Background: In anterior cruciate ligament (ACL) reconstruction, the transtibial (TT) technique of... more Background: In anterior cruciate ligament (ACL) reconstruction, the transtibial (TT) technique often creates a nonanatomically placed femoral tunnel, which is a frequent cause of surgical failure and postsurgical knee instability. Several studies reported that drilling the femoral tunnel through an anteromedial portal (AMP) yields a more anatomic tunnel position compared with the TT technique. Purpose: To compare the effectiveness of these two surgical techniques in restoring the intact knee joint kinematics during a physiological loading situation. Study Design: Controlled laboratory study. Methods: Twenty-four patients (TT, n = 12; AMP, n = 12; sex, weight, and height matched, and half with dominant leg involved) who underwent unilateral single-bundle ACL reconstruction by the same surgeon were recruited. Twenty healthy patients with no history of lower limb injuries were recruited as the control group. Tibiofemoral joint motion in 6 degrees of freedom (3 translations and 3 rotati...
Journal of orthopaedic surgery (Hong Kong), Dec 1, 2016
To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reco... more To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reconstruction in 19 adolescent athletes. 14 male and 5 female adolescent athletes aged 12 to 16 (mean, 13.9) years with Tanner stage 2 or 3 open physes underwent arthroscopic transphyseal ACL reconstruction by a single surgeon and were followed up for 5 years. Patients were evaluated using the numerical rating score (NRS) for pain, knee osteoarthritis outcome score (KOOS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale, and Lysholm Score, as well as the leg length discrepancy, femorotibial alignment, varus or valgus deformities, active and passive knee range of motion. At 5-year follow-up, physes were closed in all patients. The mean NRS for pain improved from 7.2 to 1.6; the KOOS improved from 55.3 to 88; the mean IKDC score improved from 34.5 to 84; the mean Tegner Activity Scale improved from 2.7 to 8.2 and was comparable with that before injury (8.4); and...
L'invention concerne un dispositif de suspension transversal (2) pour une fixation de greffe ... more L'invention concerne un dispositif de suspension transversal (2) pour une fixation de greffe de LCA dans un tunnel femoral (40) comprenant une partie corps (4) et une partie tete (6) souple qui forme l'extremite avant dudit dispositif (2). Les parties corps et tete souple (4, 6) sont chacune canulees dans leur longueur. Ladite partie tete (6) comprend une partie d'enclenchement evidee (12) qui s'etend de maniere proximale de son extremite distale et qui est destinee a s'enclencher avec un evidement (13) forme dans le tunnel de l'os (40). Ladite partie tete comprend egalement une partie support (10) de boucle de greffe situee entre la partie d'enclenchement evidee (12) et la partie corps (4) et destinee a supporter de maniere stable ladite boucle de greffe (74).
The aim of the present study was to present the demographic and baseline results of the first yea... more The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS). Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 ± 9.3 years (median 29; 23-38), mean BMI was 22.6 ± 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually perf...
Background Rupture of the anterior cruciate ligament (ACL) is a common and potentially career-thr... more Background Rupture of the anterior cruciate ligament (ACL) is a common and potentially career-threatening injury in the National Football League (NFL). The return to play (RTP) percentage and the factors affecting RTP after ACL reconstruction in NFL players are not well defined. Purpose To determine the actual rate of return to professional football play in the NFL after ACL reconstruction surgery and to determine what factors can predict ability to RTP. We hypothesize that the RTP percentage in this unique patient population will differ from previously reported populations. Study Design Case series; Level of evidence, 4. Methods Forty-nine NFL athletes who had undergone primary ACL reconstruction at our institution were followed to determine their RTP percentages and factors predicting RTP. Results Sixty-three percent (31 of 49) of NFL athletes returned to NFL game play at an average of 10.8 months after surgery. Age at time of surgery, position, and the type and number of procedur...
