Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2025
Multicenter StudyPredictors of functional recovery following surgical repair of quadriceps tendon rupture: insights from a German multicentre study.
More extensive and cohesive studies on quadriceps tendon rupture (QTR) repair surgery are required to guide effective treatment strategies. Therefore, in this study, we aimed to identify predictors of subjective functional recovery following QTR repair surgery. ⋯ IV-Retrospective cohort study without a comparison group.
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Arch Orthop Trauma Surg · Jan 2025
ReviewOutpatient total hip arthroplasty: robotic assistance reduces 90-Day postoperative events and optimizes outpatient care.
The adoption of robotic-assisted total hip arthroplasty (THA) is increasingly widespread, yet its influence on outcomes in outpatient surgery remains uncertain. This study aimed to evaluate whether robotic assistance reduces the rate of 90-day postoperative events in patients undergoing outpatient THA, compared to those in inpatient procedures. ⋯ III.
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Arch Orthop Trauma Surg · Jan 2025
Autologous minced cartilage implantation in osteochondral lesions of the talus-does fibrin make the difference?
Implantation of minced cartilage is a one-step-procedure that leads to satisfactory results in osteochondral defects. ⋯ Autologous minced cartilage implantation seems to be sufficient as a viable, one-step treatment for osteochondral lesions of the talus. It leads to low complication rates and excellent AOSS values within a 12-month period whereas the application of fibrin as the last fixation layer seems to be advisory, which demands further investigation.
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Arch Orthop Trauma Surg · Jan 2025
What does the patients' perception of alignment tell us about alignment targets in total knee arthroplasty?
Knee alignment significantly impacts the outcome of total knee arthroplasty (TKA). Understanding patient perceptions of their knee alignment in relation to objective measurements is essential to ensure optimal surgical outcomes and to meet patients' expectations. This study reports patients' perception of pre- and postoperative knee alignment in relation to radiographic alignment measurements. ⋯ Patients predominantly desire a straight knee postoperatively, however, most patients tend to perceive some varus alignment as straight. This is most common in patients with up to 5 degrees of varus deformity and suggests that a restricted or inverse kinematic alignment with up to 5 degrees of varus can meet the expectations of most patients. In contrast, patients with valgus deformity are sensitive to any remaining valgus deformity and leaving the knees in more than 2 deg. of valgus will unlikely satisfy the patients' overall desire for a straight knee after surgery.
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Arch Orthop Trauma Surg · Jan 2025
Blood management protocol for baseline anemic patients undergoing hip arthroplasty.
Patients undergoing total hip arthroplasty (THA) with preoperative anemia are at higher risk for transfusion. Blood-conserving interventions can reduce perioperative transfusions. This retrospective study evaluates the efficacy and safety of a patient blood management (PBM) protocol in elective primary THA patients with preoperative anemia. ⋯ THA patients with baseline Hb < 12 g/dL had a zero-transfusion rate and significantly lower blood loss than those with Hb ≥ 12 g/dL. Optimizing preoperative Hb levels above 12 g/dL is not necessary for patients undergoing standard THA. Optimizing preoperative Hb may not be necessary for patients with baseline anemia due to their low blood loss. The PBM protocol was effective in conserving blood, time, and resources, offering a viable alternative for blood conservation in elective hip arthroplasty.