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2. Changes in Cardiopulmonary Capacity Parameters after Surgery: A Pilot Study Exploring the Link between Heart Function and Knee Surgery.

Author

Segreti, Andrea, Fossati, Chiara, Monticelli, Luigi Maria, Valente, Daniele, Polito, Dajana, Guerra, Emiliano, Zampoli, Andrea, Albimonti, Giorgio, Zampogna, Biagio, Vasta, Sebastiano, Papalia, Rocco, Antonelli Incalzi, Raffaele, Pigozzi, Fabio, and Grigioni, Francesco

Subjects
STRESS echocardiography, GLOBAL longitudinal strain, DIASTOLIC blood pressure, EXERCISE tests, SYSTOLIC blood pressure, OXYGEN consumption, CONTRACTILITY (Biology), KNEE
Abstract

Background: A knee injury in an athlete leads to periods of forced exercise interruption. Myocardial work (MW) assessed by echocardiographic and cardiopulmonary exercise testing (CPET) are two essential methods for evaluating athletes during the period following injury. However, compared to pre-surgery evaluations, the variations in cardiovascular parameters and functional capacity assessed by these methods after surgery remain unclear. Methods: We evaluated 22 non-professional athletes aged 18–52, involved in prevalently aerobic or alternate aerobic/anaerobic sports activities, who were affected by a knee pathology requiring surgical treatment. The evaluation was performed at rest using transthoracic echocardiography, including MW assessment, and during exercise using CPET. Each athlete underwent the following two evaluations: the first before surgery and the second after surgery (specifically at the end of the deconditioning period). Results: Resting heart rate (HR) increased significantly (from 63.3 ± 10.85 to 71.2 ± 12.52 beats per minute, p = 0.041), while resting diastolic and systolic blood pressure, forced vital capacity, and forced expiratory volume in the first second did not show significant changes. Regarding the echocardiographic data, global longitudinal strain decreased from −18.9 ± 1.8 to −19.3 ± 1.75; however, this reduction was not statistically significant (p = 0.161). However, the global work efficiency (GWE) increased significantly (from 93.0% ± 2.9 to 94.8% ± 2.6, p = 0.006) and global wasted work (GWW) reduced significantly (from 141.4 ± 74.07 to 98.0 ± 50.9, p = 0.007). Additionally, the patients were able to perform maximal CPET at both pre- and post-surgery evaluations, as demonstrated by the peak respiratory exchange ratio and HR. However, the improved myocardial contractility (increased GWE and decreased GWW) observed at rest did not translate into significant changes in exercise parameters, such as peak oxygen consumption and the mean ventilation/carbon dioxide slope. Conclusions: After surgery, the athletes were more deconditioned (as indicated by a higher resting HR) but exhibited better resting myocardial contractility (increased GWE and reduced GWW). Interestingly, no significant changes in exercise capacity parameters, as evaluated by CPET, were found after surgery, suggesting that the improved myocardial contractility was offset by a greater degree of muscular deconditioning. [ABSTRACT FROM AUTHOR]

Published
2024
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4. Trochleoplasty Techniques: Deepening Lyon

Author

Vasta, Sebastiano, Castelhanito, Pedro, Dejour, David, Dejour, David, editor, Zaffagnini, Stefano, editor, Arendt, Elizabeth A., editor, Sillanpää, Petri, editor, and Dirisamer, Florian, editor

Published
2020
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6. How to Improve Meniscal Repair through Biological Augmentation: A Narrative Review.

Author

Za, Pierangelo, Ambrosio, Luca, Vasta, Sebastiano, Russo, Fabrizio, Papalia, Giuseppe Francesco, Vadalà, Gianluca, and Papalia, Rocco

Subjects
MENISCUS injuries, PLATELET-rich plasma, KNEE osteoarthritis, SPORTS medicine, HEALING, MENISCECTOMY
Abstract

Since the role of the menisci in knee stability, proprioception, and homeostasis has been well established, significant efforts have been made to repair meniscal tears, resulting in excellent clinical outcomes and a reduction in the progression of knee osteoarthritis (OA). However, varying failure rates have been reported, raising questions regarding the healing potential in cases of complex injuries, poorly vascularized and degenerated areas, and generally in the presence of unfavorable biological characteristics. Therefore, over the last few decades, different strategies have been described to increase the chances of meniscal healing. Biological augmentation of meniscal repair through various techniques represents a safe and effective strategy with proven clinical benefits. This approach could reduce the failure rate and expand the indications for meniscal repair. In the present study, we thoroughly reviewed the available evidence on meniscal repair surgery and summarized the main techniques that can be employed to enhance the biological healing potential of a meniscal lesion. Our aim was to provide an overview of the state of the art on meniscal repair and suggest the best techniques to reduce their failure rate. [ABSTRACT FROM AUTHOR]