Background. Le lesioni del LCA sono associate, nel tempo, ad un aumentato rischio di sviluppo di ... more Background. Le lesioni del LCA sono associate, nel tempo, ad un aumentato rischio di sviluppo di OA. Scopo. Analizzare con un follow-up a 5 anni dalla chirurgia ricostruttiva il ritorno allo sport, livello dell’ambiente articolare, della qualità di vita quotidiana e sportiva. Materiali e Metodi. Nel periodo Dicembre 2019 – Marzo 2020 sono stati valutati, a 5 anni dalla chirurgia ricostruttiva del LCA, una coorte di 33 soggetti età media alla chirurgia 24,5; 6 donne (18,1%); 27 uomini (81,8%); BPTB ([25 ;75,7%]) e STGD ([8 ;24,2%]) tutti praticanti al momento della chirurgia, attività sportiva agonistica dilettantistica. Al follow-up, a 5 anni, la coorte ha effettuato un’indagine radiologica (RX). Questa era accompagnata da una refertazione, secondo la Kellgren Lawrence Grading Scale. La coorte era stata inoltre invitata, a compilare, 2 questionari a domanda di indagine uno anagrafico/clinico (11 items : anagrafica, riabilitazione, ritorno allo sport), l’altro la Knee Injury and Osteoarthritis Outcome Score (KOOS). Risultati. La coorte esaminata ha evidenziato, al follow-up a 5 anni dalla chirurgia ricostruttiva, una classificazione radiologica dell'osteoartrite post traumatica da 1-3 della Kellgren e Lawrence Scale: a) Grado1= 39,3% (n°13), b) Grado2= 42,4 % (n°14), c) Grado3=18,1% (n°6). Dall’analisi dei dati emerge come il ritorno allo sport avveniva in media in 4,5 mesi con un picco del 39,3 % (13) a 3 mesi dalla chirurgia ricostruttiva. Le complicanze totali, erano l’84,8% (28). Le lesioni muscolari con l’48,4% rappresentavano le patologie di maggior riscontro durante il periodo riabilitativo/ritorno allo sport. Un precoce ritorno allo sport ≤4 mesi si correla in punti (%) con un incremento delle complicanze. Al momento del follow-up il 60,3% (20/33) non praticava più attività agonistica o la svolgeva saltuariamente. Questi dati sono correlabili con l’analisi della KOOS Score che evidenziava: a) come il 12,1% (4) presentavano lievi difficoltà nello svolgere attività specifiche gestuali come corsa, jumping e squatting e movimenti di cutting, b) il 30,1% (10) evidenziavano limitazioni tra moderato severo nello svolgere corsa, jumping, movimenti di pivoting. Conclusioni. Dall’analisi dei risultati si registra nella coorte di soggetti un peggioramento, al follow-up a 5 anni del quadro radiologico del ginocchio, alla Kellgren e Lawrence Scale con limitazioni, alla KOOS, delle espressività gestuali quotidiane e sportive. Un precoce ritorno allo sport si correla, con un incremento in punti (%) delle complicanze muscolari e delle ri-lesioni del LCA.
Backgroung. Un’elevata attività fisico-sportiva è spesso associata ad un aumentato rischio, in gi... more Backgroung. Un’elevata attività fisico-sportiva è spesso associata ad un aumentato rischio, in giovani atleti, di un Femoro- Acetabular - Impingement (FAI). Obbiettivo. In questa short communication, vogliamo sintetizzare la letteratura tra la morfologia e la patologia dell'anca a livello intra-articolare in giovani sportivi e il conseguenziale timing del ritorno allo sport. Mini Review. Il Femoro-Acetabular Impingement (FAI) è un meccanismo caratterizzato da anomalo contatto, potenzialmente dannoso all’articolazione. Una condizione, questa, dovuta ad alterazioni morfologiche a carico della testa del femore e/o dell’acetabolo che predispone il giovane atleta a lesioni intrarticolari, quali labrali o condrali. Varie condizioni possono portare alla presenza di FAI, tra cui malformazioni congenite, lesioni post-traumatiche, coxa profunda o protrusa, retroversione del collo femorale o acetabolare. Questi cambiamenti morfologici sono rappresentati, in letteratura, in tre condizioni principali: a) Cam impingement in cui è presente un'alterazione nella sfericità della testa del femore b) Pincer impingement: caratterizzato da una eccessiva copertura da parte dell'acetabolo e c) una condizione mista. Sebbene negli ultimi 15 anni,la letteratura sul conflitto femoro-acetabolare è aumentata notevolmente le cause e il decorso temporale dello sviluppo delle deformità riscontrate nel FAI, ancor oggi, non sono del tutto chiare. La morfologia tipo Cam e le ripercussioni del quadro clinico che porta nel giovane sportivo, rimane la causa principale di dolore all'anca. Questo profilo è associato ad una alterazione del range articolare e