgical time for robotically assisted surgery (RAS) total knee arthroplasty (TKA) after the learning curve between 6 and 43 cases. It is unknown if the logistics of RAS produce a longer total theatre time since published literature only reflects the surgical time. It is also unknown how RAS surgical and total theatre times compare with computer assisted surgery (CAS) TKA.
Biphasic cartilage repair implant versus microfracture in the treatment of focal chondral and osteochondral lesions of the knee: a prospective, multi-center, randomized clinical trial
Tseng TH, Chen CP, Jiang CC, Weng PW, Chan YS, Hsu HC and Chiang H
Autologous minced cartilage is a method for cartilage defect repair, and our study focuses on a newly developed biphasic cylindrical osteochondral construct designed for use in human knees. We aimed to compare its clinical effectiveness and safety with microfracture, the commonly utilized reparative treatment for knee chondral or osteochondral defects.
Comparison of surgical and conservative therapy in older patients with distal radius fracture: a prospective randomized clinic al trial
Haslhofer DJ, Froschauer SM, Gotterbarm T, Schmidt M, Kwasny O and Holzbauer M
The distal radius fracture is considered the most common fracture in humans. For fractures classified as Arbeitsgemeinschaft für Osteosynthese (AO) 23-C1 + C2, there is no consensus on treatment in older patients due to inconsistent study results. The aim of this study was to compare conservative and surgical treatment in relation to wrist function and satisfaction in patients older than 65 years.
The extensive use of 3D printing in trauma does not yet fit the value-based healthcare era
Fidanza A, Caggiari G, Giannetti A and Mazzoleni MG
Are the costs of 3D printing for surgical procedures yet to be definitively assessed?
Li R, Niu S and Wang J
Can a single question replace patient-reported outcomes in the follow-up of elbow arthroplasty? A validation study
Macken AA, Prkic A, Koenraadt-van Oost I, Buijze GA, The B and Eygendaal D
To assess the results after elbow arthroplasty it is essential to gather patient-reported outcome measures (PROMs). However, the acquisition of PROMs poses a challenge because of potential low literacy, lengthiness and diversity of questionnaires, and questionnaire fatigue. Instead of a questionnaire, patient-reported outcomes can be collected using a single assessment numeric evaluation (SANE), the subjective elbow value (SEV). The aim of this pilot study is to assess the correlation between the SEV and conventionally used patient reported outcome measures (PROMs) after elbow arthroplasty.
Differences in the effectiveness of leukocyte-rich platelet-rich plasma compared with leukocyte-poor platelet-rich plasma in the treatment of rotator cuff surgery: an umbrella review of meta-analyses
Tang P, Rahmati M, Xiao W, Wen T, Yon DK, Smith L, Su J, Yang S, Li Y and Deng Z
An umbrella review of meta-analyses was conducted to evaluate the use of platelet-rich plasma (PRP) in arthroscopic surgeries of rotator cuff injury. The effectiveness of leukocyte-poor PRP and leukocyte-rich PRP in the treatment of rotator cuff surgery was also compared.
Abandoning the use of tension in tibial fracture nailing is associated with lower rate for acute compartment syndrome?
Ponkilainen V and Nurmi H
Medium-term clinical results in the treatment of supracondylar humeral fractures in children: does the surgical approach impact outcomes?
Samaila EM, Auregli L, Pezzè L, Colò G and Magnan B
Recent literature has found a consensus in favor of conservative treatment for type II supracondylar humeral fractures (SCHF). This retrospective observational study compares the short- to medium-term functional outcomes of conservative versus surgical treatment in 31 patients with SCHF (Gartland II and III) to assess the potential superiority of one approach over the other.
Comparison of free vascularized fibular grafts and the Masquelet technique for the treatment of segmental bone defects with open forearm fractures: a retrospective cohort study
Zhou M, Ma Y, Jia X, Wu Y, Liu J, Wang Y, Wang P, Luo J, Lin F, Wang J and Rui Y
Severe open forearm fractures commonly involve segmental bone defects. Although several methods have been proposed to treat segmental bone defects with such fractures, research comparing the radiological and clinical outcomes of free vascularized fibular grafts (FVFG) and the Masquelet technique (MT) is rare.
Enhancing recovery: surgical techniques and rehabilitation strategies after direct anterior hip arthroplasty
Di Martino A, Keating C, Butsick MJ, Platano D, Berti L, Hunter LN and Faldini C
Total hip arthroplasty (THA) is a common surgical procedure for hip joint pathologies, with the direct anterior approach (DAA) gaining popularity due to potential benefits in postoperative recovery. This review aims to provide a comprehensive analysis of rehabilitation strategies following DAA THA, focusing on surgical techniques, postoperative care, and outcomes. The evolution of the DAA to THA is discussed, highlighting historical advancements and comparisons with other surgical approaches. Surgical techniques and considerations specific to the DAA are detailed, including outcomes and complications compared to alternative approaches. The role of the surgical technique in influencing postoperative rehabilitation is explored, emphasizing the importance of optimizing surgical procedures for enhanced recovery. Postoperative care and rehabilitation models following DAA THA are examined, with a focus on the impacts of different rehabilitation protocols on patient outcomes. The review underscores the significance of tailored rehabilitation programs in promoting optimal recovery and patient satisfaction. Current evidence from recent studies, meta-analyses, and clinical trials is critically analyzed to provide insights into the effectiveness of postoperative rehabilitation strategies. The review identifies gaps in the existing literature and proposes recommendations for future research to improve rehabilitation protocols and enhance outcomes. In conclusion, this review highlights the importance of postoperative rehabilitation in the context of DAA THA. By synthesizing historical perspectives, current evidence, and future directions, the review offers a comprehensive understanding of rehabilitation strategies following DAA THA. The findings underscore the need for personalized rehabilitation programs and ongoing research to optimize postoperative recovery and improve outcomes in the field of THA.