Published
2024
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11. Femur Fractures

Author

Bandeira-Rodrigues, Eurico, Vasta, Sebastiano, Leitão, José Carlos, Monllau, Joan Carles, van Dijk, C. Niek, editor, Neyret, Philippe, editor, Cohen, Moises, editor, Della Villa, Stefano, editor, Pereira, Helder, editor, Oliveira, J. Miguel, editor, and Espregueira-Mendes, João, Editor-in-chief

Published
2017
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26. List of Contributors

Author

Ahmad, Sufian S., primary, Akita, Keiichi, additional, Alvarez, Pedro, additional, Amis, Andrew A., additional, Andrews, James R., additional, Anz, Adam W., additional, Ares, Oscar, additional, Argentieri, Erin C., additional, Avbelj, Viktor, additional, Balazs, George C., additional, Barber, F. Alan, additional, Barber-Westin, Sue D., additional, Bareka, Metaxia, additional, Barnthouse, Cris D., additional, Barrett, Austin M., additional, Barrett, Gene R., additional, Basdekis, George, additional, Beck, Charles L., additional, Bedi, Asheesh, additional, Benner, Rodney W., additional, Bernard, Manfred, additional, Bernholt, David L., additional, Beynnon, Bruce D., additional, Bisson, Leslie J., additional, Björnsson, Haukur, additional, Blagojevic´, Zoran, additional, Bogunovic, Ljiljana, additional, Briggs, Karen, additional, Brophy, Robert, additional, Brotherton, Scott L., additional, Brown, Charles H., additional, Brown, Taylor D., additional, Browne, Jon E., additional, Chahla, Jorge, additional, Chau, Jackie Yee-Man, additional, Chan, William Wai-Lam, additional, Chisholm, Mary F., additional, Cole, Brian J., additional, Collins, Amber T., additional, Collins, Malcolm, additional, Crossley, Kay M., additional, Cugat, Ramón, additional, Cuscó, Xavier, additional, DeBerardino, Thomas M., additional, Denaro, Vincenzo, additional, Dreese, James C., additional, Dukas, Alex G., additional, Duthon, Victoria B., additional, Ejerhed, Lars, additional, Ernest, Christian, additional, Evangelopoulos, Dimitrios S., additional, Everhart, Joshua S., additional, Fabricant, Peter D., additional, Feller, Julian A., additional, Fideler, Kathryn, additional, Filbay, Stephanie R., additional, Finkle, Susan M., additional, Flanigan, David C., additional, Francisco, Ramces, additional, Frank, Rachel M., additional, Fromm, Stuart E., additional, Fu, Freddie H., additional, Fulkerson, John P., additional, Ganapathy, Pramodh K., additional, Ganley, Theodore J., additional, Garrett, William E., additional, Georgoulis, Anastasios, additional, Gill, Thomas J., additional, Gornitzky, Alex L., additional, Goyeneche, Nicholas P., additional, Gray, Tinker, additional, Griffin, Letha Y., additional, Griffith, Chad J., additional, Gobbi, Alberto, additional, Guenther, Daniel, additional, Hackel, Joshua G., additional, Hadjicostas, Panayiotis T., additional, Han, Yung, additional, Hantes, Michael E., additional, Harlem, Thomas, additional, Harris, Joshua D., additional, Hecker, Aaron, additional, Ho, Sherwin S.W., additional, Howell, Stephen M., additional, Hutchinson, Mark R., additional, Imbert, Pierre, additional, Indelicato, Peter A., additional, Inderhaug, Eivind, additional, Irarrázaval, Sebastián, additional, Janssen, Daan Martijn, additional, Janssen, Rob P.A., additional, Järvelä, Timo, additional, Javernick, Matt, additional, Jiang, Jie, additional, Johnson, Darren L., additional, Johnson, Don, additional, Joyce, Brian T., additional, Jung, Min, additional, Kaeding, Christopher C., additional, Kalawadia, Jay V., additional, Kamath, Ganesh, additional, Karistinos, Anastassios, additional, Karlsson, Jón, additional, Karnatzikos, Georgios, additional, Kartus, Jüri, additional, Keating, John, additional, Kennedy, Nicholas I., additional, Kercher, James, additional, Khan, Umar, additional, Kim, Walter, additional, Kluczynski, Melissa A., additional, Koh, Jason L., additional, Kohl, Sandro, additional, Kousa, Petteri, additional, LaPrade, Christopher M., additional, LaPrade, Robert F., additional, Laupattarakasem, Pat, additional, Laupattarakasem, Wiroon, additional, Lawhorn, Keith W., additional, Leong, Natalie L., additional, Loveland, Dustin