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Publisher: Springer-Verlag   (Total: 2335 journals)

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Showing 1 - 200 of 2335 Journals sorted alphabetically
3D Research     Hybrid Journal   (Followers: 19, SJR: 0.214, h-index: 10)
4OR: A Quarterly J. of Operations Research     Hybrid Journal   (Followers: 9, SJR: 1.073, h-index: 25)
AAPS J.     Hybrid Journal   (Followers: 16, SJR: 1.192, h-index: 74)
AAPS PharmSciTech     Hybrid Journal   (Followers: 6, SJR: 0.718, h-index: 54)
Abdominal Imaging     Hybrid Journal   (Followers: 16, SJR: 0.723, h-index: 60)
Abhandlungen aus dem Mathematischen Seminar der Universitat Hamburg     Hybrid Journal   (Followers: 2, SJR: 0.447, h-index: 12)
Academic Psychiatry     Full-text available via subscription   (Followers: 22, SJR: 0.492, h-index: 32)
Academic Questions     Hybrid Journal   (Followers: 7, SJR: 0.135, h-index: 6)
Accreditation and Quality Assurance: J. for Quality, Comparability and Reliability in Chemical Measurement     Hybrid Journal   (Followers: 26, SJR: 0.378, h-index: 30)
Acoustical Physics     Hybrid Journal   (Followers: 10, SJR: 0.355, h-index: 20)
Acta Analytica     Hybrid Journal   (Followers: 7, SJR: 0.387, h-index: 6)
Acta Applicandae Mathematicae     Hybrid Journal   (Followers: 1, SJR: 0.624, h-index: 34)
Acta Biotheoretica     Hybrid Journal   (Followers: 5, SJR: 0.419, h-index: 25)
Acta Diabetologica     Hybrid Journal   (Followers: 14, SJR: 1.318, h-index: 46)
Acta Endoscopica     Hybrid Journal   (Followers: 1, SJR: 0.113, h-index: 8)
acta ethologica     Hybrid Journal   (Followers: 4, SJR: 0.465, h-index: 23)
Acta Geochimica     Hybrid Journal   (Followers: 3)
Acta Geodaetica et Geophysica     Hybrid Journal   (Followers: 1, SJR: 0.294, h-index: 13)
Acta Geotechnica     Hybrid Journal   (Followers: 6, SJR: 1.818, h-index: 22)
Acta Informatica     Hybrid Journal   (Followers: 5, SJR: 0.524, h-index: 32)
Acta Mathematica     Hybrid Journal   (Followers: 10, SJR: 8.021, h-index: 47)
Acta Mathematica Hungarica     Hybrid Journal   (Followers: 2, SJR: 0.53, h-index: 29)
Acta Mathematica Sinica, English Series     Hybrid Journal   (Followers: 5, SJR: 0.406, h-index: 30)
Acta Mathematica Vietnamica     Hybrid Journal   (SJR: 0.451, h-index: 5)
Acta Mathematicae Applicatae Sinica, English Series     Hybrid Journal   (SJR: 0.22, h-index: 20)
Acta Mechanica     Hybrid Journal   (Followers: 18, SJR: 0.898, h-index: 52)
Acta Mechanica Sinica     Hybrid Journal   (Followers: 4, SJR: 0.426, h-index: 29)
Acta Metallurgica Sinica (English Letters)     Hybrid Journal   (Followers: 5, SJR: 0.525, h-index: 18)
Acta Meteorologica Sinica     Hybrid Journal   (Followers: 3, SJR: 0.524, h-index: 14)
Acta Neurochirurgica     Hybrid Journal   (Followers: 7, SJR: 0.833, h-index: 73)
Acta Neurologica Belgica     Hybrid Journal   (SJR: 0.348, h-index: 27)
Acta Neuropathologica     Hybrid Journal   (Followers: 3, SJR: 6.61, h-index: 117)
Acta Oceanologica Sinica     Hybrid Journal   (Followers: 3, SJR: 0.295, h-index: 17)
Acta Parasitologica     Hybrid Journal   (Followers: 9, SJR: 0.581, h-index: 28)
Acta Physiologiae Plantarum     Hybrid Journal   (Followers: 2, SJR: 0.551, h-index: 39)
Acta Politica     Hybrid Journal   (Followers: 13, SJR: 0.658, h-index: 20)
adhäsion KLEBEN & DICHTEN     Hybrid Journal   (Followers: 5, SJR: 0.103, h-index: 4)
ADHD Attention Deficit and Hyperactivity Disorders     Hybrid Journal   (Followers: 20, SJR: 0.871, h-index: 15)
Adhesion Adhesives & Sealants     Hybrid Journal   (Followers: 7)
