MUSCULOSKELETAL SURGERY最新文献

{"title":"Correction: Returning to running after total knee arthroplasty: a systematic review and a novel multimodal protocol.","authors":"C Faldini, F Traina, V Digennaro, L Berti, A Panciera, D Cecchin, R Ferri, L Benvenuti, L Calbucci","doi":"10.1007/s12306-025-00912-x","DOIUrl":"https://doi.org/10.1007/s12306-025-00912-x","url":null,"abstract":"","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144708143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of adolescent genu valgum deformity using \"wedgeless\" distal femur osteotomy with K-wire fixation and cylindrical cast.","authors":"Ashok K Rathod, Ajay N Naidu, Akshay Jathkar, Nagesh Akhade, Sri Hari Ram","doi":"10.1007/s12306-025-00910-z","DOIUrl":"https://doi.org/10.1007/s12306-025-00910-z","url":null,"abstract":"","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can femoral neck-shaft angle predict timing of contralateral second hip fracture? A 7-year retrospective cohort study at a tertiary referral centre for trauma.","authors":"Ezanul Harriz Abd Wahab, Colum Downey, Ben Murphy, Sophie Lawlor, Patrick O'kelly, Conor Shortt, John F Quinlan","doi":"10.1007/s12306-025-00908-7","DOIUrl":"https://doi.org/10.1007/s12306-025-00908-7","url":null,"abstract":"<p><strong>Introduction: </strong>Previously published literature from our institution found that patients with a fragility hip fracture were estimated to have a 4-10% risk of sustaining a second contralateral hip fracture. A follow-up, multi-centre study found that 1 in 11 (9.1%) patients sustained a contralateral hip fracture within three years of index hip fracture. Previous studies have examined the anatomic geometry of the hip joint as a risk factor for hip fractures. Our study aimed to establish a relationship between the neck-shaft angle (NSA) of the contralateral hip in patients who had already suffered a hip fragility fracture in terms of timing to second hip fracture.</p><p><strong>Methods: </strong>A 7-year, single-institution, retrospective cohort study of patients that presented with a second contralateral fragility hip fracture from 2013 to 2019 were reviewed. Inclusion criteria were all patients 60 years old and above who suffered a second contralateral hip fracture. Exclusion criteria were all patients who were aged less than 60 years old, high-energy injuries or those who suffered peri-prosthetic fractures. The NSA was calculated by measuring the intersection of the femoral neck axis and the femoral shaft axis of the hip. Age, gender, surgery type and American Society of Anaesthesiologists Physical Status Classification (ASA) score were also examined.</p><p><strong>Results: </strong>Ninety-four patients were suitable for analysis. NSA ranged from 113 to 146.5 degrees with an average of 130.2 degrees. Female patients had an average NSA of 129.7 degrees compared to 131.3 degrees in male patients. Average time to second hip fracture was 3.5 years, ranging from 0.08 years (29 days) to 20 years (7326 days). There was a 2.3:1 ratio of female-to-male presentations. Patient age ranged from 60 to 100 years old. The largest age group included patients aged 80-89 years, with 38 patients (28 females and 10 males). Correlation analysis performed showed no statistical significance between NSA and timing of second contralateral hip fracture with a p value of 0.235. There was an association between fracture type, specifically intracapsular hip fractures, and time to second hip fracture, but this was not statistically significant (p value 0.052).</p><p><strong>Conclusion: </strong>There is no statistically significant association between femoral NSA and time to second fragility hip fracture. As we have excluded NSA as an independent risk factor, further studies may now be carried out to look for other potential predictors of timing to second hip fracture.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the longitudinal efficacy of platelet-rich plasma in rotator cuff surgery: a systematic review and meta-analysis.","authors":"S S Gill, A Shukla, A Godhamgaonkar, S R Namireddy","doi":"10.1007/s12306-025-00906-9","DOIUrl":"https://doi.org/10.1007/s12306-025-00906-9","url":null,"abstract":"<p><p>Rotator cuff (RC) tears affect 22% of the population, increasing with age. While 48.4% are asymptomatic, 25% require surgery. Annually, over 400,000 RC repairs (RCRs) are performed in the USA, costing over $50,000 each. However, retear rates remain high (10-40%), with clinical outcomes stagnating since 1980. Platelet-rich plasma (PRP) has emerged as a potential adjunct to RCR, with its growth factors and