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1. Does Location Really Matter? Contextual Effects of County and Constituent Characteristics on Elected Sheriffs’ Opinions About Firearm Access and Regulation

Author: Meitl, Michele Bisaccia and Bachmann, Michael
Published: 2023
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2. Team-Based Learning in Criminal Justice: Application-Focused Activities in the Classroom

Author: Nodeland, Brooke, Craig, Jessica M., and Meitl, Michele Bisaccia
Abstract: Team-based learning (TBL) is a non-traditional method of instruction that utilizes permanent teams working together to solve problems and make decisions. The authors extend the prior TBL criminal justice literature through a detailed explanation of the use of application-focused activities in the classroom. Specifically, application-focused activity examples demonstrate the versatility and practicality of TBL in the criminal justice classroom, highlighting their ability to foster critical thinking and communication skills among students. The authors conclude with a discussion of future directions for TBL in research and pedagogy in criminal justice and related disciplines.
Published: 2020

3. Locking retrograde nail, non-locking retrograde nail and plate fixation in the treatment of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcomes

Author: Luigi Meccariello, Michele Bisaccia, Mario Ronga, Gabriele Falzarano, Auro Caraffa, Giuseppe Rinonapoli, Predrag Grubor, Valerio Pace, and Giuseppe Rollo
Subjects: Distal femur shaft fractures, Locking plate, Retrograde nail, Bone healing, Radiographic assessment, Orthopedic surgery, RD701-811
Abstract: Abstract Background Distal third femoral shaft fractures are characterized by increasing incidence and complexity and are still considered a challenging problem (high morbidity and mortality). No consensus on best surgical option has been achieved. This study aims to investigate radiographic, mineral bone densitometry and clinical outcomes of locking retrograde intramedullary (LRN) nailing, non-locking retrograde intramedullary nailing and anatomical locking plate to surgically treat distal third femoral shaft fractures in young adults. Our hypothesis was that there is no significant statistical difference among the surgical options in terms of results (radiographic, bone densitometry and outcomes assessment). Methods Retrospective study: 90 patients divided into three groups (group 1 LRN, group 2 NLRN, group 3 plating). Average age was respectively 42.67 (± 18.32), 44.27 (± 15.11) and 42.84 (± 18.32) years. Sex ratio F:M was respectively 2.75, 2.33 and 2.00. AO Classification, KOOS, NUSS and RUSH score, VAS, DEXA scans and plain radiographs were used. Evaluation endpoint: 12 months after surgery. Results There were no statistical differences in terms of surgery time, transfusions, and wound healing. Results were similar with regard to average time of bone healing, RUSH scores, VAS, KOOS, regression between RUSH and VAS, average correlation clinical–radiographic results and patients outcomes. Conclusions Our results showed no statistical difference in the use of LNR, NLNR and plating for treatment of distal third femur shaft fractures in terms of radiographic, bone densitometry and clinical outcomes. Good subjective and objective results are provided by all three techniques. The choice among the studied techniques must be based on surgeons’ experience, indications and subjective patients’ aspects. The absence of relevant similar data in the published literature does not allow definitive validation (or rejection) of our hypothesis. A more powered study with a bigger cohort is needed for definitive validation.
Published: 2021
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4. Lady and the Vamp: Roles, Sexualization, and Brutalization of Women in Slasher Films

Author: Wellman, Ashley, Meitl, Michele Bisaccia, and Kinkade, Patrick
Published: 2021
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5. Armed and (potentially) dangerous: exploring sheriffs' perspectives of police militarization

Author: Meitl, Michele Bisaccia, Wellman, Ashley, and Kinkade, Patrick
Published: 2020
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6. Scoliosis induced by costotransversectomy in minipigs model

Author: Javier Cervera-Irimia, Álvaro González-Miranda, Óscar Riquelme-García, Jesus Burgos-Flores, Carlos Barrios-Pitarque, Pedro García-Barreno, Azucena García-Martín, Eduardo Hevia-Sierra, Giuseppe Rollo, Luigi Meccariello, Luigi Caruso, and Michele Bisaccia
Subjects: experimental animal, model, spinal curvatures, Medicine
Abstract: Aim To validate surgical costotransversectomy as a technique for creating a scoliosis model in minipigs and to assess whether differences in approach (posterior medial approach, posterior paramedial approach and anterior approach by video-assisted thoracoscopy) lead to differences in the production of spinal deformity. Creation of disease models in experimental animals, specifically in minipigs, is controversial, as no appropriate technique has been reported. Methods Surgical costotransversectomy was performed in 11 minipigs using 3 different approaches: posterior medial approach (4 animals, group I), posterior paramedial approach (3 animals, group II) and anterior approach by videothoracoscopy (4 animals, group III). A conventional x-ray study was performed in the immediate postoperative period. Follow-up lasted for 4 months. Specimens were humanely killed according to current protocols, and a second x-ray study was performed. A deformation was measured using the Cobb angle and direct observation of the rotational component. Results Data from group I revealed a scoliosis deformation of 27º-41º (mean 34.5º) with a macroscopic rotational component. No deformity (
Published: 2019
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7. The challenge of nonunion and malunion in distal femur surgical revision

Author: Giuseppe Rollo, Paolo Pichierri, Predrag Grubor, Antonio Marsilio, Michele Bisaccia, Milan Grubor, Valerio Pace, Riccardo Maria Lanzetti, Marco Giaracuni, Marco Filipponi, and Luigi Meccariello
Subjects: femoral fractures, internal fracture fixation, malunited fracture, nonunited fracture, revision surgery, Medicine
Abstract: Aim To demonstrate validity of a bio-metallic solution in bone healing combined with the quadriceps safe approach in the treatment of nonunions of distal femur while malunions were treated by metallic solution. Methods We treated 57 patients with nonunion or malunion of distal femur at the Orthopaedics and Traumatology Department of a single orthopaedic trauma centre (Italy). A total of 57 patients were divided in two groups: the first (NU) group was composed of 35 patients affected; the second group (MU) was composed of 22 patients affected by malunion of distal femur. Criteria chosen to evaluate the two groups during a clinical and radiological follow-up were: the quality of life measured by the Short Form (12) Health Survey, the knee function and quality of life related to it measured by the Knee Injury and Osteoarthritis Outcome Score KOOS and the Knee Society Score, bone healing measured by modified Radiographic Union Score by X-rays during the follow-up and CT at one year after the surgery, the difference of the limbs length before and after the revision surgery, and postoperative complications. The evaluation endpoint was set at 12 months. Results There were no statistical differences between the two groups. Conclusion The role of bio-metallic solution in the treatment of nonunions and malunions is to recreate the knee anatomy and functionality compatible with a satisfactory quality of life.
Published: 2019
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8. A new plate design to treat displaced 3-4 parts proximal humeral fractures in comparison to the most tested and used plate: clinical and radiographic study

Author: Giuseppe Rollo, Giuseppe Porcellini, Roberto Rotini, Michele Bisaccia, Paolo Pichierri, Paolo Paladini, Enrico Guerra, Enio De Cruto, Raffaele Franzese, Predrag Grubor, Valerio Pace, and Luigi Meccariello
Subjects: device design, internal fracture fixation, metal plating, proximal humeral fractures, Medicine
Abstract: Aim Proximal humeral fractures are common and most complex patterns currently represent a challenge for surgeons. Difficulties in obtaining good anatomical reduction (particularly of great tuberosity) often lead to unsatisfactory results; choices often fall onto prosthesis implantation against fixation options. The aim of this study was to compare a new design of proximal humeral plate with the most used plates in the treatment of these injures by analysing outcomes and complications. Methods Two hundred patients with proximal 3 or 4 parts humeral fracture were enrolled (Neer 3-4). First group treated with PGR Plate composed of 98 patients. Second group treated with Philos Plate composed of 102 patients. Evaluation criteria were Non-Union Scoring System, duration of surgery, complications, objective quality of life and elbow function (Constant Shoulder Score), subjective quality of life and elbow function (Oxford Shoulder Score), post-op radiographs, centrum collum diaphyseal angle. Evaluation endpoint was 12 months. Results There was no statistically significant difference between the groups with regard to the selected evaluation parameters. Achievement of good shoulder range of motion and ability to perform normal daily living activities was obtained in both groups. The PGR had a positive impact on treatment results of varus-pattern of proximal humeral fractures. Conclusions The PGR allowed good clinical and radiographic results in the treatment of proximal humeral fractures, comparable to those obtained with Philos. Also, PGR had the advantage to aid and keep the anatomical reduction of patterns of fracture involving the greater tuberosity.
Published: 2019
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9. Profile vs Tubular Plate in Unimalleolar or Bimalleolar Fractures: is There a Real Difference in Wound complications?

Author: Paolo Ceccarini MD, Rosario Petruccelli, Michele Bisaccia, Giuseppe Rinonapoli MD, and Auro Caraffa
Subjects: Orthopedic surgery, RD701-811
Abstract: Category: Ankle; Trauma Introduction/Purpose: The aim of our study is to compare two types of plates, one third tubular plate and LCP distal fibula plate, evaluating the clinical outcome and the skin complications associated with their use. Methods: We collected the data of 122 consecutive unimalleolar or bimalleolar fractures treated by internal fixation for a closed, displaced distal closed fibular fracture. Exclusion criteria were: 1) open ankle fractures,2) trimalleolar fractures, 3) previous ankle fractures 4) severe venous insufficiency, 5) ankleosteoarthritis previous to surgery, 6) associated ankle dislocation. After this selection, 93 patients were included in our study and assigned in two groups, based on using of different implant: in group A48 patients were treated with one-third tubular and in group B 45 patients were treated with LCP distalfibula plate. There were no significant differences in the baseline characteristics. Patients received the same surgical procedure and the same post-operative care, then they were radiologically evaluated at1-3-12 months and clinical examination was made at 24 (range 15-36) months using AOFAS clinical rating system. All data were evaluated using chi-square test. Results: At the final 24-month follow-up a comparison between the two groups showed no statistical significant differences in reduction accuracy and bone union ratio at radiological examination. The wound complications rate of the overall study group was 7.6%. There were no statistical differences in the rate of wound complications between the two groups. There were no differences between both group in percentage of hardware removal at follow-up (overall 5.4%). In the group A occurred 1 deep infection, 2 superficial infection, no wound dehiscence; in group B occured 1 deep infection, 1 superficial infection and 2 wound dehiscence. There were no statistical differences in the rate of wound complications between the two groups (p=0.70; Fisher exact test). Conclusion: Our study has shown no difference in radiographic bone union rate, no significant differences in terms of clinical outcomes, in time of bone reduction and wound complication rate between the LCP distalfibula plate and conventional one-third tubular plate. RCT or metanalasys are in this case useful to improve scientific evidence and give more information for the correct surgical treatment of ankle fractures.
Published: 2020
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10. Obesity and Bone: A Complex Relationship

Author: Giuseppe Rinonapoli, Valerio Pace, Carmelinda Ruggiero, Paolo Ceccarini, Michele Bisaccia, Luigi Meccariello, and Auro Caraffa
Subjects: obesity, osteoporosis, fracture, bone fragility, obese fracture site paradox, Biology (General), QH301-705.5, Chemistry, QD1-999
Abstract: There is a large literature on the relationship between obesity and bone. What we can conclude from this review is that the increase in body weight causes an increase in BMD, both for a mechanical effect and for the greater amount of estrogens present in the adipose tissue. Nevertheless, despite an apparent strengthening of the bone witnessed by the increased BMD, the risk of fracture is higher. The greater risk of fracture in the obese subject is due to various factors, which are carefully analyzed by the Authors. These factors can be divided into metabolic factors and increased risk of falls. Fractures have an atypical distribution in the obese, with a lower incidence of typical osteoporotic fractures, such as those of hip, spine and wrist, and an increase in fractures of the ankle, upper leg, and humerus. In children, the distribution is different, but it is not the same in obese and normal-weight children. Specifically, the fractures of the lower limb are much more frequent in obese children. Sarcopenic obesity plays an important role. The authors also review the available literature regarding the effects of high-fat diet, weight loss and bariatric surgery.
Published: 2021
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11. From the eagle's nest: Texas sheriffs' views on illegal immigration.