Administration and Policy in Mental Health and Mental Health Services Research     Partially Free   (Followers: 15, SJR: 0.795, h-index: 40)
Adsorption     Hybrid Journal   (Followers: 4, SJR: 0.774, h-index: 52)
Advances in Applied Clifford Algebras     Hybrid Journal   (Followers: 3, SJR: 0.319, h-index: 15)
Advances in Atmospheric Sciences     Hybrid Journal   (Followers: 34, SJR: 0.959, h-index: 44)
Advances in Computational Mathematics     Hybrid Journal   (Followers: 15, SJR: 1.255, h-index: 44)
Advances in Contraception     Hybrid Journal   (Followers: 2)
Advances in Data Analysis and Classification     Hybrid Journal   (Followers: 48, SJR: 1.113, h-index: 14)
Advances in Gerontology     Partially Free   (Followers: 7, SJR: 0.141, h-index: 3)
Advances in Health Sciences Education     Hybrid Journal   (Followers: 23, SJR: 1.397, h-index: 42)
Advances in Manufacturing     Hybrid Journal   (Followers: 3, SJR: 0.2, h-index: 4)
Advances in Polymer Science     Hybrid Journal   (Followers: 40, SJR: 0.637, h-index: 89)
Advances in Therapy     Hybrid Journal   (Followers: 6, SJR: 0.79, h-index: 44)
Aegean Review of the Law of the Sea and Maritime Law     Hybrid Journal   (Followers: 7)
Aequationes Mathematicae     Hybrid Journal   (Followers: 2, SJR: 0.882, h-index: 23)
Aerobiologia     Hybrid Journal   (Followers: 1, SJR: 0.511, h-index: 36)
Aesthetic Plastic Surgery     Hybrid Journal   (Followers: 8, SJR: 0.821, h-index: 49)
African Archaeological Review     Hybrid Journal   (Followers: 14, SJR: 0.612, h-index: 24)
Afrika Matematika     Hybrid Journal   (Followers: 1, SJR: 0.248, h-index: 6)
AGE     Hybrid Journal   (Followers: 7, SJR: 1.358, h-index: 33)
Ageing Intl.     Hybrid Journal   (Followers: 6, SJR: 0.337, h-index: 10)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
Aging Clinical and Experimental Research     Hybrid Journal   (Followers: 3, SJR: 0.529, h-index: 55)
Agricultural Research     Hybrid Journal   (Followers: 3)
Agriculture and Human Values     Hybrid Journal   (Followers: 12, SJR: 1.197, h-index: 49)
Agroforestry Systems     Hybrid Journal   (Followers: 20, SJR: 0.64, h-index: 56)
Agronomy for Sustainable Development     Hybrid Journal   (Followers: 10, SJR: 1.732, h-index: 59)
AI & Society     Hybrid Journal   (Followers: 7, SJR: 0.171, h-index: 19)
AIDS and Behavior     Hybrid Journal   (Followers: 13, SJR: 2.006, h-index: 71)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 2, SJR: 0.706, h-index: 19)
Akupunktur & Aurikulomedizin     Full-text available via subscription   (Followers: 1)
Algebra and Logic     Hybrid Journal   (Followers: 2, SJR: 0.566, h-index: 18)
Algebra Universalis     Hybrid Journal   (Followers: 2, SJR: 0.388, h-index: 22)
Algebras and Representation Theory     Hybrid Journal   (Followers: 1, SJR: 0.868, h-index: 20)
Algorithmica     Hybrid Journal   (Followers: 7, SJR: 0.898, h-index: 56)
Allergo J.     Full-text available via subscription   (Followers: 1, SJR: 0.183, h-index: 20)
Allergo J. Intl.     Hybrid Journal   (Followers: 2)
Alpine Botany     Hybrid Journal   (Followers: 3, SJR: 0.729, h-index: 20)
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3, SJR: 1.392, h-index: 32)
AMBIO     Hybrid Journal   (Followers: 14, SJR: 1.094, h-index: 87)
American J. of Cardiovascular Drugs     Hybrid Journal   (Followers: 10, SJR: 0.864, h-index: 39)
American J. of Community Psychology     Hybrid Journal   (Followers: 24, SJR: 1.237, h-index: 83)
American J. of Criminal Justice     Hybrid Journal   (Followers: 5, SJR: 0.634, h-index: 13)
American J. of Cultural Sociology     Hybrid Journal   (Followers: 11, SJR: 0.283, h-index: 3)