regenerative properties offering promise for enhancing tendon healing and improving postoperative outcomes. A comprehensive search across four major databases selected studies utilising PRP in RCR. Out of 2709 studies initially identified, 22 were included, with 13 undergoing meta-analysis. The primary outcome measures were pain and functional scores, with secondary outcomes including patient-reported outcome measures (PROMs) and retear rates. PRP significantly reduced VAS scores, as a proxy of pain reduction at 6 months (MD = 0.34 [0.10, 0.59]) and at 12 months (MD = 0.24 [0.03, 0.44]) post-RCR. UCLA score improvements were significant at 3 months (MD = 2.98 [1.55, 4.40]), 6 months (MD = 1.96 [1.09, 2.83]) and 12 months (MD = 1.26 [0.39, 2.13]). Additionally, PRP significantly reduced retear rates at 24 months, with a mean risk reduction of 15.03%, indicating a substantial improvement in tendon healing. PRP offers substantial benefits in RCR, particularly in reducing pain and retear rates. However, further research is necessary due to observed heterogeneity and study biases. Future efforts should focus on incorporating PRP into clinical practice and guidelines.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extensor mechanism injury/failure following spacer dislocation in periprosthetic joint infection: a case series in a single reference center.","authors":"A Mei, M Scazzarriello, D Brioschi, M Larghi, A Manzotti","doi":"10.1007/s12306-025-00907-8","DOIUrl":"https://doi.org/10.1007/s12306-025-00907-8","url":null,"abstract":"<p><p>Antibiotic-loaded spacers are widely used in the two-stage revision protocol for managing periprosthetic joint infections (PJIs) of the knee, offering effective local antibiotic delivery while maintaining joint space and soft tissue tension. However, despite their clinical benefits, complications such as extensor mechanism rupture remain under-recognized and can severely compromise functional outcomes. This retrospective case series presents consecutive patients treated between 2014 and 2022 by a single orthopedic team at our institution. All patients were diagnosed with knee PJI and experienced extensor mechanism rupture following the implantation of either static or dynamic antibiotic-loaded spacers. The analysis highlights the multifactorial etiology of this complication, including factors such as severe bone loss, suboptimal spacer positioning or design, repeated debridements, and individual patient risks such as obesity and previous surgical history. Dynamic spacers, while allowing partial joint mobility, were associated with a higher risk of mechanical overload, whereas static spacers posed risks related to rigidity and stress transmission. Surgical management in all cases involved radical debridement, assessment of bone loss and femoral canal diameter, and careful selection of spacer type. Awareness of the potential for extensor mechanism injury should inform both surgical technique and postoperative care strategies.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal fixation through posterolateral approach versus Ilizarov external fixation for treatment of aseptic distal tibia nonunion: a comparative analysis.","authors":"S Cerbasi, G Di Sante, N Rani, N Del Piccolo, C Stagni, A Maresca, P Vitale, D Dallari, R Pascarella","doi":"10.1007/s12306-025-00911-y","DOIUrl":"https://doi.org/10.1007/s12306-025-00911-y","url":null,"abstract":"<p><strong>Purpose: </strong>Distal tibia nonunion poses a serious therapeutic challenge for orthopedic surgeons. Bone loss and soft tissue damage is relatively common. The aim of this study was to compare the healing rate and related functional outcomes between two retrospective series of distal tibia nonunion cases treated with internal fixation via the posterolateral approach and those managed with Ilizarov external fixation.</p><p><strong>Methods: </strong>This retrospective cohort study included 47 affected by distal tibia nonunion. The subjects had undergone internal fixation with inter-tibiofibular graft through the posterolateral approach (Group A, n = 24) and Ilizarov method associated or not with bone transport procedures and osteotomies (Group B, n = 23). Results were assessed at a minimum 24 months after surgery. Consolidation rate, radiographic healing time of nonunion, the American Orthopedic Foot and Ankle Society (AOFAS), the short form health survey (SF-12) and Visual Analog Scale (VAS) scores (pain, ability to work and treatment satisfaction) were compared between the groups. Complications and reoperations were also recorded.