Author: Meitl, Michele Bisaccia, Wellman, Ashley, and Kinkaid, Patrick
Subjects: UNDOCUMENTED immigrants, SHERIFFS, IMMIGRATION enforcement, EAGLES, IMMIGRATION policy
Abstract: Local elected sheriffs increasingly have responsibility to implement immigration policies, yet sheriffs are rarely studied in criminal justice. By measuring the attitudes of Texas sheriffs, we seek to understand their important views on immigration in the United States. A census was completed with Texas sheriffs in late 2019 and early 2020. Views were sought on (1) controlling unauthorized immigration, (2) pathways to citizenship, and (3) unauthorized immigration and crime. A strong return rate captured the views of 142 (56%) respondent sheriffs from both rural and urban counties. Findings indicate that a majority of Texas sheriffs see a link between authorized immigrants and crime, see a limited path to citizenship and view the primary enforcement of immigration to be a federal prerogative. Practical implications and future research are discussed. [ABSTRACT FROM AUTHOR]
Published: 2023
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12. ARTICULAR FRACTURES OF DISTAL RADIUS: COMPARISON OF TREATMENT AND CLINICAL AND RADIOLOGICAL OUTCOMES WITH VOLAR PLATE VERSUS HOFFMANN BRIDGING EXTERNAL FIXATOR.

Author: Michele Bisaccia
Subjects: Wrist Fracture, Volar Plate, External Fixator, Hoffmann., Medicine (General), R5-920
Abstract: The Wrist fractures are one of the most frequent traumatic pathologies. Surgery is now more commonly recommended for this type of fracture as a means to improve the outcome of patients. The objective of this study is to compare treatment with volar plate vs. external fixation in these types of fractures. A total of 158 consecutive patients who had been operated on for distal radius fractures with or without ulnar involvement, were included in this study. 109 were treated with a volar plate and 49 with Hoffmann II external fixator. The exclusion criteria were patients with a history of wrist fractures, with neurological diseases, pathological fractures and polytrauma patients. Clinical and radiographic results were evaluated in both groups of patients. Clinical parameters were: average flexion, average extension, average pronation and supination, and the average radial and ulnar deviation. The radiographic parameters that we considered were the radial tilt and ulnar variance. In both groups, we evaluated the clinical results with the DASH score and the Mayo-Wrist score. The unstable and intra-articular fractures of the distal radius can be treated with different methods, among which the most commonly used are the open reduction and internal fixation with plates or the synthesis with external fixation. Our study shows how both methods provide similar clinical and radiographic results, so the choice of which to use depends more on the surgeon's experience and the patient's compliance rather than on the type of fracture.
Published: 2017
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13. Emergent and delayed hybrid external fixation management of tibial pilon fractures: A multicentric retrospective analysis of 80 patients

Author: Giuseppe Rollo, Marco Filipponi, Paolo Pichierri, Valentina Russi, Lorenzo Nalbone, Michele D'Arienzo, Sara Cavalera, Gianfranco Corina, Michele Bisaccia, and Luigi Meccariello
Subjects: Tibial Pilon, External fixation, Hybrid external fixation, Outcomes, Open fracture, Soft tissue Injury, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract: Objective: To report our experience with the hybrid external fixator in emergency.Methods: We assessed 80 cases of pilon fracture treated with the external fixator during the period of January 2009 and December 2016:55 men (69%) and 30 women (33%) with a mean age of 40 years (range between 16 and 70). About 45 occurred as isolated trauma, 35 instead were politrauma. Each patient underwent standard radiographic examination and a CT examination. There were 28 open fractures (35%), (Gustilo type 1, 2 and 3) while closed fractures showed soft tissue involvement of various grade (2-3 Tscherne classification). In all cases, the external fixation, sometimes associated with other reduction and synthesis techniques, was used. The timing of surgery was dictated by the condition of the soft tissues. For clinical evaluation, the Mazur score with mean follow-ups at 12 months was utilized.Results: The final range of ankle motion was 15 dorsal and 10 plantar flexion. In about 80 cases there was an average Mazur score of83. The mean score was 90; in open fractures 85 to 72. Radiographic healing of fractures in 60 patients occurred in 120 days (mean 105 days), at the time when the external fixator was removed.Conclusion: Pilon fractures are complex and often present complications; the definitive treatment, in emergency or delayed, with hybrid external fixator permits a stable synthesis with minimal soft tissue damage. Weight bearing maybe allowed early and functional recovery is generally good.
Published: 2017
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14. The damage control in tibial pilon open fractures with a new external fixator delta frame

Author: Giuseppe Rollo, Andrea Pasquino, Paolo Pichierri, Michele Bisaccia, Alessandro Stasi, Marco Giaracuni, Niki Cazzella, and Luigi Meccariello
Subjects: Tibial Pilon, External fixation, Delta frame, Damage control, Ankle outcomes, Open fracture, Soft tissue injury, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract: Objective: To evaluate the effectiveness of the damage control, in emergency to treat the open tibial pilon fractures with Dolphix® External Fixator Frame(CITIEFFE®, Calderara di Reno, Bologna, Italy).Methods: From January 2017 to August 2017, at the Department of Orthopedics and Traumatology of Vito Fazzi Hospital Lecce, we treated 23 open tibial pilon fractures with Dolphix® External Fixator Frame(CITIEFFE®, Calderara di Reno, Bologna, Italy). The evaluation criteria of the case series were: the time needed to assemble the external fixator; the time taked to treat the ankle associated lesions; the time of skin healing; the ankle alignment; the subjective/objective Ovadia and Beals score; and complications. The Endpoint assessment was set at the days of the definitive surgery.Results: The results in terms of alignment, biomechanical stability of the frame, healing of soft tissue, complications were as good as the objective and subjective results according Ovadia and Beals score.Conclusion: Pilon fractures are complex and often present complications; the damage control treatment, in emergency, with Dolphix® External Fixator Frame(CITIEFFE®, Calderara di Reno, Bologna, Italy) permits a stable osteotaxis with minimal soft tissue damage and permit the repair of muscles, blood vessels and nerves with a stable bone and the soft tissue healing with vaccum therapy.
Published: 2017
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15. Treatment of Unstable Elbow Injuries with a Hinged Elbow Fixator

Author: Denise Eygendaal, Konrad Mader, Giuseppe Rollo, Ante Prkic, Luigi Meccariello, Vincenzo Caiaffa, Michele Bisaccia, Giuseppe Pica, Sonia Utrilla-Hernando, Roberta Pica, Graduate School, Orthopedic Surgery and Sports Medicine, ANS - Cellular & Molecular Mechanisms, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, and Orthopedics and Sports Medicine
Subjects: Complications, Fracture, Dislocation, Instability, Orthopedics and Sports Medicine, Outcomes, Ligament, Hinged external fixator
Abstract: Introduction: Injuries around the elbow pose a challenging problem for orthopaedic surgeons. The complex bony architecture of the joint should be restored and the thin soft tissue envelope needs to be handled with meticulous care. Elbow instability is a complication seen after dislocations and fractures of the elbow and remains a treatment challenge. The purpose of this study was to provide subjective and objective results following the surgical treatment of unstable elbow dislocations with an external hinged fixation technique. Methods: Forty-six consecutive patients with complex trauma of the elbow with instability after ligament reconstruction were enrolled between January 2017 and December 2019. The parameters used to quantify the subjective and objective functional results were the Mayo Elbow Score (MES, objective) and Oxford Elbow Score (OES, subjective), and clinical stability of the elbow joint. We also performed a radiological follow-up of the fractures. Results: The mean MES and OES scores were good at the 12-month follow-up. We had 38 patients with stable joints and 8 patients with minor instability. Using the stress test, we saw a significant difference in the affected joint under varus stress (6.7 ± 1.8 mm) compared to the healthy joint (5.8 ± 1.2 mm) laterally. Furthermore, medially the gap was significantly larger (5.8 ± 0.8 mm, treated elbow) than the contralateral gap under valgus stress (4.3 ± 0.8 mm) (p
Published: 2022

16. Treatment of acute proximal humeral fractures in children with modular exter nal fixator

Author: Michele Bisaccia, Luigi Meccariello, Mattia Manni, Gabriele Falzarano, Antonio Medici, Giuseppe Rinonapoli, Salvatore Di Giacinto, Giovanni Colleluori, Cristina Ibañez Vicente, Paolo Ceccarini, Olga Bisaccia, and Auro Caraffa
Subjects: Proximal humeral fractures, Children, Modular external fixator, Hoffmann II, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract: Objective: To evaluate the follow-up of the fractures treated by external fixator. Methods: A total of 31 children aged 6–15 years with proximal humeral fractures Grade IV according to Neer–Horowitz classification were treated. The medium follow-up was 24 months. Results: In all cases, a good stability of the fracture and a quick healing process were obtained. The mean time of follow-up was 24 months. The external fixation was removed after 6 weeks (5–8 weeks) on average. Constant shoulder score was proposed to all patients and the average result was 97.5 (84–100). Conclusions: Advantages of the external fixation are rapid mobilization of the joint, low invasiveness, a single surgery and the possibility to correct any secondary displacement. It is important to underline that the positioning of external fixator should be implanted by expert surgeons and that the patients must cooperate during the entire process up to the time of the removal of the fixator.
Published: 2016
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17. Does Location Really Matter? Contextual Effects of County and Constituent Characteristics on Elected Sheriffs’ Opinions About Firearm Access and Regulation

Author: Michele Bisaccia Meitl and Michael Bachmann
Subjects: Law, Applied Psychology
Published: 2023

18. Osteoporosis in Men: A Review of an Underestimated Bone Condition

Author: Giuseppe Rinonapoli, Carmelinda Ruggiero, Luigi Meccariello, Michele Bisaccia, Paolo Ceccarini, and Auro Caraffa
Subjects: bone fragility, fractures, male, prevention, screening, DXA, Biology (General), QH301-705.5, Chemistry, QD1-999
Abstract: Osteoporosis is called the ‘silent disease’ because, although it does not give significant symptoms when it is not complicated, can cause fragility fractures, with serious consequences and death. Furthermore, the consequences of osteoporosis have been calculated to weigh heavily on the costs of health systems in all the countries. Osteoporosis is considered a female disease. Actually, the hormonal changes that occur after menopause certainly determine a significant increase in osteoporosis and the risk of fractures in women. However, while there is no doubt that women are more exposed to osteoporosis and fragility fractures, the literature clearly indicates that physicians tend to underestimate the osteoporosis in men. The review of the literature done by the authors shows that osteoporosis and fragility fractures have a high incidence also in men; and, furthermore, the risk of fatal complications in hip fractured men is higher than that for women. The authors report the evidence of the literature on male osteoporosis, dwelling on epidemiology, causes of osteoporosis in men, diagnosis, and treatment. The analysis of the literature shows that male osteoporosis is underscreened, underdiagnosed, and undertreated, both in primary and secondary prevention of fragility fractures.
Published: 2021
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19. The emergency and delay management in total talus extrusion: Case report and review of literature after 24 months of follow up

Author: Luigi Piscitelli, Michele Bisaccia, Luigi Meccariello, Gabriele Falzarano, Antonio Medici, Daniele Maiettini, Alberto Rebonato, Giuseppe Rinonapoli, and Auro Caraffa
Subjects: Ankle fractures, Avascular necrosis, Follow-up studies, Foot, Magnetic resonance imaging, Total talus extrusion, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract: Total talus extrusion is a rare and severe injury. It is burdened by many complications as avascular necrosis and osteomyelitis even if a proper debridement of extruded talus is performed. Few case reports or case series were published, and because of the rarity of this event, there are no guidelines for treatment. We report the first case on an octogenarian man providing a long-term follow-up performing contrast enhanced magnetic resonances. The authors report the case of an octogenarian man who fell from an olive tree reporting a total talus extrusion associated with the fracture of the medial malleolus. After an accurate debridement and washing of the wound, the talus was anatomically repositioned and the fracture was treated with an external fixator. The wound healed with difficulty after 12 months and the patient developed a chronic osteomyelitis of the talar dome and avascular necrosis of talar head. We followed the patient for 24 months performing contrast enhanced magnetic resonances and evaluating the development of the avascular necrosis. Even if we encountered these complications, the treatment allowed the patient to walk without pain, using a talus type shoe and one crutch. Although the literature suggests that an anatomic replacement of talus allows avoiding main complications, we deem that the patient's age is an important biological feature to consider in the prognostic stratification. Moreover, primary talectomy and tibio-calcaneal fusion should be reserved as a salvage procedure. Talus replacement allows an overall good outcome for the patients, retaining height, and allowing a good quality of life.
Published: 2016
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20. CLINICAL AND RADIOLOGICAL OUTCOMES OF DISTAL RADIUS FRACTURES TREATED WITH ORIF WITH VOLAR FIXED-ANGLE PLATES.

