Comparison of two versus three-screw fixation for biplanar chevron medial malleolar osteotomy
ConclusionsThe study found no significant differences in union rates, complications, or clinical outcomes between two and three-screw fixation methods for medial malleolar osteotomies (MMO). Both methods allowed for effective MMO fixation without loss or displacement post-surgery, suggesting their safety and efficacy.Level of evidenceLevel III, retrospective comparison. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

Utilization of the gastrocnemius flap for post-traumatic knee reconstruction: a systematic review
ConclusionThe gastrocnemius flap has demonstrated to be an effective option for individuals undergoing post-traumatic knee reconstruction. Infection rates, loss of mobility, and scarring represent a minority of complications that may be seen when this reconstructive technique is utilized. Still, additional randomized controlled trials and retrospective studies are required in order to further evaluate for other potential complications that may occur in this patient population. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

The ROSA knee robotic system demonstrates superior precision in restoring joint line height and posterior condylar offset compared to conventional manual TKA: a retrospective case –control study
ConclusionThe ROSA knee robotic system can more accurately restore joint line height and PCO compared to conventional manual TKA. The improved degree of precision raTKA offers may be a vehicle for better Patient-Reported Outcome Measures, but further correlational studies are required. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 18, 2024 Category: Orthopaedics Source Type: research

A randomized controlled trial demonstrating sustained benefit of autologous matrix-induced chondrogenesis (AMIC ®) over microfracture: 10-year follow-up
ConclusionThe AMIC® procedure results in improved patient outcomes in comparison with microfracture up to 10  years following surgery for the repair of focal chondral defects in the knee.ClinicalTrials.gov Identifier: NCT02993510 (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research

Whole-body cryotherapy in orthopaedics: current concepts
AbstractThe use of whole-body cryotherapy (WBC) for musculoskeletal ailments is growing. WBC, involving brief exposure to extremely low temperatures, is increasingly used for its analgesic, anti-inflammatory, and antioxidant effects. The paper examines the physiological impacts of WBC on cardiovascular, musculoskeletal, hematologic, hormonal, and metabolic systems. Specific orthopaedic applications discussed include its role in the management of fractures, osteoarthritis, osteonecrosis of the femoral head, osteomyelitis, adhesive capsulitis, tendinopathies, rheumatic pathologies, chronic pain syndromes, and fibromyalgia. T...
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research

Age-stratified analysis of HTO and UKA clinical effects in cross-indicated anterior medial osteoarthritis
ConclusionBoth methods yield satisfactory results for AMOA cross-indications, improving knee joint function. The observed recovery trends have implications for personalized surgical recommendations, guiding interventions based on age-specific considerations for optimal outcomes in anterior medial osteoarthritis cases. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 17, 2024 Category: Orthopaedics Source Type: research

Assessing social disparities in inpatient vs. outpatient arthroplasty: a in-state database analysis
ConclusionInpatient arthroplasty was associated with increased social disparities across several components of deprivation as well as an independent risk factor total complications following TJA. To the best of our knowledge, this study is the first to examine the negative repercussions of inpatient arthroplasty through the lens of social disparities and can target specific areas for intervention. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 16, 2024 Category: Orthopaedics Source Type: research

Surgical outcome of angular deformity correction of lower limbs in rickets: a cross-sectional study
ConclusionBoth GGS and ACO procedures resulted in similar radiographic and functional outcomes for the treatment of rickets in children. GGS may be advantageous in terms of reducing complications of surgery. Nevertheless, the choice of surgical intervention should be made based on the patient's circumstances and the surgeon's preference. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 15, 2024 Category: Orthopaedics Source Type: research

Correction to: Evaluation of ChatGPT responses for back pain?
(Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 13, 2024 Category: Orthopaedics Source Type: research

Unclassified acetabular fractures: Do they really exist?
ConclusionSeveral acetabular fracture pattern could be considered unclassified fractures. These unique patterns may require special approaches or special fixation methods. However, this is not a call for a new classification for acetabular classification to include these new types. Subclassification or adding modifiers to Letournel classification can do the job. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 12, 2024 Category: Orthopaedics Source Type: research

Lumbopelvic fixation in the treatment of spinopelvic dissociation: union, complications, and neurologic outcomes of a multicenter case series
ConclusionOpen lumbopelvic fixation resulted in a high union rate in the treatment of spinopelvic dissociation. Approximately 1 in 6 patients had a wound complication, the majority of which were surgical site infections. Bowel and bladder dysfunction at presentation were common with the majority of cases resolving by final follow-up when spinopelvic dissociation had been treated with decompression and stable fixation. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 11, 2024 Category: Orthopaedics Source Type: research

Italian research on anterior cruciate ligament: a bibliometric analysis
ConclusionsACL reconstruction has gained growing interest amongst the scientific community. Publications and citations presented a rising trend, the majority of the highly cited papers were contributed by few centres, and clinical trials were the most cited study designs. The long-term outcomes of ACL lesions have attracted interest. The authors hypothesised that shortly there will be an increase in articles analysing the results of ACL revisions, the use of lateral extra-articular tenodesis, and meniscus transplants.Level of evidence IV Cross-Sectional Study (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 11, 2024 Category: Orthopaedics Source Type: research

Usefulness of double plate fixation after failed ORIF for clavicle shaft fracture
ConclusionDouble plate fixation has shown good results after failed open reduction and internal fixation (ORIF) for clavicle shaft fractures. Therefore, in complicated situations after ORIF, double plate fixation is considered a surgical treatment option. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 10, 2024 Category: Orthopaedics Source Type: research

Biomechanical evaluation of the wrist after scaphotrapeziotrapezoid arthrodesis
ConclusionThe current study is the first to present the biomechanical parameters of flexor and extensor muscles of the wrist and fingers in patients after the said procedure. Biomechanical assessments with additional isometric, isotonic, and isokinetic tests provide an opportunity to objectify treatment outcomes and guide appropriate rehabilitation by monitoring its effects.Level of evidenceIII. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 10, 2024 Category: Orthopaedics Source Type: research

Closed reduction and internal fixation for tillaux fractures, based on pre-operative three-dimensional computed tomography
ConclusionThe closed reduction technique developed based on the fracture pattern identified by 3D-CT anatomical analysis is safe and effective in treating tillaux fractures. (Source: European Journal of Orthopaedic Surgery and Traumatology)
Source: European Journal of Orthopaedic Surgery and Traumatology - April 9, 2024 Category: Orthopaedics Source Type: research