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negative impact of smoking regarding various outcome parameters in orthopaedics and trauma, including incidence of fracture, risk for lateral epicondylitis, fracture nonunion and postoperative complication rate. 15 – 18 The aim of the current systematic
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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The Lister Hospital, Chelsea Bridge, London, UK
Centre de l’Arthrose - Clinique du Sport, Bordeaux-Mérignac, France
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Leeds Teaching Hospitals Trust, UK
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M Vendittoli P-A . The impact of mechanical and restricted kinematic alignment on knee anatomy in total knee arthroplasty . J Arthroplasty 2017 ; 32 : 2133 – 2140 . 14. Jacobs CA Christensen CP
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have shown that THA provides improved ‘quality of life’ scores, but there remains the burden of complications which account for 15% of £1bn NHS liability payouts. 2 DaPalma et al analysed the financial impact of complications following hip
NeuroGen Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Dr. Plácido da Costa, Porto, Portugal
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CINTESIS@RISE - Health Research Network, MEDCIDS, Faculty of Medicine, University of Porto, Porto, Portugal
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Hospital das Forças Armadas, Porto, Portugal
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Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto, Alameda Professor Hernâni Monteiro, Porto, Portugal
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CINTESIS@RISE - Health Research Network, MEDCIDS, Faculty of Medicine, University of Porto, Porto, Portugal
Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto, Alameda Professor Hernâni Monteiro, Porto, Portugal
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250 million individuals ( 1 , 2 ). LDD can present with varying symptoms and severity, remaining one of the most relevant causes of disability and work absenteeism due to its substantial impact on patient’s quality of life ( 3 ). Treatment
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Department of Surgery, EOC, Service of Orthopaedics and Traumatology, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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in randomized controlled trials (RCTs) in comparison to the inactive treatments implying that their effect, or at least a part of it, may be due to placebo ( 6 ). The impact of the placebo effect has been already investigated in several
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Department of Mechanical Engineering, Imperial College, London, UK
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of blunt trauma to the region, such as might occur following direct impact to the shoulder region when tacking another player during a game of American football. 19 Diagnosis Patients often present with non-specific symptoms. These can
King’s Global Health Partnerships, School of Life Course and Population Sciences, King’s College London, London, UK
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Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines
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– such as delays in accessing care, resource constraints, population demographics, pathogen patterns and host comorbidities – may have an impact on how applicable guidelines are to these different contexts. In LMICs where fracture fixation with metalwork
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The relevance of geriatric ankle fractures is continuously increasing.
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Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients.
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In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies.
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Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts.
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This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.
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German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany
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National joint registries are gaining more and more importance in the fields of implant monitoring/outlier detection and quality of care.
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The German Arthroplasty Registry (EPRD) was established in 2010 for the purpose of observing the impact of primary hip and knee arthroplasty on the German population.
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Having now over one million documentations, we introduce the structure of the EPRD and detail the process of data collection.
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We report on some preliminary trends and contrast these with findings from other joint registries.
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We introduce the overhauled Arthroplasty Library, that resulted from an international collaboration with National Joint Registry of England, Wales and Northern Ireland.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180064
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Bone metastases are difficult to treat surgically, necessitating a multidisciplinary approach that must be applied to each patient depending on the specifics of their case.
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The main indications for surgical treatment are a lack of response to chemotherapy, radiation therapy, hormone therapy, immunotherapy, and bisphosphonates which is defined by persistent pain or tumor progression; the risk of imminent pathological bone fracture; and surgical treatment for single bone metastases.
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An important aspect of choosing the right treatment for these patients is accurately estimating life expectancy. Improved chemotherapy, postoperative radiation therapy, and sustainable reconstructive modalities will increase the patient’s life expectancy.
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The surgeon should select the best surgical strategy based on the primary tumor and its characteristics, the presence of single or multiple metastases, age, anatomical location, and the functional resources of the patient.
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Preventive osteosynthesis, osteosynthesis to stabilize a fracture, resections, and reconstructions are the main surgical options for bone metastases.
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Resection and reconstruction with a modular prosthesis remain the generally approved surgical option to restore functionality, increase the quality of life, and increase life expectancy.
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Preoperative embolization is necessary, especially in the case of metastases of renal or thyroid origin. This procedure is extremely important to avoid complications, with a major impact on survival rates.