Author: Michele Bisaccia
Subjects: Medicine (General), R5-920
Abstract: Distal radius fractures are the most common fractures of the upper limbs and represent 17% of all fractures treated in emergency medicine. The purpose of the present study is to evaluate the correlation between the clinical and radiographic outcomes obtained with surgical osteosynthesis using volar plates for the treatment of articular fractures of the wrist. We evaluated a series of 50 consecutive patients from January 2010 to December 2013 who had undergone surgery, aged 24 to 75, for distal metaepiphyseal fractures of the radius, with or without distal ulnar involvement. All patients were evaluated clinically and radiographically, pre-operatively and postoperatively. For the clinical evaluation, the DASH score and Mayo Wrist clinical rating scale were used. After one year, the range of movement of the wrist was very satisfactory, and the mean grip strength was 77.5% of the opposite wrist. The Disabilities of the Arm, Shoulder, and Hand (DASH) score was 18 and the Mayo Modified Wrist Score was 82.5. Complex articular distal radius fractures, like those of other sites, needed an appropriate surgical treatment and the fixation with the volar LCP system demonstrated its validity for the stabilization of these fractures, the articular surface reconstruction and prompt mobilization. All the clinical results were related to the patients’ age, the functional needs, the physiotherapy and the individual recovery
Published: 2016
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21. THE MANAGEMENT OF PIN-CARE IN EXTERNAL FIXATION TECHNIQUE: POVIDONEIODINE VERSUS SODIUM HYPOCHLORITE 0,05% (AMUKINA-MED®) MEDICATIONS.

Author: Michele Bisaccia
Subjects: Medicine (General), R5-920
Abstract: Purpose: Currently, there is no universal approach to pin-site care for preventing infection. The medication of these pins is essential for obtaining good external fixation results. The purpose of this study is to evaluate the results obtained after pins were medicated with two different disinfectants: povidone-iodine (10%) and sodium hypochlorite 0,05% (Amukina-med®). Methods: 237 pins of 40 patients treated with Hoffmann II external fixation have been analyzed in our study. The average age was 41.3 (ranging from 19-71). All pins were inserted by hand pre-drilling together with continuous irrigation with cold saline to reduce the risk of thermal necrosis. Patients were divided into 2 groups consisting of 20 patients each: in group A, 109 pins were medicated with povidone-iodine and in group B, 128 pins were medicated with sodium hypochlorite 0,05%. Results: 24 pins (22%) medicated with povidone-iodine became infected, as well as 13 pins (10,1%) medicated with sodium hypochlorite. A few pins mobilized: 13 in group A and 6 in group B. In all cases, infections were resolved with oral antibiotic therapy. Conclusions: Our study showed that medication with sodium hypochlorite 0,05% reduced the percentage of pin-tract infection and mobilization with respect to povidone-i
Published: 2016
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22. The Waterfall Fascia Lata Interposition Arthroplasty 'Grika Technique' as Treatment of Posttraumatic Osteoarthritis of the Elbow in a High-Demand Adult Patient: Validity and Reliability

Author: Giuseppe Rollo, Roberto Rotini, Denise Eygendaal, Paolo Pichierri, Ante Prkic, Michele Bisaccia, Riccardo Maria Lanzetti, Domenico Lupariello, and Luigi Meccariello
Subjects: Orthopedic surgery, RD701-811
Abstract: Introduction. The elbow interposition arthroplasty is a very common procedure performed mainly on active young patients who need great functionality and for whom total joint replacement is contraindicated and arthrodesis is noncompliant. We are going to demonstrate a case of a 34-year-old male suffering from malunion of the distal humerus, elbow stiffness, and manifest signs of arthrosis of the dominant limb, treated with the IA Grika technique at a 5-year follow-up. Patients and Methods. The chosen criteria to evaluate the injured side and the uninjured side during the clinical and radiological follow-up were the objective function and related quality of life, measured by the Mayo Elbow Performance Score (MEPS), and postoperative complications. To assess flexion and supination forces and elbow muscular strength, a hydraulic dynamometer was used. Results. At a 5-year follow-up, the results were excellent as during the first year. Conclusions. The Grika technique is a valid and feasible option in the treatment of elbow injuries.
Published: 2018
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23. Breakage in Two Points of a Short and Undersized 'Affixus' Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature

Author: Giuseppe Rollo, Giuseppe Rinonapoli, Paolo Pichierri, Michele Bisaccia, Auro Caraffa, and Luigi Meccariello
Subjects: Orthopedic surgery, RD701-811
Abstract: Introduction. Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole. Materials and Methods. We present a case of an 84-year-old patient treated with modular revision hip arthroplasty due to the breakage in two points of a cephalomedullary nail implanted 3 years earlier for a subtrochanteric fracture. Results. After modular revision hip arthroplasty, the functional results and quality of life have been excellent. Conclusions. As far as we could determine, this appears to be the first case of a breakage of a cephalomedullary nail in two points after nonunion in a very active elderly female.
Published: 2018
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24. Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience

Author: Gabriele Falzarano, Antonio Piscopo, Predrag Grubor, Giuseppe Rollo, Antonio Medici, Valerio Pipola, Michele Bisaccia, Auro Caraffa, Elizabeth Mary Barron, Francesco Nobile, Raffaele Cioffi, and Luigi Meccariello
Subjects: Orthopedic surgery, RD701-811
Abstract: Orthopedic implants have become essential components of modern medicine. The risk of infection of total hip arthroplasty (THA) is 1.5%−2%. Are the C-reactive protein (CRP), the erythrocyte sedimentation rate (ESR), and procalcitonin (PCT) good markers for THA infection screenings? From February 2009 to December 2012 at our Department of Orthopedics and Traumatology, 1248 patients were treated with THA. No prosthesis was cemented. All patients received antibiotic prophylaxis. All patients were discharged approximately 7.4 days after surgery with this clinical and radiographic follow-up program at 15 days and 1, 3, 6, 12, 24, and 36 months after surgery. Blood samples to determine ESR, CRP, and PCT values were taken at 1 hour before surgery and 15 days and 1, 3, 6, 12, 24, and 36 months after surgery. During follow-ups there were 22 cases of THA infections; according the Widmer classification, infections are hematogenous ones in 16 cases, late chronic ones in 5 cases, and early postoperative ones in 1 case. In all cases the three markers were considered positive; in 6 cases there were no radiological signs of septic loosening. ESR, CRP, and PCT proved to have a greater diagnostic accuracy than X-rays in predicting late chronic and early postoperative infections. These markers are valuable support for the surgeon in monitoring the prosthetic implant lifespan.
Published: 2017
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25. Texas sheriffs’ perceptions on firearm regulations and mass shootings

Author: Patrick Kinkaid, Michele Bisaccia Meitl, and Ashley Wellman
Subjects: education.field_of_study, 030505 public health, media_common.quotation_subject, 05 social sciences, Population, Law enforcement, Criminology, 03 medical and health sciences, Perception, Political science, 050501 criminology, 0305 other medical science, education, Law, 0505 law, media_common, Criminal justice
Abstract: Criminal justice research often focuses exclusively on municipal police departments. Sheriffs’ departments are largely ignored in this research despite this population’s reach and role. There are nearly 3,000 sheriffs’ offices around the United States and they often serve as the only law enforcement body in rural areas. This study sought to address the scarcity of this research and focused on Texas sheriffs’ views regarding firearm regulations and the causes of mass shootings. An 18-question instrument created in consult with the Texas Narcotic Officers Association was sent to each sheriff in the 254 counties of Texas to assess their perceptions regarding solutions to mass shootings, disqualification criteria for gun ownership, and civilian access to certain types of firearms and ammunition. Responding sheriffs, as a whole, were reluctant to limit access to guns and ammunition as a general matter, but strongly agreed that certain discrete populations should have limited or no access to firearms. Policy implications are discussed.
Published: 2021

26. Dexamethasone and Nutraceutical Therapy Can Reduce the Myalgia Due to COVID-19 - a Systemic Review of the Active Substances that Can Reduce the Expression of Interlukin-6

Author: Umberto, Ripani, Michele, Bisaccia, and Luigi, Meccariello
Subjects: Inflammation, Interleukin-6, SARS-CoV-2, Dietary Supplements, Humans, Myalgia, Dexamethasone, COVID-19 Drug Treatment
Abstract: Myalgia reflects generalized inflammation and cytokine response and can be the onset symptom of 36% of patients with COVID-19. Interleukin-6 (IL-6) and tumor necrosis factor-α (TNF- α) levels in plasma and upper respiratory secretions directly correlate with the magnitude of viral replication, fever, and respiratory and systemic symptoms, including musculoskeletal clinical manifestations.The aim of our work is to report literature scientific investigation clinical protocol to reduce the immunomodulation and inflammatory response nutraceutical therapy associated with dexamethasone and how can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.We searched in Pubmed and Cochrane the nautriceutical drugs to treat the immune modulation of organism to COVID-19. We put these keywords: immune inflammation, desease descriptions, epidemiology COVID-19; immunomodulations; IL-6; Rheumatic Symptoms; Joint; Musculoskeletal Disorders; dexamethasone; Polydatin; Zinc; Melatonin; N- Acetyl Cysteine; Colostrum; L- Glutamine; Vitamin D3.We found 61 papers. All the authors analyze them. After the Analyze we suggest the use of response nutraceutical therapy associated with dexamethasone can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.According the scientific literature nutraceutical therapy associated with dexamethasone can reduce the expression of Interlukina-6(IL-6) and myalgia due to COVID-19.
Published: 2022

