Mid-term results of complex distal humeral fractures.

The aim of this study was to assess outcomes following open reduction and internal fixation in complex fractures of the distal humerus. Between 2000 and 2006, 34 patients were operated for complex fractures of the distal humerus. Bone fixation was obtained with a reverse Y-shaped reconstruction plate in 13 cases and with double plating in 21 cases.

Tibial plateau fractures in elderly patients.

Tibial plateau fractures are complex injuries which, if not adequately treated, can lead to invalidating sequelae. They constitute on average about 1% of all fractures, and up to 8% in patients over 65 years, and can be caused by both high- and low-energy trauma. Unlike in younger subjects, treatment of tibial plateau fractures in the elderly is not univocal and depends on the patient's functional needs, bone quality and systemic comorbidities.

Gait analysis in patients undergoing ACL reconstruction according to Kenneth Jones' technique.

The anterior cruciate ligament is essential for knee stability, and its injury, both acute and in the case of chronic knee instability, promotes meniscal degenerative alterations, as well as the onset and progression of gonarthrosis. In this retrospective study, young adults engaged in nonprofessional sportive activities undergoing ACL reconstruction by the Kenneth-Jones technique were assessed clinically and with gait analysis, to detect any deficits persisting even after rehabilitation at a follow- up of approximately 6 months. Eight patients who had undergone elective ligament reconstruction by Kenneth-Jones were assessed between the 5th and 7th month postsurgery with clinical-anamnestic investigation, including the Hughston Clinic subjective knee questionnaire and by gait analysis with the EL.

Complex fractures of the distal radius treated with angular stability plates.

Complex fractures of the distal radius are articular lesions and comminuted at the level of the epiphysis and metaphysis. Their treatment is difficult and in most cases surgical. Of all the different osteosynthesis methods available, internal fixation with plate and screws is the most commonly used.

Talar fractures: long-term results.

Background: talar fractures are rare and potentially invalidating injuries. Traditional x-ray projections often do not provide comprehensive and exhaustive view of the talus; in order to determine the best therapeutic strategy and obtain early and precise prognostic data diagnostic examination usually includes oblique projections and computed tomography scans. In displaced fractures treatment is surgical, with percutaneous or open osteosynthesis.

2006: the value of pelvic and femoral osteotomies in hip surgery.

Hip problems are frequent and can represent a therapeutic challenge for the orthopaedic surgeon. In the wide spectrum of hip pathologies, coxarthrosis still remains the most common cause of hip disability. The treatment of hip disorders in adult patients has rapidly evolved during the past decades because of the enhanced understanding of osteoarthritis (OA) aetiology combined with improved imaging, better patient selection and refinements in surgical procedures.

Effect of the vibration board on the strength of ankle dorsal and plantar flexor muscles: a preliminary randomized controlled study.

Aim of this preliminary work is to study the effects of the vibration board on the strength of dorsal and plantar flexor muscles of the ankle through a randomized and controlled observation. Sixteen sedentary right-handed females, ranged from 20 to 30 years of age, were selected; they were not affected by previous ankle sprains and were divided into two randomized groups. The study group followed a vibration board training in the orthostatic position with a 60 degrees flexion of the knee in order to direct its mechanical impulses to the inferior limbs.

Combined arthroscopic and radioscopic management of tibial plateau fractures: report of 18 clinical cases.

Tibial plateau fractures are complex lesions capable of causing severe consequences if not appropriately treated. They are often the result of a high-energy trauma and, not rarely, are associated with significant soft-tissue and intra-articular injuries. Different therapeutic options can be managed in the treatment of these lesions.

Total knee replacement. Postacute phase in rehabilitation: objectives and strategies in postacute treatment.

Identification of a population with homogeneous characteristics is the fundamental introduction to elaborate a rehabilitation plan after operation of total knee arthroplasty (TKA). The main objectives of our rehabilitative protocol are: improvement of the preoperative clinical state, prevention and management of the common postoperative problems and complications. The first objective requires the improvement of the function of the operated knee (good articular excursion, muscular strengthening and recovery of ambulation and of gait pattern), as well as the reduction of pain.