Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04308-0
Francesco ADDEVICO, Umberto MEZZADRI, Enricomaria LUNINI, Federico BOVE, Marco BERLUSCONI, Francesco LIUZZA, Alessandro APRATO, Michele CAPPA, Filippo RANDELLI, Matteo CAVANNA, David HELFET
BACKGROUND: Fractures of the posterior wall of the acetabulum are burdened by several unresolved issues. AO trauma Italy investigated the trend in the management of the most common acetabular fracture among orthopedic surgeons in Italy. A literature-based survey investigating the habits in conservative management, diagnosis, initial treatment, surgical approaches, fixation methods and postoperative management has been released. METHODS: Fifty-five surgeons of varying experience answered questions and discussed the results in an online webinar. Agreement was found about most of the topics; standard AP pelvic X-ray followed by the oblique views and CT scan are required by the most before surgery. RESULTS: The more reliable method of testing hip stability is dynamic stress under fluoroscopy in general anesthesia. In case of associated hip dislocation, the reduction maneuver should be attempted rapidly after ruling out any associated lesions. The Urgent Management Protocol was proposed. There was more disagreement about primary hip replacement as a treatment option and the postoperative protocol, both of which were said to be patient-specific. CONCLUSIONS: The results of the survey reflected the trend in the current literature.
{"title":"Complex fractures of the posterior wall of the acetabulum: current concept in the management and results of the Italian survey","authors":"Francesco ADDEVICO, Umberto MEZZADRI, Enricomaria LUNINI, Federico BOVE, Marco BERLUSCONI, Francesco LIUZZA, Alessandro APRATO, Michele CAPPA, Filippo RANDELLI, Matteo CAVANNA, David HELFET","doi":"10.23736/s2784-8469.23.04308-0","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04308-0","url":null,"abstract":"BACKGROUND: Fractures of the posterior wall of the acetabulum are burdened by several unresolved issues. AO trauma Italy investigated the trend in the management of the most common acetabular fracture among orthopedic surgeons in Italy. A literature-based survey investigating the habits in conservative management, diagnosis, initial treatment, surgical approaches, fixation methods and postoperative management has been released. METHODS: Fifty-five surgeons of varying experience answered questions and discussed the results in an online webinar. Agreement was found about most of the topics; standard AP pelvic X-ray followed by the oblique views and CT scan are required by the most before surgery. RESULTS: The more reliable method of testing hip stability is dynamic stress under fluoroscopy in general anesthesia. In case of associated hip dislocation, the reduction maneuver should be attempted rapidly after ruling out any associated lesions. The Urgent Management Protocol was proposed. There was more disagreement about primary hip replacement as a treatment option and the postoperative protocol, both of which were said to be patient-specific. CONCLUSIONS: The results of the survey reflected the trend in the current literature.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136058952","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04367-5
Silvana DE GIORGI, Giovanni VICENTI, Michele COVIELLO, Mario SUMA, Giuseppe D. CASSANO, Francesco MARUCCIA, Claudio BUONO, Anna C. PASSARELLI, Biagio MORETTI
INTRODUCTION: Ulnar collateral ligament (UCL) tears are common in overhead throwing athletes and contact sport ones. The Jobe and docking techniques are the most common techniques used for reconstruction. This systematic review aims to assess the clinical outcome and the complication rates of the surgical techniques currently used.EVIDENCE ACQUISITION: PubMed, MEDLINE and Cochrane were searched from January 2010 to April 2021 to identify relevant studies. The search terms used were “UCL,” “medial instability of the elbow,” “elbow Docking technique,” and “elbow Jobe technique.” The methodological qualities of the studies were evaluated, relevant data were extracted.EVIDENCE SYNTHESIS: Five studies, published between 2013 and 2019, were included in this review. Three studies had a level of evidence IV, two studies had a level of evidence III and recruited 600 patients undergoing a Docking and 30 patients undergoing a Jobe technique reconstruction. Patients undergoing Docking procedure registered better clinical and functional outcome, assessed using the Conway Jobe scale compared with patients managed with Jobe technique. Nonetheless, this difference is not significant. Complication rate was 7.5%, mainly affecting the ulnar nerve (95.5%).CONCLUSIONS: This systematic review demonstrated that both Jobe and Docking techniques are effective and safe in the treatment of UCL rupture. However, future studies with larger sample size of Jobe technique are needed to show statistical differences between these two surgical approaches.
