Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Feb 2025
ReviewInternational, consensus-based, indications and treatment options for knee arthroplasty in acute fractures around the knee.
In the landscape of knee-related health issues there has been a notable shift in treatment protocols. Nowadays, there is a growing trend toward primary total knee arthroplasty (TKA) in the event of periarticular knee fractures. A review of the literature on TKA in acute knee fractures has been done in order to provide scientific evidence to the four statements submitted for voting to the members of the European Knee Society (EKS). ⋯ This discussion on the questions voted by the panel of experts has allowed for an in-depth exploration of a topic of interest, assessing indications, contraindications, types of possible treatment, and the critical aspects to consider when treating an acute fracture around the knee with a prosthesis. It is important to consider that the choice must be carefully weighed, evaluating the risks and benefits, with an increasingly need for a scoring system for selecting the most appropriate treatment.
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Arch Orthop Trauma Surg · Feb 2025
Morphologic profiles of comminuted midshaft clavicle fractures: a preliminary study.
Previous literature lacks parametric analysis of clavicle fracture morphology. The aim of this study was to describe the features of comminuted midshaft clavicle fracture in surgically treated patients. ⋯ Comminuted midshaft clavicle fracture frequently had coronal plane fracture lines. Wedge-shaped or multifragmentary fragments were predominantly located anteriorly or inferiorly. In the posterior-superior portion of the clavicle, cortical contact was found to guide reduction.
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Arch Orthop Trauma Surg · Feb 2025
Calculation of CT ideal screw path and safety angle before percutaneous sacroiliac screw placement.
Percutaneous sacroiliac screw placement is the main surgical approach to treat unstable posterior pelvic ring injuries. Intraoperative fluoroscopic imaging is an important part of safe sacroiliac screw placement. However, how to determine the right perspective view is challenging. We developed a trigonometric algorithm to verify how preoperative pelvic computed tomography (CT) can be used to predict ideal screw path and safety angle. ⋯ During preoperative planning, trigonometric calculations were used to determine the ideal screw placement angles and safety angle at the inlet and outlet of the screw path. Combined with intraoperative C-arm fluoroscopy, individualized screw insertion can help orthopedic surgeons quickly and accurately obtain intraoperative images and accurately determine the direction of screw insertion.
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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
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.