About
122
Publications
42,032
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,465
Citations
Introduction
Publications
Publications (122)
Robotic-assisted hip and knee arthroplasty represents significant advancements in orthopedic surgery. Artificial intelligence (AI)-driven chatbots, such as ChatGPT, could play a significant role in healthcare education. This study aims to evaluate the quality of responses provided by ChatGPT to the top 20 questions concerning robotic-assisted hip a...
Robotic-assisted hip and knee arthroplasty represents significant advancements in orthopedic surgery. Artificial intelligence (AI) - driven chatbots, such ChatGP, plays a significant role in healthcare education. This study aims to evaluate the quality of responses provided by ChatGPT to the top 20 questions concerning robotic-assisted hip and knee...
ChatGPT is an artificial intelligence (AI) powered chatbot trained on vast human language databases able to generate human-like answers to a wide variety of questions and topics. It uses natural language processing and machine learning algorithms to understand and answer users' questions simulating human interaction. ChatGPT has recently received w...
Background and objective: Osteoarthritis is one of the most prevalent causes of disability worldwide. The presence of subchondral bone marrow edema has a negative prognostic significance in the evolution of osteoarthritis. A novel approach, called subchondroplasty, has been proposed to address the subchondral bone marrow edema, stimulate the subcho...
Background
Persistent posttraumatic/postsurgery ankle edema (PPAE) is edema that persists from 2 weeks to 3 months after injury or surgery. PPAE has negative effects on the healing process and quality of life. This study aimed to evaluate the efficacy of a phytochemical product containing diosmin, coumarin, and arbutin (Linfadren) in addition to th...
Introduction:
Total knee arthroplasty is an effective operation. Post-surgery rehabilitation, based on early and intensive progressive exercise programs, plays a substantial role and telerehabilitation can be an effective safe option. This retrospective study aimed to compare traditional in-presence rehabilitation and telerehabilitation for total...
Introduction:
Tibial spine avulsion injury, tibial eminence injury, tibial spine fracture, and anterior cruciate ligament (ACL) avulsion are multiple terms that express the same pathological condition. It can be encountered both in the pediatric and adult population. A wide array of surgical techniques have been proposed to manage displaced tibial...
A comprehensive and comparable assessment of the outcomes following hip surgery, or any other treatment, is still a difficult task for orthopedic surgeons and all other physicians and physiotherapists involved. In the last 30 years, orthopedic surgeons, trying to overcome this barrier, have invited the patients to be much more interactive in their...
Background and aim:
Cyclops Syndrome, first described by Jackson and Schaefer in 1990, is known as a complication of anterior cruciate ligament reconstruction (ACLR). However further researches have demonstrated that cyclops can be present even without symptoms and/or in absence of ACLR, simply configuring itself as a lesion in patients with ruptu...
Background
Compare all-suture anchors to traditional anchors through clinical and radiological evaluation at pre-established end-points.
Materials and methods
We performed a two-arms non-inferiority study on all-suture anchor (2.3 iconix™, Stryker) device with respect to traditional anchor (5.5 healix Advance™ BR, Depuy/Mitek) device under unpaire...
Introduction: Total knee arthroplasty (TKA) is a reliable and widespread solution for knee osteoarthritis treatment, but about 20% of the patients complains of persisting pain. Neuroma formation in the IPBSN (infrapatellar branch of the saphenous nerve) is an undervalued cause of persistent anterior pain after TKA. The aim of this study was to eval...
Amniotic fluid represents a new and promising source of engraftable stem cells. The purpose of this study was to investigate the in vitro effects of platelet-rich plasma (PRP) on amniotic-fluid-derived stem cells (AFSCs) on chondrogenic or osteogenic differentiation potential. Amniotic fluid samples were obtained from women undergoing amniocentesis...
The emphasis on value-based payment models for primary total hip replacement (THA) results in a greater need for orthopaedic surgeons and hospitals to better understand actual costs and resource use. Time-Driven Activity-Based Costing (TDABC) is an innovative approach to measure expenses more accurately and address cost challenges. It estimates the...
