Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2023
Mid-term outcomes of revision hip arthroplasty due to titanium modular neck failure.
The current strategy for modular neck failures in total hip arthroplasty (THA) is calibrated on CrCo neck failures. Stem revision is usually required, but the procedure is challenging and achieves modest outcomes (up to 20% of re-revisions at short-term). No study reports revision strategies and outcomes after Ti neck failures. Aims of the study were to evaluate: (1) demographic and implant features of the cohort to be revised, (2) intra-operative findings and surgical revision strategies and (3) clinical and radiological post-revision outcomes. ⋯ Level IV, retrospective case series.
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Arch Orthop Trauma Surg · Sep 2023
Minimally invasive Chevron Akin (MICA) osteotomy for severe hallux valgus.
The minimally invasive Chevron Akin (MICA) osteotomy has been widely used to treat hallux valgus (HV). The purpose of this study was to present a case series of patients with severe HV undergoing surgical treatment using the MICA procedure and to evaluate the clinical and radiographic outcomes. ⋯ IV; case series.
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Arch Orthop Trauma Surg · Sep 2023
One-stage revision versus debridement, antibiotics, and implant retention (DAIR) for acute prosthetic knee infection: an exploratory cohort study.
Studies have shown that debridement, antibiotics, and implant retention (DAIR) is an effective procedure for acute infection of total knee arthroplasty (TKA). This study aimed to explore DAIR and one-stage revision for homogenous cohorts with acute postoperative and acute hematogenous infection of TKA, without compelling indications to perform a staged revision. ⋯ This study would suggest the use of one-stage revision over DAIR for acute postoperative and acute hematogenous infection of TKA. It suggests that there could be other potential criteria which have not been ascertained that need to be considered for optimal DAIR selection. The study indicates the need for more research and, of note, high-quality randomized controlled trials to provide a well-defined treatment protocol with high level of evidence to guide patient selection for DAIR.
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Arch Orthop Trauma Surg · Sep 2023
Early ACL reconstruction shows an improved recovery of isokinetic thigh muscle strength compared to delayed or chronic cases.
The recovery of periarticular strength is a major criterion in return-to-play testing. The rationale of the study was to assess the impact of the delay of surgery (∆ between injury and surgery) on knee extensor and knee flexor strength of anterior cruciate ligament (ACL)-deficient patients six months after reconstruction. ⋯ III, retrospective cohort study.
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Arch Orthop Trauma Surg · Sep 2023
Computed tomography arthrography versus magnetic resonance imaging for diagnosis of osteochondral lesions of the talus.
Osteochondral lesions of the talus (OLT) usually have non-specific clinical symptoms, and radiographs have a low sensitivity for detecting OLT. The purpose of this study is to compare the diagnostic value of CT arthrography (CTa) with that of MRI using arthroscopy as the reference standard for grading OLT. ⋯ Diagnostic Level III.