Clinical and Radiological Mid- to Long-term Results Following Triple Arthrodesis.

Background/aim: Triple arthrodesis (TA) is a common procedure for stabilization of painful and unstable hind foot deformities. The aim of the study was to analyze postoperative changes in function and pain following isolated TA based on clinical outcomes, radiological findings, and pain scores. The study also considered economic aspects, such as the inability to work, before and after surgery.

The decline of hip fracture incidence rates over a 10-year period: A single centre experience.

Aims: Accurate epidemiological hip fracture data is essential for healthcare planning and targeted prevention strategies. Limited reports of hip fracture incidence rates in the Republic of Ireland (ROI) exist. The aim is to calculate the current age- and gender-specific incidence of hip fractures in a level 1 Trauma Centre in the ROI, and the difference in these rates over a 10 year period.

Pediatric Trauma and the COVID-19 Pandemic: A 12-Year Comparison in a Level-1 Trauma Center.

Background: The effect of COVID-19 on pediatric trauma rates is still largely under investigation. With the potential need to reallocate human and financial resources at this challenging time, it will be useful to have detailed descriptions of the rates of pediatric trauma and understanding of how the pandemic affects these rates.

Questions/purposes: We sought to describe the effect of the COVID-19 pandemic on the number of acute pediatric trauma admissions and procedures performed in a level-I trauma center in Cork University Hospital, Ireland.

Correction to: Pre-operative templating in THA. Part II: a CT-based strategy to correct architectural hip deformities.

The original version of this article unfortunately contained a mistake. The spelling of the Geert Pagenstert name was incorrect.

Patellar facet ratio affects knee pain, stair climbing and stair descent after TKA without patellar resurfacing.

Purpose: To determine whether knee pain or functional impairment after total knee arthroplasty (TKA) without patellar resurfacing are correlated with preoperative patellar morphology or postoperative patellar orientation. The hypotheses were that patellar shape, increased tilt and lateral displacement would be associated with pain and functional impairment.

Methods: From a consecutive series of 152 knees that received a cemented postero-stabilized TKA, the Oxford Knee Score (OKS) and the Knee injury and Osteoarthritis Outcome Score (KOOS) were collected at a minimum follow-up of 12 months.

Pre-operative templating in THA. Part II: a CT-based strategy to correct architectural hip deformities.

Introduction: Pre-operative templating for total hip arthroplasty (THA) remains inaccurate due to improper magnification and alignment. We aimed to describe an improved templating strategy using computed tomography (CT) to predict component sizes and offsets with greater accuracy.

Materials And Methods: We analysed 184 CT images acquired for pre-operative templating of primary THA.

Pre-operative planning in THA. Part III: do implant size prediction and offset restoration influence functional outcomes after THA?

Introduction: Few studies evaluated clinical benefits of pre-operative templating in total hip arthroplasty (THA). We investigated whether mismatch between planned and real implant sizes and medio-lateral offsets compromises THA outcomes.

Materials And Methods: We reviewed records of 184 primary THAs with pre-operative CT scans used for templating.

Pre-operative templating in THA. Part I: a classification of architectural hip deformities.

Introduction: While numerous classifications of hip arthritis have been proposed, none considered the magnitude and direction of femoral head translation relative to the native acetabulum. A more precise classification of architectural hip deformities is necessary to improve preoperative templating and anticipate surgical challenges of total hip arthroplasty (THA). The purpose of the present study was to introduce a classification system to distinguish different types of architectural hip deformities, based on femoral head translation patterns, and to evaluate its repeatability using plain radiographs (qualitative) and Computed Tomography (CT) measurements (quantitative).

Clinical and Radiological Mid-to-Long-term Outcomes Following Ankle Arthrolysis.

Background: The aim of this study was to evaluate the clinical and radiographic success of arthrolysis surgery and the risk of progression of osteoarthrosis at the ankle joint.

Materials And Methods: In a retrospective clinical and radiological study, with a minimum follow-up of 24 months, the pain level and quality of living were evaluated.

Results: Following arthrolysis of the ankle joint, 16% of patients required ankle fusion within 2 years.

Mid- to Long-term Outcomes After Split-thickness Skin Graft Skin Extension by Multiple Incisions.

Background/aim: Skin extension by multiple incisions (SEMI) may be superior to split-thickness skin graft (STSG) for closure of large soft tissue defects.

Materials And Methods: Twenty-six patients who had undergone STSG were compared to 29 patients who had undergone SEMI on the extremities. Patient and Observer Scar Assessment Scale (POSAS), Dermatology Life Quality Index, Wound QoL (Quality of Life) and Short Form Health Survey 36 were used.

Mid- to Long-term Outcomes After Weber B-type Ankle Fractures With and Without Syndesmotic Rupture.

Background/aim: The aim of the present study was to assess the impact of syndesmotic screw fixation on overall clinical outcomes following Weber B-type ankle fractures.

Materials And Methods: A total of 21 patients with syndesmotic rupture requiring screw fixation were compared to 40 patients with an intact syndesmosis. Olerud-Molander-Ankle-Score, American Orthopedic Foot & Ankle Society ankle hindfoot score, and the Short Form Health Survey-36 were recorded.

Clinical and Radiological Mid- to Long-term Outcomes Following Ankle Fusion.

Background: The aims of this study were to establish the likelihood of additional surgery after ankle fusion, determine the interval for developing osteoarthrosis in the ipsilateral subtalar or Chopart joints, and evaluate its clinical relevance.

