Publications by authors named "Guglielmo Torre"

Purpose: To investigate the incidence of popliteomeniscal fascicles (PMF) tears in anterior cruciate ligament (ACL) rupture in professional soccer players, to describe arthroscopic and magnetic resonance imaging (MRI) findings and treatment of these lesions with clinical outcomes, and to evaluate the incidence of subsequent lateral meniscus tears and ACL reinjury.

Methods: ACL reconstructions on soccer players were retrospectively analyzed, and among them, a cohort of patients with PMFs tears was reviewed. The cohort was assessed with MRI examination, arthrometric testing, Lysholm score, and International Knee Documentation Committee score.

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Background: The extensor apparatus of the knee is of paramount importance in generating the torque needed for a countermovement jump (CMJ), especially in jumping athletes. In anterior cruciate ligament reconstruction (ACLR) procedures, graft harvesting from the extensor apparatus may dramatically affect extensor strength and jumping performance.

Hypothesis: The focused jump training of professional jumping athletes would increase the likelihood of restoring jumping performance after ACLR, despite the graft choice (autologous bone-patellar tendon-bone [BPTB] or hamstring [HS] tendon).

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Aneurysms of the external jugular vein (EJV) are uncommon vascular malformations. Due to their rarity, it is currently unclear what the risk of complications are and whether surgical management should be offered. The risks associated with the surgery need to be balanced with the risk of complications from the malformation.

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  • Radial neck fractures in adults are uncommon but tend to have poor outcomes; the study focuses on using closed reduction and internal fixation (CRIF) with retrograde intramedullary K-wires for Mason's type II and III fractures.
  • A total of 17 patients, with a mean age of 32, underwent this technique and were evaluated over an average follow-up of 36 months, assessing their range of motion and functionality through various scoring systems.
  • Results showed good to excellent outcomes with high satisfaction scores and solid healing in all patients, although further research with larger groups is necessary to confirm these findings.
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  • A study was conducted to validate a new semi-automated software (IODA-shoulder) designed to calculate glenoid bone loss (GBL) in patients with shoulder instability, comparing it to a traditional method (PICO area method).
  • The software was tested on 7 specimens and then used on CT images of 20 patients with recurrent shoulder dislocation, assessing reliability through various statistical methods.
  • Results indicated no significant volume difference between the two methods, but IODA showed higher reliability and concordance rates compared to PICO, suggesting it may provide more consistent GBL calculations.
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Background: The semimembranosus (SM) tendon acts as a secondary dynamic stabilizer of the knee. It restrains external rotation and anterior translation of the medial compartment. Its role in the mechanism of injury during anterior cruciate ligament (ACL) rupture is unknown.

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  • Endovascular aortic aneurysm repair (EVAR) is the main technique for repairing abdominal aortic aneurysms, but its success relies on various imaging technologies used during the procedure.
  • Each imaging modality, including CT, DSA, fusion, ultrasound, and others, has its own benefits and downsides, affecting factors like radiation exposure and contrast use during surgery.
  • Fusion imaging and ultrasound stand out as promising options for minimizing radiation and contrast doses, though ultrasound’s effectiveness can depend on the operator's skill.
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Total Hip Arthroplasty (THA) may be performed through various approaches; however, depending on the surgical position of the patient, the superiority of lateral or supine position is still debated. The aim of this systematic review and meta-analysis was to compare the supine versus lateral position in THA in terms of intraoperative and postoperative outcomes and component placement. The systematic literature search was performed by the use of Cochrane Central, Pub-Med-Medline, and Google Scholar in order to select studies that evaluated clinical outcomes and the outliers of cup alignment for inclination and anteversion between supine and lateral position for hip arthroplasty.

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Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision.

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  • The study found that venous thromboembolism (VTE) was more common in patients with severe COVID-19, leading researchers to investigate DVT incidence and related factors in a retrospective analysis.
  • A total of 819 ultrasound scans were conducted on 762 patients, revealing a DVT prevalence of 16.1%, which was significantly higher than the previous year's rate of 11.5%.
  • Clinical symptoms associated with COVID-19 and personal history of VTE were linked to positive DVT diagnoses, indicating that SARS-CoV-2 tests should influence the decision-making process for DVT work-up and imaging prioritization.
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In countries with a high average population age, total knee arthroplasty is still carried out in an inpatient setting. The roadmap to performing major surgery on an outpatient basis passes through the understanding of those perioperative features that correlate with higher lengths of hospital stay (LOS). A retrospective database of 1200 patients was reviewed for retrieving preoperative and perioperative factors including anthropometric and demographic data, comorbidities, preoperative laboratory assessment, and surgical time.