27. Adult Flexible Flatfoot Due to Insufficiency of Posterior Tibial Tendon

Author: Paolo Ceccarini MD, Giuseppe Rinonapoli, Giulio Gambaracci, Michele Bisaccia, Alfredo Ceccarini, and Auro Caraffa
Subjects: Orthopedic surgery, RD701-811
Abstract: Category: Hindfoot Introduction/Purpose: We postulated that in a flexible adult flatfoot, calcaneo-stop procedure combined with medial tensioning of posterior tibial tendon allowed the resolution of symptoms by correcting the pattern of the gait and avoiding the evolution to a subsequent stage. The purpose of this study was to determine functional, biomechanic, and radiographic results in patients who underwent surgery for flexible flatfoot without osteotomies or arthrodesis. Methods: We evaluated clinically and radiographically 29 patients surgically treated for adult flatfoot grade IIa according to Myerson, with a mean age of 46.4 years. Mean follow-up was 34.15 months. For clinical evaluation the AOFAS hindfoot and VAS- FA scores were used. In 10 patients, pre and post-operatively gait analisys was performed. Results: Postoperative results showed a significant increase of AOFAS and VAS-FA scores, from 54.7 (range 34 to 78) to 83.1 (range 66-100) and 60.5 (range 35-86) 85 (range 64-100) points, respectively. For the X-ray parameters, in the AP projection, we observed a significant variation of Kite's angle, from 24.2° in the pre-op to 19.2° in the post-op. In lateral view Costa-Bertani angle showed changes from 146.8° to 140.5°. The Meary's angle, showed an average at the post-op of 4.3°. Postoperative satisfaction was excellent-good for 25 patients (86.2%). Postoperative gait analysis showed an improved pattern of the gait. Conclusion: The technique of arthroereisis with medial tensioning of PTT is a valid technique for the young adult, up to 50 years and with no signs of osteoarthritis of the midfoot and hindfoot.
Published: 2016
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28. Lady and the Vamp: Roles, Sexualization, and Brutalization of Women in Slasher Films

Author: Patrick Kinkade, Ashley Wellman, and Michele Bisaccia Meitl
Subjects: Cultural Studies, media_common.quotation_subject, education, Female sex, Gender studies, Human sexuality, Gender Studies, Sexualization, Masculinity, Rape culture, Brutalization, HERO, Normalization (sociology), Psychology, media_common
Abstract: Slasher films are known for their graphic depictions of sex, brutalization and death. Many argue that these films sexualize and punish female characters. A content analysis of 48 influential slasher films from the 1960s to 2010s was conducted to evaluate the presentation of women in these films. Sexualization (measured via specific acts and total sexualization), strength, flaws, brutalization, and fate were coded for 252 female characters. Results indicate that purity was significantly related to lower brutalization and lower rates of death for all women. Within each role (hero, killer, and potential/actual victim), unique portrayals of sexuality and related repercussions emerge. Female killers were most commonly portrayed having sex, heroes were most sexually dressed, and actual/potential victims were brutalized and killed most for their sexualization. These messages reinforce ideas of gender roles, stereotypes, and relationship expectations by punishing female sexualization and demonizing female sex. Issues of violence against women, toxic masculinity, rape culture, and the normalization of combining violence and sex are discussed as significant concerns.
Published: 2020

29. Evidence-based opinions?: How the top jurists in the United States differ in their use of social science in criminal procedure decisions

Author: Michele Bisaccia Meitl
Subjects: 050502 law, Evidence-based practice, Sociology and Political Science, Social Psychology, 050901 criminology, 05 social sciences, Judicial opinion, ComputingMilieux_LEGALASPECTSOFCOMPUTING, Criminal procedure, Political science, 0509 other social sciences, Social science research, 0505 law, Law and economics
Abstract: The use of social science research in reaching a judicial decision with broad societal implications dovetails with the emerging push for evidence-based policies regarding criminal procedure issues....
Published: 2020

30. Armed and (potentially) dangerous: exploring sheriffs' perspectives of police militarization

Author: Patrick Kinkade, Ashley Wellman, and Michele Bisaccia Meitl
Subjects: education.field_of_study, Public Administration, 05 social sciences, Population, Law enforcement, Criminology, Municipal law, 0506 political science, Pathology and Forensic Medicine, Militarism, Officer, Military tactics, Political science, 050602 political science & public administration, 050501 criminology, education, Enforcement, Law, 0505 law, Militarization
Abstract: PurposeDomestic law enforcement increasingly utilizes military tools and techniques in traditional policing activities. An increased militaristic approach is not without controversy, given the many high-profile incidents involving such tactics that have resulted in tragedy. We seek to assess specific views of policymakers who implement such strategies by measuring the attitudes of Texas sheriffs on these measures.Design/methodology/approachIn late 2019 and early 2020, a census was completed with Texas sheriffs to better understand their attitudes about the use of military tactics. A robust return rate captured the views of 142 (56%) respondents from a diverse set of rural and urban counties. Opinions on the appropriateness, effectiveness and necessity of military techniques were measured.FindingsResults indicate Texas sheriffs strongly support the use of military tools and techniques, believe they protect officer safety and should continue to be taught and utilized by law enforcement when appropriate.Practical implicationsSecondary consequences of police militarization may counteract its desired positive outcomes and lead to significant risks for officers and citizens alike. Strong police support makes the reduction in use of these tactics unlikely, but these results give opportunity for consideration of such policy to all law enforcement agencies.Originality/valueIt is the first study to examine county sheriffs' perceptions of militarization since the events of Ferguson, Missouri and provides a very recent assessment of views from a population of leaders both integrated into policy decisions and intimately accountable for policy implementation.
Published: 2020

31. Routine Activities Theory as a Formula for Systematic Sexual Abuse: A Content Analysis of Survivors’ Testimony Against Larry Nassar

Author: Patrick Kinkade, Ashley Wellman, Amanda Huffman, and Michele Bisaccia Meitl
Subjects: Child abuse, education, 050901 criminology, 05 social sciences, Criminology, Silence, Sexual abuse, Content analysis, Child pornography, 0501 psychology and cognitive sciences, 0509 other social sciences, Psychology, Law, 050104 developmental & child psychology
Abstract: Larry Nassar, a once world renowned Olympic doctor, was arrested and charged with child abuse and child pornography in 2016, becoming one of the most prolific abusers in history. The current paper examines Nassar’s abuse through the lens of Routine Activities Theory. Drawing from the complete transcripts of 172 victim impact statements read at his trial, a formula for Nassar’s systematic abuse was developed. This content analysis illustrates the perceived depths of his motivation, the suitability of his targets, and egregious lack of capable guardians for these victims. Recommendations for additional training to recognize and report abuse, harsher penalties for those who do not report, a shift in the athletic culture of silence, and progress towards a society where victims are believed are presented within.
Published: 2020

32. Grafting and fixation after aseptic non-union of the humeral shaft: A case series

Author: Paolo Pichierri, Giuseppe Rollo, Luigi Meccariello, Ante Prkic, Denise Eygendaal, Marco Giaracuni, Michele Bisaccia, Antonio Marsilio, Graduate School, AGEM - Inborn errors of metabolism, Amsterdam Neuroscience - Cellular & Molecular Mechanisms, Orthopedic Surgery and Sports Medicine, AMS - Fundamental Research, AMS - Sports & Work, and AMS - Sports
Subjects: medicine.medical_specialty, Radiography, Aseptic non-union, Humeral shaft, Elbow, Outcomes, Bone healing, Bone strut, 03 medical and health sciences, Fixation (surgical), 0302 clinical medicine, Allograft, Medicine, Orthopedics and Sports Medicine, 030212 general & internal medicine, Radial nerve, 030222 orthopedics, Osteosynthesis, Adult Trauma and Reconstruction, biology, business.industry, biology.organism_classification, Surgery, Valgus, medicine.anatomical_structure, business, Range of motion
Abstract: Purpose Non-unions after humeral shaft fractures are seen frequently in clinical practice at about 2–10% after conservative management and 30% after surgical treatment. Non-union, displacement of structures and fixation failure can be hazardous complications. The purpose of our study was to evaluate the outcomes of an on-lay bone graft strut construction with bone chips as grafting augmentation in the management of aseptic non-unions of the humeral shaft. Methods From 124 eligible patients with a humeral shaft non-union, we included 48 patients. In all cases an anterolateral humeral approach was used, with an on-lay bone graft using an allograft strut construction and with bone substitute augmentation in the non-union gap. To assess the bone healing on radiographs, we used the non-union scoring system according to Whelan. Patients were followed with objective and subjective scores. Results In all 48 patients we achieved full bone healing without major complications. The average period of union was 124 days. In 40 cases after healing the alignment was neutral, valgus deformation occurred in 6 cases a varus deformation in 2 cases. At twelve months after surgery, all patients recovered with satisfactory range of motion of shoulder and elbow and a good quality of life, without any radial nerve palsies or other major complications. Conclusion Given the satisfactory results of full bone healing, recovery of the range of motion and the lack of major complications as seen in this study, we find that plating with supporting allograft as a good choice of treatment in the cases of aseptic non-union of the humeral shaft.
Published: 2020

33. Exploring Cold Case Homicide Survivors’ Perceptions of and Relationships With Law Enforcement

Author: Ashley Wellman and Michele Bisaccia Meitl
Subjects: media_common.quotation_subject, Law enforcement, Criminology, Police, humanities, Clinical Psychology, Law Enforcement, Homicide, Perception, Humans, Survivors, Psychology, Applied Psychology, media_common
Abstract: Given the nature of unsolved homicide, a complicated dynamic exists between survivors of cold case homicides and law enforcement personnel. The current study utilizes interviews with 24 survivors to explore the perceptions associated with this relationship. Employing a grounded theory framework, we find several themes depicted within these narratives that guide survivors’ overall perceptions of their relationship with law enforcement, including investigative and communication efforts. Results indicate that the survivors universally perceive original detectives were incompetent or ineffective in their original investigation, thus leading to the unsolved status of their case. Over time, secondary and current investigators were also perceived as unable to properly investigate, due to challenges such as insufficient evidence or simply not conducting a comprehensive examination of the case. Regardless of this negative view of police activity on the case, relationships were defined by the level and nature of communication survivors had with their detective. Families who felt listened to, included, and/or valued reported a positive relationship with police that allowed them to trust their case was in good hands. Participants who perceived communication to be secretive, misleading, or completely absent noted strained relationships and further disappointment. Survivors may adopt roles, such as investigator, spokesperson, or advocate, to help compensate for their perception that the case is not properly cared for by police. With regard to grief progress and health of cold case homicide survivors, it is possible treatment by law enforcement outweighs the significant of case resolution years after the homicide. Recommendations for more productive survivor/police interactions are included.
Published: 2020

34. Clavicle fractures treated with figure of eight bandage: evaluation of results based on the fractures' characteristics

Author: Giuseppe Rinonapoli, Anna Palazzolo, Paolo Ceccarini, Francesco Manfreda, Giuseppe Rocco Talesa, Alessandro Rava, Auro Caraffa, Gabriele Colò, and Michele Bisaccia
Subjects: medicine.medical_specialty, medicine.anatomical_structure, Clavicle, business.industry, medicine, Orthopedics and Sports Medicine, Surgery, business, Bandage
Published: 2021

35. Locking retrograde nail, non-locking retrograde nail and plate fixation in the treatment of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcomes

Author: Valerio Pace, Giuseppe Rinonapoli, Michele Bisaccia, Mario Ronga, Giuseppe Rollo, Auro Caraffa, Luigi Meccariello, Gabriele Falzarano, and Predrag Grubor
Subjects: medicine.medical_specialty, Sports medicine, Radiography, Bone healing, Bone Nails, law.invention, Intramedullary rod, Young Adult, Absorptiometry, Photon, Fracture Fixation, law, Internal medicine, Intramedullary, Humans, Medicine, Orthopedics and Sports Medicine, Absorptiometry, Distal femur shaft fractures, Retrospective Studies, Orthopedic surgery, business.industry, Retrograde nail, Infant, Newborn, Infant, Retrospective cohort study, Newborn, Photon, Rheumatology, Radiographic assessment, Fracture Fixation, Intramedullary, Surgery, Treatment Outcome, Original Article, business, Densitometry, Bone Plates, Femoral Fractures, RD701-811, Locking plate
Abstract: Background Distal third femoral shaft fractures are characterized by increasing incidence and complexity and are still considered a challenging problem (high morbidity and mortality). No consensus on best surgical option has been achieved. This study aims to investigate radiographic, mineral bone densitometry and clinical outcomes of locking retrograde intramedullary (LRN) nailing, non-locking retrograde intramedullary nailing and anatomical locking plate to surgically treat distal third femoral shaft fractures in young adults. Our hypothesis was that there is no significant statistical difference among the surgical options in terms of results (radiographic, bone densitometry and outcomes assessment). Methods Retrospective study: 90 patients divided into three groups (group 1 LRN, group 2 NLRN, group 3 plating). Average age was respectively 42.67 (± 18.32), 44.27 (± 15.11) and 42.84 (± 18.32) years. Sex ratio F:M was respectively 2.75, 2.33 and 2.00. AO Classification, KOOS, NUSS and RUSH score, VAS, DEXA scans and plain radiographs were used. Evaluation endpoint: 12 months after surgery. Results There were no statistical differences in terms of surgery time, transfusions, and wound healing. Results were similar with regard to average time of bone healing, RUSH scores, VAS, KOOS, regression between RUSH and VAS, average correlation clinical–radiographic results and patients outcomes. Conclusions Our results showed no statistical difference in the use of LNR, NLNR and plating for treatment of distal third femur shaft fractures in terms of radiographic, bone densitometry and clinical outcomes. Good subjective and objective results are provided by all three techniques. The choice among the studied techniques must be based on surgeons’ experience, indications and subjective patients’ aspects. The absence of relevant similar data in the published literature does not allow definitive validation (or rejection) of our hypothesis. A more powered study with a bigger cohort is needed for definitive validation.
Published: 2021

36. Surgical Repair of an Atraumatic Avulsion of Patellar Tendon at the Tibial Tuberosity in an Adult Patient

Author: Lorenzo Maria Di Giacomo, M. Shahid Khan, Michele Bisaccia, R. Rende, G. Rinonapoli, and A. Caraffa
Subjects: Orthopedic surgery, RD701-811
Abstract: Atraumatic avulsion of the tibial attachment of patellar tendon in adults is a very rare injury with only few published case reports. Here we are sharing the successful management and follow-up of a similar case with a different suture material for repair of the tendon, the FiberWire. We believe that the management we are discussing allows for early return to activity with good functional outcome.
Published: 2015
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37. From the eagle’s nest: Texas sheriffs’ views on illegal immigration

Author: Michele Bisaccia Meitl, Ashley Wellman, and Patrick Kinkaid
Abstract: Local elected sheriffs increasingly have responsibility to implement immigration policies, yet sheriffs are rarely studied in criminal justice. By measuring the attitudes of Texas sheriffs, we seek to understand their important views on immigration in the United States. A census was completed with Texas sheriffs in late 2019 and early 2020. Views were sought on (1) controlling unauthorized immigration, (2) pathways to citizenship, and (3) unauthorized immigration and crime. A strong return rate captured the views of 142 (56%) respondent sheriffs from both rural and urban counties. Findings indicate that a majority of Texas sheriffs see a link between authorized immigrants and crime, see a limited path to citizenship and view the primary enforcement of immigration to be a federal prerogative. Practical implications and future research are discussed.
Published: 2022

38. Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: A consecutive case series

Author: Luigi Meccariello, Michele Bisaccia, Giuseppe Rollo, Philip Hitov, Marco Giaracuni, Paolo Pichierri, Denise Eygendaal, Kostadin Tanovski, Ante Prkic, Marco Filipponi, Orthopedic Surgery and Sports Medicine, AMS - Fundamental Research, and AMS - Sports & Work
Subjects: musculoskeletal diseases, 030222 orthopedics, medicine.medical_specialty, Rehabilitation, business.industry, Radiography, medicine.medical_treatment, Elbow, Bone healing, Consecutive case series, musculoskeletal system, Surgery, 03 medical and health sciences, Fixation (surgical), 0302 clinical medicine, medicine.anatomical_structure, medicine, Orthopedics and Sports Medicine, Humerus, 030212 general & internal medicine, Aseptic processing, business, TRAUMA
Abstract: Introduction Non-union after humeral shaft fractures are seen frequently in clinical practice. The incidence is 2–10% after conservative management and up to 30% after surgical treatment. The purpose of this study is to evaluate the outcomes of plate-and-bone-strut-allograft technique with bone chip augmentation for aseptic non-unions of the distal third of the humerus. Materials and methods 26 consecutive cases were treated using a trans-triceps approach. The non-union was fixed with a 4.5 mm Locking Compression Plate combined with a strut bone allograft at the anterior part of the humerus and bone chips. All patients underwent the same rehabilitation protocol of 12 weeks. Clinical evaluation took place 12 months after surgery with the Mayo elbow score and Oxford elbow score. Results Complete bone healing without complications was achieved in all 26 patients. The average period of radiographic union was 106 days. The average range of flexion-extension was 108° (94°–180°) and pro-supination was 159° (102°–180°). Twelve months after surgery, average Mayo elbow score was 86 (68–100) and the Oxford elbow score was 83 (52–100). Conclusion The plate-and-bone-strut-allograft technique with bone chip augmentation in distal humeral shaft for aseptic non-unions resulted in union of all cases. No adverse events related to the surgery or the materials used were documented.
Published: 2019

39. Prosecution, Defense, and Sentencing of White‐Collar Crime

Author: Ronald G. Burns and Michele Bisaccia Meitl
Subjects: Political science, Prosecutorial discretion, White-collar crime, Criminology
Published: 2019

40. The Gradual Warm-Up: The United States Supreme Court’s Reliance on Social Science Research in Constitutional Criminal Law and Procedure Opinions, 2001-2015

Author: Alex R. Piquero, Nicole Leeper Piquero, and Michele Bisaccia Meitl
Subjects: Sociology and Political Science, Social Psychology, media_common.quotation_subject, 050901 criminology, 05 social sciences, Civil liberties, Supreme court, Clinical Psychology, Law, Institution, Criminal law, 0501 psychology and cognitive sciences, 0509 other social sciences, Social science research, 050104 developmental & child psychology, media_common
Abstract: The United States Supreme Court, through its published opinions, influences the shape of American civil liberties to a greater degree than perhaps any other institution. The Court’s reliance on evi...
Published: 2019

41. WITHDRAWN: Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years

Author: Giuseppe Rinonapoli, Guido Rocca, David Gomez-Garrido, Michele Bisaccia, Predrag Grubor, Paolo Pichierri, Félix Tomé-Bermejo, Luigi Meccariello, Mario Ronga, Gabriele Falzarano, Giuseppe Rollo, and Rocco Erasmo
Subjects: Male, External Fixators, Knee Joint, medicine.medical_treatment, Radiography, Floating knee, External fixation, Postoperative Complications, 0302 clinical medicine, Fracture Fixation, Orthopedics and Sports Medicine, Range of Motion, Articular, General Environmental Science, 030222 orthopedics, medicine.diagnostic_test, Lower limb trauma, Polytrauma, Middle Aged, Treatment Outcome, Emergency Medicine, Female, Femoral Fractures, Adult, Joint Instability, medicine.medical_specialty, Plate, Physical examination, Knee Injuries, Amputation, Surgical, Nailing, Orthopaedics damage control, Young Adult, 03 medical and health sciences, medicine, Humans, Femur, Tibia, Retrospective Studies, business.industry, 030208 emergency & critical care medicine, medicine.disease, Surgery, Tibial Fractures, Amputation, General Earth and Planetary Sciences, business
Abstract: Introduction Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury. Material and method This study was performed between January 2004 and December 2014. 224 cases of floating knee injuries gathered from the 34,480 lower extremities trauma files were studied, and the target information recorded. The injuries most frequently occurred in subjects between 16 and 35 years of age (60.71%), and in male subjects (85.71%). The most frequent mechanism of injury was traffic accident (92.85%). External fixation was the common type of treatment (82.14%) in emergency or as a definitive treatment. The treatment was performed within 24 h of the trauma. We performed a 36-month follow up with clinical examination, radiographs, assessing the complications, and using the Modified Cincinnati Rating System Questionnaire (MCRSQ) and the Karlstrom/Olerud Score (KOS) to evaluate the progression of the outcomes. Results Early complications included 8 cases of compartment syndrome, 60 open fractures and 24 partially amputated limbs. A total amputation was performed in 3 patients. The most common late complication was heterotopic calcifications of the knee (n = 68, 30.6%). Good scores for MCRSQ and KOS were obtained only after patients were sent to a reference center for knee surgery. Conclusions Our experience revealed that the complication rate associated with floatingknee injuries remains high, regardless of the performed treatment. Surgeons should focus on reducing complications while treating these severe injuries.
Published: 2019

42. Validity and Reliability of Mini-Invasive Surgery Assisted by Ultrasound in Achilles Tendon Rupture

Author: Luigi Meccariello, David Gomez-Garrido, Cristina Ibáñez-Vicente, Auro Caraffa, Angela Ribes-Iborra, Olga Bisaccia, Giuseppe Rollo, Michele Bisaccia, Felix Sánchez-Sánchez, Giuseppe Rinonapoli, Paolo Ceccarini, and Javier Cervera-Irimia
Subjects: medicine.medical_specialty, Percutaneous, Achilles, Suture, Tenorrhaphy, Ultrasound-assisted, Validity, 03 medical and health sciences, 0302 clinical medicine, Suture (anatomy), Medicine, 030212 general & internal medicine, Surgical repair, 030222 orthopedics, Achilles tendon, Original Paper, business.industry, Ultrasound, General Medicine, Surgery, Tendon, medicine.anatomical_structure, Achilles tendon rupture, medicine.symptom, business
Abstract: Introduction: The surgical treatment for Achilles tendon rupture has become very popular in the last years, because of the good outcomes and the low re-rupture rate. Aim: The aim of this study is to compare the results between open surgery and percutaneous ultrasound-assisted surgery. Methods: All patients who underwent an Achilles tendon surgical repair in the last 3 years were included, resulting in a total of 56 patients (40 M and 16 F) with an average age of 53 years. Of these patients, 36 were treated with an open suture, while 20 with a mini invasive ultrasound assisted suture. At a minimum follow-up of one year, patients were evaluated echografically, using both the Achilles Tendon Rupture Total score (ATRS) and the McComis score, and performing the ultrasounds bilaterally to assess both the structure and the diameter of tendons. Results: Both groups of patients showed an average ATRS score >80. The McComis score was 54.18 vs. 56.25 (p>0.05). Plantar flexion and dorsal flexion work were not similar (p>0.05). On average, the calf circumference of the operated side was decreased compared to the healthy side between the groups (p>0.05). The thickness of the operated tendons evaluated with ultrasound measurement compared to the average tendon, (p
Published: 2019

43. Radiographic and functional outcome of complex acetabular fractures: implications of open reduction in spinopelvic balance, gait and quality of life

