Are vascular grafts at risk of occlusion after total hip replacement? A systematic review of the literature.

Vascular complications during and after total hip replacement are relatively uncommon despite the close relationship between the involved structures. Previous surgical procedure of arterial reconstruction or substitution may be at higher risk of damage due to the modification in the anatomical landmarks or to the mechanical properties of the grafts different from native vessels. In literature few cases of graft occlusion or failure are reported during or soon after a total hip replacement.

Infinity ankle arthroplasty with traditional instrumentation and PSI prophecy system: preliminary results.

Ankle arthrodesis has been considered the surgical Gold Standard for advanced ankle arthritis; prosthetic replacement of the tibio-talar joint played a secondary role.The introduction of last generation ankle prostheses lead to better outcome and a lower rate of complication. PSI represents the most recent innovations introduced on the market of ankle arthroplasty:PSI is proposed as a surgical technique capable of making ankle arthroplasty more accurate and more reproducible compared to standard referencing guides Aim of the study is to report early clinical and radiographic outcomes obtained from a single surgeon experience by implanting the same ankle prosthesis using a standard (STD) or a PSI instrumentation Unlike no difference in the average increment of normalized sub score related to function in each group (PSI vs STD), the analysis of normalized pain sub score pointed out a greater average improvement in the PSI group(+75%)compared to the STD group(+62%);this result has been adovacated to the absence of post operative gutter impingement syndrome in the PSI group compared to the STD referencing group.

Anterior cruciate ligament reconstruction: the role of lateral posterior tibial slope as a potential risk factor for failure.

Background and aim of the work Anterior cruciate ligament (ACL) reconstruction is an extremely frequent surgery. The analysis of anatomical factors is becoming increasingly important and the study of clinical, arthroscopic and radiological methods to evaluate and understand them aims to positively affect the patient's outcome. This work aims to analyze the role of Lateral Posterior Tibial Slope (LPTS) as a potential risk factor for ACL reconstruction failure Materials and Methods At the Clinic of Orthopedic of Udine, between November 2018 and August 2020, 47 revisions of the ACL were performed.

Histological analysis of ACL reconstruction failures due to synthetic-ACL (LARS) ruptures.

Introduction: Anterior Cruciate Ligament (ACL) reconstruction is an established surgical procedure. Synthetic ligaments represent an option for ACL reconstruction. Their popularity declined for the raising concerns due to re-ruptures, knee synovitis and early arthritis related to I and II generation artificial ligaments.

Leukocyte esterase strip test as a reliable intraoperative PJIs biomarker. Our experience.

Unlabelled: ackgroud and aim of work: Prosthetic joint infection (PJI) is the most common cause of total knee replacement failure and the third most common cause of total hip replacement failure, accounting for 16.8% of all knee revisions and 14.8% of the hip revisions; nevertheless, the diagnosis of PJI is often a challenge for the orthopaedic surgeon.

Can UKA after KineSpring system failure be a viable option? A case report.

Background And Aim Of The Work: The KineSpring System is an alternative treatment offered in selected symptomatic patients suffering from mild to moderate medial knee osteoarthritis (OA). This device reduces medial compartment loads in the OA knee without compromising the integrity of the lateral or patellofemoral knee compartments, maintaining the normal knee anatomy. Currently, papers about KineSpring System installation show promising results.

Arthroscopic treatment of iliopsoas impingement syndrome after hip arthroplasty.

Background And Aim Of The Work: Groin pain after hip arthroplasty (HA) ranges from 0.4% to 18.3%.

Heterotopic Ossification in Primary Total Hip Arthroplasty: which is the role of drainage?

Background And Aim Of The Work: The Heterotopic Ossification (HO) is a common complication following Total Hip Arthroplasty (THA). Although there is no concordance in Literature regarding the etiopathogenic mechanism, various HO risk factors have been recognized, both related to the patient and associated with the surgical procedureLiterature does not consider the use of intra-articular drainage as a possible risk factor. Our hypothesis is that this item can contribute to the development of HO.

Rotator cuff tears reparability index based on pre-operative MRI: our experience.

Background And Aim Of The Work: It is recognised that a significant percetage of large and massive rotator cuff tears (RCT) cannot be anatomically repaired and this correlates with a worste outcome in terms of pain, active range of motion, increased incidence of retair. The aim of our work is to find reliable index on preoperative MRI shoulder image to assist orthopaedist in surgical planning of rotatator cuff tears repair.