American J. of Dance Therapy     Hybrid Journal   (Followers: 4, SJR: 0.175, h-index: 13)
American J. of Potato Research     Hybrid Journal   (Followers: 2, SJR: 0.558, h-index: 35)
American J. of Psychoanalysis     Hybrid Journal   (Followers: 20, SJR: 0.293, h-index: 13)
American Sociologist     Hybrid Journal   (Followers: 10, SJR: 0.18, h-index: 13)
Amino Acids     Hybrid Journal   (Followers: 8, SJR: 1.362, h-index: 83)
AMS Review     Partially Free   (Followers: 4)
Analog Integrated Circuits and Signal Processing     Hybrid Journal   (Followers: 5, SJR: 0.21, h-index: 37)
Analysis and Mathematical Physics     Hybrid Journal   (Followers: 4, SJR: 0.665, h-index: 7)
Analysis in Theory and Applications     Hybrid Journal  
Analysis of Verbal Behavior     Hybrid Journal   (Followers: 4)
Analytical and Bioanalytical Chemistry     Hybrid Journal   (Followers: 32, SJR: 1.096, h-index: 123)
Anatomical Science Intl.     Hybrid Journal   (Followers: 2, SJR: 0.301, h-index: 26)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3, SJR: 2.212, h-index: 69)
Animal Cognition     Hybrid Journal   (Followers: 13, SJR: 1.122, h-index: 55)
Annales françaises de médecine d'urgence     Hybrid Journal   (Followers: 1, SJR: 0.156, h-index: 4)
Annales Henri Poincaré     Hybrid Journal   (Followers: 3, SJR: 1.377, h-index: 32)
Annales mathématiques du Québec     Hybrid Journal   (Followers: 4)
Annali dell'Universita di Ferrara     Hybrid Journal   (SJR: 0.504, h-index: 14)
Annali di Matematica Pura ed Applicata     Hybrid Journal   (Followers: 1, SJR: 1.167, h-index: 26)
Annals of Behavioral Medicine     Hybrid Journal   (Followers: 10, SJR: 2.112, h-index: 98)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18, SJR: 1.182, h-index: 94)
Annals of Combinatorics     Hybrid Journal   (Followers: 3, SJR: 0.849, h-index: 15)
Annals of Data Science     Hybrid Journal   (Followers: 8)
Annals of Dyslexia     Hybrid Journal   (Followers: 9, SJR: 0.857, h-index: 40)
Annals of Finance     Hybrid Journal   (Followers: 27, SJR: 0.686, h-index: 14)
Annals of Forest Science     Hybrid Journal   (Followers: 4, SJR: 0.929, h-index: 57)
Annals of Global Analysis and Geometry     Hybrid Journal   (Followers: 1, SJR: 1.136, h-index: 23)
Annals of Hematology     Hybrid Journal   (Followers: 13, SJR: 1.117, h-index: 62)
Annals of Mathematics and Artificial Intelligence     Hybrid Journal   (Followers: 6, SJR: 0.593, h-index: 42)
Annals of Microbiology     Hybrid Journal   (Followers: 9, SJR: 0.402, h-index: 26)
Annals of Nuclear Medicine     Hybrid Journal   (Followers: 5, SJR: 0.68, h-index: 45)
Annals of Operations Research     Hybrid Journal   (Followers: 8, SJR: 1.186, h-index: 78)
Annals of Regional Science     Hybrid Journal   (Followers: 7, SJR: 0.405, h-index: 42)
Annals of Software Engineering     Hybrid Journal   (Followers: 12)
Annals of Solid and Structural Mechanics     Hybrid Journal   (Followers: 9, SJR: 0.553, h-index: 8)
Annals of Surgical Oncology     Hybrid Journal   (Followers: 11, SJR: 1.902, h-index: 127)
Annals of Telecommunications     Hybrid Journal   (Followers: 7, SJR: 0.315, h-index: 25)
Annals of the Institute of Statistical Mathematics     Hybrid Journal   (Followers: 1, SJR: 0.931, h-index: 31)
Antonie van Leeuwenhoek     Hybrid Journal   (Followers: 5, SJR: 0.992, h-index: 87)
Apidologie     Hybrid Journal   (Followers: 4, SJR: 1.14, h-index: 57)
APOPTOSIS     Hybrid Journal   (Followers: 7, SJR: 1.554, h-index: 87)
Applicable Algebra in Engineering, Communication and Computing     Hybrid Journal   (Followers: 2, SJR: 0.354, h-index: 27)
Applications of Mathematics     Hybrid Journal   (Followers: 1, SJR: 0.274, h-index: 20)
Applied Biochemistry and Biotechnology     Hybrid Journal   (Followers: 44, SJR: 0.575, h-index: 80)
Applied Biochemistry and Microbiology     Hybrid Journal   (Followers: 17, SJR: 0.267, h-index: 26)
Applied Categorical Structures     Hybrid Journal   (Followers: 2, SJR: 0.361, h-index: 21)
Applied Composite Materials     Hybrid Journal   (Followers: 45, SJR: 0.705, h-index: 35)
Applied Entomology and Zoology     Partially Free   (Followers: 2, SJR: 0.554, h-index: 34)
Applied Geomatics     Hybrid Journal   (Followers: 3, SJR: 0.323, h-index: 9)
Applied Geophysics     Hybrid Journal   (Followers: 7, SJR: 0.541, h-index: 13)
Applied Intelligence     Hybrid Journal   (Followers: 13, SJR: 0.777, h-index: 43)
Applied Magnetic Resonance     Hybrid Journal   (Followers: 3, SJR: 0.358, h-index: 34)
Applied Mathematics & Optimization     Hybrid Journal   (Followers: 4, SJR: 0.955, h-index: 33)
Applied Mathematics - A J. of Chinese Universities     Hybrid Journal   (SJR: 0.275, h-index: 8)
Applied Mathematics and Mechanics     Hybrid Journal   (Followers: 4, SJR: 0.37, h-index: 26)
Applied Microbiology and Biotechnology     Hybrid Journal   (Followers: 61, SJR: 1.262, h-index: 161)
Applied Physics A     Hybrid Journal   (Followers: 8, SJR: 0.535, h-index: 121)
Applied Physics B: Lasers and Optics     Hybrid Journal   (Followers: 22, SJR: 0.983, h-index: 104)
Applied Psychophysiology and Biofeedback     Hybrid Journal   (Followers: 6, SJR: 0.677, h-index: 47)
Applied Research in Quality of Life     Hybrid Journal   (Followers: 10, SJR: 0.288, h-index: 15)
Applied Solar Energy     Hybrid Journal   (Followers: 16, SJR: 0.251, h-index: 6)
Applied Spatial Analysis and Policy     Hybrid Journal   (Followers: 4, SJR: 0.351, h-index: 9)
Aquaculture Intl.     Hybrid Journal   (Followers: 21, SJR: 0.613, h-index: 40)
Aquarium Sciences and Conservation     Hybrid Journal   (Followers: 1)
Aquatic Ecology     Hybrid Journal   (Followers: 31, SJR: 0.646, h-index: 44)
Aquatic Geochemistry     Hybrid Journal   (Followers: 3, SJR: 0.764, h-index: 39)
Aquatic Sciences     Hybrid Journal   (Followers: 12, SJR: 1.172, h-index: 53)
Arabian J. for Science and Engineering     Hybrid Journal   (Followers: 5, SJR: 0.345, h-index: 20)
Arabian J. of Geosciences     Hybrid Journal   (Followers: 1, SJR: 0.417, h-index: 16)
Archaeological and Anthropological Sciences     Hybrid Journal   (Followers: 21, SJR: 1.056, h-index: 15)
Archaeologies     Hybrid Journal   (Followers: 12, SJR: 0.397, h-index: 13)
Archiv der Mathematik     Hybrid Journal   (Followers: 1, SJR: 0.597, h-index: 29)
Archival Science     Hybrid Journal   (Followers: 51, SJR: 0.804, h-index: 22)
Archive for History of Exact Sciences     Hybrid Journal   (Followers: 7, SJR: 0.28, h-index: 15)
Archive for Mathematical Logic     Hybrid Journal   (Followers: 1, SJR: 0.946, h-index: 23)
Archive for Rational Mechanics and Analysis     Hybrid Journal   (SJR: 4.091, h-index: 66)
Archive of Applied Mechanics     Hybrid Journal   (Followers: 4, SJR: 0.865, h-index: 40)
Archives of Computational Methods in Engineering     Hybrid Journal   (Followers: 4, SJR: 2.841, h-index: 40)
Archives of Dermatological Research     Hybrid Journal   (Followers: 6, SJR: 0.9, h-index: 65)
Archives of Environmental Contamination and Toxicology     Hybrid Journal   (Followers: 10, SJR: 0.846, h-index: 84)
Archives of Gynecology and Obstetrics     Hybrid Journal   (Followers: 16, SJR: 0.695, h-index: 47)
Archives of Microbiology     Hybrid Journal   (Followers: 8, SJR: 0.702, h-index: 85)
