Bicruciate-retaining total knee arthroplasty: What's new?

Primary total knee arthroplasty (TKA) is a widespread procedure to address end stage osteoarthritis with good results, clinical outcomes, and long-term survivorship. Although it is frequently performed in elderly, an increased demand in young and active people is expected in the next years. However, a considerable dissatisfaction rate has been reported by highly demanding patients due to the intrinsic limitations provided by the TKA. Bicruciate-retaining (BCR) TKA was developed to mimic knee biomechanics, through anterior cruciate ligament preservation. First-generation BCR TKA has not gained popularity due to its being a challenging technique and having poor survival outcomes. Thanks to implant design improvement and surgeon-friendly instrumentation, second-generation BCR TKA has seen renewed interest. This review will focus on surgical indications, kinematical basis, clinical results and latest developments of second-generation BCR TKA

Le domus dei fondi ex Cossar e delle Bestie ferite: due esempi di trasformazione delle case aquileiesi in et\ue0 tardoantica

L\u2019Universit\ue0 di Padova \ue8 attualmente attiva ad Aquileia nello scavo di due abitazioni romane: la Casa delle Bestie ferite e la Casa di Tito Macro all\u2019interno dei fondi ex Cossar. Le nuove indagini permettono di definire in termini diacronici la storia delle due case, dal primo impianto sino al loro definitivo abbandono, con particolare riguardo alle fasi tardoantiche generalmente trascurate negli scavi del Novecento. In questo contributo viene offerto un quadro sintetico e comparato delle principali trasformazioni edilizie e planimetriche subite dalle due abitazioni. Per entrambi i complessi l\u2019et\ue0 tardoantica segna una cesura rispetto al precedente assetto planimetrico, con il potenziamento degli spazi di rappresentanza del dominus

The Use of Barbed Sutures in Total Hip Arthroplasty: A Systematic Review on Clinical–Surgical Outcomes, Costs, and Complications

Purpose: Total hip arthroplasty is among the most successful procedures in orthopaedic surgery. As the total number of total hip arthroplasties is constantly rising and it is expected to further increase, efforts oriented to optimise surgical pathways are investigated, aiming to reduce complications and diminish costs. The wound suturing phase is one of the steps that may be addressed. Barbed sutures have proved to reduce surgical times and enhance suture stability, then reducing wound-related complications in many surgical fields. The evidence on the use of this technology in total hip arthroplasty is still sparse, and its effect on patient outcomes and costs must still be clarified. Methods: A systematic search of studies published from 1 January 2000 to 1 March 2023 was performed. Two authors independently reviewed the literature available in eight electronic databases to identify papers eligible for inclusion. Results: A total of nine studies investigating 6959 procedures on 6959 patients were included in the final analysis. Five studies were randomised controlled trials, and the overall quality of studies ranged from moderate to high. The mean age of patients ranged from 43.8 to 70 years. BMI ranged from 25 to 31.9 kg/m2. The mean follow-up of studies ranged from 3 to 6 months. Conclusions: Evidence included in the systematic review suggested that the use of barbed sutures is associated with lower suturing times, complication rates, and overall costs when compared to the use of traditional suturing techniques. Level of evidence: II, systematic review of level I and II studies

Multivessel spontaneous coronary artery dissection and Crohn's disease

Spontaneous coronary artery dissection (SCAD) may be a cause of up to 1-4% of acute coronary syndrome overall, occurring mainly in young women, less than 50 years old, with no classical risk factor for CAD, especially during the postpartum period or associated with inflammatory disease. The clinical presentation varies from no symptoms to typical angina and sudden cardiac death. Multivessel coronary artery dissection is a very uncommon condition. We report the case a of 72-year-old woman, affected by Crohn's disease, who presented to the emergency department for mental confusion and right brachial hyposthenia, increased myocardial injury biomarkers, and mild ST-elevation at ECG. Coronary angiography was performed showing long dissection of the left anterior descending coronary artery and, simultaneously, dissection of the first obtuse marginal artery; final diagnosis was multivessel SCAD in Crohn's disease

Multivessel spontaneous coronary artery dissection and Crohn's disease

Spontaneous coronary artery dissection (SCAD) may be a cause of up to 1-4% of acute coronary syndrome overall, occurring mainly in young women, less than 50 years old, with no classical risk factor for CAD, especially during the postpartum period or associated with inflammatory disease. The clinical presentation varies from no symptoms to typical angina and sudden cardiac death. Multivessel coronary artery dissection is a very uncommon condition. We report the case a of 72-year-old woman, affected by Crohn's disease, who presented to the emergency department for mental confusion and right brachial hyposthenia, increased myocardial injury biomarkers, and mild ST-elevation at ECG. Coronary angiography was performed showing long dissection of the left anterior descending coronary artery and, simultaneously, dissection of the first obtuse marginal artery; final diagnosis was multivessel SCAD in Crohn's disease

Casa di Tito Macro, fondi ex Cossar (pp.cc. 598/2, 598/35)

Aquileia, mosaici romani, edilizia privata roman

Waterpower – Renewal strategy for the Mulini Valley, near Amalfi, Italy

Set in the picturesque slopes of the Mulini Valley in Amalfi, Italy, the scheme is comprised of a collection of discrete interventions that form a unified ensemble. The overall objective is to provide a new lease on life for the region. Proposed is an ambitious effort to reanimate the landscape as well as a series of preindustrial water mills that are currently in a state of decay and thus threatened by collapse. The scheme calls for a full renovation of these structures as well as their integration into a system of modernized waterfalls, pools, and irrigation channels. In sum these measures serve not only to generate hydro-power, but also work to improve biodiversity. An additional merit of the work needs to be mentioned – a much needed revitalization of the socioeconomic condition of the region plays a central part of the development. All this is achieved through the medium of architecture that pays respect to both the heritage of the context while expressing a contemporary sensibility