Author: Vitaliano F, Muzii, Giuseppe, Rollo, Guido, Rocca, Rocco, Erasmo, Gabriele, Falzarano, Francesco, Liuzza, Michele, Bisaccia, Giuseppe, Pica, Raffaele, Franzese, and Luigi, Meccariello
Subjects: Lumbar Vertebrae, Hip Fractures, open reduction, Pelvis, Fracture Fixation, Internal, fracture, gait analysis, Quality of Life, Humans, acetabulum, postural balance, Gait, Retrospective Studies
Abstract: Aim To investigate the effects of surgical reduction of complex acetabular fractures on spine balance, postural stability and quality of life. Methods Twenty-six patients with acetabular fractures surgically treated by open reduction and internal fixation were divided into two groups according to the amount of reduction. Group A consisted of 18 patients with satisfactory reduction (≤2 mm), and group B of eight patients with incomplete reduction (2 mm). Functional outcome was measured with Harris Hip Score (HHS), Oswestry Disability Index (ODI), and Short Form (12) Health Survey (SF12). Radiological parameters were assessed with standing whole spine, pelvis and hip X-rays, including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), and sagittal vertical axis (SVA). Follow-up intervals were 1, 3, 6 and 12 months and annually thereafter. Gait analysis and baropodometry were performed after 24 months of operation. Results Mean HHS, ODI, and SF-12 was improved during the first postoperative year in both groups. After two years average scores kept improving for group A, but worsened for group B. Mean PI, PT, and SS increased in both groups during the first postoperative year, with further increase after two years only in group B. After two years, 16 (89%) patients in group A and four (50%) in group B had a balanced spine (SVA50 mm). Gait analysis and baropodometry showed greater imbalance and overload for group B compared to group A. Conclusion In the long term, incomplete reduction of associated acetabular fractures may lead to poor outcome because of secondary spinopelvic imbalance, with posture and gait impairment.
Published: 2021

44. Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Author: Benedetto, Ielpo, Mauro, Podda, Gianluca, Pellino, Pata, Francesco, Gianpiero, Gravante, Salomone Di Saverio, Gallo, Gaetano, Rashid, Lui, Adam, Orengia, Aditya, Chowdary, Aditya, Kulkarni, Adnan, Kuvvetli, Adolfo, Navarro, Adolfo, Pisanu, Adrian, Smith, Adriana Cavero Ibiricu, Aeris Jane, D Nacion, Ahmad, Alsaleh, Ahmad, Alhazmi, Ahmad, Elmabri, Ajaz, Wani, Ahmet, Rencuzogullari, Aingeru Sarriugarte Lasarte, Ainhoa Valle Rubio, Akshay, Bavikatte, Akshay, Kumar, Al-Radjid, Jamiri, Alain Michel Alvarado Padilla, Alban, Cacurri, Alberto de San Ildefonso, Alberto, Porcu, Alberto, Sartori, Aldo, Rocca, Alejandro Paz Yáñez, Alejandro, Becaria, Alejandro, Solís-Peña, Aleksandar, Sretenović, Alex, Urbistondo, Alfonso, Bandin, Alfonso, Najar, Alessandro De Luca, Alex, Boddy, Alexandros, Charalabopoulos, Alexios, Tzivanakis, Alfonso, Amendola, Alfredo Ramirez-Gutierrez de Velasco, Ali Cihat Yildirim, Alice, Frontali, Alpha Oumar Toure, Alvaro, García-Granero, Amaia Martínez Roldan, Amaia Sanz Larrainzar, Amila Sanjiva Ratnayake, Ana María Gonzalez-Ganso, Ana, M Minaya-Bravo, Andre, Das, Andrea, Bondurri, Andrea, Costanzi, Andrea, Lucchi, Andrea, Mazzari, Andrea, Musig, Andrea, Peloso, Andrea, Piano, Andrea, Police, Andrei, Mihailescu, Andrés, Pouy, Angela, Romano, Iossa, Angelo, Anna Carmen Leonetti, Anna, Guariniello, Anna, Isaac, Anna Pia Delli Bovi, Antonella, Chessa, Antonella, Tromba, Antonio Álvarez Martínez, Antonio, Brillantino, Antonio, Caira, Antonio, Castaldi, Antonio, Ferronetti, Antonio, Giuliani, Antonio, Prestera, Antonio Ramos-De la Medina, Antonio, Tarasconi, Antonino, Tornambè, Arcangelo, Picciariello, Argyrios, Ioannidis, Ari, Leppäniemi, Arshad, Khan, Arshad, Rashid, Arteaga Luis Eduardo Pérez-Sánchez, Ashok, Mittal, Ashrarur Rahman Mitul, Asif, Mehraj, Asim, Laharwal, Asnel, Dorismé, Athanasios, Marinis, Atif, Iqbal, Augusto, Moncada, Bartolomeo, Braccio, Basim, Alkhafaji, Beatriz de Andrés Asenjo, Beatriz, Martin-Perez, Belinda Sánchez 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G., Lui R., Orengia A., Chowdary A., Kulkarni A., Kuvvetli A., Navarro A., Pisanu A., Smith A., Ibiricu A.C., Nacion A.J.D., Alsaleh A., Alhazmi A., Elmabri A., Wani A., Rencuzogullari A., Lasarte A.S., Rubio A.V., Bavikatte A., Kumar A., Jamiri A.-R., Padilla A.M.A., Cacurri A., de San Ildefonso A., Porcu A., Sartori A., Rocca A., Yanez A.P., Becaria A., Solis-Pena A., Sretenovic A., Urbistondo A., Bandin A., Najar A., De Luca A., Boddy A., Charalabopoulos A., Tzivanakis A., Amendola A., de Velasco A.R.-G., Yildirim A.C., Frontali A., Toure A.O., Garcia-Granero A., Roldan A.M., Larrainzar A.S., Ratnayake A.S., Gonzalez-Ganso A.M., Minaya-Bravo A.M., Das A., Bondurri A., Costanzi A., Lucchi A., Mazzari A., Musig A., Peloso A., Piano A., Police A., Mihailescu A., Pouy A., Romano A., Iossa A., Leonetti A.C., Guariniello A., Isaac A., Bovi A.P.D., Chessa A., Tromba A., Martinez A.A., Brillantino A., Caira A., Castaldi A., Ferronetti A., Giuliani A., Prestera A., la Medina A.R.-D., Tarasconi A., Tornambe A., Picciariello A., Ioannidis A., Leppaniemi A., Khan A., Rashid A., Perez-Sanchez A.L.E., Mittal A., Mitul A.R., Mehraj A., Laharwal A., Dorisme A., Marinis A., Iqbal A., Moncada A., Braccio B., Alkhafaji B., de Andres Asenjo B., Martin-Perez B., Perez B.S., Creavin B., Cali B., Pascotto B., Stubbs B., Retes B.Z., Jovanovic B., Goh B.K.P., Sensi B., Biddau C., Gazia C., Vallicelli C., Fagundes C.A., Santacruz C.C., Chirico C., Diaz C.J.G., Petrola C., Rodriguez C.S., Benitez C.Y., Dammaro C., Faro C.L., Reinke C., Paez C.D., Oliva C., Paranjape C., Thomas C., Chia C.F., Kong C.K., De Lucia C., Chao C.O., Arcudi C., Guerci C., Chia C., Parise C., Folliero C., Varela C., Ferguson D.M., Camacho D., Popowich D., Lima D.S., Rega D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Parini D., Merlini D.A., Zimmerman D.D.E., Moro-Valdezate D., Pertile D., Giusti D.M., Keller D.S., Tarik D., Kalivaci D., Mazingi D., Maldonado-Pintado D.G., Sasia D., Linardoutsos D., Osilli D., Murrone D., Russello D., Rodas E., Roa E.A.A., Ricciardi E., Rosso E., Saladino E., Flores-Villalba E., Ajs E.R., Smith-Singares E., Baili E., Kouroumpas E., Bourmpouteli E., Douka E., Martin-Perez E., Guaitoli E., Samadov E., Francone E., Vaterlini E., Morales E., Pena E., Zhao E., Andres E.D.P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Aytac E., Laterza E., Agastra E., Foianini E., Moscoso E., Laviano E., Marra E., Cardamone E., Licardie E., Mpaili E., Pinna E., Varo E., Navarro F.M., Marino F., Medas F., Romano F., Maraska F., Saliu F., Madrid F., Rosa F., Mastella F., Gheza F., Luvisetto F., Alconchel F., Vieira F.M., Pareja F., Agresta F., Luna F., Bonilla F., Cordera F., Burdio F., Mendoza-Moreno F., Flores F.M., Aranda F.P., Taylor F., Ramos F.L., Fernandes F., Tropeano F.P., Balestra F., Bianco F., Ceci F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Lazzarin F., Litta F., Martini F., Pizza F., Roscio F., Virdis F., Antona F.B., Ramirez F.C., Fernandez F.M., Llinares F.O., Quezada F., Schlottmann F., Herrera-Almario G., Massaferro G., Bislenghi G., van Ramshorst G., Luglio G., Bointas G., Kampouroglou G., Papadopoulos G., Manrique G.A., Calini G., Nastri G., Formisano G., Galiffa G., Palini G.M., Colucci G., Pagano G., Vanni G., Pattacini G.C., De Paola G., Lisi G., Partida G., Bellanova G., De Nobili G., Necchi G.S., Sinibaldi G., Tebala G., Bagaglini G., Izzo G., Argenio G., Brisinda G., Candilio G., Di Grezia G., Esposito G., Faillace G., Frazzetta G., La Gumina G., Nigri G., Romeo G., Amatriain G.C., Ortega G., Martin-Martin G., Stavrou G.A., Gunadi, Ugon G.A., Machain G., Marcucci G., Martinez-Mier G., Machain G.M., Nari G., Calvo H., Fathy H., Hamilto, Ahmed H., Faraj H., Nava H., Macias H.O., Nikaj H., Solano H., Khan H.A., Alarcon H.S., Ebied H., Giani I., Ateca I.V., Neri I., Roman I.A.S., Fidoshev I., Rodriguez I.M., Negoi I., Ortega I., Bernescu I., Russo I.S., Rodriguez I.V., Palomares I., Baltazar I., Torrejimeno I.J., Jurado I.M.C., Reccia I., Hussain I., Toledo I.B., Mora-Guzman I., Dogaru I., Romic I., Balciscueta I., Kenington J.C., Sagolsem J., Jang J.Y., Olivier J., Lammel-Lindemann J., Dziakova J., Villavicencio J.I.R., Salinas J., Parreira J.P.J.G., Jovanovic, Perez J.R., Reyes J.A.S., Luque J.A.M., Mak J., Rodriguez J.S., Kok J.H.H., Krook J., Diaz-Elizondo J.A., Castell J., Garcia-Flores J.E., Navalon J.M.J., Rodrigues J.M.S., Pereira J., Gomez J.T.C., Luque J.B., del Olmo J.C.M., Salamea J.C., Olivier J.F.C., Laina J.L.B., Ordonez J.M., Gutierrez J., Abba J., Sofi J.A., Sherafgan K., Sahnan K., Yanaga K., Beatson K., Asim L., Alvarez L., Siragusa L., Farber L., Ong L., Athanasios L., Garcia-Bruna L., De Martino L., Ferrario L., Giordano L., Gordini L., Pio L., Ponchietti L., Moletta L., Curella L., Poggi L., Taglietti L., Bonavina L., Conti L., Goffredi L., Ruiz L.A.G., Barrionuevo L., Fregoso L.E., Cabrera L.F., Rodriguez L.G., Grande L., Osoria L.G., Gonzalez L.J.K., Sanchez-Guillen L., Tallon-Aguilar L., Tresierra L., Giavarini L., Hasabelnabi M., Odovic M., Uemura M., Khan M., Artiles-Armas M., David M., Di Martino M., Spampinato M.G., Ribeiro M.A.F., Viola M., Angrisani M., Calussi M., Cannistra M., Catarci M., Cereda M., Conte M., Giordano M., Pellicciaro M., Marino M.V., Vaterlini M.E., Jimenez M.F., Lolli M.G., Bellini M.I., Lemma M., Chiarello M.M., Nicola M., Arrigo M., Mejia M.C., Manrique M.M., Rodriguez-Lopez M., Serradilla-Martin M., Lara M.Z., Martinez M., Bagnall M., Peter M., Lara M.C., Gomez M.J., Paniagua-Garcia-Senorans M., Gonzalez M.P., Rutegard M., Salo M., Franceschilli M., Silveri M., Veroux M., Pezzulo M., Nardi M., Rottoli M., Tolonen M., Ciro M.P., Zuluagua M., Cannavo M., Cervellera M., Iacobone M., Montuori M., Dominguez M.G., Bingol-Kologlu M., Tahir M., Lim M., Wilson M.S., Wilson M., Campanelli M., Bisaccia M., De Rosa M., Maruccia M., Paterno M., Pisano M., Torre M., Trevino M., Zuolo M., Hernandez Bartolome M.A., Farina M., Pera M., Calvo M.P., Sotelo M., Thway M.M., Hassan M., Hassan M.S.E., Azfar M., Bouhuwaish M., Taha M., Zaieem M., Korkoman M., Guraieb M., Shalaby M., Raza M.A., Younis M.U., Elhadi M., Ali M.Z., Quazi N., Dudi-Venkata N.N., Alselaim N., Loria N., Ramirez N.V., Than N.W., Smart N., Trelles N., Pinto N., Allievi N., Petrucciani N., Antonacci N., Cillara N., Gica N., Cristiana N.D., Krystek N., Falco N., Pecorelli N., Tamini N., Dallas N.A., Machairas N., Brito N., Fieturi N.A., Ortega N., Mercado O.A., Irkorucu O., Alsherif O., Valles O., Ioannidis O., Palmas O.H., Palmas O.I.H., Guadarrama O.S., Bozbiyik O., Omelanczuk P., Ottolino P., Rodrigues P., Ruiz P., Campenni P., Chiarade P., Olivares P.P., Baroffio P., Panaccio P., Wintringer P., Di Fronzo P., Talento P., Favoriti P., Sendino P., Marsanic P., Mifsut P., Andrade P., Ajawin P., Abadia-Barno P., Castaneda P.A.N., Arevalos P.O.S., Bellver P.P., Koh P.S., Souza P., Major P., Bali R.S., Khattar R.M., Melo R.B., Ebrahiminia R., Azar R., Murga R.L., Pirolo R., Brady R., Davies R.J., Dholakia R., Rattan R., Singhal R., Lim R., Angelico R., Isernia R.M., Tutino R., Faccincani R., Peltrini R., Carrera-Ceron R., Tejos R., Kashyap R., Fajardo R., Lozito R., Pareja R.M., Garbarino S., Morales-Conde S., Benli S., Mansour S., Flores S., Suarez S.L., Ben S.L., Fuentes S., Napetti S., de Guzman S.O., Awad S., Weckmann Lujan S.A., Gentilli S., Grimaldi S., Pizarro S.O., Tayar S., Nabi S., Chan S.M., Junaid S., Rojas S., Monetti S., Garcia S., Salvans S., Tenconi S., Shaw S., Santoni S., Parra S.A., Cardenas S., Perez-Bertolez S., Chiappetta S., Dessureault S., Delis S., Bonapasta S.A., Rausei S., Scaringi S., Keswani S., Ali S.M., Cetinkunar S., Fung T.L.D., Rawashdeh T., Lopez T.N., De Campos T., Duque T.C., Perra T., Liakakos T., Daskalakis T., Barnes T., Koeter T., Zalla T., Gonzalez T.E., Elosua T., Campagnaro T., Brown T., Luoto T., Oumar T.A., Giustizieri U., Grossi U., Bracale U., Rivas U., Sosa V., Testa V., Andriola V., Tonini V., Balassone V., Celentano V., Progno V., Raju V., Carroni V., Cavallaro V., Katta V.R., De Simone V., Romaguera V.P., Orozco V.H.G., Luraschi V., Rachkov V., Turrado-L V., Visag-Castillo V., Dowling V., Graham V., Papagni V., Vigorita V., Fonseca V.C., Carneros V.J., Bellato V., Goncalves W., Powers W.F., Grigg W., Bechstein W.O., Lim Y.B., Altinel Y., Golubovic Z., Balciscueta Z., Ielpo, B., Podda, M., Pellino, G., Pata, F., Caruso, R., Gravante, G., Di Saverio, S., Gallo, G., Lui, R., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Pisanu, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Yanez, A. P., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Roldan, A. M., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, A., Prestera, A., la Medina, A. R. -D., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Faro, C. L., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Andres, E. D. P., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, F., Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, G., Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., Roman, I. A. S., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Parreira, J. P. J. G., Perez, J. R., Reyes, J. A. S., Luque, J. A. M., Mak, J., Rodriguez, J. S., Kok, J. H. H., Krook, J., Diaz-Elizondo, J. A., Castell, J., Garcia-Flores, J. E., Navalon, J. M. J., Rodrigues, J. M. S., Pereira, J., Gomez, J. T. C., Luque, J. B., del Olmo, J. C. M., Salamea, J. C., Olivier, J. F. C., Laina, J. L. B., Ordonez, J. M., Gutierrez, J., Abba, J., Sofi, J. A., Sherafgan, K., Sahnan, K., Yanaga, K., Beatson, K., Asim, L., Alvarez, L., Siragusa, L., Farber, L., Ong, L., Athanasios, L., Garcia-Bruna, L., De Martino, L., Ferrario, L., Giordano, L., Gordini, L., Pio, L., Ponchietti, L., Moletta, L., Curella, L., Poggi, L., Taglietti, L., Bonavina, L., Conti, L., Goffredi, L., Ruiz, L. A. G., Barrionuevo, L., Fregoso, L. E., Cabrera, L. F., Rodriguez, L. G., Grande, L., Osoria, L. G., Gonzalez, L. J. K., Sanchez-Guillen, L., Tallon-Aguilar, L., Tresierra, L., Giavarini, L., Hasabelnabi, M., Odovic, M., Uemura, M., Khan, M., Artiles-Armas, M., David, M., Di Martino, M., Spampinato, M. G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Hernandez Bartolome, M. A., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. E., Azfar, M., Bouhuwaish, M., Taha, M., Zaieem, M., Korkoman, M., Guraieb, M., Shalaby, M., Raza, M. A., Younis, M. U., Elhadi, M., Ali, M. Z., Quazi, N., Dudi-Venkata, N. N., Alselaim, N., Loria, N., Ramirez, N. V., Than, N. W., Smart, N., Trelles, N., Pinto, N., Allievi, N., Petrucciani, N., Antonacci, N., Cillara, N., Gica, N., Cristiana, N. D., Krystek, N., Falco, N., Pecorelli, N., Tamini, N., Dallas, N. A., Machairas, N., Brito, N., Fieturi, N. A., Ortega, N., Mercado, O. A., Irkorucu, O., Alsherif, O., Valles, O., Ioannidis, O., Palmas, O. H., Palmas, O. I. H., Guadarrama, O. S., Bozbiyik, O., Omelanczuk, P., Ottolino, P., Rodrigues, P., Ruiz, P., Campenni, P., Chiarade, P., Olivares, P. P., Baroffio, P., Panaccio, P., Wintringer, P., Di Fronzo, P., Talento, P., Favoriti, P., Sendino, P., Marsanic, P., Mifsut, P., Andrade, P., Ajawin, P., Abadia-Barno, P., Castaneda, P. A. N., Arevalos, P. O. S., Bellver, P. P., Koh, P. S., Souza, P., Major, P., Bali, R. S., Khattar, R. M., Melo, R. B., Ebrahiminia, R., Azar, R., Murga, R. L., Pirolo, R., Brady, R., Davies, R. J., Dholakia, R., Rattan, R., Singhal, R., Lim, R., Angelico, R., Isernia, R. M., Tutino, R., Faccincani, R., Peltrini, R., Carrera-Ceron, R., Tejos, R., Kashyap, R., Fajardo, R., Lozito, R., Pareja, R. M., Garbarino, S., Morales-Conde, S., Benli, S., Mansour, S., Flores, S., Suarez, S. L., Ben, S. L., Fuentes, S., Napetti, S., de Guzman, S. O., Awad, S., Weckmann Lujan, S. A., Gentilli, S., Grimaldi, S., Pizarro, S. O., Tayar, S., Nabi, S., Chan, S. M., Junaid, S., Rojas, S., Monetti, S., Garcia, S., Salvans, S., Tenconi, S., Shaw, S., Santoni, S., Parra, S. A., Cardenas, S., Perez-Bertolez, S., Chiappetta, S., Dessureault, S., Delis, S., Bonapasta, S. A., Rausei, S., Scaringi, S., Keswani, S., Ali, S. M., Cetinkunar, S., Fung, T. L. D., Rawashdeh, T., Lopez, T. N., De Campos, T., Duque, T. C., Perra, T., Liakakos, T., Daskalakis, T., Barnes, T., Koeter, T., Zalla, T., Gonzalez, T. E., Elosua, T., Campagnaro, T., Brown, T., Luoto, T., Oumar, T. A., Giustizieri, U., Grossi, U., Bracale, U., Rivas, U., Sosa, V., Testa, V., Andriola, V., Tonini, V., Balassone, V., Celentano, V., Progno, V., Raju, V., Carroni, V., Cavallaro, V., Katta, V. R., De Simone, V., Romaguera, V. P., Orozco, V. H. G., Luraschi, V., Rachkov, V., Turrado-L, V., Visag-Castillo, V., Dowling, V., Graham, V., Papagni, V., Vigorita, V., Fonseca, V. C., Carneros, V. J., Bellato, V., Goncalves, W., Powers, W. F., Grigg, W., Bechstein, W. O., Lim, Y. B., Altinel, Y., Golubovic, Z., Balciscueta, Z., Ielpo, B, Podda, M, Pellino, G, Pata, F, Caruso, R, Gravante, G, Di Saverio, S, and Luglio, G
Subjects: medicine.medical_specialty, Anti-Bacterial Agents, Appendectomy, Appendicitis, COVID-19 Testing, Hospital Administration, Humans, Pandemics, Personal Protective Equipment, Practice Patterns, Physicians', Surveys and Questionnaires, Attitude of Health Personnel, COVID-19, Surgeons, Coronavirus disease 2019 (COVID-19), Settore MED/18 - CHIRURGIA GENERALE, COVID-19 pandemic. Acute appendicitis, MEDLINE, Practice Patterns, 030230 surgery, Health administration, 03 medical and health sciences, 0302 clinical medicine, Anti-Bacterial Agent, Pandemic, medicine, Surveys and Questionnaire, Appendiciti, General, Laparoscopy, Personal protective equipment, Physicians', medicine.diagnostic_test, business.industry, General surgery, Original Articles, medicine.disease, Anti-bacterial agents, appendectomy, appendicitis, COVID-19 testing, hospital administration, humans, pandemics, personal protective equipment, practice patterns physicians', surveys and questionnaires, attitude of health personnel, surgeons, appendicitis - COVI-19 - ACIE study - management, Acute appendicitis, Original Article, Surgery, Covid-19, business, Human
Abstract: Background Surgical strategies are being adapted to face the COVID‐19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X‐ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P, The COVID‐19 pandemic required reorganization of surgical services, affecting patients with common surgical diseases including acute appendicitis. No evidence is available on the topic. This study found global variation in screening policies, use of personal protective equipment and intraoperative directives. There has been increased adoption of non‐operative management and open appendicectomy. Hands off
Published: 2021