{"title":"Ulnar collateral ligament reconstruction techniques in elbow instability: Jobe versus Docking technique. A systematic review","authors":"Silvana DE GIORGI, Giovanni VICENTI, Michele COVIELLO, Mario SUMA, Giuseppe D. CASSANO, Francesco MARUCCIA, Claudio BUONO, Anna C. PASSARELLI, Biagio MORETTI","doi":"10.23736/s2784-8469.23.04367-5","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04367-5","url":null,"abstract":"INTRODUCTION: Ulnar collateral ligament (UCL) tears are common in overhead throwing athletes and contact sport ones. The Jobe and docking techniques are the most common techniques used for reconstruction. This systematic review aims to assess the clinical outcome and the complication rates of the surgical techniques currently used.EVIDENCE ACQUISITION: PubMed, MEDLINE and Cochrane were searched from January 2010 to April 2021 to identify relevant studies. The search terms used were “UCL,” “medial instability of the elbow,” “elbow Docking technique,” and “elbow Jobe technique.” The methodological qualities of the studies were evaluated, relevant data were extracted.EVIDENCE SYNTHESIS: Five studies, published between 2013 and 2019, were included in this review. Three studies had a level of evidence IV, two studies had a level of evidence III and recruited 600 patients undergoing a Docking and 30 patients undergoing a Jobe technique reconstruction. Patients undergoing Docking procedure registered better clinical and functional outcome, assessed using the Conway Jobe scale compared with patients managed with Jobe technique. Nonetheless, this difference is not significant. Complication rate was 7.5%, mainly affecting the ulnar nerve (95.5%).CONCLUSIONS: This systematic review demonstrated that both Jobe and Docking techniques are effective and safe in the treatment of UCL rupture. However, future studies with larger sample size of Jobe technique are needed to show statistical differences between these two surgical approaches.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059106","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04363-8
Alessandro APRATO, Agnese BATTISTA, Charlotte JALOUX, Marco BERLUSCONI, Lorenzo DI MENTO, Enricomaria LUNINI, Biagio MORETTI, Giovanni VICENTI, Federico CHIODINI
BACKGROUND: The purpose of this study was to estimate the clinical and radiologic risk factors that may predispose to radio and ulna re-fractures in children.METHODS: In this retrospective study, forearm re-fractures treated from January 2017 to December 2022 in a single pediatric orthopedic center were reviewed. Criteria of inclusion was age younger than 14 years old while criteria of exclusion were the presence of neuromuscular or genetic conditions, metabolic diseases, and pathologic fractures. Sex, age, type of treatment, time elapsed between fractures, immobilization and return to sport timings were recorded. Fracture location, dislocation angles and time to radiographic bones healing were evaluated.RESULTS: Twenty-nine patients underwent a re-fracture and met the inclusion criteria. The average time of immobilization after the index fracture was 48.7 days. The 44.8% of patients had a residual angulation >10 degrees in lateral radiographic planes at the time of last X-ray of the index fracture. Patients returned to physical activities after a mean of 70 days since the index fracture. The average time to refracture was 100 days since the end of immobilization.CONCLUSIONS: The most important risk factors for refracture are residual volar angulation of radio and ulna, short term immobilization and early return to sport activities. Therefore, we suggest that borderline angulations should be addressed; we recommend immobilization for 8 weeks, followed by gradual mobilization and we suggest avoiding sport for three months in order to reduce the refracture risk.
