Publications by authors named "F X Giustra"

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.

View Article and Find Full Text PDF

This technical note aims to provide a detailed description of our arthroscopic technique for suture fixation of posterior cruciate ligament (PCL) tibial avulsion fractures. Various surgical approaches have been described, including both open and arthroscopic techniques. The arthroscopic approach can be less disruptive and more accurate in visualizing anatomic landmarks.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF
Article Synopsis
  • - 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.
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF