Publications by authors named "Marzilli Fabio"
Background Bacterial infection after hardware implantation in orthopedic and trauma surgery is devastating, resulting in increased hospital costs and stays, multiple revision surgeries, and prolonged use of antibiotics. The present study aims to determine whether a symbiotic relationship between the human organism and bacteria in hardware implantation may be present, without clinically evident infection. Materials and methods We studied explanted devices for microbiological analysis, using the sonication technique, from patients who underwent surgical removal of musculoskeletal hardware for mechanical reasons.
View Article and Find Full Text PDFArticle Synopsis
- - The study investigates the outcomes of two different surgical approaches to treating anterior cruciate ligament (ACL) injuries: ACL reconstruction with lateral extra-articular tenodesis (ACLR+LET) versus combined ACL and anterolateral structure repair (ACL+AL Repair).
- - It was hypothesized that the ACL+AL Repair method would yield similar or better clinical outcomes, as measured by various knee function scores, laxity measurements, and MRI assessments, while also providing quicker recovery times and lower reinjury rates.
- - The research involved 100 patients over a minimum follow-up of two years, with evaluations focusing on patient-reported outcomes and knee function to determine the effectiveness of each surgical technique.
Article Synopsis
- Metatarsal stress fractures usually happen in the second and third metatarsals, with rare instances in the first, often due to factors like repetitive training and bone weakness; this text discusses a unique case of bilateral first metatarsal stress fractures.
- A 52-year-old female amateur runner experienced severe foot pain after a long race, was found to have bilateral hallux valgus and osteoarthritis, which are not typically linked to metatarsal stress fractures.
- The patient was treated with various methods, including rest and specialized shoes, leading to complete recovery, and the authors suggest that her hallux valgus might indicate overuse linked to her stress fractures.
Article Synopsis
- - The study aimed to evaluate if combining revision anterior cruciate ligament reconstruction (RACLR) with a lateral extra-articular procedure (LEAP) offers significant benefits over isolated RACLR in terms of graft failure rates, knee stability, return to sports, and patient satisfaction.
- - Eight comparative clinical studies were analyzed, showing that the combined RACLR+LEAP approach resulted in lower failure rates and better knee stability than isolated RACLR, particularly in terms of postoperative knee laxity and pivot shift tests.
- - The findings suggest that adding a LEAP to RACLR improves graft failure rates and reduces knee instability, but there were no clear differences regarding athletes' return to sports or patients' self-reported outcomes.
Purpose: The use of metallic implants for the treatment of patella fractures often involves complications related to the hardware. As a result, there has been a considerable focus on the use of non-metallic implants. The aim of this study was to determine the differences in clinical outcomes, including the rates of complications and re-operations following the surgical management of patellar fractures with metallic versus non-metallic implants.
View Article and Find Full Text PDFPurpose: The purpose is to evaluate knee preference and functional outcomes of patients with primary anterior cruciate ligament (ACL) repair in one knee and ACL reconstruction in the contralateral side.
Methods: All patients who underwent both procedures were retrospectively reviewed at minimum two-year follow-up. Patients were asked to complete questionnaires regarding their operated knees' preferences during rehabilitation, daily activities, sports activities, and overall function.
Background: Young patients undergoing anterior cruciate ligament (ACL) reconstruction (ACLR) are at a particularly high risk of graft ruptures compared with adults. Recent studies have demonstrated significant reductions in ACL graft rupture rates in high-risk adult populations when a lateral extra-articular procedure is performed, but comparative studies in pediatric and adolescent populations are currently lacking in the literature.
Purpose/hypothesis: The purpose of this study was to compare the clinical outcomes of isolated ACLR versus combined ACLR and lateral extra-articular tenodesis (LET) when using the Arnold-Coker modification of the MacIntosh procedure in early adolescent patients.
Background: The injury rate in professional soccer players may be influenced by match frequency.