{"title":"Risk factors for forearm re-fracture in children","authors":"Alessandro APRATO, Agnese BATTISTA, Charlotte JALOUX, Marco BERLUSCONI, Lorenzo DI MENTO, Enricomaria LUNINI, Biagio MORETTI, Giovanni VICENTI, Federico CHIODINI","doi":"10.23736/s2784-8469.23.04363-8","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04363-8","url":null,"abstract":"BACKGROUND: The purpose of this study was to estimate the clinical and radiologic risk factors that may predispose to radio and ulna re-fractures in children.METHODS: In this retrospective study, forearm re-fractures treated from January 2017 to December 2022 in a single pediatric orthopedic center were reviewed. Criteria of inclusion was age younger than 14 years old while criteria of exclusion were the presence of neuromuscular or genetic conditions, metabolic diseases, and pathologic fractures. Sex, age, type of treatment, time elapsed between fractures, immobilization and return to sport timings were recorded. Fracture location, dislocation angles and time to radiographic bones healing were evaluated.RESULTS: Twenty-nine patients underwent a re-fracture and met the inclusion criteria. The average time of immobilization after the index fracture was 48.7 days. The 44.8% of patients had a residual angulation >10 degrees in lateral radiographic planes at the time of last X-ray of the index fracture. Patients returned to physical activities after a mean of 70 days since the index fracture. The average time to refracture was 100 days since the end of immobilization.CONCLUSIONS: The most important risk factors for refracture are residual volar angulation of radio and ulna, short term immobilization and early return to sport activities. Therefore, we suggest that borderline angulations should be addressed; we recommend immobilization for 8 weeks, followed by gradual mobilization and we suggest avoiding sport for three months in order to reduce the refracture risk.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059713","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04332-8
Marco BERLUSCONI, Federico CHIODINI, Margherita MENOZZI, Kodi KOJIMA, Massimiliano CARROZZO, Emmanuele SANTOLINI, Giulia COLASUONNO, Claudio BUONO, Andrea Michele ABBATICCHIO, Maria Lucia MANCINI, Enricomaria LUNINI, Giovanni VICENTI
BACKGROUND: Distal femur fractures (DFFs) are quite common injuries, accounting for 1% of all fractures and 3-6% of femoral fractures. This type of fracture has grown increasingly alarming as the world’s population ages. The aim of this study was to examine and interpret the results of a survey that we submitted to Italian orthopedic surgeons to establish an algorithm for treating both these fractures and complications related and also to enhance the real importance of medial support in distal femur fractures.METHODS: A webinar survey developed from the current literature was emailed to 101 Italian orthopedic doctors who were members of the AO/OTA and AUOT associations. Several questions were asked to the surgeons regarding medial support in distal femur fractures, their experience with several types of treatment, stability principles, complications, and rehabilitation procedures.RESULTS: According to literature and to the results of this survey, double plate (lateral + medial) is considered the most stable technique, despite many Italian surgeons (71.29%) use only lateral LCP. In case of metaphyseal comminution, osteoporotic bone, non-unions and periprosthetic fractures medial support it is recommended by using medial plate in order to guarantee bone vascularization respecting “the safe zone.”CONCLUSIONS: Guidelines are required not only for surgical treatment, but also to avoid or treat the percentage of non-union related to this fracture pattern.
{"title":"The importance of medial support in complex distal femur fractures: an expert survey of AO trauma Italy members and evidence-based treatment recommendations","authors":"Marco BERLUSCONI, Federico CHIODINI, Margherita MENOZZI, Kodi KOJIMA, Massimiliano CARROZZO, Emmanuele SANTOLINI, Giulia COLASUONNO, Claudio BUONO, Andrea Michele ABBATICCHIO, Maria Lucia MANCINI, Enricomaria LUNINI, Giovanni VICENTI","doi":"10.23736/s2784-8469.23.04332-8","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04332-8","url":null,"abstract":"BACKGROUND: Distal femur fractures (DFFs) are quite common injuries, accounting for 1% of all fractures and 3-6% of femoral fractures. This type of fracture has grown increasingly alarming as the world’s population ages. The aim of this study was to examine and interpret the results of a survey that we submitted to Italian orthopedic surgeons to establish an algorithm for treating both these fractures and complications related and also to enhance the real importance of medial support in distal femur fractures.METHODS: A webinar survey developed from the current literature was emailed to 101 Italian orthopedic doctors who were members of the AO/OTA and AUOT associations. Several questions were asked to the surgeons regarding medial support in distal femur fractures, their experience with several types of treatment, stability principles, complications, and rehabilitation procedures.RESULTS: According to literature and to the results of this survey, double plate (lateral + medial) is considered the most stable technique, despite many Italian surgeons (71.29%) use only lateral LCP. In case of metaphyseal comminution, osteoporotic bone, non-unions and periprosthetic fractures medial support it is recommended by using medial plate in order to guarantee bone vascularization respecting “the safe zone.”CONCLUSIONS: Guidelines are required not only for surgical treatment, but also to avoid or treat the percentage of non-union related to this fracture pattern.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059236","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04331-6
Biagio MORETTI, Stefania BRIANO, Giulia PACHERA, Rohit ARORA, Letizia MARENGHI, Elisa PESARE, Claudio BUONO, Walter GINESTRA, Maria Maddalena TRABACE, Fabrizio PIACQUADIO, Marco PATERLINI, Emmanuele SANTOLINI, Enricomaria LUNINI, Giovanni VICENTI
BACKGROUND: Distal forearm fractures are injuries typically occurring in high-energy trauma in young adults or in low-impact injuries in osteoporotic elderly people. Due to the lack of guidance in the current literature, proper fracture management is very challenging. Distal radioulnar joint (DRUJ) stability is the most disabling complication and is under debate its necessity for surgical reconstruction. This article is based on a survey created to analyze what commonly happens in clinical practice and the aim of the study was providing an algorithm to use for diagnosis and treatment of these fracture.METHODS: A webinar survey was developed: questions were derived from recent literature and an email has been sent to all surgeons subscribed to AO/OTA and AUOT association a few days before the webinar online. A total of 185 orthopedic surgeons in Italy were interviewed.RESULTS: After a review of current literature, a final treatment algorithm has been proposed.CONCLUSIONS: Clinical experiences, in conjunction with literature evidence mentioned should help to clarify how to approach, evaluate, examine, and treat distal forearm fractures.
