Publications by authors named "Luca C Comba"
Article Synopsis
- - Proximal femoral fractures (PFF) are a growing public health concern, significantly affecting the quality of life for an aging population, prompting a study to explore the Italian management practices for these fractures.
- - A national online survey in early 2022 collected responses from 372 orthopedic surgeons, focusing on demographics, preoperative and surgical management, and showed a mix of adherence to and divergence from established guidelines.
- - The findings highlighted inconsistencies in preoperative procedures and treatment choices, emphasizing the need for clear, evidence-based diagnostic and therapeutic protocols, with SIOT's 2021 guidelines providing essential support for surgeons.
Total hip arthroplasty is one of the most successful orthopedic surgeries; nevertheless, many of these surgeries are the causes of failure, and among them, periprosthetic fractures are one of the major causes of revision. Our study focuses on periprosthetic hip fractures with two different stem designs. The aim of the study was to analyze the obtained results, focusing on the features of periprosthetic stem fractures observed.
View Article and Find Full Text PDFPeriprosthetic joint infections (PJIs) are one of the most worrying complications orthopedic surgeons could face; thus, methods to prevent them are evolving. Apart from systemic antibiotics, targeted strategies such as local antimicrobial coatings applied to prosthetics have been introduced. This narrative review aims to provide an overview of the main antimicrobial coatings available in arthroplasty orthopedic surgery practice.
View Article and Find Full Text PDFBackground: Acetabular aseptic loosening due to bone defect in total hip arthroplasty revisions is a great challenge and several solutions have been proposed, but a broadly accepted consensus in the literature has not been reached yet. The aim of this study is to compare the clinical and radiographic results of acetabular bone defects treatment with biological-only graft or with a mixture of bone graft substitute and biological graft.
Methods: 33 patients had revision hip arthroplasty using impaction grafting with biological-only graft (21 patients, Group A) or a 1/3 mixture of allograft and tricalcium phosphate bone graft substitute (12 patients, Group B).
Background: The direct anterior approach for total hip arthroplasty (DAA-THA) is increasing in popularity due to some advantages such as less surgical trauma, minimal dissection of soft tissues, shorter rehabilitation times, faster return to daily activities, lower incidence of dislocation. On the other hand, the literature reports a high rate of intraoperative complications, with many different rates and complication types in the published papers.
Aim: To analyze our complications comparing results with the literature; to report measures that we have taken to reduce complications rate.