Material And Methods: A retrospective clinical and radiological study with a minimum follow-up of 24 months was performed. Short-Form 36 Heath Survey, Foot Function Index, American Orthopaedic Foot and Ankle Society Score (AOFAS) and a visual analog scale (VAS) were used to evaluate pain level and quality of life in at least 62 adult patients.

Arthroscopic All-Inside Repair of Medial Meniscus Grade 2 Horizontal Cleavage Tear Using Additional Posteromedial Portal.

Management of intrasubstance horizontal cleavage meniscal lesions of microtraumatic origin remains poorly defined in young patients. For grade 2 lesions resistant to conservative measures, the standard technique is debridement of the intrasubstance tear and open suture repair via a posteromedial approach. The objective of this Technical Note is to propose an arthroscopic alternative to this open technique, using an arthroscopic additional posteromedial portal.

The prognostic value of radiologic parameters for long-term outcome assessment after an isolated unilateral calcaneus fracture.

Objective: The current retrospective case-control study examines the prognostic value of radiologic parameters for long-term clinical outcome assessment after a calcaneus fracture.

Methods: In the authors' trauma department 262 adult patients with an isolated calcaneus fracture were treated from 1995 to 2005. Using conventional x-ray and computed tomography imaging.

Midfoot sprains in the National Football League.

Midfoot sprains in the National Football League (NFL) are uncommon. There are few studies on midfoot sprains in professional athletes, as most studies focus on severe traumatic injuries resulting in Lisfranc fracture-dislocations. We conducted a study to evaluate midfoot sprains in NFL players to allow for better identification and management of these injuries.

Timing and predictors of return to short-term functional activity in adolescent idiopathic scoliosis after posterior spinal fusion: a prospective study.

Study Design: Prospective study.

Objective: To assess the timing and predictors of return to short-term functional activity in patients with adolescent idiopathic scoliosis (AIS) after posterior spinal fusion (PSF).

Summary Of Background Data: Few studies have examined the timing and rate of return to short-term functional activity in patients with AIS after PSF.

Effectiveness of autologous transfusion system in primary total hip and knee arthroplasty.

Background: Autologous transfusion has become a cost-efficient and useful option in the treatment of patients with high blood loss following major orthopaedic surgery. However, the effectiveness of autologous transfusion in total joint replacement remains controversial.

Objective: The current study analyzed the efficacy of autologous transfusion with washed shed blood (WSB) in primary total knee and total hip arthroplasty (TKA, THA).

Syndesmosis and lateral ankle sprains in the National Football League.

Syndesmosis sprains in the National Football League (NFL) can be a persistent source of disability, especially compared with lateral ankle injuries. This study evaluated syndesmosis and lateral ankle sprains in NFL players to allow for better identification and management of these injuries. Syndesmosis and lateral ankle sprains from a single NFL team database were reviewed over a 15-year period, and 32 NFL team physicians completed a questionnaire detailing their management approach.

Low body mass index in adolescent idiopathic scoliosis: relationship with pre- and postsurgical factors.

Study Design: Retrospective cohort study.

Objective: To determine the association between low preoperative body mass index (BMI) and outcome of spinal fusion in adolescent idiopathic scoliosis (AIS).

Summary Of Background Data: Several studies report a lower weight and BMI in untreated subjects with AIS than nonscoliotic age-matched controls.

Eleven year results of total hip arthroplasty in patients with secondary osteoarthritis due to slipped capital femoral epiphysis.

Background: Total hip arthroplasty (THA) in patients with a history of Slipped Capital Femoral Epiphysis (SCFE), is typically indicated to address the consequent deformity of the proximal femur and/or acetabulum. It can be a challenging procedure for the orthopaedic surgeon. Previous studies have focused on prevention of osteoarthritis post-SCFE.

Eleven-year results of the anatomic coated CFP stem in primary total hip arthroplasty.

There is a paucity of intermediate term results relating to short stem prostheses. The current study represents the longest follow-up results of the CFP prosthesis to the authors' best knowledge. Between January 1999 and December 2000, all total hip arthroplasty patients (n = 149), treated with this anatomic neck preserving stem in the authors' institution were enrolled in this study.

Arthroscopic mosaicplasty for osteochondral lesions of the knee: computer-assisted navigation versus freehand technique.

Purpose: The purpose of this study was to compare a freehand arthroscopic approach versus mosaicplasty for treatment of osteochondral lesions of the knee with a navigated arthroscopic technique.

Methods: Four whole cadaveric lower limbs were used. A conventional navigation system was used in combination with an autologous osteochondral graft transplantation system (Osteochondral Autograft Transfer System [OATS]; Arthrex, Naples, FL).

Progress towards intra-operative measurement of femoral antetorsion.

Rotational malalignment following intramedullary nailing is a well-recognised problem. The threshold for clinically relevant malrotation has been established to be in the region of 15° whereas the incidence of significant malrotation following femoral nailing ranges from 22 to 43 percent. Many studies have been performed to address this issue with the major challenge acknowledged to be intraoperative control of femoral anteversion.

Influence of the valgus force during knee flexion in neutral rotation.

Purpose: The pivot shift test is generally accepted to be a clinically useful tool. In the current study, the authors aimed to determine the minimum amount of valgus force required to elicit a positive pivot shift test utilizing a mechanized pivot shifter device in ACL-deficient knees. The authors proposed that increasing the applied force from a minimum critical value would lead to greater magnitudes of femoro-tibial translation.