Introduction. Arthroplasty registries are widely recognized as an effective tool, providing a constant flow of data that can guide the clinical practice of orthopedic surgeons. Despite their usefulness, their implementation in Italy has historically proved to be laborious. In fact, many surgeons are unwilling to participate, claiming as reason for...
Objective. The purpose of the present study was to estimate the diagnostic accuracy of a spectrum of physical examination tests, explaining how to perform them and compare them with arthroscopic findings to identify which have the best ability to accurately detect a subscapularis tear in a population of primary care patients with shoulder pain. Met...
Objective. Patellar tendinopathy typically affects young athletes engaged in running and jumping activities. If conservative therapy fails at one year, surgery generally leads to therapeutic success. This study evaluated the clinical effectiveness of the “peignage” technique combined with PRP infiltration. Methods. Since 2018 we have treated 7 acti...
Objective: The evolution of new prosthetic and osteosynthesis devices has led to better outcomes and therefore more frequent surgical indications. As a consequence, an increased incidence of complications such as infections or aseptic mobilization in orthopaedic and trauma surgery are being recorded in general population.
The MicroDTTect is a quick...
Background and aim
sport activity has been largely correlated to the development of knee osteoarthritis, but only few papers have investigated the long-term impact of a rugby career on the knee joint. The aim of this retrospective study was to evaluate the incidence and epidemiology of knee osteoarthritis and general health in a population of 65 re...
Arthroscopy has historically proved to allow accurate evaluation of the intra-articular structures of the knee, thanks the possibility of direct vision and palpation, and reduced perioperative morbidity. Over the last decade, the diagnostic role of arthroscopy has been further increased by its quite effective use in the treatment of the lesions. Th...
Background. This study aims to compare the effects of platelet-rich plasma (PRP) alone or in combination with adipose-derived mesenchymal stem cells (AD-MSCs) in patients affected by cartilage defects, undergoing knee arthroscopic microfracture. Methods. Thirty-eight patients diagnosed with a knee monocompartmental cartilage defect (Outerbridge gra...
The Italian government on the 8th of march in response to the increased global prevalenceof severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) stated a national quarantine. In this period the absence of rapid and sure screening tests for COVID-19 made necessary more attention for presence of fever in hospitalized patients, like continuous...
Objective
Regenerative medicine is experiencing a strong expansion worldwide, including the treatment of some common orthopedic pathologies, with an increase in physicians adopting these technologies. This growing interest has been associated with an equally significant spread of websites dedicated to public information on this topic, often lacking...
Abstract Background High tibial osteotomy (HTO) provides reliable and good long-term results, if performed with correct indications, but different techniques and types of fixation have been described. The purpose of this study is to present a novel modified biplanar medial opening-wedge (MOW) HTO technique where the osteotomies are performed in a Z...
The persistence of pain at the fracture site and the absence of bone callus at X-ray controls are the univocal criteria for diagnosis of nonunion. When this failure befalls, the healing process has stopped and the fracture is no longer able to consolidate without surgery. The aim of this review is to investigate the use and outcomes of the Exchange...
Chronic periprosthetic joint infection (PJI) is one of the most relevant complications in orthopaedic surgery, especially in the case of limb reconstruction with megaprostheses after malignant tumoral resection. This is the report of a case of a 35-year-old patient, affected by a chronic PJI around a knee megaprosthesis implanted after the resectio...
Background
Our purpose was to evaluate the clinical and radiographic outcomes of proximal humeral fractures treated with a new generation plating system and compare results with a meta-analysis of recent literature.
Methods
Between 2014 and 2017, 93 patients (18 males, 75 females) with proximal humerus fractures were treated with open reduction an...
Mast cells (MCs) are hematopoietic cells developed from bone marrow progenitors in response to the ligand stem cell factor, a trans-membrane tyrosine kinase kit receptor. MCs are located virtually in all vascularized tissues and in proximity to neurons and play a decisive role in both innate and adaptive immune responses. Their activation is involv...
Background and purpose — The main purpose of arthroplasty registries is to collect information on patients, techniques, and devices to monitor and improve the outcome of the specific procedure. This study analyses the role played by registries in the orthopedic research community and describes publication trends, characteristics, and patterns of th...