M., additional, Lynch, T. Sean, additional, Mackay, Gordon, additional, Maffuli, Nicola, additional, Magnussen, Robert A., additional, Maloney, Mike, additional, Mandelbaum, Bert R., additional, Mardam-Bey, Sami W., additional, Marx, Robert G., additional, McAllister, David R., additional, McCarty, Eric, additional, McCullough, Kirk A., additional, Menon, Sanjay, additional, Meuffels, Duncan E., additional, Metzler, Adam V., additional, Michaelson, Jefferey, additional, Mijic, Dragomir, additional, Milano, Giuseppe, additional, Milisavljevic´, Milan, additional, Mithoefer, Kai, additional, Mlynarek, Ryan A., additional, Mochizuki, Tomoyuki, additional, Mohankumar, Rakesh, additional, Moraiti, Constantina, additional, Moran, Ray, additional, Moulton, Samuel G., additional, Mudhigere, Abhishek, additional, Muneta, Takeshi, additional, Murphy, Brian J., additional, Nakamura, Norimasa, additional, Naraghi, Ali M., additional, Nicandri, Gregg, additional, Nikolic´, Valentina, additional, Noyes, Frank R., additional, Nurmi, Janne T., additional, O’Byrne, John, additional, Ochi, Mitsuo, additional, Paessler, Hans Heinrich, additional, Pandit, Hemant, additional, Papalia, Rocco, additional, Pappas, Evangelos, additional, Paschos, Nikolaos K., additional, Patzakis, Michael J., additional, Paulos, Lonnie E., additional, Peterson, Lars, additional, Philippon, Marc J., additional, Poage, Chad H., additional, Posthumus, Michael, additional, Prodromos, Chadwick C., additional, Rashkovska, Aleksandra, additional, Reijman, Max, additional, Rennicke, Jordan C., additional, Ristanis, Stavros, additional, Rius, Marta, additional, Rogowski, Julie, additional, Rossi, Nicholas, additional, Rue, John-Paul, additional, Saccomanno, Maristella F., additional, Sallent, Andrea, additional, Sasaki, Norihiro, additional, Sayde, William M., additional, Scheffler, Sven, additional, Schlatterer, Bernard, additional, Schmitt, Laura C., additional, Schoenfeldt, Ted, additional, Seijas, Roberto, additional, September, Alison V., additional, Shaarani, Shahril R., additional, Shaikh, Humza S., additional, Shaw, Christopher M., additional, Shelbourne, K. Donald, additional, Shelton, Walter, additional, Shin, Jason J., additional, Shino, Konsei, additional, Silvers, Holly J., additional, Simeoforidou, Marina, additional, Sims, Laura A., additional, Sklar, Joseph H., additional, Smith, Angela H., additional, Smyth, Mark P., additional, Sommerfeldt, Mark F., additional, Spindler, Kurt P., additional, Steiner, Mark E., additional, Stergiou, Nicholas, additional, Stevanovic´, Vladan, additional, Tecame, Andrea, additional, Tejwani, Samir G., additional, Terzidis, Ioannis, additional, Thoma, Louise, additional, Tilton, Annemarie K., additional, Timmerman, Laura A., additional, Tohyama, Harukazu, additional, Tsarouhas, Alexander, additional, Tsepis, Elias, additional, Trobec, Roman, additional, Lee Turnbull, Travis, additional, Uribe, John W., additional, van Meer, Belle L., additional, van Mourik, Jan B.A., additional, Van Thiel, Geoffrey, additional, Varkey, Dax, additional, Vasta, Sebastiano, additional, Veselko, Matjaž, additional, Wade, Sean M., additional, Wall, Andrew, additional, Ware, James Kristopher, additional, Waterman, Brian R., additional, Webster, Kate E., additional, Westermann, Robert W., additional, Wolf, Brian R., additional, Wright, Rick W., additional, Xergia, Sofia A., additional, Xerogeanes, John William, additional, Yanke, Adam, additional, Yasuda, Kazunori, additional, Yi, Seung Jin, additional, Zalavras, Charalampos G., additional, Zampeli, Franceska, additional, Zarins, Bertram, additional, and Zhao, Jinzhong, additional

Published
2018
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40. Outcome measures

Author

Longo, Umile, primary, Maffulli, Nicola, additional, Denaro, Vincenzo, additional, and Vasta, Sebastiano, additional

Published
2012
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41. Partial rotator cuff tears

Author

Maffulli, Nicola, primary, Denaro, Vincenzo, additional, Papalia, Rocco, additional, Furia, John, additional, Franceschi, Francesco, additional, Vasta, Sebastiano, additional, and Zampogna, Biagio, additional

Published
2012
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