The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war.

Background: From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed.

Methods: The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts members spread in public and private hospitals throughout the country. Fifteen members of the CIO, Chairmen of 15 Orthopaedic and Trauma Units of level 1 or 2 trauma centres in Italy, have been involved in the study.

Patellar and quadriceps tendons acute repair with suture anchors.

Background And Aim Of The Work: Quadriceps and patellar tendon rupture are relatively uncommon but can result in a disabling condition if untreated. We retrospectively review all our cases treated with suture anchors from 2014 to 2018, to evaluate midterm outcome of this technique.

Methods: Traumatic and atraumatic quadriceps and patellar tendon preinsertional lesions were acutely treated with Healix Ti and FaStin RC 5mm suture anchors and an aggressive rehabilitation protocol was prescribed to patients.

Evaluation of Blood Loss and Implant Alignment after Total Knee Arthroplasty with Inertial Based Extramedullary Femoral Cutting Guide.

 The purpose of this study was to compare, in terms of blood loss and implant alignment, a new generation of smart extramedullary (EM) cutting guides with the conventional intramedullary (IM) guide for total knee arthroplasty (TKA). The hypothesis was that the EM system would result in less blood loss and fewer days of hospitalization, while ensuring equal or higher accuracy in the alignment of the femoral implant.  Thirty-six patients were enrolled for the present study: 18 patients underwent TKA using the EM guide and for the other 18 patients the IM guide was used.

Patient specific instrumentation in total knee arthroplasty.

Background And Aim Of The Work: The international literature and analysis of the prosthetic registers highlight a significant relationship between the alignment of the components and the survival of prosthetic implants of the knee. The patient specific instrumentation (PSI) technology exploits the data obtained with the MRN for the production of cutting blocks (CB) useful to a TKA. Revisiting the recent international literature, comparing the results of the conventional method and PSI, numerous studies confirm a statistically significant difference of inliers (± 3 degrees) for HKA.