Papers by Pietro Persiani
Lateral wedge osteotomy for pediatric post traumatic cubitus varus: k-wires or locking angular plate, Mar 2016
This study aims to evaluate and to compare two types of internal fixation, locking angular plate ... more This study aims to evaluate and to compare two types of internal fixation, locking angular plate (Group 1) and k wires (Group 2), for the post traumatic cubitus varus. The parameters used were Laupattarakasem's criteria (for the ROM in extension/flexion, correction of carrying angle, the " lazy S " deformity) and the Barrett's questionnaire (for the patient satisfaction). In the group I-plate + screws-we had 3 excellent results and 5 good. In the group II-K-wires-we had 2 good results, 3 fair and 2 poor. Statistical analysis shows a better outcome for the group I-plate + screws-considering the correction of the humeral-elbowwrist angle (p<0,003), the postoperative lateral prominence index (p<0.048) and the patient satisfaction (p<0,011). We recommend the locking angular plate, because it can rigidly stabilize the osteotomy, ensuring an excellent functional and cosmetic outcome.
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Acta orthopaedica Belgica, 2009
Pes valgus is a pathological condition which occurs in up to 25% of patients with cerebral palsy.... more Pes valgus is a pathological condition which occurs in up to 25% of patients with cerebral palsy. Its correction in early age is essential to prevent progression of the deformity and to optimize the patient's function. In younger patients arthroereisis can be considered as a treatment that fills the void between orthotics and arthrodesis. We treated 15 patients (27 feet) with intra- or extra-sinus tarsi arthroereisis. Concomitant Achilles tendon lengthening was performed in 12 feet. Results were good in 19 feet and poor in 8. Even though arthoereisis presents some complications, it can be considered a useful treatment to delay or avoid a Grice subtalar arthrodesis in flexible pes valgus due to cerebral palsy.
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Objective This study aims to demonstrate that the use of long cephalomedullary nail and cerclage ... more Objective This study aims to demonstrate that the use of long cephalomedullary nail and cerclage cables represents a good strategy in order to reduce the high risk of nonunion of the most displaced subtrochanteric fractures.
Methods This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported.
Results Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average eval- uation derived from the THRS was 48 which corresponds to good, according to the scale.
Conclusions Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.
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La Chirurgia degli Organi di Movimento
The prevalence of hepatitis C (HCV) was studied in the operative practice of one surgeon for a pe... more The prevalence of hepatitis C (HCV) was studied in the operative practice of one surgeon for a period of 18 months (1/1/98-31/6/99). Patients were also tested for measurement of liver enzymes, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and hepatitis B virus surface antigen (HbsAg). Out of a total of 911 consecutive patients, 37 (4.06%) were found to have anti-HCV antibodies, using a second-generation screening assay, and 10 (1.09%) to have anti-HBV antibodies. None of the patients (0%) had both anti-HBV antibodies and anti-HCV antibodies. Ten and 21 patients positive for HCV (27% and 56%) were found to have high AST and ALT levels, respectively; 1 and 1 patients positive for HBV (10% and 10%) were found to have high AST and ALT levels, respectively. The authors demonstrated the prevalence of HCV and HBV infection or previous exposure to be higher in the trauma patients (6.6%) who required orthopaedic surgery than in the elective orthopaedic patients (3.3%), and the need for full screening without risk factors. All values for p were calculated using Yates&#39;s corrected X2 or Student&#39;s t test.
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La Chirurgia degli Organi di Movimento
The authors present a comparative review of cases concerning the results obtained in the treatmen... more The authors present a comparative review of cases concerning the results obtained in the treatment of idiopathic flat foot: the methods compared were Castaman exosinotarsal arthrorisis and Giannini endosinotarsal arthrorisis. Between 1990 and 1198 a total of 80 patients, of which 40 with calcaneo-stop, and 40 with Giannini screws, were submitted to surgery at the Orthopaedic and Traumatology Department of the University of Rome &quot;La Sapienza&quot;. The clinical, radiographic and functional results were classified as good, fair and poor. The authors agree on the effectiveness of both methods based on the results obtained and the facility of implantation techniques, however emphasizing the minor injury of the anatomical structures of the subtalar joint when the calcaneo-stop method with Castaman conical screws was used.
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Acta orthopaedica Belgica
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Acta orthopaedica Belgica, 2009
Pes valgus is a pathological condition which occurs in up to 25% of patients with cerebral palsy.... more Pes valgus is a pathological condition which occurs in up to 25% of patients with cerebral palsy. Its correction in early age is essential to prevent progression of the deformity and to optimize the patient's function. In younger patients arthroereisis can be considered as a treatment that fills the void between orthotics and arthrodesis. We treated 15 patients (27 feet) with intra- or extra-sinus tarsi arthroereisis. Concomitant Achilles tendon lengthening was performed in 12 feet. Results were good in 19 feet and poor in 8. Even though arthoereisis presents some complications, it can be considered a useful treatment to delay or avoid a Grice subtalar arthrodesis in flexible pes valgus due to cerebral palsy.
