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  1. Article ; Online: Is the Number of Citations Related to the Study Methodology in Shoulder Arthroplasty Literature? A Bibliometric and Statistical Analysis of Current Evidence.

    de Giovanni, Roberto / Guarino, Amedeo / Rossi, Valentina / Bruzzese, Dario / Mariconda, Massimo / Cozzolino, Andrea

    Journal of shoulder and elbow arthroplasty

    2024  Volume 8, Page(s) 24715492231223346

    Abstract: Background: We reviewed the shoulder arthroplasty (SA) literature to correlate citations, methodological characteristics and quality of most-cited articles in this field. We hypothesized that a greater number of citations would be found for high-quality ...

    Abstract Background: We reviewed the shoulder arthroplasty (SA) literature to correlate citations, methodological characteristics and quality of most-cited articles in this field. We hypothesized that a greater number of citations would be found for high-quality clinical studies.
    Methods: We searched the Web of Knowledge database for the 50 most-cited articles about SA and collected author name, publication year, country of origin, journal, article type, level of evidence (LoE), subject of paper, type of arthroplasty and metrics (number of citations and citation rate). Coleman Methodology Score (CMS) was computed for clinical articles. Statistical analysis of variance and correlation coefficients were used to investigate the relationship between different variables.
    Results: Out of the selected 50 studies on SA, 26% were nonclinical. There were 15,393 citations overall (mean 307.8), with a mean 19.5 citations per year (range 48.3-6.7). Thirty or 60% of all articles were LoE IV. All studies were published between 1984 and 2011 in 8 journals. Reverse SA (RSA) was the most common subject (36% of studies). The United States was the country responsible for most contributions (50% of studies). CMS ranged from 81 to 38 (mean 59.6). RSA received the highest number of citations (
    Conclusion: In SA literature, citation rate positively correlates with methodological quality of a study, independently from publication country and LoE. Among most-cited papers, RSA is the most common standalone subject.
    Language English
    Publishing date 2024-01-05
    Publishing country United States
    Document type Journal Article
    ISSN 2471-5492
    ISSN (online) 2471-5492
    DOI 10.1177/24715492231223346
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Arthroscopic Latarjet Versus Arthroscopic Free Bone Block Procedures for Anterior Shoulder Instability: A Proportional Meta-analysis Comparing Recurrence, Complication, and Reoperation Rates.

    Cozzolino, Andrea / de Giovanni, Roberto / Malfi, Paolofrancesco / Bernasconi, Alessio / Scarpa, Simona / Smeraglia, Francesco / Russo, Raffaele / Mariconda, Massimo

    The American journal of sports medicine

    2024  , Page(s) 3635465231188530

    Abstract: Background: Several arthroscopic glenoid bone augmentation techniques have been introduced to treat patients affected by anterior shoulder instability associated with critical bone loss. The efficacy of the different arthroscopic bony procedures has not ...

    Abstract Background: Several arthroscopic glenoid bone augmentation techniques have been introduced to treat patients affected by anterior shoulder instability associated with critical bone loss. The efficacy of the different arthroscopic bony procedures has not been compared yet.
    Purpose: To compare the recurrence, complication, and reoperation rates of the arthroscopic Latarjet (AL) and arthroscopic free bone block (ABB) procedures for anterior shoulder instability.
    Study design: Meta-analysis and systematic review; Level of evidence, 4.
    Methods: A systematic search was conducted in MEDLINE/PubMed, Web of Science, and Embase to identify clinical studies reporting the outcomes of the AL and ABB procedures. The following search phrases were used: "Arthroscopic" AND "Bone Block" OR "Bone Graft," and "Arthroscopic" AND "Glenoid Augmentation" OR "Glenoid Reconstruction," and "Arthroscopic" AND "Latarjet" OR "Coracoid Graft" OR "Coracoid Transfer." Exclusion criteria were <24 months of minimum follow-up, sample size <10 cases, revision after previous glenoid bone grafting, epilepsy, and multidirectional instability. Data regarding the study design, patient characteristics, surgical technique, and outcomes were extracted and analyzed. A proportional meta-analysis was conducted to compare the complication, recurrence, and reoperation rates between the 2 groups. Multiple subgroup analyses were performed to analyze the incidence of each complication and assess the weight of different fixation methods (in the whole cohort) or different graft types (in the ABB group). The modified Coleman Methodology Score was used to assess the risk of bias.
    Results: Of 5010 potentially relevant studies, 18 studies regarding the AL procedure (908 cases) and 15 studies regarding the ABB procedure (469 cases) were included. The 2 groups were comparable in age (
    Conclusion: The AL and ABB procedures had similar recurrence, reoperation, and complication rates. Screw fixation of the bone graft was related to an increased risk of complications compared with flexible fixation.
    Registration: CRD42022368153 (PROSPERO).
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197482-8
    ISSN 1552-3365 ; 0363-5465
    ISSN (online) 1552-3365
    ISSN 0363-5465
    DOI 10.1177/03635465231188530
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Computed tomography improves the diagnostic accuracy but not the interobserver reliability of the Boileau classification of proximal humerus fracture sequelae.

    Cozzolino, Andrea / Malfi, Paolofrancesco / de Giovanni, Roberto / Fedele, Alfonso / Rusconi, Giovanni / Guarino, Amedeo / Di Pietto, Francesco / Russo, Raffaele

    Shoulder & elbow

    2023  Volume 15, Issue 6, Page(s) 634–640

    Abstract: Background: The aim of this study was to investigate the impact of computed tomography on the reliability of Boileau classification for proximal humerus fracture sequelae.: Methods: A prospective study was designed using STARD guidelines. We included ...

