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Giacomo Papotto
Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, Italy

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Journal article
Published: 26 May 2021 in Journal of Functional Morphology and Kinesiology
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Background: Isolated ulna shaft fractures (USFs) are a relatively uncommon, but significant, injury. For unstable USF treatment, open reduction and internal fixation (ORIF) is the gold standard, while for stable USFs several procedures were described. The aim of this study is to compare the outcomes in patients with stable USFs treated by either ORIF or intramedullary nail (IMN). Methods: According to their surgical treatment, 23 eligible USF-affected patients were divided into ORIF (14 subjects) and IMN (nine subjects) groups. The subjects underwent postoperative clinical follow-up at 1, 3, 6, and 12 months, which included calculation of the Disabilities of the Arm, Shoulder and Hand (DASH) score and radiological follow-up. Time to union, time to return to sporting and occupational activities, duration of physical therapy, and surgical complications were recorded. Results: DASH scores improved in both groups at the 6-month follow-up (p< 0.001). The IMN cohort recorded better DASH scores at the 1- and 3-month follow-ups, while similar results were reported at the 6- and 12-month follow-ups. Earlier fracture union (p = 0.001) and return to sporting activities and work (p = 0.002) were seen in the IMN group, compared with the ORIF group. No complications were observed in the IMN group. Conclusions: The surgical treatment of isolated USF results in excellent functional and radiographic outcomes. IMN may be preferable, compared with ORIF, due to its faster recovery time, expedited union, and reduced likelihood of complications.

ACS Style

Vito Pavone; Marco Ganci; Giacomo Papotto; Giuseppe Mobilia; Umberto Sueri; Alpesh Kothari; Andrea Vescio; Gianluca Testa. Locked Intramedullary Nailing versus Compression Plating for Stable Ulna Fractures: A Comparative Study. Journal of Functional Morphology and Kinesiology 2021, 6, 46 .

AMA Style

Vito Pavone, Marco Ganci, Giacomo Papotto, Giuseppe Mobilia, Umberto Sueri, Alpesh Kothari, Andrea Vescio, Gianluca Testa. Locked Intramedullary Nailing versus Compression Plating for Stable Ulna Fractures: A Comparative Study. Journal of Functional Morphology and Kinesiology. 2021; 6 (2):46.

Chicago/Turabian Style

Vito Pavone; Marco Ganci; Giacomo Papotto; Giuseppe Mobilia; Umberto Sueri; Alpesh Kothari; Andrea Vescio; Gianluca Testa. 2021. "Locked Intramedullary Nailing versus Compression Plating for Stable Ulna Fractures: A Comparative Study." Journal of Functional Morphology and Kinesiology 6, no. 2: 46.

Journal article
Published: 02 October 2020 in International Journal of Environmental Research and Public Health
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Background: It has recently been noticed that the quantity of stress affects postural stability in young women. The study was conducted with the goal of investigating whether increased stress may damagingly effect posture control in 90 young men (71 right-handed and 19 left-handed) while maintaining an upright bipedal posture, while keeping their eyes open or closed. Perceived Stress Scale (PSS) was administered and changes in free cortisol levels were monitored (Cortisol Awakening Response, CAR) in order to evaluate the amount of stress present during awakening, while the Profile of Mood States (POMS) was used to estimate distress on the whole. Posture control was evaluated with the use of a force platform, which, while computing a confidence ellipse area of 95%, was engaged by the Center of Pressure through five stability stations and was sustained for a minimum of 52 s, with and without visual input. Another goal of the experiment was to find out whether or not cortisol increases in CAR were linked with rises of blood lactate levels. Results: CAR, PSS and POMS were found to be extensively related. Furthermore, it has been observed that increases in salivary cortisol in CAR are associated with small but significant increases in blood lactate levels. As expected, stress levels did affect postural stability. Conclusions: The results of the present study confirm that the level of stress can influence postural stability, and that this influence is principally obvious when visual information is not used in postural control.

