Greater tuberosity fractures of the humerus: complications and long-term outcomes after surgical treatment
ConclusionThis study enhances understanding of the long-term outcomes of surgically-treated GT fractures, aiding in treatment selection. Interfragmentary screws may be preferable in younger male patients, but are associated with the higher risk of reintervention, particularly in fragile bone. Prospective multicentric studies are warranted to further elucidate long-term results and treatment strategies. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 30, 2024 Category: Orthopaedics Source Type: research

Preoperative veterans RAND-12 mental composite score of   & lt;  35 is associated with increased length of stay and high rates of discharge to rehab after primary total joint arthroplasty
ConclusionPatient with low MCS tended to be younger, women, and had poorer preoperative HOOS/KOOS scores. Low MCS was associated with longer LOS and lower rates of discharge home. However, MCS was not associated with early ambulation rate and LOS after controlling discharge location. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 30, 2024 Category: Orthopaedics Source Type: research

Impact of age on clinical outcomes in anterior cruciate ligament reconstruction
ConclusionACLR is a clinically successful treatment strategy for patients of all ages. Thus, age should not be used in isolation to determine patient suitability. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 27, 2024 Category: Orthopaedics Source Type: research

Pronator quadratus preserving versus pronator quadratus dissecting approaches in volar plate fixation of distal radius fractures: a systematic review of comparative studies
ConclusionThere is not sufficient evidence supporting the utility of PQ-P approaches over conventional PQ-D approaches for volar plate fixation of DRFs, especially at long-term follow-ups (3+  months). There may be short term benefits with PQ-P approaches, specifically with regards to PROMs in the short-term (<  6 weeks), however there is limited high-quality evidence supporting these findings.Level of evidenceLevel III. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 27, 2024 Category: Orthopaedics Source Type: research

Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty
ConclusionPreoperative insulin-dependent diabetic status was significantly associated with a greater rate of early postoperative complications following aseptic revision TSA. A better understanding of the role diabetes, both insulin-dependent and non-insulin-dependent, as a risk factor may help physicians better risk stratify and select surgical candidates for revision TSA. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 26, 2024 Category: Orthopaedics Source Type: research

Simultaneous vs staged bilateral hip arthroplasty: monocentric analysis of satisfaction rate and complications
ConclusionNo differences in local or systemic complications nor readmission rates were observed following simultaneous or staged bilateral THA. Simultaneous bilateral THA is non-inferior to staged implants in terms of safety and patient satisfaction. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 26, 2024 Category: Orthopaedics Source Type: research

Circular frame versus reamed intramedullary tibial nail in the treatment of grade III open tibial diaphyseal fractures
ConclusionIMN should be the treatment of choice in the treatment of grade III open tibial diaphyseal fracture, but CF should be considered for delayed treatment and in patients with bone loss. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 25, 2024 Category: Orthopaedics Source Type: research

Management of pediatric posterior cruciate ligament avulsion fractures: a systematic review
ConclusionsOpen reduction and arthroscopic surgeries are effective and safe treatment options for pediatric PCL avulsion fractures —97% of open reduction and 92% of arthroscopic patients significantly improved symptoms. The complication rates for the open and arthroscopic groups were 11 and 9%, respectively. All three non-operative made full or near full recovery of pre-injury knee status.Level of evidence IVSystematic review of Level-II –IV studies.Prospero Registration No CRD42021290899. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research

Outcomes after radioscapholunate arthrodesis for intra-articular malunion of distal radius fractures
ConclusionRSL arthrodesis (using locked miniplates without distal scaphoid excision)  is a reliable surgical procedure to manage cases of radiocarpal OA after intra-articular malunion of distal radius fractures with good clinical and radiological outcomes.Level of evidenceLevel IV- therapeutic. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 23, 2024 Category: Orthopaedics Source Type: research

The role of computed tomography with external rotation and dorsiflexion in decision making for acute isolated non-displaced posterior malleolar fractures Barton íček and Rammelt type II: a prospective study
ConclusionThe conventional computed tomography with external rotation and dorsiflexion represents a reproducible and accurate diagnostic option for detecting syndesmosis instability and fracture instability in acute isolated non-displaced posterior malleolar fractures Barton íček and Rammelt type II.Level of Evidence: Prospective study among consecutive patients (Diagnosis); Level of evidence, 2. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 22, 2024 Category: Orthopaedics Source Type: research

Ankle arthrodesis through minimally-invasive transfibular approach: a new surgical technique
ConclusionsThe MITF approach for ankle arthrodesis demonstrates promising results in addressing end-stage varus ankle osteoarthritis, even in high-risk patients. However, the study ’s limitations highlight the need for a prospective comparative clinical trial with a larger sample size to ascertain the technique’s effectiveness and safety definitively. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 21, 2024 Category: Orthopaedics Source Type: research

Novel implant design for comminuted posterior wall acetabular fractures
ConclusionsThe finite element analysis revealed that the newly developed anatomical plate for posterior wall acetabular fractures meets the necessary physical and mechanical criteria for permanent implementation in patients with these fractures. This breakthrough represents a promising advancement that could simplify surgical procedures and potentially elevate patient outcomes.Level of Evidence IIThis study is classified as a Level II, diagnostic study. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

A prospective randomized control trial comparing outcomes of casting, pinning, and plating for distal end of radius fractures (AO type A2, A3, C1, or C2) in the elderly population
ConclusionThe study found a radiologically significant difference between groups throughout the follow-up, but it did not affect functional results. Clinical outcomes were similar across the groups, with plating showing better palmar flexion and radial deviation. Grip strength was also better in the plating group, but statistically insignificant. The study suggests plating should be chosen over other treatments for high-demand patients. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Intramedullary versus plate fixation of both bone forearm fractures in skeletally immature patients: a systematic review and meta-analysis
ConclusionsWe found no significant difference between IMF and PF in terms of union rates and functional outcomes taking in consideration the merits and demerits of each technique. High-quality randomized controlled trials are, therefore, necessary to determine the superiority of one fixation technique over the other.Level of evidenceIII. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research

Frailty is a predictor of immediate postoperative complications following surgical management of knee dislocations
ConclusionsFrailty is superior to age and obesity, and comparable to VI, at predicting adverse outcomes following surgical management of KDs. These findings suggest that frailty assessment might play a role in risk stratification and preoperative planning for KD patients that require surgical intervention. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 20, 2024 Category: Orthopaedics Source Type: research