</p><p><strong>Results: </strong>The nonunion healing rate was 75% (18/24) in the group A and 91% in the group B (21/23)(p = 0.001). Consolidation was observed, on average, 5.7 months after surgery (range, 4-9) in the group A and 10.7 months in the B group (range, 5-24) (p = 0.001). All patients recovered have had good functional outcomes with no significant differences between the groups. At final follow-up, AOFAS scores in the A group were 74 (range 52-94), while in the B group it was 79 (range 57-100). Group A showed a better perception of mental health status (SF-12-MCS 46 vs. 45, p = 0.36) and a better satisfaction with the treatment received, but a worse perception of their physical health status (SF-12-PCS 49 vs. 50, p = 0.52) with a lower mean score on working ability.</p><p><strong>Conclusion: </strong>Distal tibial nonunion can be successfully treated with the posterolateral approach, or external Ilizarov fixation. There are not significative outcomes differences when patients undergoing internal or external fixation. Although healing times are faster with internal fixation via the posterolateral approach, healing rates are higher with the Ilizarov method.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified osteodesis procedure using the mini TightRope system for the correction of hallux valgus with full weight-bearing protocol: our experience with an historical report.","authors":"V P Gagliardi, E Jannelli, A Minen, J H Villafañe, G Colò, E M Samaila, G Basile, M Leigheb","doi":"10.1007/s12306-025-00905-w","DOIUrl":"https://doi.org/10.1007/s12306-025-00905-w","url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus is a common pathology in the orthopedic daily practice. More than 100 techniques of surgical correction are currently described in the literature, mostly focused on osteotomies. Procedures based on soft tissues balancing are actually less described.</p><p><strong>Materials and methods: </strong>Between May and October 2019, 20 patients, 16 females and 4 males, underwent surgery using mini TightRope® system. All were addressed to preoperative radiological and clinical assessment through the AOFAS-hallux scale and radiographs. Follow-up was performed postoperatively with weight-bearing radiographs and AOFAS-hallux score at 5 weeks, 3 months and 6 months. All patients were postoperatively allowed to immediately full weight-bear wearing a stiff sole orthopedic shoe (Donjoy, Podalux™).</p><p><strong>Results: </strong>The results showed an improvement in the functional score (average AOFAS from 53.5 to 87 at 6 months) and a decrease in IMA and HVA in the direct postoperative with 9.2° and 28.3°, respectively. The reductions were maintained through 6 months and compared with the preoperative condition a reduction of 6.0° and 7.3°, respectively, were observed.</p><p><strong>Conclusions: </strong>Correction of hallux valgus with the modified osteodesis procedure with the mini TightRope system with Full Weight-Bearing can be considered effective, safe and reliable.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Italian version of the Majeed pelvic score: translation, cross-cultural adaptation and validation.","authors":"G Vittone, S Cattaneo, C Galante, M Domenicucci, M F Saccomanno, G Milano, A Casiraghi","doi":"10.1007/s12306-024-00858-6","DOIUrl":"10.1007/s12306-024-00858-6","url":null,"abstract":"<p><strong>Purpose: </strong>The assessment of functional outcomes after pelvic ring fracture remains a controversial topic. The Majeed pelvic score (MPS) is the most commonly used pelvic-specific questionnaire in the literature. The aim of this study is translation, cross-cultural adaptation and validation of the Italian version of MPS.</p><p><strong>Methods: </strong>The study was articulated in two phases. Phase 1 consisted in translation and cross-cultural adaptation of MPS, from English into Italian. The psychometric properties were tested on 52 Italian patients (Phase 2). Construct validity was assessed by correlation with Short-Form 12 (SF-12). 33 patients repeated the questionnaire after 14 days to assess its reproducibility. All data were subsequently analyzed (descriptive statistics, multitrait analysis, reliability and construct validity assessment).</p><p><strong>Results: </strong>The questionnaire was clear and easily understood (no missing data). A ceiling effect was detected for all items of the scale. Multitrait analysis showed good results for each outcome measure, except for the item \"walking distance\" that showed poor item discriminant validity. A significant correlation between the MPS and the physical component summary (PCS) of the SF-12 was found, while there was a weak correlation with the mental component summary (MCS). The questionnaire showed high internal consistency (Cronbach's alpha: 0.91-0.99) and very good test-retest reliability (intraclass correlation coefficients: 0.92-0.96).