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Article ; Online: Correction to: Mid‑term clinical and radiographic outcome of metal-on-metal hip resurfacing through an anterolateral approach.

Regis, D / Lugani, G / Valentini, A / Sandri, A / Ambrosini, C / Bagnis, F / Dorigotti, A / Negri, S / Magnan, B

2023 Volume 108, Issue 1, Page(s) 123

Language	English
Publishing date	2023-08-02
Publishing country	Italy
Document type	Published Erratum
ZDB-ID	2495458-5
ISSN	2035-5114 ; 2035-5106
ISSN (online)	2035-5114
ISSN	2035-5106
DOI	10.1007/s12306-023-00794-x
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Article ; Online: Mid-term clinical and radiographic outcome of metal-on-metal hip resurfacing through an anterolateral approach.

Regis, D / Lugani, G / Valentini, A / Sandri, A / Ambrosini, C / Bagnis, F / Dorigotti, A / Negri, S / Magnan, B

Musculoskeletal surgery

2023 Volume 107, Issue 4, Page(s) 439–446

Abstract: Purpose: The aim of this retrospective study was to evaluate the medium-term clinical and radiographic results of current generation metal-on-metal resurfacing prostheses performed through anterolateral approach.: Materials and methods: Fifty-seven ... ...

Abstract	Purpose: The aim of this retrospective study was to evaluate the medium-term clinical and radiographic results of current generation metal-on-metal resurfacing prostheses performed through anterolateral approach. Materials and methods: Fifty-seven hips in 52 patients underwent resurfacing arthroplasty. Two patients died from unrelated causes, leaving 55 hips in 35 males (3 bilateral) and 15 females (2 bilateral), with a mean age at surgery of 56.2 years (range, 27-70 years). Clinical and radiographic assessment was carried out preoperatively and at follow-up in all the survived cases. The cumulative survival rate was determined according to the method of Kaplan-Meier. Results: At a mean follow-up of 5.2 years (range, 1.8-9.1 years), 2 HRs of the same female patient were revised because of early loosening of the acetabular component. Deep venous thrombosis and transient femoral nerve palsy occurred both in 1 case. No specific complications of HR were observed. Average Harris hip score improved significantly from 59.8 points (range, 30.4-90.6) preoperatively to 93.7 points (range, 53-100) at the latest examination. Neck narrowing showed an average of 3.27%, but it never exceeded 10%. Nonprogressive acetabular radiolucencies and osteolysis were detected both in 2 hips. A high rate of patients (32, 60.4%) developed heterotopic ossifications, although low-grade in most cases (27, 84.4%). The cumulative survival rate at 9.1 years with revision for any reason as the end point was 93.0%. Conclusions: The early clinical and radiographic results of modern metal-on-metal hip resurfacing performed through an anterolateral approach are promising, but longer-term follow-up studies are necessary.
MeSH term(s)	Male ; Humans ; Female ; Adult ; Middle Aged ; Aged ; Arthroplasty, Replacement, Hip/methods ; Hip Prosthesis ; Treatment Outcome ; Retrospective Studies ; Metal-on-Metal Joint Prostheses/adverse effects ; Follow-Up Studies ; Reoperation ; Hip Joint/diagnostic imaging ; Hip Joint/surgery ; Prosthesis Failure
Language	English
Publishing date	2023-06-07
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2495458-5
ISSN	2035-5114 ; 2035-5106
ISSN (online)	2035-5114
ISSN	2035-5106
DOI	10.1007/s12306-023-00789-8
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Article ; Online: Subtalar dislocation: a narrative review.

Lugani, G / Rigoni, M / Puddu, L / Santandrea, A / Perusi, F / Mercurio, D / Cont, F / Magnan, B / Cortese, F

Musculoskeletal surgery

2022 Volume 106, Issue 4, Page(s) 337–344

Abstract: Background: Subtalar joint dislocation (1% of all dislocations) is the permanent loss of articular relationships in the talonavicular and talocalcaneal joints, without other involvement of the foot. Dislocation can occur medially (85%), laterally (15%), ...

Abstract	Background: Subtalar joint dislocation (1% of all dislocations) is the permanent loss of articular relationships in the talonavicular and talocalcaneal joints, without other involvement of the foot. Dislocation can occur medially (85%), laterally (15%), posteriorly (2.5%) and anteriorly (1%). Reduction can be performed by closed or open technique; lateral dislocations often require open reduction because of inclusion of soft tissues or bone fragments. Lateral dislocations are frequently complicated by bone exposure, risk of infection and associated soft tissues injuries. Aim of the study: The aim of this study is to explain main characteristics and to clarify the most important pitfalls of subtalar dislocations. Materials and methods: We examined 47 articles published in the last thirty years (389 cases). For each dislocation we reviewed its main characteristics: direction, bone exposure, need for open reduction and for surgical stabilisation, associated injuries and method used for diagnosis. Results: Medial dislocations (68.1%) has greater incidence compared to lateral ones (27.7%). Bone exposure (44.5%), associated lesions (44.5%) and need for surgical reduction (48.2%) are much more represented in lateral dislocation than in the others. Conclusions: Subtalar dislocations, especially the lateral one, represent a challenge for surgeons. Lateral subtalar dislocation occurs following high-energy trauma often involving associated injuries. Closed reduction could be unsuccessful and patients must undergo surgical reduction. After reduction CT scan is recommended. Our narrative review confirms these findings.
MeSH term(s)	Humans ; Subtalar Joint/diagnostic imaging ; Subtalar Joint/surgery ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/etiology ; Joint Dislocations/surgery ; Fractures, Bone/complications ; Tomography, X-Ray Computed
Language	English
Publishing date	2022-04-18
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	2495458-5
ISSN	2035-5114 ; 2035-5106
ISSN (online)	2035-5114
ISSN	2035-5106
DOI	10.1007/s12306-022-00746-x
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Article ; Online: Treatment of Achilles insertional tendinopathy: our surgical procedure and medium-term results.

Lugani, Giovanni / Santandrea, Alessandro / Mercurio, Domenico / Puddu, Leonardo / Silvestri, Jessica / Cortese, Fabrizio

Acta bio-medica : Atenei Parmensis

2023 Volume 94, Issue 2, Page(s) e2023053

Abstract: Background and aim: Achilles insertional tendinopathy (AIT) is a common injury and its pathogenesis is still not entirely clear. It manifests with worsening pain and functional limitations. When conservative treatment fails, surgical treatment is ... ...

Abstract	Background and aim: Achilles insertional tendinopathy (AIT) is a common injury and its pathogenesis is still not entirely clear. It manifests with worsening pain and functional limitations. When conservative treatment fails, surgical treatment is indicated. The purpose of our research is to evaluate the outcome after one year in patients affected by AIT (calcific and non-calcific AIT) who were treated at our centre. Methods: Between 2014 and 2021, 42 patients suffering from AIT - a total of 47 feet - underwent surgery at our centre. The patients filled in the VISA-A and AOFAS questionnaires at the pre-operative consultation and at the clinical check-up after one year of follow up. Results: Of the 47 feet treated, 28 were calcific AITs treated by medial access and tendon reinsertion using a knotless double suture anchor system (Achilles Suture Bridge™) and 19 were non-calcific tendinopathies treated using a lateral paratendinous approach. The one-year clinical results show an increase in VISA-A scores of 48.6 and AOFAS scores of 44.1 and the absence of complications. Only one patient reported a recurrence of certain symptoms and none of the patients were hospitalized for recurrence. Conclusions: The literature is unable to establish a gold standard of treatment for AIT. The method we have used has shown excellent short- and medium-term results without any complications. Further studies are needed to prove its effectiveness in the long term.
MeSH term(s)	Humans ; Retrospective Studies ; Tendinopathy/surgery ; Tendinopathy/diagnosis ; Conservative Treatment ; Neurosurgical Procedures ; Achilles Tendon/surgery ; Achilles Tendon/injuries ; Treatment Outcome
Language	English
Publishing date	2023-04-24
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v94i2.13834
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Article: Maisonneuve fracture treated with suture-button system stabilization combined with plate and arthroscopic assistance (SBPAA): Clinical and radiological evaluation in short-medium period.

Puddu, L / Cortese, F / Fantinato, E / Pescia, S / Fiori, E / Pisanu, F / Doria, C / Santandrea, A / Lugani, G / Mercurio, D / Caggiari, G

Journal of orthopaedics

2023 Volume 46, Page(s) 12–17

Abstract: The aim of this study was to estimate the time needed for patients with Maisonneuve fractures to return to routine activities, after treatment with a suture-button system stabilization combined with plate and arthroscopic assistance (SBPAA).: Methods: ...