    Abstract Background: The aim of this study was to investigate the impact of computed tomography on the reliability of Boileau classification for proximal humerus fracture sequelae.
    Methods: A prospective study was designed using STARD guidelines. We included all patients diagnosed with proximal humerus fracture sequelae who underwent surgery at our institution between 2017 and 2021. Preoperative radiographs and computed tomography scans were reviewed by three independent observers. Intra- and inter-observer reliability and the diagnostic accuracy of radiographs and computed tomography scans in detecting chronic dislocation, nonunion, and severe greater tuberosity dislocation were assessed.
    Results: Fifty-two patients were included in the study. The overall interobserver agreement was low on both radiographs and computed tomography scans. On radiographic images, we found a sensitivity of 97%, 88.9%, and 84.1%, and a specificity of 58.3%, 40%, and 53.3% to detect chronic dislocation, nonunion, and greater tuberosity dislocation, respectively. On computed tomography scans we reported a sensitivity of 100%, 96.8%, and 93.7%, and a specificity of 91.7%, 86.7%, and 93.3% to detect chronic dislocation, nonunion, and greater tuberosity dislocation, respectively.
    Discussion: Computed tomography scan was more specific than radiographs in the assessment of proximal humerus fracture sequelae. However, even using a three-dimensional evaluation of the deformity, the Boileau classification had a poor interobserver reliability.
    Level of evidence: I. Testing previously developed diagnostic criteria in a consecutive series of patients and a universally applied "gold standard."
    Language English
    Publishing date 2023-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2503275-6
    ISSN 1758-5732
    ISSN 1758-5732
    DOI 10.1177/17585732221150785
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Debridement and implant retention in acute hematogenous periprosthetic joint infection after knee arthroplasty: a systematic review.

    Balato, Giovanni / Ascione, Tiziana / de Matteo, Vincenzo / Lenzi, Marco / Amato, Massimiliano / de Giovanni, Roberto / Festa, Enrico / Mariconda, Massimo

    Orthopedic reviews

    2022  Volume 14, Issue 2, Page(s) 33670

    Abstract: Debridement, antibiotic, and implant retention (DAIR) can be used as a first surgical procedure for acute infections in patients who have well-fixed components. However, its use in hematogenous or late acute infections is still debated. This systematic ... ...

    Abstract Debridement, antibiotic, and implant retention (DAIR) can be used as a first surgical procedure for acute infections in patients who have well-fixed components. However, its use in hematogenous or late acute infections is still debated. This systematic review of literature aims to clarify the effectiveness of DAIR procedure in the treatment of hematogenous periprosthetic knee infections. DAIR is an effective way to treat acute hematogenous PJIs of the knee and reaches its best efficacy when performed within one week from the onset of symptoms, modular components are exchanged, and a pathogen-oriented antibiotic therapy can be set. It is safe, economic, and effective technique, but has to be performed in a very narrow temporal window.
    Language English
    Publishing date 2022-04-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2508171-8
    ISSN 2035-8164 ; 2035-8164
    ISSN (online) 2035-8164
    ISSN 2035-8164
    DOI 10.52965/001c.33670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Management of septic arthritis of the hip joint in adults. A systematic review of the literature.

    Balato, Giovanni / de Matteo, Vincenzo / Ascione, Tiziana / de Giovanni, Roberto / Marano, Ernesto / Rizzo, Maria / Mariconda, Massimo

    BMC musculoskeletal disorders

    2021  Volume 22, Issue Suppl 2, Page(s) 1006

    Abstract: Background: The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two- ... ...

    Abstract Background: The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two-stage total hip replacement. Each technique reports variable results in terms of infection eradication rate. The aim of this systematic review is to compare the most relevant studies available in current literature and to assess if a better treatment outcome can be predicted based on the microbiology, history, and type of infection (active vs quiescent) of each case.
    Methods: A systematic review of the literature was performed in accordance with the PRISMA guidelines, including the studies dealing with the treatment of hip septic arthritis in adult patients. Electronic databases, namely the MEDLINE, Scopus, and Web of Science, were reviewed using a combination of following keywords "septic arthritis" AND "hip joint" OR "hip" AND "adult".
    Results: The total number of patients included in this review was 1236 (45% of which females), for 1238 hips. The most common pathogen isolated was Staphylococcus aureus in its Methicillin-sensitive variant ranging from 2 to 37% of cases. Negative cultures were the second most common finding. It was also differentiated the type of infection of the hip, 809 and 417 patients with active and quiescent hip infection, respectively, were analyzed. Eradication rates for two-stage revision arthroplasty ranged between 85 and 100%, for one-stage approach between 94 and 100%, while for arthroscopic debridement/lavage between 89 and 100%.
    Conclusion: Staphylococcus aureus is the most common microorganism isolated followed by culture negative infections. Arthroscopic, one and two stage procedures can be effective in the treatment of hip septic arthritis when the indication is consistent with the type of infection retrieved.
    Level of evidence: IV, therapeutic study.
    MeSH term(s) Arthritis, Infectious/diagnosis ; Arthritis, Infectious/epidemiology ; Arthritis, Infectious/therapy ; Arthroplasty, Replacement, Hip/adverse effects ; Arthroscopy ; Debridement ; Female ; Hip Joint/surgery ; Humans ; Retrospective Studies ; Staphylococcal Infections/diagnosis ; Staphylococcal Infections/epidemiology ; Staphylococcal Infections/therapy ; Treatment Outcome
    Language English
    Publishing date 2021-12-02
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2041355-5
    ISSN 1471-2474 ; 1471-2474
    ISSN (online) 1471-2474
    ISSN 1471-2474
    DOI 10.1186/s12891-021-04843-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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