1,721,003 research outputs found
Greetings from the SERTOT president
No full textDear Members, we are going through a difficult period in every aspect, which has seen us to react to the epidemic aggression and then to reconstruct what has been damaged or destroyed. In the phase of overcoming the period of "heroic" activity, the risk is that there will be a tendency to tiredness and renunciation. We have to react and regain our personal and professional strength and even the SERTOT must react. Because of this, it is with great pleasure that I introduce the volume 4-2020 Acta Biomedica Supplement - Advances in Orthopaedics, Traumatology and Rehabilitation - SERTOT. The vitality of our Scientific Society is demonstrated by its ability to publish scientific papers also in this particular period of the life. This is the first issue in 2020 but I am confident that our Society will publish also to the second one. SERTOT has always stimulated their members to send articles to the magazine focused on different orthopaedics and traumatologic topics. For these reasons, I am very happy that, also in this circumstance, contributions have arrived particularly numerous. A special thanks to the Deputy Editors Francesco Pogliacomi and Paolo Di Benedetto for the personal commitment and passion dedicated to the magazine and to the sponsors who have guaranteed the release of this journal in the past years and this year. Sincerely
Ricostruzione post-traumatica dell'apofisi coronoide con autograft: caso clinico e revisione della letteratura
No full textOutcome clinico e radiografico in pazienti trattati per frattura del terzo distale di tibia con chiodo endomidollare o placca e viti: studio comparativo con follow-up a medio termine
No full textDistal tibial fractures treated with intramedullary nailing: management of associated posterior and medial malleolar injuries
No full textIntroduction: Articular tibial ankle injuries may occur in association with distal tibial fractures, especially in those characterized by spiral or oblique shape. These lesions are often misdiagnosed and overlooked with significant biomechanical and clinical consequences. The purpose of this study was to evaluate the outcomes of patients affected by posterior and medial malleolar ankle fractures associated with distal tibial fracture who underwent intramedullary nailing at a follow-up of 3 years. Furthermore authors wanted to highlight the correct sequence of diagnosis and fixation in these associated fracture patterns. Materials and methods: All treated patients between 2006 and 2016 (Group 1) were compared with a control group (Group 2) without ankle lesions. Demographic variables and data related to surgical procedure and hospitalization were documented and analyzed. X-rays and computed tomography before operation were reviewed to identify type of fracture; radiographs after surgery and at follow-up were respectively analyzed to study the quality of joint reduction and the development of osteoarthritis. Clinical outcomes were evaluated using OMAS and DRI scores. Results: Thirty-six patients were in group 1 and 36 in group 2. In group 1 longer operating time and hospitalization were documented. Quality of reduction in group 1 was always satisfactory. No signs of osteoartritis were detected at 3 years follow-up. The mean union time was 23.6 weeks for group 1 and 20,4 for group 2 (p=0.111). No differences in clinical scores were documented after 6 months. The full weight-bearing time was longer in group 1 (p=0.017). Conclusions: Clinical results appeared similar. No osteoarthritis was documented in group 1 as consequence of good articular reduction that is better and more easily executable if malleolar ankle fractures are fixed before intramedullary nailing. In distal tibial fractures CT has always to be performed to recognize associated ankle lesions as it may modify the surgical plan, postoperative management and outcomes
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