diminuzione conseguenziale dei livelli delle prestazioni atletiche oltre che a prevedibili, futuri, quadri conclamati di osteoartrosi. In questo contesto la chirurgia artroscopica dell'anca ha dimostrato di essere efficace nel riportare gli atleti professionisti ai normali ed abituali livelli performance. Conclusioni Possiamo sottolineare, con questa nostra short Communication, che è presente, in adolescenti asintomatici, che partecipano a sport definibili ad alto impatto come calcio e basket, hockey, una maggiore prevalenza del conflitto FAI tipo Cam. La chirurgia artroscopica rappresenta, attualmente l’indirizzo di elezione delle patologie dell'anca. I risultati sono generalmente eccellenti con un'alta percentuale di ritorno allo sport. Study Design. Short Communication/ Mini Review Authorship Credit. “Equal Contribution” (EC) .Citation. Papa G. D’Onofrio R., Della Rocca F., Tucciarone A., Tamburrino P. Rafaqat A , Femoro - acetabular impingement (FAI) in giovani sportivi: breve indagine epidemiologica, etiopatologica e timing del ritorno allo sport. Una short communication . Ita. J. Sports Reh. Po. 2021; 8 (17); 2; 3 ; 1814 – 1828 ; DOI: 10.17385/ItaJSRP.21.17.080203; ISSN 2385-1988 [online] ; IBSN 007-11119-55; CGI J OAJI 0,101)]. Published online
The management of articular fractures is always a matter of concern. Each articular fracture is d... more The management of articular fractures is always a matter of concern. Each articular fracture is different from the other, whatever the classification system used and the surgical or non-surgical indications employed by the surgeon. The main goals remain anatomical reduction, stable fixation, loose body removal and minimal invasiveness.Open procedures are a compromise. Unfortunately, it is not always possible to meet every treatment goal perfectly, since associated lesions can pass unnoticed or delay treatment, and even in a 'best-case' scenario there can be complications in the long term.In the last few decades, arthroscopic joint surgery has undergone an exponential evolution, expanding its application in the trauma field with the development of arthroscopic and arthroscopically-assisted reduction and internal fixation (ARIF) techniques. The main advantages are an accurate diagnosis of the fracture and associated soft-tissue involvement, the potential for concomitant treatm...
Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinic... more Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinical assessment and (4) conservative treatment of lower limb muscle injuries (MI) in athletes. Seventy international experts with different medical backgrounds participated in the consensus conference. They discussed and approved a consensus composed of four sections which are presented in these documents. This paper represents a synthesis of the consensus conference, the following four sections are discussed: (i) The biology and aetiology of MIs. A definition of MI was formulated and some key points concerning physiology and pathogenesis of MIs were discussed. (ii) The MI classification. A classification of MIs was proposed. (iii) The MI clinical assessment, in which were discussed anamnesis, inspection and clinical examination and are provided the relative guidelines. (iv) The MI conservative treatment, in which are provided the guidelines for conservative treatment based on the severity...
Journal of orthopaedic surgery (Hong Kong), Dec 1, 2016
To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reco... more To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reconstruction in 19 adolescent athletes. 14 male and 5 female adolescent athletes aged 12 to 16 (mean, 13.9) years with Tanner stage 2 or 3 open physes underwent arthroscopic transphyseal ACL reconstruction by a single surgeon and were followed up for 5 years. Patients were evaluated using the numerical rating score (NRS) for pain, knee osteoarthritis outcome score (KOOS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale, and Lysholm Score, as well as the leg length discrepancy, femorotibial alignment, varus or valgus deformities, active and passive knee range of motion. At 5-year follow-up, physes were closed in all patients. The mean NRS for pain improved from 7.2 to 1.6; the KOOS improved from 55.3 to 88; the mean IKDC score improved from 34.5 to 84; the mean Tegner Activity Scale improved from 2.7 to 8.2 and was comparable with that before injury (8.4); and...
