2,163 research outputs found
The knowledge of Italian language and immigrant integration processes
No full textThe integration of immigrants’ students in school largely depends on their knowledge of the host country language and their ability to use it successfully both in assignments and in daily interactions, as illustrated by CORRADO BONIFAZI,
ALESSIO BUONOMO, ANGELA PAPARUSSO, SALVATORE STROZZA and MATTIA VITIELLO in their exploration of the Italian school system. Based on the results of three different National surveys, this study explores the efficiency and selfassessment of immigrants developing their Italian learning skills and the main characteristics of their learning experience, essential for the integration processes leading to greater employability and well-being
The Endo-Model(®) rotating hinge for rheumatoid knees : Functional results in primary and revision surgery
No full textLong-Term Results of Surgical Treatment of Valenti Procedures for Hallux Rigidus: A Minimum Ten-Year Follow-Up Retrospective Study
No full textFew studies reporting long-term results of surgical treatment of hallux rigidus have been published. The aim of this study is to assess the clinical outcome of Valenti procedures in a series of patients with hallux limitus/rigidus with a minimum 10-year follow-up time. We retrospectively evaluated 38 patients (40 feet) who underwent a Valenti procedure with a mean follow-up of 132 ± 19.6 (range 114 to 184) months. All patients were clinically reassessed on the basis of the evaluation of pain (visual analogue scale), function (American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale Assessment and Foot & Ankle Disability Index), and subjective satisfaction. The scores before and after treatment, obtained from clinical recordings and clinical evaluation during the last follow-up visits, were compared. We found significant improvement of the mean values of the visual analogue score (p <.0001), Foot & Ankle Disability Index (p <.0001), and American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale Assessment (p <.0001) during the latest follow-up visits. The results suggest that the Valenti technique represents a safe, reproducible surgical procedure that allows satisfying long-term results. The few reported complications were essentially the progressive worsening of the joint stiffness, but no sesamoiditis, metatarsal overload, secondary surgeries, or failures were documented
Lumbar Traction in the Management of Low Back Pain: A Survey of Latest Results
No full textIntroduction : Low back pain (LBP) is one of the most common complaints in the general population, affecting
about 70-80% of the population at some point in life. LBP management comprises a wide range of different
intervention strategies. One of the treatment options is traction therapy. The aim of our short review is to summarize
and analyze the latest result reporting the use of lumbar traction in LBP treatment in order to evaluate the real
effectiveness and indications of this specific physical therapy.
Materials and methods: A comprehensive search of PubMed, Medline, Cochrane, Embase, and Google Scholar
databases was performed, covering the period between 2006 and 2013. 54 citations were obtained. Relevant data
from each included study were extracted and recorded.
Results: A total of 14 studies were included in the review. Among these 14 studies, 11 were randomized clinical
trials, 1 was a retrospective cohort study and 2 were case series. The majority of included studies used traction on
patients that suffered nerve root compression symptoms. The mean number of traction sessions was 19. At most,
the duration of each session was 30 min (range 3-30 min). The mean period of traction treatment was 6 weeks
(range 3-12 weeks). 11 studies coupled with traction other therapies. Only 3 studies used traction as a single
treatment. The mean follow up period was 16,5 weeks from the end of treatment.
Conclusion: Several biases can be introduced by limited quality evidence from the included studies. Lumbar
traction seems to produce positive results in nerve root compression symptoms. Data in degenerative and
discogenic pain are debatable. To date, the use of lumbar traction therapy alone in LBP management is not
recommended by the best available evidence
Intradiscal ozone therapy for the treatment of low back pain: a review of the literature
No full textAuthor Reply to “Regarding ‘Clinical Outcome of Arthroscopic Lateral Retinacular Release for Symptomatic Bipartite Patella in Athletes’”
No full textTotal knee arthroplasty after anterior cruciate ligament reconstruction: a narrative review
No full textBackground and objective: Knee replacement following anterior cruciate ligament (ACL) reconstruction can be demanding due to altered anatomy, soft tissue scars, bone loss, extensor mechanism complications, and knee instability. This narrative review summarizes the strategies and approaches to managing operative challenges in total knee arthroplasty (TKA) following ACL reconstruction. Methods: Studies reporting outcomes of patients who underwent TKA after ACL reconstruction were retrieved and assessed to be included in this review that synthesizes the available evidence highlighting the pitfalls encountered during surgery, the intraoperative challenges posed by ligament balancing and exposure, and the leading role of modular and retained implants. Key content and findings: TKA following ACL reconstruction has a high rate of intra-operative complications such as instability, bone loss, difficult exposure and demanding soft tissue balancing, representing a revision surgery rather than routine primary knee arthroplasty and a revision-oriented skill set and modular components are recommended to significantly optimize both surgical strategy and patient outcomes. With a rising incidence of ACL injuries and growing reconstructions, anticipating an increase in TKA procedures, this review aims to provide a call for rethinking clinical approaches to ensure effective and patient-centric care. Conclusions: This narrative review seems to indicate that TKA after ACL reconstruction should be considered as revision surgery and modular components should be used. However, future prospective and high-quality studies are required to better clarify risk factors and give strong recommendations for this complex surgery
Interposition arthroplasty with bovine collagenous membrane for hallux rigidus: A long-term results retrospective study
No full textHallux rigidus (HR) is a degenerative arthritis of the first metatarsophalangeal joint (MTP1) with progressive loss of range of movement (ROM). Interposition arthroplasty (IA) is a technique widely used for the treatment of HR;however, few studies reported long-term clinical results. This study aims to report the clinical results of IA using a bovine pericardium collagen matrix for HR with a minimum 10-years follow-up
Surgical treatment of critical size bone defects with Masquelet technique versus bone transport: a systematic review and meta-analysis of comparative studies
No full textIntroduction: To date, the management of critical-sized bone defects lacks a universally accepted approach among orthopedic surgeons. Currently, the main options to treat severe bone loss include autologous grafting, free vascularized bone transfer, bone transport and induced-membrane technique. The purpose of this study is to critically compare the outcomes of Masquelet technique and bone transport to provide a higher level of evidence regarding the indexed techniques. Material and methods: The authors conducted a systematic search on several databases according to the PRISMA guidelines. English-written reports comparing outcomes of the Masquelet technique versus the bone transport technique in patients with critical-sized defects in lower extremities were included. Results: Six observational studies involving 364 patients were included. The systematic review and meta-analysis of pooled data showed no significant difference in most outcomes, except for ASAMI bone outcomes and residual deformity, which showed better results in the bone transport group. The 64% of patients treated with Masquelet technique obtained excellent/good bone ASAMI results compared to 82.8% with bone transport (p = 0.01). Post-operative residual deformity was 1.9% with the bone transport method versus 9.7% with the Masquelet technique (p = 0.02). Conclusions: Both the Masquelet technique and bone transport showed comparable results for the management of critical-sized bone defects of the lower limb. However, these findings must be carefully interpreted due to the high risk of bias. Further prospective randomized controlled trials are necessary to better clarify the strengths and limitations of these two techniques and to identify the variables affecting the outcomes
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