Publications by authors named "Bosco F"

Purpose: This systematic review and meta-analysis aimed to compare the clinical and radiological outcomes of patients undergoing revision total knee arthroplasty (rTKA) using uncemented press-fit stems (hybrid fixation) versus cemented stems (cemented fixation). It is also examined whether cemented fixation offers any superiority over hybrid fixation regarding implant survival, clinical function, imaging analysis and complication rates.

Methods: Following the PRISMA guidelines, a systematic review and meta-analysis were conducted on five databases (Pubmed, Scopus, Embase, Medline and Cochrane).

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If "theory of mind" is conceived as reasoning in a strict sense, then it can be said to be useful only at certain times; however, this leaves the rest of social cognition hardly comprehensible. If "theory of mind" is used instead to refer to a mentalist ontology and the consequent awareness that we ourselves and the others function on mental states, then we need new approaches that explain the flow of social experience. To illustrate these points, we outline the general conceptual framework that underlies most empirical studies of theory of mind and discuss their pros and cons; then, we discuss the Theory of Mind Assessment Scale, a tool developed to investigate the complexity of theory of mind, which adopts a different perspective and has been successfully tested on numerous populations.

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Social Pragmatic Communication Disorder (SPCD) is characterised by a number of pragmatic difficulties and may lead to obstacles in school readiness. These difficulties also apply to children with Special Needs. Several authors pointed out the difficulty to detect SPCD, also considering the lack of sensitive assessment tools.

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This article aims to present a comprehensive technical note detailing our preferred treatment approach for tibial tuberosity avulsion fractures in the adult and elderly populations, particularly in scenarios characterized by low tissue quality and limited bone stock. Existing literature on this fracture type is scarce, with many described techniques relying on optimal bone quality for effective screw fixation of the tibial tuberosity. Various methods for tibial tuberosity avulsion fixation include K-wires, cannulated screws, staples, tension bands, suture anchors, and in select cases, direct transosseous sutures.

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Background: Unicompartmental knee arthroplasty (UKA) is a surgical procedure for managing osteoarthritis of one joint compartment, most commonly the medial side. This systematic review investigates the causes of UKA revision. The outcomes of interest were establishing the revision rate, time to revision, and the most common causes of revision in the long- and midterm follow-up.

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  • The ulnar nerve is often affected by complex elbow dislocations due to its unique anatomy, leading to variable treatment outcomes and pain among patients.
  • A study involving 44 patients revealed that those who had ulnar nerve transposition during surgery experienced more incidents of neuropathy, although their symptoms were less severe but lasted longer compared to those who did not have the procedure.
  • The findings suggest that routine transposition of the ulnar nerve may not be necessary in these cases, but further research with larger sample sizes is needed to confirm these conclusions.
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  • 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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Previous studies indicated atypical Theory of Mind (ToM) abilities in individuals with autism spectrum disorder (ASD) at different ages. However, research focused on adolescents with ASD is still rare. This study aims to fill the gaps in the literature, by investigating ToM abilities in adolescents with ASD and in a group of typically developing ones.

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  • * In a study using WAG/Rij rats, HFD led to worsened absence seizures, depressive-like behaviors, and cognitive performance issues, despite no significant weight gain or hyperglycemia.
  • * Switching from HFD to a normal calorie diet (NCD) for 12 weeks improved seizure frequency and behavioral issues, correlating with reductions in inflammation in both the gut and brain, highlighting the negative impact of HFD and potential benefits of dietary changes.
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Background: The treatment of psoriasis has made considerable progress with biologicals, including tumor necrosis factor inhibitors, and recently, monoclonal antibodies inhibiting directly interleukin (IL) 17, IL-23, or both IL-12/23. Newer biologicals are directed to the interleukin pathway and appear to improve complete or near-complete clearance. The newer biologicals have also been shown to have an excellent safety profile.

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This article aims to provide a new surgical technique for rotational instability in the setting of anterior cruciate ligament rupture. Two main groups of surgical procedures can be identified in the treatment of anterolateral knee instability: lateral extra-articular tenodesis and anterolateral ligament reconstruction. Although the importance of anterior cruciate ligament reconstruction in anterolateral complex injuries is well known, the superiority of lateral extra-articular tenodesis over anterolateral ligament reconstruction or vice versa has not yet been shown.

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Chromogranin A (CgA), a ∼ 49 kDa acidic secretory protein, is ubiquitously distributed in endocrine and neuroendocrine cells and neurons. As a propeptide, CgA is proteolytically cleaved to generate several peptides of biological importance, including pancreastatin (PST: hCgA), Vasostatin 1 (VS1: hCgA), and catestatin (CST: CgA ). VS1 represents the most conserved fragment of CgA.