{"title":"The management of unstable distal forearm fractures: a national survey among orthopedic trauma surgeons from Italy","authors":"Biagio MORETTI, Stefania BRIANO, Giulia PACHERA, Rohit ARORA, Letizia MARENGHI, Elisa PESARE, Claudio BUONO, Walter GINESTRA, Maria Maddalena TRABACE, Fabrizio PIACQUADIO, Marco PATERLINI, Emmanuele SANTOLINI, Enricomaria LUNINI, Giovanni VICENTI","doi":"10.23736/s2784-8469.23.04331-6","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04331-6","url":null,"abstract":"BACKGROUND: Distal forearm fractures are injuries typically occurring in high-energy trauma in young adults or in low-impact injuries in osteoporotic elderly people. Due to the lack of guidance in the current literature, proper fracture management is very challenging. Distal radioulnar joint (DRUJ) stability is the most disabling complication and is under debate its necessity for surgical reconstruction. This article is based on a survey created to analyze what commonly happens in clinical practice and the aim of the study was providing an algorithm to use for diagnosis and treatment of these fracture.METHODS: A webinar survey was developed: questions were derived from recent literature and an email has been sent to all surgeons subscribed to AO/OTA and AUOT association a few days before the webinar online. A total of 185 orthopedic surgeons in Italy were interviewed.RESULTS: After a review of current literature, a final treatment algorithm has been proposed.CONCLUSIONS: Clinical experiences, in conjunction with literature evidence mentioned should help to clarify how to approach, evaluate, examine, and treat distal forearm fractures.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059707","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04328-6
Biagio MORETTI, Claudio BUONO, Cristina GALAVOTTI, Margherita MENOZZI, Hobie SUMMERS, Emmanuele SANTOLINI, Riccardo GIORGINO, Enricomaria LUNINI, Paolo CAPITANI, Leonardo ARMILLOTTA, Domenico ZACCARI, Arianna CARLET, Elisa PESARE, Andrea FRANCHINI, Giovanni VICENTI
BACKGROUND: The Holstein-Lewis fracture is a humerus shaft fracture characterized by a spiral pattern in which radial nerve could be injured due to its course around the humerus. Since there is no consensus in literature about the best treatment option and the timing, AO trauma Italy investigated the trend in the management of this type of fracture among orthopedic surgeons in Italy. A literature-based survey investigating the habits in conservative management, diagnosis, initial treatment, surgical approaches, fixation methods and postoperative management was released. The aim of this survey was to understand which is the trend regarding preoperative planning, treatments and which are the most important factors considered in the choice of surgical procedures.METHODS: A total of 122 orthopedic surgeons in Italy were interviewed in an online webinar. Agreement was found about most of the topics. Radial nerve palsy (RNP) should be attempted, to plan the best treatment option. If RNP is present a surgical exploration is recommended within 7-10 days. Microsurgical skills are required to perform a neurorrhaphy, otherwise it is possible to delegate it to a microsurgeon.RESULTS: Osteosynthesis with ORIF is the most preferred procedure by surgeons. If there is only a nerve contusion, a clinical follow-up of the patient with a possible second level examinations within 6-12 weeks are recommended. There was more disagreement about the surgical approaches with and without RNP. A final treatment algorithm has been proposed. The results of the survey reflected the trend in the current literature.CONCLUSIONS: According to the analysis of the literature and the findings of this survey, the authors have proposed an algorithm of treatment. The aim of this study was to give some guidelines in the correct choice management of this type of fractures.