ACS Style

Marinella Coco; Andrea Buscemi; Emanuele Pennisi; Paolo Cavallari; Giacomo Papotto; Giulio Maria Federico Papotto; Vincenzo Perciavalle; Donatella Di Corrado; Valentina Perciavalle. Postural Control and Stress Exposure in Young Men: Changes in Cortisol Awakening Response and Blood Lactate. International Journal of Environmental Research and Public Health 2020, 17, 7222 .

AMA Style

Marinella Coco, Andrea Buscemi, Emanuele Pennisi, Paolo Cavallari, Giacomo Papotto, Giulio Maria Federico Papotto, Vincenzo Perciavalle, Donatella Di Corrado, Valentina Perciavalle. Postural Control and Stress Exposure in Young Men: Changes in Cortisol Awakening Response and Blood Lactate. International Journal of Environmental Research and Public Health. 2020; 17 (19):7222.

Chicago/Turabian Style

Marinella Coco; Andrea Buscemi; Emanuele Pennisi; Paolo Cavallari; Giacomo Papotto; Giulio Maria Federico Papotto; Vincenzo Perciavalle; Donatella Di Corrado; Valentina Perciavalle. 2020. "Postural Control and Stress Exposure in Young Men: Changes in Cortisol Awakening Response and Blood Lactate." International Journal of Environmental Research and Public Health 17, no. 19: 7222.

Journal article
Published: 05 May 2020 in Journal of Clinical Medicine
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Background: The Ilizarov external fixation technique has been widely used for the treatment of long-bone infected non-unions. After surgical infected bone resection, to allow filling of the remaining bone gap, biomaterials with antibacterial properties could be used. The aim of this study was to report outcomes of infected tibial non-unions treated using the Ilizarov technique and antibacterial bioactive glass. Methods: Between April 2009 and December 2014, 26 patients with infected tibial non-unions were treated with the Ilizarov technique and possible use of the bioactive glass, S53P4. The Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria, a clinical and radiographic evaluating tool, was used for assessing the sample. Results: The average age at the start of treatment was 51 years. The mean follow-up time was 113 weeks. According to the ASAMI Functional Scoring System, 10 excellent (38.5%) cases and 12 good (46.1%) values were recorded. According to the ASAMI Radiological System, they were excellent in 16 (61.5%) cases and good in nine (34.6%). Conclusions: Treatment of infected tibial non-unions using the Ilizarov technique was effective in bone segment regeneration. To fill the remaining bone gap, additional bioactive glass S53P4 could be used, allowing a decrease in re-interventions and minimizing complications.

ACS Style

Gianluca Testa; Andrea Vescio; Domenico Costantino Aloj; Danilo Costa; Giacomo Papotto; Luca Gurrieri; Giuseppe Sessa; Vito Pavone. Treatment of Infected Tibial Non-Unions with Ilizarov Technique: A Case Series. Journal of Clinical Medicine 2020, 9, 1352 .

AMA Style

Gianluca Testa, Andrea Vescio, Domenico Costantino Aloj, Danilo Costa, Giacomo Papotto, Luca Gurrieri, Giuseppe Sessa, Vito Pavone. Treatment of Infected Tibial Non-Unions with Ilizarov Technique: A Case Series. Journal of Clinical Medicine. 2020; 9 (5):1352.

Chicago/Turabian Style

Gianluca Testa; Andrea Vescio; Domenico Costantino Aloj; Danilo Costa; Giacomo Papotto; Luca Gurrieri; Giuseppe Sessa; Vito Pavone. 2020. "Treatment of Infected Tibial Non-Unions with Ilizarov Technique: A Case Series." Journal of Clinical Medicine 9, no. 5: 1352.

