Publications by authors named "S Gumina"
Rotator Cuff Tear and Associated Risk Factors. The Mutual Role of Medical Conditions.
Sports Med Arthrosc Rev
October 2024
Unlabelled: Several medical conditions (diabetes, cardio-vascular diseases, hypercholesterolemia etc.) or modifiable behavioral habits (smoking habit and alcohol assumption) capable of causing a damage to the peripheral microcirculation are considered potential risk factors for degeneration/tear of the rotator cuff. The aim of the study was to analyse and quantify how the association of multiple known risk factors is more effective than the predisposing action of a single factor.
View Article and Find Full Text PDFA fracture-related infection (FRI) is a severe complication of an orthopedic trauma, often leading to challenging treatments and poor outcomes. The surgical strategies are typically categorized into one-stage or two-stage procedures, with the use of systemic and local antibiotics being crucial for infection management. This study assessed the efficacy of an antibiotic-loaded hydrogel (ALH) applied over the internal fixation devices for treating FRIs, comparing the outcomes between the one-stage (OS) and two-stage (TS) reconstructions.
View Article and Find Full Text PDFArticle Synopsis
- The study analyzed 527 patients with full-thickness rotator cuff tears (RCT) to determine the impact of various systemic pathologies on the severity of their injuries.
- Key risk factors examined included diabetes, cardiovascular diseases, hypercholesterolemia, and smoking habits, with patients categorized based on the number of these risks they possessed.
- Results showed that 63% of patients had at least one risk factor, and those with any risk factors exhibited larger tear sizes, indicating that the presence of these pathologies can worsen RCT severity.
Introduction: The increasing prevalence of primary hip arthroplasty has led to a parallel rise in revision cases. Femoral revision often entails compromised bone integrity, requiring consideration of various solutions for optimal reconstructive options. Despite technological advancements, there is limited evidence on the clinical outcomes of the latest modular revision stems.
View Article and Find Full Text PDFBackground: Little is known about alterations of the rotator cuff (RC) macroscopic vasculature associated with medical conditions and/or habits that predispose a person to diseases of the peripheral microcirculation. The high frequency of cuff tear and re-tear in patients with diabetes, hypercholesterolemia, uncontrolled arterial hypertension, or metabolic syndrome may be due to tissue hypovascularity.
Methods: The macroscopic vasculature of both the articular and bursal sides of the posterosuperior RC was evaluated arthroscopically in 107 patients (mean age, 58.