Outcomes of 188 Proximal Humeral Fractures Treated with a Dedicated External Fixator with Follow-up Ranging from 2 to 12 Years.

Background: The treatment of a displaced proximal humeral fracture is still a matter of controversy. Minimally invasive techniques are considered promising options. The purpose of this study was to report outcomes at medium to long-term follow-up after surgical treatment with pins stabilized with an external fixator.

Arthroscopic Bankart Repair Versus Open Bristow-Latarjet for Shoulder Instability: A Matched-Pair Multicenter Study Focused on Return to Sport.

Background: The arthroscopic Bankart repair and open Bristow-Latarjet procedure are the 2 most commonly used techniques to treat recurrent shoulder instability.

Purpose: To compare in a case control-matched manner the 2 techniques, with particular emphasis on return to sport after surgery.

Study Design: Cohort study; Level of evidence, 3.

Salter-Harris type II proximal humerus injuries: our experience with a new external fixator.

Proximal humeral fractures in the pediatric population are commonly treated conservatively. When there is an indication for surgery, percutaneous pinning is considered to be the elective choice. We report our experience with a new external fixator that reduces the risk of pin migration and permits an early rehabilitation.

The hybrid technique: potential reduction in complications related to pins mobilization in the treatment of proximal humeral fractures.

Background: Proximal humeral fracture fixation has a high incidence of complications especially when pins are used in elderly patients. In 2005, we introduced a new technique that augmented osteosutures by using 2.5-mm fully threaded pins and an external fixator (hybrid technique).

The impacted varus (A2.2) proximal humeral fracture in elderly patients: is minimal fixation justified? A case control study.

Background: The purpose of this retrospective case control study was to assess the outcome of K-wire osteosynthesis of a varus displaced proximal humeral fracture in patients over 65 years old, compared to a control group treated nonoperatively.

Methods: The patient cohort was taken from our database in the period 2003-2007. After data extraction, the patients were re-examined and scored by the Constant score (CS), modified Constant score (MCS), and the QuickDASH score.

Importance of neurological evaluation before reverse shoulder arthroplasty in patients with previous poliomyelitis.

We present a case report of a patient, affected by post-polio syndrome and cuff tear arthropathy of his right shoulder, who underwent reverse shoulder arthroplasty. A previous radial deficiency was unmasked in the post-operative follow-up, with passive elbow bending when the forearm was put in an antigravitational position. A precise preoperative neurological evaluation is mandatory in shoulder replacement in order to estimate the functional outcome after surgery.

Prospective follow-up of a simple arthroscopic-assisted technique for lateral tibial plateau fractures: results at 5 years.

This study reports the 5-year clinical and radiological outcomes of a simple arthroscopic-assisted technique for Schatzker types II and III tibial plateau fractures, without bone grafting. Forty six patients (46% males, 54% females, average age 48 years, SD 13.6 years), with tibial plateau fractures Schatzker types II (41%) and III (59%), underwent an arthroscopic-assisted technique conceived to use a compacted cancellous bone graft, taken from the medial metaphyseal side of the tibia, and a percutaneous fixation.

Cross-pin femoral fixation in PCL reconstruction: a cadaver study.

In PCL reconstruction many techniques have been described. Crucial item in pre-operative planning is graft choice and graft fixation. Compared to other grafts, hamstring is getting more popular because it is longer, has higher mechanical properties and doesn't harm extensor apparatus of the knee.

Arthroscopic treatment of lateral tibial plateau fractures: a simple technique.

We present a new technique for arthroscopic-assisted fluoroscopic treatment of external tibial plateau fractures (Schatzker type I, II, III), using custom-made instrumentation. The instrument includes 4 basic elements: 2 cutting guides, a hollow trephine cutter with a saw-toothed tip, and a bone plunger. The lateral plateau is restored from the opposite side.

Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique.

Posterior shoulder dislocation with humeral head impression fracture is rare and its early diagnosis and treatment remain a challenge for the orthopaedic surgeon. Although literature describes several surgical options, most are based on the detachment of the subscapularis or on more complex techniques that change the humeral joint anatomy even more. This report describes a new operative technique that is only slightly invasive, where the depressed chondral surface is raised to regain a normal articular contour.