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723 results on '"Massè, Alessandro"'

17. Treatment options for unstable posterior pelvic ring lesions: A multicenter retrospective cohort study of the Italian Society for the Traumatology of the Pelvis

Author

De Mauro, Domenico, Aprato, Alessandro, Bove, Federico, Mezzadri, Umberto, Giorgi, Pietro Domenico, Casiraghi, Alessandro, Galante, Claudio, Erasmo, Rocco, Santolini, Federico, Formica, Matteo, Smakaj, Amarildo, Rovere, Giuseppe, Ceccarelli, Michele, Fidanza, Andrea, Faugno, Luca, Balagna, Alberto, Fabbro, Matteo, Are, Lorenzo, Moretti, Federico, Marino, Silvia, Maccauro, Giulio, Massè, Alessandro, and Liuzza, Francesco

Published
2024
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42. Arthroscopic Management of Pigmented Villonodular Synovitis of the Hip: A Systematic Review.

Author

Giai Via, Riccardo, Giachino, Matteo, Elzeiny, Ahmed, Santarsiero, Gianvito, Cipolla, Alessandra, Pantè, Salvatore, Bosco, Francesco, Zoccola, Kristijan, Massè, Alessandro, and Aprato, Alessandro

Subjects
TOTAL hip replacement, MAGNETIC resonance imaging, HIP surgery, REOPERATION, SURGICAL excision, ARTHROSCOPY
Abstract

Background/Objectives: Pigmented villonodular synovitis (PVNS) is a benign proliferation of synovial tissue that can cause joint damage. The hip, although less commonly affected than the knee, presents a challenging diagnosis and treatment, with magnetic resonance imaging (MRI) as the gold standard for detection. Surgical excision, arthroscopic or open, is the main treatment approach, but there is no consensus on the best strategy for the hip. The aim of this systematic review is to evaluate the clinical outcomes, complications, and revision rates associated with arthroscopic hip surgery for PVNS. Methods: A systematic review was performed following the PRISMA guidelines. Relevant studies were identified by searching four databases: PubMed, Scopus, Embase, and Medline. Selected articles were evaluated according to the criteria of levels of evidence (LoE). For retrospective studies, the Coleman Methodology Score (mCMS) was used. This systematic review was registered with the International Prospective Register of Systematic Reviews. Results: Six studies satisfied the criteria; these involved 77 patients (48% male, 52% female) with a mean age of 26.4 years and a mean follow-up of 54.3 months. MRI and biopsy confirmed the diagnoses, and arthroscopic synovectomy was the primary treatment. Success rates ranged from 80% to 100%, with a recurrence rate of 7.8%, 1.3% requiring revision surgery, and eight (10.4%) patients in three studies reporting conversion to THA. Complications included mild effusions and residual synovitis. All patients who underwent a subsequent total hip arthroplasty were affected by advanced osteoarthritis. Conclusions: Our systematic review reveals that the use of hip arthroscopy in diagnosing and treating PVNS has shown satisfactory results without increasing the risk of recurrence or complications and can return patients to their former activity levels, provided their preoperative osteochondral status is good and there is early management of PVNS of the hip joint. [ABSTRACT FROM AUTHOR]

Published
2024
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43. Bi-cruciate retaining total knee arthroplasty is here to stay: A consecutive series transitioning from manual instrumentation to enabling technologies.

Author

Barberis, Luca, Sabatini, Luigi, Pellegrino, Andrea, Galletta, Claudia, Risitano, Salvatore, Capella, Marcello, Massè, Alessandro, Schiraldi, Marco, and Indelli, Pier Francesco

Subjects
ANTERIOR cruciate ligament, PROSTHESIS-related infections, TOTAL knee replacement, SCIENTIFIC apparatus & instruments, ARTHROPLASTY
Abstract

BACKGROUND: Bicruciate-retaining (BCR) total knee arthroplasty (TKA) has seen renewed interest due to the potential for more natural knee kinematics with anterior cruciate ligament (ACL) retention. OBJECTIVE: The present study attempts to determine differences in the 2-year survivorship and patient-reported outcomes between two surgical strategies (traditional instrumentation versus robotics) applied to the extensive use of a modern, 2nd generation BCR TKA design. METHODS: We performed a retrospective study with prospectively collected data of 113 patients who underwent primary TKA between 2018 and 2020 using a 2nd generation BCR TKA implant. Patient demographics, PROMS, and intra/post-operative complications were collected. Patients were also evaluated according to the use or not of robotics. A Kaplan-Meier analysis was used to evaluate revision-free survival at follow up. RESULTS: 102 patients were enrolled: 90 received traditional surgery and 12 robotic-assisted surgery. The mean age was 68 years (SD 7.76) with an average BMI of 29.6 kg/m2 (SD 3.56). The mean follow up (FU) was 32.4 ± 6.2 months (range 24–45 months). Survivorship at 2 years was 98% (95% CI: 92.4–99.5). Revisions/reoperations were performed for anterior cruciate ligament (ACL) tear (1/4), pain (1/4), arthrofibrosis (1/4) and acute periprosthetic joint infection (PJI) (1/4). At final FU, 92 patients (90.2%) considered themselves satisfied, showing a mean OKS of 40.6 (SD 5.1) and a mean FKS of 76.7 (SD 11.8). No differences in the outcome were found between traditional and robotic-assisted procedures. CONCLUSION: The modern BCR design evaluated in this study achieved excellent results in terms of implant survivorship, low rate of reoperation and clinical results, independently from the use of enabling technologies. [ABSTRACT FROM AUTHOR]

Published
2024
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