Publications by authors named "Domenico Fenga"

The impact of COVID-19 on sport and physical activity has been a subject of considerable interest and concern. Padel satisfies the desire for social interaction and a return to sport after a period of inactivity. The aim of this study is to show a correlation between return to sport and related injuries in a population of Padel players.

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Article Synopsis
  • Severe knee malalignment in children often requires surgical intervention, with various approaches to choose from.
  • This study examines the outcomes of treating this condition using femoral and tibial osteotomies, which are surgical procedures to realign the bones.
  • The focus is on the effectiveness of this method in a low- and middle-income country, where medical resources may be constrained.
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Hip fractures are one of the major disability causes associated with a high morbidity and mortality rate. Early surgery and stable fixation could be associated with better pain control, possibly lower mortality rates, and early recovery of autonomy.

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Clavicle midshaft fractures are mostly treated surgically by open internal reduction with a superior or anteroinferior plate and screws or by intramedullary nailing. Screw positioning plays a critical role in determining the stress distribution. There is a lack of data on the screw position and the appropriate number of cortices required for plate fixation.

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Background: Neurological disease patients present an increased risk of developing pressure ulcers. The primary aim of this study is to evaluate the incidence and prevalence of pressure ulcers and their impact on length of stay and functional recovery.

Methods: A retrospective study was conducted in a neurorehabilitation unit over a seven-year period.

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Recently, total talar prosthesis has been proposed to substitute the talus during the management of complex talar lesions such as talar extrusion, comminuted talar fractures, or avascular necrosis. Herein, we report two cases of talar extrusion treated with total talar replacement after a high-intensity trauma. Both cases subsequently required revision surgery due to degenerative changes of the tibial plafond (arthrodesis in the first case, conversion to a total ankle prosthesis in the latter).

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Background: Adverse local tissue reactions to metal debris are due to a metal-on-metal bearing complication caused by micromotions at modular interfaces that induce corrosion of the protective oxide layer. This process could lead to wear, fretting, and abrasion with the release of metal ions locally and systemically, which may cause adverse local reactions in nearby tissues. The aim of this study is to describe a series of patients with painful local adverse tissue reactions secondary to corrosion at the modular neck-body interface, to document the clinical presentation, diagnostic workup, and surgical findings of our research, and to search for a possible correlation between metallosis and infection.

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Haemophilia A (HA) and haemophilia B (HB) are X-linked inherited bleeding disorders caused by the absence or deficiency of coagulation factors VIII (FVIII) and IX (FIX), respectively. Recent advances in the development of effective treatments for haemophilia have led to a significant increase in life expectancy. As a result, the incidence of some comorbidities, including fragility fractures, has increased in people with haemophilia (PWH).

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: Knee osteoarthritis (KO) is one of the most common joint diseases, determining knee pain and reduction of mobility, with a negative effect on quality of life. Intra-articular injections of different formulations of platelet-rich plasma (PRP) are an increasingly common non-surgical treatment for KO. Recently, in order to combine the anti-inflammatory effect of platelet rich plasma and the viscosupplementation effect of hyaluronic acid, a formulation of PRP combined with hyaluronic acid (PRP + HA) has been proposed.

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Introduction: Extraskeletal chondroma (EC) is a rare benign neoplasm predominantly composed of mature hyaline cartilage; it develops in the soft tissues without any connection to bone cortex, intra-articular synovium, or periosteum. To date, only few cases have been reported in the leg, mainly in the knee, thigh, and popliteal region.

Case Report: We describe herein the case of a 42-year-old woman with a 4-year history of a slow-growing, painful swelling on the posteromedial region of her left leg.

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Introduction: Spondylodiscitis (SD) is an uncommon disease but not rare, because it represents around 3-5% of all cases of osteomyelitis. Late diagnosis and/or inadequate treatment often cause irreversible damage to cause neurological deficit. Most require only conservative treatment, sometimes a surgical approach is required.

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Management of bone tumors of the limbs is still a field to be explored. The problems to be faced are diff erent, especially when the lower limbs are the point of interest, due to the diff erent leg length residual. A possible solution, provided by new technologies, is the use of electromagnetic expandable prosthesis.

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Article Synopsis
  • A series of four elderly women (ages 75-85) with type A3.1.2 unstable thoracolumbar fractures were treated using a less invasive method combining third-generation kyphoplasty with single-level screw fixation.
  • Traditional methods usually involve more extensive fixation with significant rigidity, but the new approach offers better mobility and stability.
  • This combination treatment might yield improved outcomes compared to traditional fixation systems for these specific types of vertebral fractures.
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Background: Clubfoot is one of the most common congenital limb deformities. Prenatal diagnosis of the condition is essential as it can help treat the malformation as early as possible. We reviewed the recent available literature concerning the current methods for prenatal diagnosis of clubfoot.

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  • This study aimed to compare pre-made antibiotic-loaded spacers with two commercial antibiotic agents and custom-made cements with three added antibiotics, focusing on effectiveness, infection control, complications, and patient satisfaction.
  • A cohort of 112 patients was analyzed, divided equally between those receiving a pre-formed cement spacer with two antibiotics and a spacer loaded with three antibiotics, with a follow-up period averaging 32.87 months.
  • Findings indicated a low infection recurrence rate of 2.70% and suggested that using spacers loaded with three antibiotics is beneficial for patients at risk of multi-resistant infections, potentially reducing the need for further surgical interventions.
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Total knee arthroplasty (TKA) is a widely accepted and successful procedure for end-stage arthritis. Nevertheless, fast-track may be compromised by many factors, such as pain, edema, and blood loss. Cryotherapy has been advocated as a safe and effective strategy to improve the postoperative results, acting on pain, edema, and blood loss.

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  • Metallosis is a condition where metallic debris from failed joint prostheses infiltrates surrounding tissues and bone.
  • A 45-year-old man experienced severe metallosis and skin changes 17 years after receiving a modular prosthesis for osteosarcoma, worsened by a refusal to undergo recommended surgery after a car accident led to a breakage.
  • The authors emphasize the importance of timely revision surgery to prevent severe complications like metallosis when a prosthesis fracture occurs.
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We report a case of clear cell sarcoma in the third metatarsus of the right foot. This type of tumor is very rare and scantily reported in literature. A 42-year-old Caucasian male presented with a nodular ulcerated mass on the dorsal side of the left foot.

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Introduction: Surgical site infection is a common complication after orthopaedic surgery. It can be associated with increased morbidity rate and social cost. The accurate identification of risk factors is essential so that strategies to prevent these potentially devastating infections can be developed.

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