Methods: We performed a retrospective study on a population on 131 patients undergoing arthroscopic cuff repair by a single expert surgeon.

The SMR reverse shoulder arthroplasty in rotator cuff arthropathy management.

Background And Aim Of The Work: Cuff tear arthropathy (CTA) is a well-defined  degenerative pathology  of the shoulder. When conservative treatments are unable to permit a good quality of life, the reverse shoulder arthroplasty (RSA) can guarantee a good restitution of range of motion, function and strength of the shoulder without pain. In this paper we show our clinical, functional and radiological outcomes, as well as complications of RSA in patients with CTA.

Rivaroxaban and early periprostethic joint infection: our experience.

Background And Aim Of The Work: Periprostethic joint infection (PJI) is a severe post-operative complication after Primary Total Hip Arthroplasty (THA). According to the classification of PJI early acute PJI occurs within 4 weeks from surgery. Some authors think that Rivaroxaban is a risk factor in the incidence of early acute PJI.

Patient compliance with new oral anticoagulants after major orthopaedic surgery: rivaroxaban and dabigatran compared with subcutaneous injection of fondaparinux.

Purpose: the main purpose of our study was to compare patient compliance with the orally administered new oral anticoagulants (NOCs) dabigatran and rivaroxaban compared with subcutaneously injected fondaparinux after major orthopaedic surgery, and to assess patient preference for the oral subcutaneous administration route.

Methods: prophylactic antithrombotic drug therapy with dabigatran (group D; GD, n=32 patients), rivaroxaban (group R; GR, n=38 patients) or fondaparinux (group F; GF, n=30 patients), to prevent deep vein thrombosis, was started immediately after surgery in 100 patients submitted to total hip arthroplasty.

Results: the patients had a mean age of 68.

Arthroscopic rotator cuff repair with or without PrP: our experience.

Background And Aim Of The Work: Arthroscopical rotator cuff repair has good results, but the rate of tendon healing is 80% in small tears with a decrease to 30% in large and massive tears. Platelets are an endogenous source of growth factors present during rotator cuff healing. Aim of the work is checking if Cascade Autologous Platelet System may improve rotator cuff healing in small sovraspinatus tears.

Extracapsular vs standard approach in hip arthroscopy.

Background: Over the last decades, the arthroscopic treatment of hip pathology has highly grown thanks to the evolution of surgical and diagnostic techniques and instrumentation development. Furthermore the higher life expectancy and functional request make younger patients to be evaluated more frequently for non-arthrosic hip pathologies like labral lesion, FAI, cartilage tears. Treatment substantially has to be chosen between arthroscopy and arthrotomy.

The role of intraoperative frozen section in arthroplasty revision surgery: our experience.

Background And Aim Of The Work: Due to the increasing the number of hip and knee replacement in the future will be increasing the number of cases of prosthetic revision. Our aim is to test the validity of extemporaneous exam for differentiation between septic and aseptic loosening of prosthetic.

Methods: 159 patients underwent surgery for the prosthesis revision from 2008 to 2014 An intraoperative histological examination was performed during all the surgeries and multiple samples were taken for the conclusive histological examination and culture.

Histopathological aspects and staging systems in non-traumatic femoral head osteonecrosis: an overview of the literature.

Background: The pathogenesis of non traumatic osteonecrosis of the femoral head (ONFH) has not yet been established. The literature shows a variable nomenclatura for this condition that often leads to confusion. Several risk factors have been identified but histopathological and radiological outcomes are common.

Prediction of early postoperative major cardiac events after elective orthopedic surgery: the role of B-type natriuretic peptide, the revised cardiac risk index, and ASA class.

Background: The aim of this study was to evaluate pre- and post-operative brain natriuretic peptide (BNP) levels and compare the power of this test in predicting in-hospital major adverse cardiac events (MACE: atrial fibrillation, flutter, acute heart failure or non-fatal/fatal myocardial infarction) in patients undergoing elective prosthesis orthopedic surgery to that of the Revised Cardiac Risk Index (RCRI) and American Society of Anesthesiology (ASA) class, the most useful scores identified to date.

Methods: The study was an observational study of consecutive patients undergoing elective prosthesis orthopedic surgery. Surgical risk was established using RCRI score and ASA class criteria.