Acute severe respiratory syndrome coronavirus-2 (SARS-CoV-2) infection causes coronavirus disease-2019 (COVID-19) which is associated with inflammation, thrombosis edema, hemorrhage, intra-alveolar fibrin deposition, and vascular and pulmonary damage. In COVID-19, the coronavirus activates macrophages by inducing the generation of pro-inflammatory...
Infection with SARS-CoV2 leads to COVID-19, the severity of which derives from the host’s immune response, especially the release of a storm of pro-inflammatory cytokines. This coronavirus infects by first binding to the ectoenzyme Angiotensin Converting Enzyme 2 (ACE2), a serine protease acting as the receptor, while another serine protease is nec...
A novel strain of coronavirus (SARS-CoV-2) is challenging the global healthcare system. It has affected about 100,000,000 people to date, resulting in about 2,300,000 deaths worldwide. This study aims to evaluate the impact of coronavirus disease 2019 (Covid-19) on the activity of the Orthopaedic and Traumatology department in an Italian Covid-hosp...
Introduction
The aim of this study is to evaluate clinical, radiographic and laboratory results of ceramic-on-metal (CoM) (hybrid hard bearing) in total hip arthroplasty (THA), associated with a short stem implant.
Methods
From a cohort of 37 patients suffering from primary or secondary hip osteoarthritis who underwent THA using CoM bearing, 19 we...
Traumatic dislocation of the pisiform bone (PB) is a rare injury of the carpal bones, especially in pediatric patients. A few cases were reported, and there is no consensus about the treatment. Each author supports his own method, such as an open reduction internal fixation (ORIF) approach or a closed reduction. However, failures of both techniques...
Purpose: Snapping hip is a common clinical condition, characterized by an audible or palpable snap of the hip joint. When the snap is perceived at the lateral side of the hip, this condition is known as external snapping hip or lateral coxa saltans, which is usually asymptomatic. Snapping hip syndrome (SHS) refers to a painful snap, which is more c...
Background
The number of periprosthetic joint infections (PJI) is continuously increasing because of the increasing number of arthroprostheses performed every year. Two-stage revision, using antibiotic-loaded spacers, remains the gold standard for their treatment. The aim of our study is to compare the use of preformed vs hand-made spacers in hip a...
The os acetabuli (OSA) is a bone fragment located at the acetabular rim. In most cases, it is observed at the anterior or anterosuperior edge of the acetabular rim. The etiology has been discussed for a long time. It could be the result of a stress fracture (rim fracture) due to acetabular rim overloading in some case of dysplasia or femoroacetabul...
Arthroplasty registries represent a fundamental tool for the production of evidence in total joint replacement. Italy started in 2005 a national registry (Italian Arthroplasty Registry - RIAP) organised as federation of regional registries under the coordination of the Istituto Superiore di Sanità. However, data collection still appears to be harde...
We report a case of bilateral displaced acetabular fractures including both columns fractures with protrusio acetabuli in a female patient, aged 15 years, with osteogenesis imperfecta (OI) (Sillence Type I), epilepsy, blue sclera and bilateral ipoacusia. Since OI is a rare genetic disorder characterized by an increased propensity to osteopenia, int...
We describe a novel surgical technique developed to enhance the classical irrigation and debridement procedure to improve the possibilities of retaining an infected TKA in case of periprosthetic joint infection (PJI). This technique, Debridement Antibiotic Pearls and Retention of the Implant (DAPRI) aims to remove the intra-articular biofilm allowi...
We describe a novel surgical technique developed to enhance the classical irrigation and debridement procedure to improve the possibilities of retaining an infected TKA in case of periprosthetic joint infection (PJI). This technique, Debridement Antibiotic Pearls and Retention of the Implant (DAPRI) aims to remove the intra-articular biofilm allowi...
Background:
Metal-on-Metal (MoM) total hip arthroplasty (THA) represents a very controversial procedure because of the possibility of postoperative adverse local tissue reaction (ALTR). This study investigates the reliability of the ultrasound scan as a diagnostic tool to quantify a clinically useful threshold in the level of periprosthetic fluid...
Recent studies have reported equivalent outcomes of arthroscopic and open shoulder stabilization. However, surgical strategy for shoulder instability is a challenging and controversial problem for surgeons that have to treat collision sport athletes. In fact, only few studies support the arthroscopic surgery for this group of patients. The aim of t...