{"title":"Holstein-Lewis and Humerus shaft fractures associated with traumatic radial nerve palsy: a national survey among orthopedic trauma surgeons from Italy","authors":"Biagio MORETTI, Claudio BUONO, Cristina GALAVOTTI, Margherita MENOZZI, Hobie SUMMERS, Emmanuele SANTOLINI, Riccardo GIORGINO, Enricomaria LUNINI, Paolo CAPITANI, Leonardo ARMILLOTTA, Domenico ZACCARI, Arianna CARLET, Elisa PESARE, Andrea FRANCHINI, Giovanni VICENTI","doi":"10.23736/s2784-8469.23.04328-6","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04328-6","url":null,"abstract":"BACKGROUND: The Holstein-Lewis fracture is a humerus shaft fracture characterized by a spiral pattern in which radial nerve could be injured due to its course around the humerus. Since there is no consensus in literature about the best treatment option and the timing, AO trauma Italy investigated the trend in the management of this type of fracture among orthopedic surgeons in Italy. A literature-based survey investigating the habits in conservative management, diagnosis, initial treatment, surgical approaches, fixation methods and postoperative management was released. The aim of this survey was to understand which is the trend regarding preoperative planning, treatments and which are the most important factors considered in the choice of surgical procedures.METHODS: A total of 122 orthopedic surgeons in Italy were interviewed in an online webinar. Agreement was found about most of the topics. Radial nerve palsy (RNP) should be attempted, to plan the best treatment option. If RNP is present a surgical exploration is recommended within 7-10 days. Microsurgical skills are required to perform a neurorrhaphy, otherwise it is possible to delegate it to a microsurgeon.RESULTS: Osteosynthesis with ORIF is the most preferred procedure by surgeons. If there is only a nerve contusion, a clinical follow-up of the patient with a possible second level examinations within 6-12 weeks are recommended. There was more disagreement about the surgical approaches with and without RNP. A final treatment algorithm has been proposed. The results of the survey reflected the trend in the current literature.CONCLUSIONS: According to the analysis of the literature and the findings of this survey, the authors have proposed an algorithm of treatment. The aim of this study was to give some guidelines in the correct choice management of this type of fractures.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059095","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04325-0
Giovanni VICENTI, Emmanuele SANTOLINI, Claudio BUONO, Domenico ZACCARI, Arianna CARLET, Elisa PESARE, Giacomo ZAVATTINI, Enricomaria LUNINI, Margherita MENOZZI, Martin JAGER, Giorgino RICCARDO, Marco BERLUSCONI
BACKGROUND: Distal-third clavicle fractures represent stand for a small proportion of all fractures, and ligament injuries are often involved in the etiological mechanism, influencing the type of treatment. A national survey was conducted to gain more insight into the current approaches in the management of distal-third fractures in Italy.METHODS: A questionnaire was sent by e-mail to all trauma surgeons subscribed to AO/OTA and AUOT Association few days before webinar. Questions concerned personal experience, the pre-, peri- and postoperative strategies and the different ideas on the classification.RESULTS: During the webinar, some clinical cases have been presented to discuss about criticalities of these fractures and at the end a final treatment algorithm has been proposed.CONCLUSIONS: Compared with previous surveys, our survey is the most complete and largest presents in the literature. Surgery remains the best option for displaced lateral third clavicle fractures because it ensures high union rates, although a gold standard osteosynthesis technique has not yet been reached.