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Background: Robot-assisted total knee arthroplasty (RA-TKA) has significantly improved knee surgery outcomes in the last few years. However, its association with the periprosthetic joint infection (PJI) rate remains debatable. This study investigates the incidence of early and delayed PJI in a multicentric cohort of patients who underwent RA-TKA, aiming to elucidate the risk associated with this procedure.

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  • Hip replacement surgery effectively relieves pain and enhances mobility, but some patients may experience post-surgery groin pain due to iliopsoas impingement (IPI), which can be hard to diagnose.
  • This study evaluates the success rates, revision rates, and complications of arthroscopic and endoscopic surgery for treating IPI, providing insights into their effectiveness and risks.
  • The research found that both surgical techniques lead to positive outcomes for patients, with arthroscopic methods yielding slightly better results, but both methods carry mild risks like pain and infection.
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  • - Tibial plateau fractures (TPFs) often come with hidden injuries to ligaments or menisci, which can lead to misdiagnosis; early recognition through MRI can improve surgical treatment outcomes for these injuries.
  • - A study involving 57 TPF patients from 2022 examined the effectiveness of MRI in identifying associated soft tissue injuries (STIs), focusing on various ligaments and meniscal injuries.
  • - Results showed MRI significantly detected injuries to the lateral meniscus, ACL, PCL, and MCL, leading to additional surgeries; however, other injuries like medial meniscus and lateral collateral ligament injuries were less impactful.
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Prolonged exposure to lead has been recognized as harmful to human health as it may cause neurotoxic effects including mitochondrial damage, apoptosis, excitotoxicity, and myelin formation alterations, among others. Numerous data have shown that consuming olive oil and its valuable components could reduce neurotoxicity and degenerative conditions. Olive oil is traditionally obtained from olive trees; this plant ( L.

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Total hip arthroplasty (THA) has revolutionized patients' lives with hip osteoarthritis. However, the increasing prevalence of THA in individuals with prior lumbar arthrodesis (LA) poses unique challenges. This review delves into the biomechanical alterations, complications, and surgical strategies specific to this patient subset, highlighting the need for tailored preoperative assessments and planning.

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Purpose: Coccydynia, characterized by persistent pain in the coccygeal region, significantly impacts patients' quality of life. While various treatment modalities exist, including conservative measures and surgical interventions like coccygectomy, optimal management remains unclear. This retrospective cohort study aimed to compare the clinical outcomes, functional improvements, and quality of life in patients with chronic coccydynia undergoing either infiltrative treatment or coccygectomy.

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  • Blockchain technology became popular with Bitcoin in 2008 and is great for keeping data safe and private.
  • In healthcare, especially in orthopedics, blockchain can help manage patient data, improve medical research, and connect medical devices.
  • Combining blockchain with AI can make better diagnoses and treatment suggestions, making healthcare smarter and safer, though there are some challenges to using it.*
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Individuals with schizophrenia have difficulty attributing mental states to themselves and to others - Theory of Mind (ToM). ToM is a complex, multifaceted theoretical construct comprising first and second order, first and third person, egocentric and allocentric perspective, and cognitive and affective ToM. Most studies addressing ToM deficit in people with schizophrenia consider it an "all-or-nothing" ability and use a classical statistical methodology to test a null hypothesis.

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This study presents a comprehensive surgical technique for performing a 'pie-crust' release of the medial collateral ligament (MCL) to enhance visualization of the medial compartment during arthroscopic knee procedures. The primary objective of this research is to improve the precision of diagnosis and treatment for injuries specifically affecting the posterior horn and posterior root of the medial meniscus. Arthroscopic knee procedures have become increasingly common in orthopedic surgery, offering the advantage of minimally invasive techniques for treating a wide range of knee conditions.

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Background: Traditionally, patellar fractures (PFs) have been managed using metallic tension band fixation, a method often associated with a notable rate of complications. Considering these challenges, this study explores the potential of nonmetallic fixation as a treatment option for PFs. This research aims to provide robust evidence supporting the use of the nonmetallic tension band fixation technique as an effective alternative to conventional metallic tension band fixation, thereby advancing the standard of care in treating these fractures.

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Background: Distal femur fractures (DFF) and periprosthetic distal femur fractures (PDFF) in elderly patients are challenging to manage, often requiring the use of distal femur replacement (DFR) implants to manage severe bone loss and comminution. The study's main purpose was to analyze outcomes and complications of DFR implant after DFF or PDFF at our institution to understand the feasibility and reliability of this treatment considering a review of the current literature.

Methods: Fourteen consecutive patients undergoing total knee replacement with megaprosthesis implant from January 1st, 2017 to January 1st, 2021, at our institution were retrospectively analyzed.

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