The meniscal pathology of the knee is one of the clinical realities the orthopedic surgeon must daily confront with. The diagnosis is generally both clinical and instrumental; among the different diagnostic imaging techniques, Magnetic Resonance Imaging (MRI) appears to be the most accurate method regarding sensitivity and specificity for the study...
The arthroscopic technique has revolutionized orthopaedic surgery in the last forty years, due to the improvement in surgical technique and innovations in technologies. Actually, knee and shoulder arthroscopy are commonly used to treat the most frequent pathologies with mini-invasive approaches demonstrate recovery of function and outcomes. Not the...
Background
Only few studies have investigated the effect of topical application of tranexamic acid (TXA) on “minimally” invasive joint surgical procedures in which articular cartilage is preserved; for this reason, actually many surgeons avoid the use of topical TXA even if the disadvantage related to a blood loss can occur. The aim of this study w...
Introduction:
Total knee arthroplasty (TKA) is a common procedure for improving mobility and quality of life in patients with osteoarthritis. Postoperative pain control management after TKA is still a concern as it relates to patients satisfaction and functional recovery.Many anesthetic regimens and techniques have been explored to decrease postop...
Introduction: Chondrocalcinosis is a pathological condition characterized by the presence of calcium pyrophosphate dihydrate (CPPD) crystal deposition in the soft tissues. Even if knee articular cartilage is the most involved anatomical area, different kind of tissue and joint can be affected by this disorder. Methods: The aim of this manuscript is...
Trochanteric fractures are common in elderly patients with osteoporosis and are surgically treated to facilitate early rehabilitation and to prevent lodging-related comorbidities. Nonunion and hardware breakage of intertrochanteric hip fractures is a relatively rare occurrence resulting from an incorrect surgical procedure. We present a case of ZNN...
Chondrocalcinosis is a crystal-induced arthropathy characterized
by calcium pyrophosphate dihydrate (CPPD) crystal
deposition in the connective tissues, and it is strictly correlated
to aging, one of the most important risk factors. The
articular cartilage of the knee, where the crystal deposition is
associated to inflammation and tissue degenerati...
PurposeAppropriate surgical management for type V complete acromioclavicular (AC) joint dislocation remains controversial. The purpose of this paper is to retrospectively report the clinical and radiographic outcomes of an open surgical technique consisting for AC joint ligamentous and capsular reconstruction using autologous hamstring tendon graft...
Objective:
The aim of the present prospective study was to evaluate the usefulness of labeled leukocyte scan as a guide to open biopsy for the management of hip and knee prosthesis infection in patients without loosening of orthopedic device.
Methods:
Twenty-six patients with suspected hip (24) and knee (2) prosthesis infection underwent routine...
Background:
The gastrocnemius-semimembranosus bursa may communicate with the knee joint. The arthroscopic anatomy of the posteromedial aspect varies depending on the angle of the oblique popliteal ligament, the level at which it crosses the medial gastrocnemius tendon, and its relationship with the capsular joint and synovia. The aim of this paper...
Background and purpose:
Rupture of the anterior and middle deltoid muscle associated with rotator cuff tear arthropathy (RCA) could result in a definitive loss of shoulder function. The purpose of this study was to evaluate clinical outcomes after a concomitant reverse shoulder arthroplasty (RSA) and deltoid repair under these circumstances.
Mate...
Purpose:
the aim of this study was to describe and compare the clinical results obtained in patients affected by chondral lesions of the knee submitted to an arthroscopic treatment with the microfracture technique or microfracture + intraoperative autologous platelet-rich plasma (PRP) injection.
Methods:
a prospective observational study was per...
Rugby is one of the most popular sports in the world, and it is played at different levels of participation. This sport is characterised by physical collisions and by intense muscle strain: because of these causes, rugby players run the risk of numerous and severe injuries. Injury in rugby is defined as “… any pain or disability that occurs during...
Single bundle, single tunnel reconstruction of ACL seems to be an “old procedure” after the recent development and knowledge about anatomical reconstructions of ACL (single or double bundle). Despite the new trend, prospective long-term follow-up studies on the single bundle reconstruction are necessary to get more information on a technique that h...
