Archives of Orthopaedics

Commentary Open Access

Ultrasound-Guided Bone Surgery: A New Perspective

Alvaro Martínez-Ayora, Manuel Cuervas-Mons, Javier Vaquero

Metatarsalgia is a frequent cause of forefoot pain. Surgical treatment is based on the performance of osteotomies at the level of the minor radii to restore a normal distribution of pressure within the forefoot and improve the biomechanics during gait.

Review Article Open Access

Efficacy of a Virtual Fracture Clinic Model Created During Covid-19 Pandemic

Anne-Marie Hutchison, Paul Williams, Andrew Bebbington, Mark Mullins, Andrew Lewis, David Beard

The COVID-19 pandemic has caused delivery of orthopaedic services to require extra consideration and substantial revision. Alternative ways to manage patients with urgent injuries have been instigated to minimize patient’s exposure to the disease, spread within the hospital system and reduce the overall impact on stretched resources.

Case Report Open Access

Atypical Presentation of Tibia and Fibula Fracture in an Old Woman - Case Report

Esam Lawand, Michael Krasheninnikoff, Jacob Fyhring Mortensen

This case report presents the clinical details, diagnostic findings, and management of a 64-year-old female patient who suffered a tibia and fibula fracture, presented in an atypical manner, after twisting her ankle during daily activities. The medical background, physical examination, radiological results, and course of treatment of the patient are detailed.

Research Article Open Access

Performance Validation of An Upper Limb Exoskeleton Using Joint ROM Signal

Yousef Alshahrani, Yang Zhou, Chaoyang Chen, Hannah Joines, Tangfei Tao, Guanghua Xu, Stephen Lemos

Upper extremity (UE) exoskeletons were developed for industrial applications where assistive force enhancement was needed, but there have also been developments for use in telemanipulation and virtual reality, clinical applications such as assistance in orthopedic surgery, and orthopedic rehabilitation. 

Research Article Open Access

Physiotherapy Exercise Program for Managing Adhesive Capsulitis in Patients with and without Diabetes: A Pilot Randomized Trial

Sana’a A. Alsubheen, Joy C. MacDermid, Tom J. Overend, Kenneth J. Faber, Rochelle Furtado

Adhesive capsulitis (AC), also known as ‘frozen shoulder’, is characterized by the development of dense adhesions and capsular thickening leading to a progressive and painful restriction of shoulder range of motion (ROM) and functional disability [1]. The onset is gradual, usually occurs between the ages of 40 and 60 years and is more common in females and diabetics.

Review Article Open Access

Surgical Fixation of Severe Rib Fractures: A Systematic Literature Review and Meta-Analysis

Adam M. Shiroff, Simone Wolf, Alex Wu, Mollie Vanderkarr, Raymark Salonga, Thibaut Galvain, Chantal E Holy

Rib fractures are a commonly encountered traumatic injury and are associated with significant morbidity and mortality. They are a marker of severe injury and can lead to defects in the chest wall and severe pain which may hinder breathing.

Research Article Open Access

Relationship between Plate Length and Fracture Height as a Predictor of Non-Union in Distal Femur Fractures. A Restrospective Study

Alvaro Martínez-Ayora, Marina Diaz-Jumain, Eudaldo José Gallo-del Valle, Manuel Cuervas-Mons Cantón, Juan Arnal-Burró, Javier Vaquero

The distal femur constitutes the region between the metaphyseal-diaphyseal junction and the femoral condyles. Fractures of this segment, which includes supracondylar and intercondylar fractures, represent between 4 and 7% of all the femur fractures, with an incidence of 37 cases per 100,000 habitants/year. These fractures present a bimodal distribution depending on the injury mechanism. 

Review Open Access

The Role of the Sciatic Nerve Ultrasound Elastography in the Clinical Pathway: A Meta-analysis

Stajic Sava, Misic Miroslav

Ultrasound elastography is a diagnostic method, to measure elasticity and strain in tissues and organs. The aim of this review was to highlight the usefulness of sciatic nerve ultrasound elastography in clinical practice. Different changes affect the sciatic nerves through various diseases and conditions. 

Review Article Open Access

The use of Percutaneous Achilles’ Tendon Lengthening as an Adjunct Procedure in Foot and Ankle Surgery: A Review

Gabriel Santamarina, George Zislis

The goal of reconstructive foot and surgery for diabetic foot pathologies is to create a plantigrade foot that is braceable and has low risk of ulcer formation or recurrence. Experienced surgeons are cognizant that foot pathologies are defined in three planes: frontal, transverse and sagittal. The Achilles’ tendon is the chief deforming force in the foot along the sagittal plane.