Background: In anterior cruciate ligament (ACL) reconstruction, the transtibial (TT) technique of... more Background: In anterior cruciate ligament (ACL) reconstruction, the transtibial (TT) technique often creates a nonanatomically placed femoral tunnel, which is a frequent cause of surgical failure and postsurgical knee instability. Several studies reported that drilling the femoral tunnel through an anteromedial portal (AMP) yields a more anatomic tunnel position compared with the TT technique. Purpose: To compare the effectiveness of these two surgical techniques in restoring the intact knee joint kinematics during a physiological loading situation. Study Design: Controlled laboratory study. Methods: Twenty-four patients (TT, n = 12; AMP, n = 12; sex, weight, and height matched, and half with dominant leg involved) who underwent unilateral single-bundle ACL reconstruction by the same surgeon were recruited. Twenty healthy patients with no history of lower limb injuries were recruited as the control group. Tibiofemoral joint motion in 6 degrees of freedom (3 translations and 3 rotati...
Journal of orthopaedic surgery (Hong Kong), Dec 1, 2016
To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reco... more To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reconstruction in 19 adolescent athletes. 14 male and 5 female adolescent athletes aged 12 to 16 (mean, 13.9) years with Tanner stage 2 or 3 open physes underwent arthroscopic transphyseal ACL reconstruction by a single surgeon and were followed up for 5 years. Patients were evaluated using the numerical rating score (NRS) for pain, knee osteoarthritis outcome score (KOOS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale, and Lysholm Score, as well as the leg length discrepancy, femorotibial alignment, varus or valgus deformities, active and passive knee range of motion. At 5-year follow-up, physes were closed in all patients. The mean NRS for pain improved from 7.2 to 1.6; the KOOS improved from 55.3 to 88; the mean IKDC score improved from 34.5 to 84; the mean Tegner Activity Scale improved from 2.7 to 8.2 and was comparable with that before injury (8.4); and...
L'invention concerne un dispositif de suspension transversal (2) pour une fixation de greffe ... more L'invention concerne un dispositif de suspension transversal (2) pour une fixation de greffe de LCA dans un tunnel femoral (40) comprenant une partie corps (4) et une partie tete (6) souple qui forme l'extremite avant dudit dispositif (2). Les parties corps et tete souple (4, 6) sont chacune canulees dans leur longueur. Ladite partie tete (6) comprend une partie d'enclenchement evidee (12) qui s'etend de maniere proximale de son extremite distale et qui est destinee a s'enclencher avec un evidement (13) forme dans le tunnel de l'os (40). Ladite partie tete comprend egalement une partie support (10) de boucle de greffe situee entre la partie d'enclenchement evidee (12) et la partie corps (4) et destinee a supporter de maniere stable ladite boucle de greffe (74).
The aim of the present study was to present the demographic and baseline results of the first yea... more The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS). Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 ± 9.3 years (median 29; 23-38), mean BMI was 22.6 ± 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually perf...
Background Rupture of the anterior cruciate ligament (ACL) is a common and potentially career-thr... more Background Rupture of the anterior cruciate ligament (ACL) is a common and potentially career-threatening injury in the National Football League (NFL). The return to play (RTP) percentage and the factors affecting RTP after ACL reconstruction in NFL players are not well defined. Purpose To determine the actual rate of return to professional football play in the NFL after ACL reconstruction surgery and to determine what factors can predict ability to RTP. We hypothesize that the RTP percentage in this unique patient population will differ from previously reported populations. Study Design Case series; Level of evidence, 4. Methods Forty-nine NFL athletes who had undergone primary ACL reconstruction at our institution were followed to determine their RTP percentages and factors predicting RTP. Results Sixty-three percent (31 of 49) of NFL athletes returned to NFL game play at an average of 10.8 months after surgery. Age at time of surgery, position, and the type and number of procedur...
