Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2024
A radiographic artificial intelligence tool to identify candidates suitable for partial knee arthroplasty.
Knee osteoarthritis is a prevalent condition frequently necessitating knee replacement surgery, with demand projected to rise substantially. Partial knee arthroplasty (PKA) offers advantages over total knee arthroplasty (TKA), yet its utilisation remains low despite guidance recommending consideration alongside TKA in shared decision making. Radiographic decision aids exist but are underutilised due to clinician time constraints. ⋯ The AI decision tool shows promise in identifying PKA candidates, potentially addressing underutilisation of this procedure. Its integration into clinical practice could enhance shared decision making and improve patient outcomes. Further validation and implementation studies are warranted to assess real-world utility and impact.
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Arch Orthop Trauma Surg · Nov 2024
Equestrian-associated injuries of the hand: a retrospective analysis of injury mechanisms and patterns.
Hand injuries are frequently caused by sports and are associated with long periods of inability to work and high economic health costs. After ball sports and cycling, the most common cause of hand injuries is horseback riding. Therefore, measures should be taken to prevent these risks and increase safety in sports, however data characterizing equestrian sports-associated injuries are limited. ⋯ III.
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Arch Orthop Trauma Surg · Nov 2024
Meta AnalysisCorrection potential and outcome of various surgical procedures for hallux valgus surgery: a living systematic review and meta-analysis.
More than 100 surgical techniques are described for hallux valgus (HV) correction, but the most appropriate technique remains debatable. The aim of this study was to develop and conduct a "living systematic review" for the outcome of surgically treated HV. ⋯ Level I; living systematic review and meta-analysis of prospective comparative studies (level II) and randomized controlled trials (level I).
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Arch Orthop Trauma Surg · Nov 2024
ReviewClinical relevance of patient-reported outcome measures in patients who have undergone total hip arthroplasty: a systematic review.
In orthopaedic research, it is crucial to determine changes that are statistically significant and clinically meaningful. One approach to accomplish this is by calculating the Minimal Clinically Important Difference (MCID), the Clinically Important Differences (CID), the Minimum Detectable Change (MDC), the Minimal Important Change (MIC), and the Patient Acceptable Symptom State (PASS) values. These tools assist medical professionals in comprehending the patient's viewpoint, enabling them to establish treatment objectives that align with patients' desires and expectations. The present systematic review investigated the MCID, MIC, CID, MDC, and PASS of the most used PROMs to assess patients who have undergone THA. ⋯ Level IV, systematic review and meta-analysis.
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Arch Orthop Trauma Surg · Nov 2024
Comparative StudyComparison of the European Foot and Ankle Score (EFAS) and the Self-Reported Foot and Ankle Score (SEFAS) in patients with foot and ankle surgery.
The European Foot and Ankle Score EFAS and the Self-reported Foot and Ankle Score SEFAS are two Patient Reported Outcome Measures (PROMs) used in foot and ankle surgery. The EFAS has been published in recent years, while the SEFAS is a validated questionnaire based on the New Zealand total ankle questionnaire. ⋯ III.