Abstract	The aim of this study was to estimate the time needed for patients with Maisonneuve fractures to return to routine activities, after treatment with a suture-button system stabilization combined with plate and arthroscopic assistance (SBPAA). Methods: The study included 13 patients treated at our surgical department from January 2018 to June2022. Specific radiographical follow-up and periodic checks were performed in a short -to-medium term period, to evaluate syndesmosis evolution and tibiofibular overlap with medial clear space (MCS). Results: Progressive recovery and improvement were observed during follow-up from both radiographic and clinical perspective. Data showed that patients were able to return to full weight-bearing walking around the ninth week and to sport activities in 7.5 months. Long-term complications associated with residual joint stiffness, complex regional pain syndrome, or wound complications were observed in three patients. Conclusions: Intraoperative arthroscopy represent a valid diagnostic tool to better recognize and evaluate osteochondral lesions in case of syndesmosys. The study demonstrates the importance of intraoperative arthroscopy for recognizing and treating associated osteochondral lesions with proper syndesmosis evaluation. Plate associated to double TightRope represent valid solution to functionally fix and reduce fractures. Additionally, it imitates the normal syndesmosis's anatomy and provides elasticity and robustness, guaranteeing a rapid return to sporting activity. Data and casuistry support these findings.
Language	English
Publishing date	2023-10-14
Publishing country	India
Document type	Journal Article
ZDB-ID	2240839-3
ISSN	0972-978X
ISSN	0972-978X
DOI	10.1016/j.jor.2023.10.007
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Article: Acute Treatment of Osteochondral Detachment Following Patellar Dislocation: Clinical and Short-Term MRI Follow-Up.

Puddu, Leonardo / Lugani, Giovanni / Perusi, Francesco / Brunialti, Damiano / Cont, Fabrizio / Ciatti, Corrado / Poleggi, Eleonora / Locatelli, Leonardo / Pisanu, Francesco / Doria, Carlo / Cortese, Fabrizio / Caggiari, Gianfilippo

Life (Basel, Switzerland)

2024 Volume 14, Issue 1

Abstract: Background: The aim of our study is to emphasizes the significance of prompt diagnosis and intervention in younger patients affected by osteochondral detachment after patellar dislocation, where the first objective is to minimize in the shortest ... ...

Abstract	Background: The aim of our study is to emphasizes the significance of prompt diagnosis and intervention in younger patients affected by osteochondral detachment after patellar dislocation, where the first objective is to minimize in the shortest possible time complications and ingravescence. The method involves a clinical patient assessment and MRI follow-up in subjects who underwent to an immediate surgical intervention for osteochondral damage. Methods: From January 2020 to December 2022, 22 patellar dislocation cases were assessed; osteochondral lesions were identified in 12 (54%) patients; nine of these patients were treated immediately with knee arthroscopy, while in seven instances the osteochondral fragment was reattached using bioabsorbable pins. Post-operative clinical evaluations were conducted at one-, three-, and six-month intervals; finally, a six-month post-operative MRI was performed for all surgically treated patients. Results: The MRI evaluations, conducted six months post-operation for all seven patients, indicated successful integration of the reattached osteochondral fragment. Every patient returned to their pre-injury activities after surgery. However, two of them reported mild pain in the anterior region of the knee post-surgery. Conclusions: in young patients, swift diagnosis and immediate surgical intervention for osteochondral detachment resulting from patellar dislocation are crucial. This approach has been identified as the best practice, since it substantially minimizes immediate functional restrictions and significantly lowers the long-term risk of femoral-patellar osteoarthritis.
Language	English
Publishing date	2024-01-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662250-6
ISSN	2075-1729
ISSN	2075-1729
DOI	10.3390/life14010085
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Article ; Online: Delayed diagnosis and treatment of a psoas abscess as a link between spondylodiscitis and septic necrosis of the femoral head: a case report.

Scaglia, Marco / Lugani, Giovanni / Cassini, Marco / Ambrosini, Carlo / Magnan, Bruno

Acta bio-medica : Atenei Parmensis

2020 Volume 91, Issue 4-S, Page(s) 241–247

Abstract: Background: Infections of the spine and hip joint are not common and, as described in literature, they are occasionally linked by a psoas abscess. In patients suffering back pain with history of spondylodiscitis, the spine as primary source of infection ...

Abstract	Background: Infections of the spine and hip joint are not common and, as described in literature, they are occasionally linked by a psoas abscess. In patients suffering back pain with history of spondylodiscitis, the spine as primary source of infection for a secondary psoas abscess should always be included in differential diagnosis. A delay in diagnosis of the psoas abscess could lead to septic femoral head necrosis. Case report: A case of a 65-year-old woman affected by septic femoral head necrosis due to spondylodiscitis and secondary psoas abscess is reported; the patient needed a specific antibiotic therapy then undergoing a total hip arthroplasty(THA). Discussion and conclusion: Diagnoses of lumbar spine infection and psoas abscess are difficultand often delayed. Since the symptoms of both are non-specific, high degree of suspicious is necessary. In psoas abscess, an early diagnosis is important, because a delayed treatment could result in septic femoral head necrosis requiring both a prolonged antibiotic therapy and a THA.
MeSH term(s)	Aged ; Delayed Diagnosis ; Discitis/etiology ; Female ; Femur Head Necrosis/etiology ; Humans ; Lumbar Vertebrae ; Psoas Abscess/complications ; Psoas Abscess/diagnosis ; Psoas Abscess/therapy ; Sepsis/etiology ; Time-to-Treatment
Language	English
Publishing date	2020-05-30
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v91i4-S.9627
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Article ; Online: Early complication of a subtrochanteric periprosthetic fracture following hip resurfacing. Is varus healing acceptable? A case report and literature review.