Background. Le lesioni del LCA sono associate, nel tempo, ad un aumentato rischio di sviluppo di ... more Background. Le lesioni del LCA sono associate, nel tempo, ad un aumentato rischio di sviluppo di OA. Scopo. Analizzare con un follow-up a 5 anni dalla chirurgia ricostruttiva il ritorno allo sport, livello dell’ambiente articolare, della qualità di vita quotidiana e sportiva. Materiali e Metodi. Nel periodo Dicembre 2019 – Marzo 2020 sono stati valutati, a 5 anni dalla chirurgia ricostruttiva del LCA, una coorte di 33 soggetti età media alla chirurgia 24,5; 6 donne (18,1%); 27 uomini (81,8%); BPTB ([25 ;75,7%]) e STGD ([8 ;24,2%]) tutti praticanti al momento della chirurgia, attività sportiva agonistica dilettantistica. Al follow-up, a 5 anni, la coorte ha effettuato un’indagine radiologica (RX). Questa era accompagnata da una refertazione, secondo la Kellgren Lawrence Grading Scale. La coorte era stata inoltre invitata, a compilare, 2 questionari a domanda di indagine uno anagrafico/clinico (11 items : anagrafica, riabilitazione, ritorno allo sport), l’altro la Knee Injury and Osteoarthritis Outcome Score (KOOS). Risultati. La coorte esaminata ha evidenziato, al follow-up a 5 anni dalla chirurgia ricostruttiva, una classificazione radiologica dell'osteoartrite post traumatica da 1-3 della Kellgren e Lawrence Scale: a) Grado1= 39,3% (n°13), b) Grado2= 42,4 % (n°14), c) Grado3=18,1% (n°6). Dall’analisi dei dati emerge come il ritorno allo sport avveniva in media in 4,5 mesi con un picco del 39,3 % (13) a 3 mesi dalla chirurgia ricostruttiva. Le complicanze totali, erano l’84,8% (28). Le lesioni muscolari con l’48,4% rappresentavano le patologie di maggior riscontro durante il periodo riabilitativo/ritorno allo sport. Un precoce ritorno allo sport ≤4 mesi si correla in punti (%) con un incremento delle complicanze. Al momento del follow-up il 60,3% (20/33) non praticava più attività agonistica o la svolgeva saltuariamente. Questi dati sono correlabili con l’analisi della KOOS Score che evidenziava: a) come il 12,1% (4) presentavano lievi difficoltà nello svolgere attività specifiche gestuali come corsa, jumping e squatting e movimenti di cutting, b) il 30,1% (10) evidenziavano limitazioni tra moderato severo nello svolgere corsa, jumping, movimenti di pivoting. Conclusioni. Dall’analisi dei risultati si registra nella coorte di soggetti un peggioramento, al follow-up a 5 anni del quadro radiologico del ginocchio, alla Kellgren e Lawrence Scale con limitazioni, alla KOOS, delle espressività gestuali quotidiane e sportive. Un precoce ritorno allo sport si correla, con un incremento in punti (%) delle complicanze muscolari e delle ri-lesioni del LCA.
Backgroung. Un’elevata attività fisico-sportiva è spesso associata ad un aumentato rischio, in gi... more Backgroung. Un’elevata attività fisico-sportiva è spesso associata ad un aumentato rischio, in giovani atleti, di un Femoro- Acetabular - Impingement (FAI). Obbiettivo. In questa short communication, vogliamo sintetizzare la letteratura tra la morfologia e la patologia dell'anca a livello intra-articolare in giovani sportivi e il conseguenziale timing del ritorno allo sport. Mini Review. Il Femoro-Acetabular Impingement (FAI) è un meccanismo caratterizzato da anomalo contatto, potenzialmente dannoso all’articolazione. Una condizione, questa, dovuta ad alterazioni morfologiche a carico della testa del femore e/o dell’acetabolo che predispone il giovane atleta a lesioni intrarticolari, quali labrali o condrali. Varie condizioni possono portare alla presenza di FAI, tra cui malformazioni congenite, lesioni post-traumatiche, coxa profunda o protrusa, retroversione del collo femorale o acetabolare. Questi cambiamenti morfologici sono rappresentati, in letteratura, in tre condizioni principali: a) Cam impingement in cui è presente un'alterazione nella sfericità della testa del femore b) Pincer impingement: caratterizzato da una eccessiva copertura da parte dell'acetabolo e c) una condizione mista. Sebbene negli ultimi 15 anni,la letteratura sul conflitto femoro-acetabolare è aumentata notevolmente le cause e il decorso temporale dello sviluppo delle deformità riscontrate nel FAI, ancor oggi, non sono del tutto chiare. La morfologia tipo Cam e le ripercussioni del quadro clinico che porta nel giovane sportivo, rimane la causa principale di dolore all'anca. Questo profilo è associato ad una alterazione del range articolare e diminuzione conseguenziale dei livelli delle prestazioni atletiche oltre che a prevedibili, futuri, quadri