Since tendon injuries and tendinopathy are a growing problem, sometimes requiring surgery, new strategies that improve conservative therapies are needed. Platelet-rich plasma (PRP) seems to be a good candidate by virtue of its high content of growth factors, most of which are involved in tendon healing. This study aimed to evaluate if different con...
PURPOSE
To prove that weight-bearing (WB)-MRI may unmask a patello-femoral maltracking with respect to standard-MRI and to define which measurement of patellar alignment is the most reliable.
METHOD AND MATERIALS
Since November 2011 we collected 95 patients (age 16-26 years), divided, on the basis of clinical tests (patello-femoral grind, patellar...
PURPOSE
Arthro-MRI is proven to be the diagnostic gold standard in the evaluation of biceps pulley anatomy and lesions. The purpose of our study was to evaluate the added value of the internal and external rotation during arthro-MRI scans in identifying the LHBT instability and the possible development of an antero-superior impingment (ASI).
METHO...
PURPOSE
To determine prospectively the role of 1.5 T, dedicated low-field standard and upright-MRI in the evaluation of stable or unstable degenerative tears of medial meniscus in comparison with arthroscopy.
METHOD AND MATERIALS
Our series included 2700 knee MRI scans performed with a high field MRI scanner from January 2010 to March 2013. On the...
Background
Among the various complications described in literature, the patellar tendon ossification is an uncommon occurrence in anterior cruciate ligament (ACL) reconstruction using bone – patellar tendon – bone graft (BPTB). The heterotopic ossification is linked to knee traumatism, intramedullary nailing of the tibia and after partial patellect...
To assess the role of dedicated low-field standard and weight-bearing MRI in the evaluation of stable or unstable tears of medial meniscus in comparison with arthroscopy. Our series included 1750 knee MRI scans performed with a high-field MRI scanner from July 2010 to August 2011. We retrospectively reviewed and analyzed 20 MRI exams of normal knee...
Descriptive, prospective, longitudinal single-cohort study.
To investigate the rate of force development to 30% (RFD30), 50% (RFD50), and 90% (RFD90) of maximal voluntary isometric contraction (MVIC) as an adjunct outcome measure for determining readiness for return to sport following an anterior cruciate ligament (ACL) reconstruction.
One criterio...
Tenosynovial giant cell tumors originate from the synovial tissue of the joints, tendon sheaths, mucosal bursas, and fibrous tissues adjacent to tendons. The disease presents in localized and diffused forms. Large joints, such as the knee, are not frequently affected. Magnetic resonance imaging has been reported to be the best noninvasive technique...
Purpose:
This study aimed to evaluate the diagnostic possibilities of MR arthrography in the correct identification of complex tears of the biceps pulley and their possible correlation with anterosuperior impingement (ASI) development.
Materials and methods:
MR arthrography examinations of 23 athletes with clinical suspicion of ASI were reviewed...
Clinical measurement study.
To translate and cross-culturally adapt the Western Ontario Shoulder Instability Index (WOSI) into Italian, and to evaluate its measurement properties in patients with shoulder instability secondary to a first-time traumatic anterior dislocation.
The WOSI was developed for English-speaking patients. To date, no Italian v...
Although extracorporeal shock-wave therapy (ESWT)1 has been used extensively for treatment of nonunions of bone fractures (1), this treatment fails in many patients. Plain radiography remains the gold-standard approach for monitoring nonunion healing. Biochemical bone markers, however, may provide information regarding the effects of treatment earl...
A systematic literature search for evidences comparing treatment effect and harm of resurfacing versus nonresurfacing the patella in total knee arthroplasty was conducted and yielded five meta-analysis (MA), one systematic review (SR) and six randomized controlled trials not included in previous MAs/SR. The evidence suggests that patellar resurfaci...
Health-related quality of life (HRQoL) in anterior cruciate ligament (ACL) insufficiency has not been assessed in comorbid-free patients to date. An observational study was therefore conducted on a practice-based sample to test the hypothesis that SF-36 scoring in patients with chronic ACL insufficiency differs from the age- and gender-matched Ital...