45. Two-stage bone-and-strut technique in the treatment of septic non-unions in the upper limb

Author: Luigi, Meccariello, Ante, Prkić, Vincenzo, Campagna, Alberto, Serra, Vincenzo, Piccinni, Denise, Eygendaa, Michele, Bisaccia, Giuseppe, Pica, Andrea, Schiavone, and Giuseppe, Rollo
Subjects: Adult, Aged, 80 and over, Fracture Healing, Male, Middle Aged, Cohort Studies, Upper Extremity, Fracture Fixation, Internal, Treatment Outcome, Fractures, Ununited, Humans, Female, Aged, Follow-Up Studies
Abstract: Aim To report the results of a two-stage reconstruction of septic non-unions of the upper limb using the bone-and-strut technique with a follow-up of more than two years. Methods A total of 19 patients (12 males and seven females; age 27 to 85 years) were included in this cohort study. The evaluation endpoint was set at 24 months. Radiographic union, Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores, pain and return to work were assessed. All patients were treated with debridement and antibiotic therapy. At a second stage, the nonunion focus was filled with a cancellous bone allograft. Stability was provided using a locking plate and a bone strut. Results After 24 months, the QuickDASH scores improved from a median of 28 (interquartile range, 13 - 35 points), to a median of 78 (interquartile range, 70 - 89 points). Mean pain scores improved from 8.1 (range, 0.3-10) to 0.6 (range 0-2). Radiographic and clinical union was seen in all patients. The majority of patients returned to work or previous activities when retired. A new neurological deficit, recurrence of infection, or other surgery-related adverse events were not observed. Conclusion The two-stage bone-and-strut technique is a safe and effective technique in the treatment of septic non-unions of the upper limb. The union rate is high, the complication rate is acceptable and return return-to-work is high. Recurrence of infectious sequelae during a follow-up period of at least two years was not seen. The patient-reported outcomes increased significantly.
Published: 2020

46. A new prognostic pelvic injury outcome score

Author: Luigi, Meccariello, Cristina, Razzano, Cristina, De Dominicis, Juan Antonio, Herrera-Molpeceres, Francesco, Liuzza, Rocco, Erasmo, Guido, Rocca, Michele, Bisaccia, Enzo, Pagliarulo, Pietro, Cirfeda, David, Gómez Garrido, and Giuseppe, Rollo
Subjects: Adult, Male, Adolescent, Reproducibility of Results, Middle Aged, Prognosis, Fractures, Bone, Young Adult, Injury Severity Score, Treatment Outcome, Humans, Female, Pelvic Bones, Aged
Abstract: Aim To propose a new prognostic classification system for pelvic injuries based on a new detailed and all-encompassing evaluation of the injury pelvic outcome score and to check the prognostic value of this classification and evaluate its reliability and reproducibility. Methods From January 2017 to June 2020 from 156 pelvic fractures treated at our hospitals, 98 patients with pelvic fractures were recruited according to inclusion and exclusion criteria. All patients compiled three scores (New Score System, Majeed Score, SF-12) sessions two times during the hospital stay to evaluate the endpoint before the trauma and two years after the trauma. All patients carried out three tests independently. The evaluation of three scores included a pelvic and general complication after the surgery, the times needed to compile three score system. For reliability of the new score systems we evaluated the inter-observer or intraobserver agreement, the prediction strength of each score, and a prognostic value. Results A total of 98 patients were enrolled (74 were males and 24 females) with mean age of 43.6 (±18.6) (range 16-75) years. Tau B Kendall value was 0.827 for the new score system, 0.673 for the Majeed score, 0.746 for SF-12, there was p0.05 for the new score system. Conclusion The new score system is prognostic, reliable, reproducible and can become a useful instrument to adequately correlate the long-term outcomes of pelvic injury fractures. Also, it provides a better evaluation of pain, work, sexual possibilities and satisfaction, balance-sitting-walking and psychological status.
Published: 2020

47. Profile vs Tubular Plate in Unimalleolar or Bimalleolar Fractures: is There a Real Difference in Wound complications?

Author: Michele Bisaccia, Auro Caraffa, Giuseppe Rinonapoli, Rosario Petruccelli, and Paolo Ceccarini
Subjects: medicine.medical_specialty, business.industry, Wound Complications, Article, Ankle Fracture, Ankle Outcome Rating Scales, Surgery, lcsh:RD701-811, medicine.anatomical_structure, lcsh:Orthopedic surgery, medicine, Distal fibula, Third tubular plate, Ankle, business
Abstract: Category: Ankle; Trauma Introduction/Purpose: The aim of our study is to compare two types of plates, one third tubular plate and LCP distal fibula plate, evaluating the clinical outcome and the skin complications associated with their use. Methods: We collected the data of 122 consecutive unimalleolar or bimalleolar fractures treated by internal fixation for a closed, displaced distal closed fibular fracture. Exclusion criteria were: 1) open ankle fractures,2) trimalleolar fractures, 3) previous ankle fractures 4) severe venous insufficiency, 5) ankleosteoarthritis previous to surgery, 6) associated ankle dislocation. After this selection, 93 patients were included in our study and assigned in two groups, based on using of different implant: in group A48 patients were treated with one-third tubular and in group B 45 patients were treated with LCP distalfibula plate. There were no significant differences in the baseline characteristics. Patients received the same surgical procedure and the same post-operative care, then they were radiologically evaluated at1-3-12 months and clinical examination was made at 24 (range 15-36) months using AOFAS clinical rating system. All data were evaluated using chi-square test. Results: At the final 24-month follow-up a comparison between the two groups showed no statistical significant differences in reduction accuracy and bone union ratio at radiological examination. The wound complications rate of the overall study group was 7.6%. There were no statistical differences in the rate of wound complications between the two groups. There were no differences between both group in percentage of hardware removal at follow-up (overall 5.4%). In the group A occurred 1 deep infection, 2 superficial infection, no wound dehiscence; in group B occured 1 deep infection, 1 superficial infection and 2 wound dehiscence. There were no statistical differences in the rate of wound complications between the two groups (p=0.70; Fisher exact test). Conclusion: Our study has shown no difference in radiographic bone union rate, no significant differences in terms of clinical outcomes, in time of bone reduction and wound complication rate between the LCP distalfibula plate and conventional one-third tubular plate. RCT or metanalasys are in this case useful to improve scientific evidence and give more information for the correct surgical treatment of ankle fractures.
Published: 2020

48. Effectiveness of teriparatide combined with the Ilizarov technique in septic tibial non-union

Author: Giuseppe, Rollo, Francesco, Luceri, Gabriele, Falzarano, Carlo, Salomone, Enrico Maria, Bonura, Dmitry, Popkov, Mario, Ronga, Giuseppe, Pica, Michele, Bisaccia, Valentina, Russi, Predrag, Grubor, Raffaele, Franzese, Giuseppe M., Peretti, and Luigi, Meccariello
Subjects: Adult, Tibial Fractures, Treatment Outcome, Teriparatide, Quality of Life, Humans, Reproducibility of Results, Ilizarov Technique, Retrospective Studies
Abstract: Aim The septic non-union is a common compliance in bone healing due to bone infection. Bone resection, associated with Ilizarov osteo-distraction technique, is commonly used in these cases. The aim of this study was to analyse clinical and radiological results of teriparatide in combination with the Ilizarov technique and to compare this treatment with the standard treatment. Methods Forty adult patients underwent surgery because of type C of the Association for the Study and Application of Methods of Ilizarov (ASAMI) classification non-union were enrolled. The patients were divided in two groups: those treated with Ilizarov technique (Norm group) and those treated with Ilizarov technique combined with teriparatide injection (Teri group). Surgical duration, complication rate, bone healing status, clinical and functional outcomes were assessed according to the A.S.A.M.I. classification in the mean follow-up of 12 months. The subjective quality of life was assessed by the Short Form Survey (SF)-12. Results Teri group showed less time wearing Ilizarov's frame (p0.05) than the Norm group and a statistical significance in the inter-rater reliability Cohen's k (p0.05) respect to Norm according the score between the bone healing and clinical outcome results. There was no statistically significant difference between the two groups in other parameters that were assessed. Conclusion A benefit of teriparatide was found as adjuvant in the treatment of septic non-union.
Published: 2020

49. Surgical treatment of multifragmentary segmental femur shaft fractures with ORIF and bone graft versus MIPO: a prospective control-group study

Author: Giuseppe, Rollo, Mario, Ronga, Enrico Maria, Bonura, Rocco, Erasmo, Michele, Bisaccia, Paolo, Pichierri, Antonio, Marsilio, Andrea, Pasquino, David, Gomez Garrido, Raffaele, Franzese, Andrea, Schiavon, and Luigi, Meccariello
Subjects: Fracture Healing, Treatment Outcome, Hip Fractures, Quality of Life, Humans, Minimally Invasive Surgical Procedures, Femur, Prospective Studies, Retrospective Studies
Abstract: Aim Multifragmentary segmental femoral shaft fracture is a high energy injury frequently associated with life-threatening conditions. The aim of this study was to compare the use of bio metallic open reduction internal fixation (ORIF) (plate with allograft bone strut) with minimally invasive plate osteosynthesis (MIPO) fixation for the treatment of multi-segmental femoral shaft fracture in terms of outcomes, bone healing and complications. Methods Forty patients with segmental femoral shaft fractures were included and divided into two groups: 20 patients treated with ORIF+, 20 with MIPO. All fractures were classified according to AO (Arbeitsgemeinschaft für Osteosynthesefragen) and Winquist and Hansen Classification. Evaluation criteria were: duration of follow up and surgery, Non-Union Scoring System, Pain Visual Analogic Scale (VAS), objective quality of life and hip function, subjective quality of life and knee function, quality of life the Short Form-12 Survey Questionnaires (SF-12), bone healing and femoral alignment (radiographs), Radiographic Union Score for Hip (RUSH). Results Better results of ORIF in terms of complication rate, RUSH, VAS, regression between RUSH and VAS, average correlation clinical-radiographic results and patients' outcomes (Cohen k) were obtained, and similar results for the length of follow up, surgery duration, perioperative blood transfusion, wound healing. No statistical difference for Harris Hip Score (HHS), Knee Society Score (KSS), quality of life (SF-12). Conclusions The ORIF and bone strut allograft technique had better results compared to the MIPO technique with regards to complication rate, RUSH, VAS, regression between RUSH and VAS, and average correlation clinical-radiographic results and patients' outcomes (Cohen k) in the surgical treatment of multifragmentary segmental femoral shaft fractures.
Published: 2020

50. Tibial diaphyseal fractures in children: Indications and limitations of the treatment with monolateral and hybrid external fixator

Author: Michele, Bisaccia, Giuseppe, Rinonapoli, Salvatore, Di Giacinto, Andrea, Schiavone, Simone, Lazzeri, David, Gomez-Garrido, Juan Antonio, Herrera-Molpeceres, Umberto, Ripani, Cristina, Ibáñez-Vicente, Giuseppe, Rollo, Enrico Maria, Bonura, Raffaele, Franzese, Luigi, Meccariello, and Auro, Caraffa
Subjects: Bone fixation, External Fixators, Open, Trauma, Tibial Fractures, Fractures, Open, Treatment Outcome, Paediatric, Fracture Fixation, Humans, Tibia fractures, Child, Fractures, Retrospective Studies
Abstract: Aim To report our indications and limitations about the use of external fixation in children. Methods It was retrospectively reviewed all tibial fractures treated with monolateral and hybrid external fixator, at our three Centres. It was included 32 fractures which did not show an acceptable reduction after an attempt under anaesthesia. The exclusion criteria were: open fractures, children with previous fractures of the lower limbs, with skeletal congenital diseases, fractures involving the physis and with neurovascular involvement. All fractures were classified according to the AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification. An outcome was evaluated according to the time needed to obtain radiographic bone healing, the range of motion (ROM) of the ankle, the asymmetry of the lower limbs, the malunion, and complications. Results The average time of consolidation was 10.66 weeks (6-17 weeks). There were no cases of deep infection, but only seven cases of superficial pin infections. No patients reported loss of ROM of the knee or ankle. We had zero cases of residual angle greater than 5°, and in all cases the difference in length between the limbs was1 cm. Conclusion The external fixation is a viable technique in the treatment of tibial fractures in children. Therefore, the external fixation, both monolateral and hybrid, should be considered a viable treatment for this type of fracture.
Published: 2020

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