conclamati di osteoartrosi. In questo contesto la chirurgia artroscopica dell'anca ha dimostrato di essere efficace nel riportare gli atleti professionisti ai normali ed abituali livelli performance. Conclusioni Possiamo sottolineare, con questa nostra short Communication, che è presente, in adolescenti asintomatici, che partecipano a sport definibili ad alto impatto come calcio e basket, hockey, una maggiore prevalenza del conflitto FAI tipo Cam. La chirurgia artroscopica rappresenta, attualmente l’indirizzo di elezione delle patologie dell'anca. I risultati sono generalmente eccellenti con un'alta percentuale di ritorno allo sport. Study Design. Short Communication/ Mini Review Authorship Credit. “Equal Contribution” (EC) .Citation. Papa G. D’Onofrio R., Della Rocca F., Tucciarone A., Tamburrino P. Rafaqat A , Femoro - acetabular impingement (FAI) in giovani sportivi: breve indagine epidemiologica, etiopatologica e timing del ritorno allo sport. Una short communication . Ita. J. Sports Reh. Po. 2021; 8 (17); 2; 3 ; 1814 – 1828 ; DOI: 10.17385/ItaJSRP.21.17.080203; ISSN 2385-1988 [online] ; IBSN 007-11119-55; CGI J OAJI 0,101)]. Published online
The management of articular fractures is always a matter of concern. Each articular fracture is d... more The management of articular fractures is always a matter of concern. Each articular fracture is different from the other, whatever the classification system used and the surgical or non-surgical indications employed by the surgeon. The main goals remain anatomical reduction, stable fixation, loose body removal and minimal invasiveness.Open procedures are a compromise. Unfortunately, it is not always possible to meet every treatment goal perfectly, since associated lesions can pass unnoticed or delay treatment, and even in a 'best-case' scenario there can be complications in the long term.In the last few decades, arthroscopic joint surgery has undergone an exponential evolution, expanding its application in the trauma field with the development of arthroscopic and arthroscopically-assisted reduction and internal fixation (ARIF) techniques. The main advantages are an accurate diagnosis of the fracture and associated soft-tissue involvement, the potential for concomitant treatm...
Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinic... more Provide the state of the art concerning (1) biology and aetiology, (2) classification, (3) clinical assessment and (4) conservative treatment of lower limb muscle injuries (MI) in athletes. Seventy international experts with different medical backgrounds participated in the consensus conference. They discussed and approved a consensus composed of four sections which are presented in these documents. This paper represents a synthesis of the consensus conference, the following four sections are discussed: (i) The biology and aetiology of MIs. A definition of MI was formulated and some key points concerning physiology and pathogenesis of MIs were discussed. (ii) The MI classification. A classification of MIs was proposed. (iii) The MI clinical assessment, in which were discussed anamnesis, inspection and clinical examination and are provided the relative guidelines. (iv) The MI conservative treatment, in which are provided the guidelines for conservative treatment based on the severity...
Journal of orthopaedic surgery (Hong Kong), Dec 1, 2016
To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reco... more To evaluate the 5-year outcome of arthroscopic transphyseal anterior cruciate ligament (ACL) reconstruction in 19 adolescent athletes. 14 male and 5 female adolescent athletes aged 12 to 16 (mean, 13.9) years with Tanner stage 2 or 3 open physes underwent arthroscopic transphyseal ACL reconstruction by a single surgeon and were followed up for 5 years. Patients were evaluated using the numerical rating score (NRS) for pain, knee osteoarthritis outcome score (KOOS), International Knee Documentation Committee (IKDC) score, Tegner Activity Scale, and Lysholm Score, as well as the leg length discrepancy, femorotibial alignment, varus or valgus deformities, active and passive knee range of motion. At 5-year follow-up, physes were closed in all patients. The mean NRS for pain improved from 7.2 to 1.6; the KOOS improved from 55.3 to 88; the mean IKDC score improved from 34.5 to 84; the mean Tegner Activity Scale improved from 2.7 to 8.2 and was comparable with that before injury (8.4); and...
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Papers by Agostino Tucciarone