{"title":"Lateral clavicle fractures: an expert survey of AO trauma Italy members and evidence-based treatment recommendations","authors":"Giovanni VICENTI, Emmanuele SANTOLINI, Claudio BUONO, Domenico ZACCARI, Arianna CARLET, Elisa PESARE, Giacomo ZAVATTINI, Enricomaria LUNINI, Margherita MENOZZI, Martin JAGER, Giorgino RICCARDO, Marco BERLUSCONI","doi":"10.23736/s2784-8469.23.04325-0","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04325-0","url":null,"abstract":"BACKGROUND: Distal-third clavicle fractures represent stand for a small proportion of all fractures, and ligament injuries are often involved in the etiological mechanism, influencing the type of treatment. A national survey was conducted to gain more insight into the current approaches in the management of distal-third fractures in Italy.METHODS: A questionnaire was sent by e-mail to all trauma surgeons subscribed to AO/OTA and AUOT Association few days before webinar. Questions concerned personal experience, the pre-, peri- and postoperative strategies and the different ideas on the classification.RESULTS: During the webinar, some clinical cases have been presented to discuss about criticalities of these fractures and at the end a final treatment algorithm has been proposed.CONCLUSIONS: Compared with previous surveys, our survey is the most complete and largest presents in the literature. Surgery remains the best option for displaced lateral third clavicle fractures because it ensures high union rates, although a gold standard osteosynthesis technique has not yet been reached.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059097","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}
Pub Date : 2023-10-01DOI: 10.23736/s2784-8469.23.04324-9
Federico CHIODINI, Claudio BUONO, Lorenzo DI MENTO, Davide ALIANI, Andrea PELLEGRINI, Elisa PESARE, Stefaan NIJS, Domenico ZACCARI, Arianna CARLET, Giacomo ZAVATTINI, Andrea FRANCHINI, Emmanuele SANTOLINI, Riccardo GIORGINO, Enricomaria LUNINI, Nicola ANNICCHIARICO, Giovanni VICENTI
BACKGROUND: Proximal humeral fractures are the third most common fracture pattern with a high incidence in elderly over 65 years old. There are several options of treatment but despite this there is no consensus in literature regarding the optimal treatment choice.METHODS: To provide some guidelines for the preoperative planning and for the treatment choice of this type of fractures and to analyze the importance of the restoration of medial cortical support, AO trauma Italy group developed a literature-based survey and submitted it to all of his Italian members.RESULTS: One hundred forty-three surgeons of varying experience answered questions and the results have been discussed during a webinar in which some clinical cases about criticalities of these fractures have been presented.CONCLUSIONS: The results of the survey reflected the trend in the current literature.
{"title":"Restoration of medial cortical support is the key to get acceptable outcomes and clinical results in complex proximal humeral fractures: a national survey among orthopedic trauma surgeons from Italy","authors":"Federico CHIODINI, Claudio BUONO, Lorenzo DI MENTO, Davide ALIANI, Andrea PELLEGRINI, Elisa PESARE, Stefaan NIJS, Domenico ZACCARI, Arianna CARLET, Giacomo ZAVATTINI, Andrea FRANCHINI, Emmanuele SANTOLINI, Riccardo GIORGINO, Enricomaria LUNINI, Nicola ANNICCHIARICO, Giovanni VICENTI","doi":"10.23736/s2784-8469.23.04324-9","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04324-9","url":null,"abstract":"BACKGROUND: Proximal humeral fractures are the third most common fracture pattern with a high incidence in elderly over 65 years old. There are several options of treatment but despite this there is no consensus in literature regarding the optimal treatment choice.METHODS: To provide some guidelines for the preoperative planning and for the treatment choice of this type of fractures and to analyze the importance of the restoration of medial cortical support, AO trauma Italy group developed a literature-based survey and submitted it to all of his Italian members.RESULTS: One hundred forty-three surgeons of varying experience answered questions and the results have been discussed during a webinar in which some clinical cases about criticalities of these fractures have been presented.CONCLUSIONS: The results of the survey reflected the trend in the current literature.","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059852","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":"Hot topics in trauma surgery: an update from the Italian AO community","authors":"Alessandro APRATO, Federico CHIODINI, Alessandro LUSSO","doi":"10.23736/s2784-8469.23.04369-9","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04369-9","url":null,"abstract":"","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059869","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}
Pub Date : 2023-07-01DOI: 10.23736/s2784-8469.23.04296-7
Yashavantha C Kumar, Ajay Kumar, Rahul P. Panduranga, Karthik Kolli, Vishal M. Patil
{"title":"Minimal invasive plate osteosynthesis of distal fibula fractures with locking compression plate: our experience in Indian population","authors":"Yashavantha C Kumar, Ajay Kumar, Rahul P. Panduranga, Karthik Kolli, Vishal M. Patil","doi":"10.23736/s2784-8469.23.04296-7","DOIUrl":"https://doi.org/10.23736/s2784-8469.23.04296-7","url":null,"abstract":"","PeriodicalId":53233,"journal":{"name":"Minerva Orthopedics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81577767","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：