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Background: Medial meniscal extrusion (ME) has been found to be associated to anterior cruciate ligament (ACL) injury. Post-traumatic extrusion is mainly attributed to meniscotibial ligament (MTL) tear. The aim of this retrospective study was to assess the incidence of MTL tear associated with meniscal extrusion, evaluate arthroscopic findings and the associated clinical findings.

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Sport participation and exercise practice are considered to be beneficial for mental status, yielding an improved mood and better quality of life. On the other hand, good mental fitness is thought to lead to better physical status and sport performance. The key aim of this narrative review is to provide an unstructured overview on the topic with special considerations on the role of mental and physical health to summarize the evidence on their reciprocal influence.

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The aim of this retrospective investigation is to evaluate the correlation between several preoperative and perioperative factors and the length of hospital stay in patients that underwent elective total hip arthroplasty with overnight admission. Medical records of patients that underwent THA from the beginning of 2016 to the end of 2018 were retrospectively screened. Demographics, comorbidities, whole blood count, intraoperative details, and length of postoperative stay were retrieved.

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This systematic review aimed to investigate the clinical and functional outcomes and complication rate of simultaneous anterior cruciate ligament reconstruction (ACLR) and unicompartmental knee arthroplasty (UKA). A systematic search in PubMed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that reported on clinical and functional results of combined ACLR and UKA in adults with a unicompartmental knee osteoarthritis and ACL deficiency. Four retrospective studies and three prospective studies were included in this review.

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Background: Anatomical variations of the attachment of medial meniscus are a common finding. However, anomalies of the posterior horn are extremely rare. Only two cases of posterior root anomaly have been described prior to the routine use of arthroscopy for evaluation and treatment of meniscal pathology.

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Despite the globally ascertained success of Total Knee Arthroplasty (TKA) procedure, 20% of patients are still unsatisfied with the surgery results. The purpose of the study is to identify the functional and radiological outcomes of the computer-assisted (CAS) TKA compared to the conventional technique. The clinical databases and medical records of both clinical sites were retrospectively analyzed, and then according to study time-lapse, inclusion, and exclusion criteria, eligible patients were retrieved and included.

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Background: Anterior cruciate ligament (ACL) tears are common in collegiate athletes. The rate of return to the preinjury level of sport activities after ACL reconstruction continues to evolve.

Purpose/hypothesis: The purpose was to determine the return-to-sport rate after ACL reconstruction in a cohort of National Collegiate Athletic Association Division I athletes in different sports.

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  • The study aimed to investigate the connections between DaTSCAN imaging, olfactory (smell) loss, impulsivity, and emotional responses in patients suspected of having Parkinsonian syndrome.
  • Results indicated that patients with Parkinsonian syndrome showed lower non-planning impulsivity compared to controls and that emotional issues like anger and fatigue correlated with specific brain imaging results.
  • The findings suggest that DaTSCAN imaging could help distinguish between Parkinsonian syndrome and other conditions, as well as identify patients who may be more prone to impulse control disorders.
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The aims of this systematic review and meta-analysis were to evaluate the effects of physical exercise on static and dynamic balance in the elderly population, and to analyze the number of falls and fallers. A systematic literature search was conducted using PubMed-Medline, Cochrane Central, and Google Scholar to select randomized clinical trials that analyzed the role of exercise on balance and fall rate in patients aged 65 or older. Sixteen articles were included in this review.

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In patients with knee osteoarthritis, when only medial or lateral compartment of the knee is involved, unicompartimental knee arthroplasty (UKA) is a reliable option for addressing the symptoms and restore function. The main aim of the present review is to systematically collect the available evidence concerning the return to sport activity in the elderly patients after UKA. An electronic search was carried out on the following databases; Pubmed-Medline, Cochrane central, and Scopus, searching for randomized controlled trials, prospective cohort studies, retrospective case-control studies, and case series.

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  • A systematic review assessed the impact of various postoperative rehabilitation protocols and physical activities on clinical outcomes and implant longevity in patients over 65.
  • While the diverse nature of rehabilitation methods made it hard to reach firm conclusions, many studies indicated that aquatic therapy, ergometer cycling, and enhanced rehab protocols positively influenced muscle strength and recovery after joint replacement surgeries.
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Musculoskeletal disorders are debilitating conditions that significantly impair the state of health, especially in elderly subjects. A pathological triad of inter-related disorders that are highly prevalent in the elderly consists of the following main "components": sarcopenia, tendinopathies, and arthritis. The aim of this review is to critically appraise the literature relative to the different disorders of this triad, in order to highlight the pathophysiological common denominator and propose strategies for personalized clinical management of patients presenting with this combination of musculoskeletal disorders.

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