Lugani, Giovanni / Santandrea, Alessandro / Puddu, Leonardo / Rigoni, Massimo / Cont, Fabrizio / Magnan, Bruno / Cortese, Fabrizio

Acta bio-medica : Atenei Parmensis

2021 Volume 92, Issue S1, Page(s) e2021259

Abstract: Background: The increase in the incidence of osteoarthritis of the hip (coxarthrosis) in young patients with high functionality requirements and the development of new materials in the last twenty years have resulted in an increase in the number of ... ...

Abstract	Background: The increase in the incidence of osteoarthritis of the hip (coxarthrosis) in young patients with high functionality requirements and the development of new materials in the last twenty years have resulted in an increase in the number of surgeries involving hip resurfacing procedures. There has also been an increase in associated periprosthetic fractures, which currently occur in 1%-2% of cases. According to the medical literature, fractures of this type can be treated conservatively, using reduction and synthesis or through prosthetic revision. Case report: Patient aged 69 years who had undergone resurfacing of the right hip ten years previously, who came to our attention as a result of direct contusion trauma with x-ray evidence of a periprosthetic fracture in the subtrochanteric region. We treated the fracture by preserving the prosthesis and performing osteosynthesis using a plate and screws. After two months the synthesis was complicated by breakage of a proximal screw and varus collapse of the fracture. We treated this complication conservatively by adjusting the weight-bearing regime and administering physical and drug therapy. Six months after the fracture, despite the residual varus displacement and the less than stellar x-ray result, the clinical outcome was satisfactory. Discussion and conclusions: Treatment of periprosthetic fractures following hip resurfacing is often technically complex. The major difficulties arise from the presence of prosthetic components and the limited bone stock available. Fractures often affect the neck of the femur and the trochanteric region, and in rare cases there is involvement of the subtrochanteric region. Our review confirms this trend and raises the question as to which method of synthesis is ideal for a fracture pattern so rarely described in the literature.
MeSH term(s)	Arthroplasty, Replacement, Hip/adverse effects ; Femoral Fractures/surgery ; Fracture Fixation, Internal ; Fracture Healing ; Hip Fractures/diagnostic imaging ; Hip Fractures/etiology ; Hip Fractures/surgery ; Humans ; Osteoarthritis, Hip/diagnostic imaging ; Osteoarthritis, Hip/etiology ; Osteoarthritis, Hip/surgery ; Periprosthetic Fractures/diagnostic imaging ; Periprosthetic Fractures/etiology ; Periprosthetic Fractures/surgery
Language	English
Publishing date	2021-11-04
Publishing country	Italy
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v92iS1.11737
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Article ; Online: Post-traumatic cystic lesion following radius fracture: a case report and literature review.

Samaila, Elena Manuela / Ditta, Alessandro / Lugani, Giovanni / Regis, Dario / Leigheb, Massimiliano / Magnan, Bruno

Acta bio-medica : Atenei Parmensis

2019 Volume 90, Issue 12-S, Page(s) 162–166

Abstract: Background: Post-traumatic osseous cystic lesions represent a rare complication in children. Usually a post-fracture cyst is a lipid inclusion cyst, which is radiolucent and may be seen adjacent to a healing torus fracture. It is typically asymptomatic ... ...

Abstract	Background: Post-traumatic osseous cystic lesions represent a rare complication in children. Usually a post-fracture cyst is a lipid inclusion cyst, which is radiolucent and may be seen adjacent to a healing torus fracture. It is typically asymptomatic and appears just proximal to the fracture line within the area of subperiosteal new bone formation. Case report: We report a case of post-fracture cyst of the distal radius in an 8 year-old girl with spontaneous resolution. A fat-fluid level within the subperiosteal cystic lesion in MRI is a typical feature of post-traumatic cystic lesion in children. Discussion and conclusion: MRI or CT scan is sufficient to confirm the diagnosis of post-traumatic cystic lesions without the need for further management other than reassurance and advise that they may occasionally cause discomfort but resolve with time.
MeSH term(s)	Bone Cysts/diagnostic imaging ; Bone Cysts/etiology ; Child ; Female ; Humans ; Magnetic Resonance Imaging ; Radius Fractures/complications ; Radius Fractures/diagnostic imaging
Language	English
Publishing date	2019-12-05
Publishing country	Italy
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v90i12-S.8940
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