Purpose: To assess how changes in match frequency that occurred because of coronavirus disease 2019 (COVID-19) influenced training and match injuries in the Italian Serie A league.
Study Design: Descriptive epidemiology study
Methods: Three phases in the Serie A league, each 41 days long, were evaluated: phase A was the beginning of the 2019-2020 season; phase B was a period after the COVID-19 lockdown was lifted, when the remaining matches of the season were played with greater frequency; and phase C was the beginning of the 2020-2021 season.
Introduction: The open-wedge high tibial osteotomy (OWHTO) is a common technique for the treatment of medial compartmental osteoarthritis of the knee. There are many options to fill the osteotomy site gap. The autologous graft donor site morbidity can be avoided using heterologous bone grafts which represent a valid alternative.
View Article and Find Full Text PDFBackground: The impact of anterior cruciate ligament reconstruction (ACLR) on the performance and career of professional soccer players has not been extensively investigated.
Purpose: To evaluate in professional European soccer players (1) the ACL injury incidence, (2) the return-to-play (RTP) rate and time after ACLR, (3) career survival and athlete performance in the first 3 postoperative seasons after RTP, (4) factors likely related to different outcomes after ACLR, and (5) any related differences between the top 8 European soccer leagues
Study Design: Descriptive epidemiology study.
Methods: Included were professional soccer players in the top 8 European Soccer leagues (Serie A [Italy], Premier League [England], Ligue 1 [France], LaLiga [Spain], Bundesliga [Germany], Jupiler Pro League [Belgium], Liga NOS [Portugal], and Premier Liga [Russia]) who sustained an ACL injury during seasons 2014 to 2015, 2015 to 2016, and 2016 to 2017.
Acute injuries of the anterior cruciate ligament are often associated with concurrent injuries to the structures of the anterolateral complex, specifically the anterolateral ligament. Some injury patterns of the anterior cruciate ligament involve tearing of the majority of the ligament from the femoral origin, leaving a large, viable ligament remnant. In these patients, a repair of the anterior cruciate ligament back to the femoral origin can be undertaken.
View Article and Find Full Text PDFAnterior cruciate ligament injury in elite football players: video analysis of 128 cases.
J Sports Med Phys Fitness
February 2022
Background: The purpose of this study was to evaluate with video analysis the circumstances and the mechanism leading to ACL injury in a high-level population of athletes participating in the main European football championships.
Methods: Video analysis of 128 competitive matches with ACL injury events was performed through Wyscout.com from August 2009 to January 2020.
Background: The COVID-19 outbreak heavily attacked Italy, putting a strain for an extended time on the National healthcare system. Hospitals fastly rearranged the activity to cope with the crisis. This retrospective comparative study intended to investigate the impact of the lockdown imposed in Italy, in two different periods, during the COVID-19 outbreak on acute orthopedic trauma, in order to identify significant issues for improvement and future preparation.
View Article and Find Full Text PDFThe COVID-19 outbreak strongly affected Italy, putting a strain on the National healthcare system. Hospitals quickly reorganized the activity to cope with the emergency. This retrospective comparative study aimed to analyze the impact of the lockdown imposed in Italy during the COVID-19 outbreak on acute orthopedic trauma, in order to identify critical issues for improvement and future planning.
View Article and Find Full Text PDFTransverse patellar fracture fixation with tape cerclage in a patient with a history of complicated contralateral patellar fracture fixation with metallic hardware.
Int J Burns Trauma
December 2020
Article Synopsis
- Patellar fractures are rare, and displaced ones typically require surgery with metallic hardware, which can lead to complications such as infections or osteomyelitis.
- A case study of a 61-year-old woman who had a patellar fracture treated with metallic hardware initially resulted in an infection that required multiple surgeries before healing was achieved.
- Later, when she had a second fracture treated with non-metallic hardware, there were no complications, and healing was successful, suggesting potential benefits of this alternative approach, but findings from this case cannot be broadly applied to all patellar fracture treatments.