</p><p><strong>Conclusions: </strong>The Italian version of the MPS has demonstrated to be reliable and valid in the evaluation of patients with pelvic ring fractures. There is still however a need for an instrument capable of evaluating the mental component in these types of injuries.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"215-222"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe heterotopic ossification after total hip arthroplasty in male patients under 70 years of age: effectiveness of prophylactic protocol.","authors":"Alessandro Aprato, Simone Cambursano, Stefano Artiaco, Federico Fusini, Simone Bevilacqua, Paolo Catalani, Alessandro Massè","doi":"10.1007/s12306-024-00868-4","DOIUrl":"10.1007/s12306-024-00868-4","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the incidence of clinically significant heterotopic ossification (HO) in primary total hip arthroplasty (THA), comparing outcomes with and without the adoption of an HO prophylactic protocol in male patients under 70 years of age.</p><p><strong>Methods: </strong>The prophylactic protocol involved the administration of 50 mg of Indomethacin twice daily for 3 weeks. HO presence was classified according to the Brooker classification system, considering \"severe\" clinically significant HO (Brooker grade 3 and 4).</p><p><strong>Results: </strong>Two hundred and seventy-nine patients were included in our study, and an overall HO rate of 68.2% versus a rate of 61.5% was found respectively in patients not subjected and subjected to prophylactic protocol, without significant difference (PR 0.062). However, patients not subjected to the HO prophylactic protocol exhibited a severe HO rate of 22.4% compared to 7.7% in the prophylactic group, with a statistically significant difference (P = 0.008).</p><p><strong>Conclusions: </strong>Our study demonstrated that prophylactic protocol adoption is significantly associated with lower rate of severe HO in male patients under 70 years of age. Currently, there are no orthopedic guidelines for the prevention and management of HO after THA, but in the absence of contraindications, the adoption of a prophylactic protocol for HO should always be considered in high-risk patients.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"201-205"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One type of graft for reconstruction of the ACL does not suit all patients based on their characteristics and sports: a scoping review.","authors":"J M Reinerink, T Vendrig, M N J Keizer, R A G Hoogeslag, R W Brouwer","doi":"10.1007/s12306-024-00861-x","DOIUrl":"10.1007/s12306-024-00861-x","url":null,"abstract":"<p><p>The selection of graft type for anterior cruciate ligament reconstruction remains a topic of debate, taking into consideration patient characteristics, as well as the type and level of sports involvement. The aim of this scoping review was to investigate patient characteristics that might influence the selection of graft type for anterior cruciate ligament reconstruction. PubMed and Scopus were searched to identify articles for inclusion. All included studies focused on one or more patient characteristics involved in the decision-making process regarding anterior cruciate ligament reconstruction autograft, including the hamstrings tendon (HT), patellar tendon (BPTB) and quadriceps tendon (QT). Out of the 1,977 initial studies, 27 studies were included in this review. The BPTB graft seems to be the preferred choice in young patients, females, and athletes-especially those engaged in pivoting sports. The HT graft seems to be the preferred choice in less active and older patients, along with those involved in sports where knee extensors are vital. The HT graft is not preferable in patients with a small body height and graft diameter. Moreover, surgeon preferences were also of importance for graft selection. The success of a specific graft type in anterior cruciate ligament reconstruction is highly dependent on the patient's characteristics and type of sport. Patient characteristics such as age, gender, body height, graft diameter, and the patient's activity level should all be considered when choosing the appropriate graft type.</p>","PeriodicalId":18875,"journal":{"name":"MUSCULOSKELETAL SURGERY","volume":" ","pages":"115-125"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}