Publications by authors named "A Aprato"

Article Synopsis
  • The study aimed to assess gender equality in orthopedic surgery by analyzing operative times, mortality rates, and the gender distribution of surgeons involved in hip fracture surgeries.
  • A total of 172 surgeons (82% male, 18% female) performed 1,916 procedures, with female surgeons conducting 14.7% of the surgeries, but no significant gender disparities were found in operative times or mortality rates.
  • The results indicated a lack of significant gender differences in the performance of Closed Reduction Internal Fixation and Hemiarthroplasty, as well as in the gender distribution among attending and resident surgeons.
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Background: Patient-reported outcome (PRO) measures are essential for evaluating disease-related quality of life. The International Hip Outcome Tool 12 (iHOT12) assesses various aspects of hip-related symptoms, function, sports participation, and social limitations. This study aimed to adapt and validate an Italian version of the iHOT12 according to COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.

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Purpose: Posterior pelvic ring lesions are a common finding in patients with pelvic trauma, representing a challenging condition for trauma surgeons. Surgical options are different and there is not yet evidence about the best option. Aim of the study are: (i) to compare Lumbopelvic fixation (LPF) and ilio-sacral screw fixation (ISS) regarding clinical and radiological outcome in unstable posterior pelvic ring injuries, both as whole population and single similar fracture types according to Tile classification (C1vsC1, C2vsC2, C3vsC3); (ii) to analyze clinical outcomes and complications in lumbopelvic fixation group, comparing open and closed reduction technique.

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Article Synopsis
  • Posterior wall acetabular fractures are complex injuries often resulting from high-energy trauma, and they present significant surgical challenges, particularly when the fractures are comminuted and difficult to fix.
  • This study evaluated the effectiveness of using autologous bone grafts for reconstructing these challenging fractures, analyzing clinical and radiological outcomes from a systematic review of 71 patients.
  • Results showed that 78.9% of patients achieved good to excellent clinical outcomes, with 66% rated as excellent radiologically, suggesting that this method can be a viable option for young patients, potentially delaying the need for total hip arthroplasty.
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: Pigmented villonodular synovitis (PVNS) is a benign proliferation of synovial tissue that can cause joint damage. The hip, although less commonly affected than the knee, presents a challenging diagnosis and treatment, with magnetic resonance imaging (MRI) as the gold standard for detection. Surgical excision, arthroscopic or open, is the main treatment approach, but there is no consensus on the best strategy for the hip.

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