Journal article
Published: 28 July 2019 in Journal of Clinical Medicine
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Background: Femoral shaft fractures result from high-energy trauma. Despite intramedullary nailing (IMN) representing the gold standard option of treatment, external fixation (EF) can be used temporarily for damage control or definitively. The purpose of this study is to compare two different options, anterograde IMN and monoaxial EF, for the treatment of femoral shaft fractures. Methods: Between January 2005 and December 2014, patients with femoral shaft fractures operated on in two centers were retrospectively evaluated and divided into two groups: the IMN group (n = 74), and the EF group (n = 73). For each group, sex; laterality; age; and AO classification type mean follow-up, mean union time, and complications were reported. Results: Both groups were found to have no statistical differences (p > 0.05) in sex, laterality, age, and AO classification types. In the IMN group the average surgery duration was 79.7 minutes (range 45–130). The average time for bone union was 26.9 weeks. Major complications occurred in 4 (5.4%) patients. In the EF group the average follow-up duration was 59.8 months (range 28–160). The average time for bone union was 24.0 weeks. Major complications occurred in 16 (21.9%) patients. Conclusions: IMN is the gold standard for definitive treatment of femoral shaft fractures. In patients with severe associated injuries, EF should be a good alternative.

ACS Style

Gianluca Testa; Andrea Vescio; Domenico Costantino Aloj; Giacomo Papotto; Luigi Ferrarotto; Alessandro Massé; Giuseppe Sessa; Vito Pavone. Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation. Journal of Clinical Medicine 2019, 8, 1119 .

AMA Style

Gianluca Testa, Andrea Vescio, Domenico Costantino Aloj, Giacomo Papotto, Luigi Ferrarotto, Alessandro Massé, Giuseppe Sessa, Vito Pavone. Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation. Journal of Clinical Medicine. 2019; 8 (8):1119.

Chicago/Turabian Style

Gianluca Testa; Andrea Vescio; Domenico Costantino Aloj; Giacomo Papotto; Luigi Ferrarotto; Alessandro Massé; Giuseppe Sessa; Vito Pavone. 2019. "Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation." Journal of Clinical Medicine 8, no. 8: 1119.

Case report
Published: 11 August 2018 in Journal of Functional Morphology and Kinesiology
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Open tibial fractures represent the most frequent fractures of long bones, comprising approximately 1.9% of all fractures. Although locked intramedullary nailing is the gold standard for treating closed and unstable tibia diaphyseal fractures, for most exposed fractures, an external fixator can first be used, followed by conversion through an intramedullary nail. The present report describes the case of a 17-year-old male who presented with a complex multi-segmented displaced tibia fracture, type 42-C3, with exposure of IIIB type according to the Gustilo–Anderson classification, and with an attached disrupted fracture of peroneal malleolus, type 44-B2. External fixation was the preferred treatment method. Before the definitive surgical treatment, the patient had a second accident that caused refracture and damage to the soft tissues and external fixation system. This prolonged the time estimated for the conversion from the external fixator to the intramedullary nail. The reported case shows the use of various treatment steps with different timelines and an intervention with vacuum-assisted closure therapy for soft tissue healing as well as subsequent intramedullary nailing in order to reach the definitive healing of a non-compliant patient. These combined methods achieved an acceptable reduction and good stability of such a complex fracture.

ACS Style

Samuele Pizzolo; Gianluca Testa; Giacomo Papotto; Giuseppe Mobilia; Giovanni Di Stefano; Giuseppe Sessa; Vito Pavone. Open Tibial Fracture in a Non-Compliant Patient: A Case Report. Journal of Functional Morphology and Kinesiology 2018, 3, 44 .

AMA Style

Samuele Pizzolo, Gianluca Testa, Giacomo Papotto, Giuseppe Mobilia, Giovanni Di Stefano, Giuseppe Sessa, Vito Pavone. Open Tibial Fracture in a Non-Compliant Patient: A Case Report. Journal of Functional Morphology and Kinesiology. 2018; 3 (3):44.

Chicago/Turabian Style

Samuele Pizzolo; Gianluca Testa; Giacomo Papotto; Giuseppe Mobilia; Giovanni Di Stefano; Giuseppe Sessa; Vito Pavone. 2018. "Open Tibial Fracture in a Non-Compliant Patient: A Case Report." Journal of Functional Morphology and Kinesiology 3, no. 3: 44.