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La Clinica terapeutica, 2013
To evaluate clinical and radiographic mid-term outcomes and improvement in quality of life in ped... more To evaluate clinical and radiographic mid-term outcomes and improvement in quality of life in pediatric patients affected by LDM and who underwent partial or total/subtotal meniscectomy. 28 patients (12 M, 16 F), mean age 8.3 years old (range: 6-13) affected by LDM with symptoms and/or meniscal tears, mean follow up: 2 years and 4 months (range: 24-52 months). Symptoms included: pain, swelling, articular block, limitation to knee extention, meniscal instability and formation of meniscal cysts. 23 patients treated with partial meniscectomy, 5 by total/subtotal meniscectomy. All of them have been clinically evaluated using the Ikeuchi scale and the POSNA questionnaire; for radiological evaluation we used the Tapper-Hoover grading scale. Ikeuchi: In 23 patients underwent partial meniscectomy: 21 excellent and 2 good; in 5 patients underwent total/subtotal meniscectomy: 1 excellent, 2 good and 2 average. POSNA presurgical mean score: partial meniscectomy: 70 (range 66.8-73.6), total/sub...
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Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases, 2012
Osteogenesis imperfecta (OI) is a rare hereditary disease caused by mutations in genes coding for... more Osteogenesis imperfecta (OI) is a rare hereditary disease caused by mutations in genes coding for type I collagen, resulting in bone fragility. In literature are described forms lethal in perinatal period, forms which are moderate and slight forms where the only sign of disease is osteopenia. Child abuse is an important social and medical problem. Fractures are the second most common presentation after skin lesions and may present specific patterns.The differential diagnosis between slight-moderate forms of OI and child abuse could be very challenging especially when other signs typical of abuse are absent, since both could present with multiple fractures without reasonable explanations. We report a 20 months-old female with a history of 4 fractures occurred between the age of three and eighteen months, brought to authorities' attention as a suspected child abuse.However when she came to our department physical examination, biochemical tests, total body X-ray and a molecular ana...
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Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases, 2011
Cardiovascular involvement is relatively rare in osteogenesis imperfecta and has a predilection f... more Cardiovascular involvement is relatively rare in osteogenesis imperfecta and has a predilection for left-sided cardiac valves. We report a 5 years old female child affected by osteogenesis imperfecta type I in which an asymptomatic mild form of Ebstein's anomaly, a congenital tricuspid malformation, was diagnosed during routinely investigation. The association of these two relatively rare entities could provide new insight to better understand the pathogenesis of cardiac involvement in osteogenesis imperfecta.
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Acta orthopaedica Belgica, 2008
The prevalence of hip subluxation and dislocation in cerebral palsy ranges between 3% and 75% in ... more The prevalence of hip subluxation and dislocation in cerebral palsy ranges between 3% and 75% in the literature. Clinical signs are rigidity, pain and instability. We assessed functionality, stability and symptoms in 20 patients preoperatively and after follow-up. A varus derotation osteotomy was performed in cases with subluxation or dislocation, while a Chiari osteotomy was performed in the presence of a concomitant acetabular dysplasia. Results were good in 64%, fair in 22% and poor in 14% of patients treated with a varus derotation osteotomy. In patients treated with a Chiari osteotomy, results were good in 43% of cases, fair in 43% and poor in 14%. Subluxated or dislocated hips generally show several anomalies: their severity is directly proportional to the degree of neurological impairment. In the most severe cases, correction of just one of such anomalies might not be sufficient to guarantee good results of the surgery.
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La Chirurgia degli organi di movimento
It was the purpose of this study to analyze the behavior of Tutoplast bone allograf to fill cavit... more It was the purpose of this study to analyze the behavior of Tutoplast bone allograf to fill cavities produced by the removal of benigning bone tumors of those with local malignancy. X-ray and MR images obtained during follow-up demonstrated an increase in the signal in all of the sequences within the graft, indicating complete rehabitation of the grafted area.
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European Spine Journal, 2015
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MUSCULOSKELETAL SURGERY, 2012
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Pediatric Research, 2008
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Journal of Pediatric Orthopaedics B, 2012
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Arthroscopy: The Journal of Arthroscopic & Related Surgery, 1999
Differences in the features of osteochondritis dissecans (OCD) affecting the lateral and medial f... more Differences in the features of osteochondritis dissecans (OCD) affecting the lateral and medial femoral condyles were investigated in 13 patients (14 knees) treated from 1991 to 1994. OCD affected the lateral femoral condyle in 6 knees (lateral group) and the medial condyle in 8 knees (medial group). The lateral group was younger (mean age, 14 v. 20 years). The radiological stage (Brückl) of the lateral group was stage 2 in 3 knees and stage 3 in 3. The lateral menisci were all discoid and the condylar articular surface of the lesions was normal in two knees, softened in 3 and detached in 1. The medial group comprised 1 knee in stage 2, 1 in stage 3, 1 in stage 4, and 5 in stage 5. The OCD lesion showed softening in 2 knees and detachment in 6. Repetitive abnormal stress on weaker osteochondral structures in the growing period produced by a discoid meniscus during growth may cause OCD of the lateral femoral condyle.
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Papers by Pietro Persiani
Methods This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported.
Results Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average eval- uation derived from the THRS was 48 which corresponds to good, according to the scale.
Conclusions Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.
Methods This retrospective study examines 44 patients with average follow-up of 23 months, with subtrochanteric fracture type SH IIB, IIC, IIIA, IIIB treated by the same operator and with the same nail and cerclage cables. The clinical results which are derived from THRS have been reported.
Results Clinical and radiological consolidation occurred in all 44 cases, without re-intervention. The average eval- uation derived from the THRS was 48 which corresponds to good, according to the scale.
Conclusions Considering the anatomic reduction achieved in all patients and the clinical results, we can define the use of long cephalomedullary nail and cerclage cables as the most useful technique in the armamentarium of a trauma surgeon for the treatment of the subtrochanteric fractures.