Archives of orthopaedic and trauma surgery
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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
Hypoalbuminemia increases the risk of failure following one-stage septic revision for periprosthetic joint infection.
Malnutrition is a potentially modifiable risk factor of periprosthetic joint infection (PJI). The purpose of this study was to analyze the role of nutritional status as a risk factor for failure after one- stage revision hip or knee arthroplasty for PJI. ⋯ TLC, hemoglobin; WBC count; glucose levels; and malnutrition, understood as the combination of albumin and TLC, were not found to be statically significant risk factors for failure after single-stage revision for PJI. However, albumin < 3.5 g/dL, alone was a statically significant risk factor for failure after single-stage revision for PJI. As hypoalbuminemia seems to influence the failure rate, it is advisable to measure albumin levels in preoperative workups.
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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.
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Arch Orthop Trauma Surg · Sep 2023
Navigation in reverse shoulder arthroplasty: how the lateralization of glenosphere can affect the clinical outcome.
One of the main causes of RSA failure is attributable to the malpositioning of the glenoid component. Initial experiences with computer-assisted surgery have shown promising results in increasing the accuracy and repeatability of placement of the glenoid component and screws. The aim of this study was to evaluate the functional clinical results, in terms of joint mobility and pain, by correlating them with intraoperative data regarding the positioning of the glenoid component. The hypothesis was that the lateralization more than 25 mm of the glenosphere can led to better stability of the prosthesis but should pay in term of a reduced range of movement and increased pain. ⋯ Level IV; Case Series; Treatment Study.
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Arch Orthop Trauma Surg · Sep 2023
Postoperative recommendations for single-level lumbar disc herniation: a cross-section survey.
Lumbar degenerative disc disease is one of the leading causes of low back and leg pain. Conservative treatment is the mainstay treatment, but for some patients surgical approach is required. The literature concerning postoperative recommendations on patients' return to work is sparse. The aim of this study is to assess spine surgeons' consensus regarding postoperative recommendations, including return to work, restart of daily-living activities, analgesic medication usage and rehabilitation referral. ⋯ Despite not having clear guidelines in postoperative management of surgically treated patients, Portuguese practice is in line with international experience and literature.