The current state of the fellowship examination of the European Board of Orthopaedics and Traumatology (EBOT)
Abstract The fellowship examination of the European Board of Orthopaedics and Traumatology (EBOT) has been designed to standardize and improve the level of orthopedic training in Europe. The examination covers all main areas of orthopedic surgery including the upper limb, lower limb, spine, pediatric orthopedics, and trauma, as well as basic sciences. The examination consists of two sections. Section 1 is based on 100 multiple-choice questions, and section 2 is an oral examination. The number of participants has been steadily increasing during the last 10 years signifying its role in the development of...
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research

Does the peritumoral fat signal on MRI exclude malignancy of soft tissue tumor?
Conclusion This study permits the conclusion that the presence of peritumoral fat signals is seemingly an exceptional finding in malignant soft tissue tumors. Observation of this peritumoral fat signal should accordingly influence the management of soft tissue tumors. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research

Thirty-six consecutive reverse shoulder arthroplasties in cuff arthropathy: our experience with the anterosuperior approach
Conclusions The good functional results observed with a mean follow-up of approximately 3 years doubtlessly resulted from the correct surgical technique on the glenoid component and the preservation of the anterior wall composed of the subscapularis tendon. Analyzing literature and taking into account our experience, we can say that the anterosuperior approach has certain advantages; this approach takes advantage of the absence of the upper part of the rotator cuff to facilitate exposure of the joint that makes it particularly indicated in cuff arthropathy. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research

Tumor-induced osteomalacia—a diagnostic dilemma for an orthopedic surgeon
Abstract Tumor-induced osteomalacia is a rare condition caused by excess production of phosphatonins most notably fibroblast growth factor−23 (FGF-23), by the tumor cells, leading to phosphate wasting and consecutive severe hypophosphatemia. This results in patient developing gradually progressive muscle weakness and bone loss resulting in severe osteomalacia, making the patient bedbound. These tumors are mostly benign mesenchymal tumors, which remain hidden in soft tissues or bone and thus are difficult to diagnose. And in the presence of normal serum calcium and parathyroid levels with only mild alt...
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research

Functional results after posterior interosseous nerve microsurgical repair
Conclusions The posterior interosseous nerve repairs, if done using end-to-end anastomosis or a nerve graft and with the appropriate technique, may result to nearly full recovery in young patients. Nerve repair is suggested until the 6th month after the injury using end-to-end anastomosis or grafting methods. Level of clinical evidence Level 4, case series study (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research

Periprosthetic bone mineral density after total hip arthroplasty with an AMIStem or Quadra femoral component performed by a minimally invasive anterior approach (AMIS): a prospective randomized clinical dual-energy X-ray absorptiometry study
Conclusions The study demonstrates that the two stems are statistically equivalent in all zones at all time points investigated. (Source: European Orthopaedics and Traumatology)
Source: European Orthopaedics and Traumatology - September 1, 2014 Category: Orthopaedics Source Type: research