Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Sep 2024
Comparative StudySynthetic cartilage implant vs. first metatarsophalangeal arthrodesis for the treatment of hallux rigidus.
This study evaluated the outcome of the Cartiva synthetic cartilage implant (SCI) in the treatment of hallux rigidus. ⋯ Level IV - Retrospective matched case-control study.
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Arch Orthop Trauma Surg · Sep 2024
ReviewTotal knee arthroplasty survivorship and outcomes in young patients: a review of the literature and 40-year update to a longitudinal study.
Growing numbers of younger patients are electing to undergo total knee arthroplasty (TKA) for end-stage osteoarthritis. The purpose of this study was to compare established literature regarding TKA outcomes in patients under age 55, to data from an ongoing longitudinal young patient cohort curated by our study group. Further, we aimed to provide a novel update on survivorship at 40 years post-TKA from our longitudinal cohort. ⋯ Young TKA patients demonstrated improved functionality at each follow-up time point assessed. Survivorship decreased with increasing lengths of follow-up, ultimately ranging from 52.1-65.3% at 40 years post-TKA. The paucity of literature on long-term TKA outcomes in this patient population reinforces the necessity of further research on this topic.
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Arch Orthop Trauma Surg · Sep 2024
Randomized Controlled TrialDurability of transosseous repair of posterior soft tissues after primary total hip arthroplasty: a prospective randomized controlled trial.
Posterior soft tissue repair is one of the methods for preventing dislocation after total hip arthroplasty (THA). This study aimed to evaluate durability of two separate suture materials in THA patients who underwent posterior soft tissue repair. ⋯ We conclude that for transosseous posterior soft tissue repair in THA, both absorbable and nonabsorbable sutures are similarly durable and can be routinely performed.
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Arch Orthop Trauma Surg · Sep 2024
Return to athletics after total knee arthroplasty: a survey study of 784 recreational athletes across 12 sports.
Postoperative return to recreational activity is a common concern among the increasingly active total knee arthroplasty (TKA) patient population, though there is a paucity of research characterizing sport-specific return and function. This study aimed to assess participation level, postoperative return to activity, sport function, and limitations for recreational athletes undergoing TKA. ⋯ Return to sport is feasible following TKA with high satisfaction. Swimming and cycling represent manageable postoperative activities with high return-rates, while runners and joggers face increased difficulty returning to equal or better activity levels. Patients should receive individualized, sports-specific counseling regarding their expected postoperative course based on their goals of treatment.
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Arch Orthop Trauma Surg · Sep 2024
Randomized Controlled TrialHigher cefazolin concentrations in synovial fluid with intraosseous regional prophylaxis in knee arthroplasty: a randomized controlled trial.
Prophylactic antibiotics reduce the risk of periprosthetic joint infection. However, conventional systemic administration may not provide adequate tissue concentrations against more resistant organisms such as coagulase-negative staphylococci. Intraosseous regional administration is known to achieve significantly higher antibiotic tissue concentrations than systemic administration, but it is unclear how synovial fluid concentrations are affected. We aimed to compare synovial fluid cefazolin concentrations achieved by regional intraosseous versus systemic intravenous administration, and also to compare synovial fluid cefazolin concentrations with those in subcutaneous fat. ⋯ Intraosseous regional administration results in several times higher tissue concentrations than systemic administration, especially in the synovial fluid.