Archives of Orthopaedic and Trauma Surgery     Hybrid Journal   (Followers: 8, SJR: 1.039, h-index: 56)
Archives of Osteoporosis     Hybrid Journal   (Followers: 2, SJR: 1.092, h-index: 13)
Archives of Sexual Behavior     Hybrid Journal   (Followers: 9, SJR: 1.198, h-index: 74)
Archives of Toxicology     Hybrid Journal   (Followers: 16, SJR: 1.595, h-index: 76)
Archives of Virology     Hybrid Journal   (Followers: 4, SJR: 1.086, h-index: 90)
Archives of Women's Mental Health     Hybrid Journal   (Followers: 13, SJR: 1.264, h-index: 50)
Archivio di Ortopedia e Reumatologia     Hybrid Journal  
Archivum Immunologiae et Therapiae Experimentalis     Hybrid Journal   (Followers: 2, SJR: 1.2, h-index: 42)
ArgoSpine News & J.     Hybrid Journal   (SJR: 0.102, h-index: 3)
Argumentation     Hybrid Journal   (Followers: 4, SJR: 0.295, h-index: 18)
Arid Ecosystems     Hybrid Journal   (Followers: 3)
Arkiv för Matematik     Hybrid Journal   (Followers: 1, SJR: 0.948, h-index: 22)
Arnold Mathematical J.     Hybrid Journal   (Followers: 1)
Arthropod-Plant Interactions     Hybrid Journal   (Followers: 2, SJR: 0.797, h-index: 17)
Arthroskopie     Hybrid Journal   (Followers: 1, SJR: 0.145, h-index: 8)
Artificial Intelligence and Law     Hybrid Journal   (Followers: 8, SJR: 0.288, h-index: 25)
Artificial Intelligence Review     Hybrid Journal   (Followers: 15, SJR: 0.948, h-index: 48)
Artificial Life and Robotics     Hybrid Journal   (Followers: 8, SJR: 0.231, h-index: 14)
Asia Europe J.     Hybrid Journal   (Followers: 4, SJR: 0.247, h-index: 9)
Asia Pacific Education Review     Hybrid Journal   (Followers: 9, SJR: 0.371, h-index: 17)
Asia Pacific J. of Management     Hybrid Journal   (Followers: 11, SJR: 1.676, h-index: 50)
Asia-Pacific Education Researcher     Hybrid Journal   (Followers: 11, SJR: 0.353, h-index: 13)
Asia-Pacific Financial Markets     Hybrid Journal   (Followers: 2, SJR: 0.19, h-index: 15)
Asia-Pacific J. of Atmospheric Sciences     Hybrid Journal   (Followers: 20, SJR: 1.006, h-index: 14)
Asian Business & Management     Hybrid Journal   (Followers: 7, SJR: 0.41, h-index: 10)
Asian J. of Business Ethics     Hybrid Journal   (Followers: 7)
Asian J. of Criminology     Hybrid Journal   (Followers: 5, SJR: 0.263, h-index: 8)
AStA Advances in Statistical Analysis     Hybrid Journal   (Followers: 2, SJR: 0.681, h-index: 15)
AStA Wirtschafts- und Sozialstatistisches Archiv     Hybrid Journal   (Followers: 5, SJR: 0.195, h-index: 5)
ästhetische dermatologie & kosmetologie     Full-text available via subscription  
Astronomy and Astrophysics Review     Hybrid Journal   (Followers: 21, SJR: 4.511, h-index: 44)
Astronomy Letters     Hybrid Journal   (Followers: 19, SJR: 0.58, h-index: 30)
Astronomy Reports     Hybrid Journal   (Followers: 12, SJR: 0.473, h-index: 23)
Astrophysical Bulletin     Hybrid Journal   (Followers: 2, SJR: 0.469, h-index: 11)
Astrophysics     Hybrid Journal   (Followers: 22, SJR: 0.243, h-index: 11)

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Journal Cover Archivio di Ortopedia e Reumatologia
  [0 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1592-7113 - ISSN (Online) 0390-7368
   Published by Springer-Verlag Homepage  [2335 journals]
  • Biotech in ortopedia e traumatologia: lo stato dell’arte e le direzioni
           future a cura di Giorgio Maria Calori
    • Authors: Giorgio Maria Calori
      Pages: 1 - 2
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0037-2
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Innovazione e qualità in 140 di storia dell’ortopedia
    • Authors: Amedeo Tropiano
      Pages: 3 - 3
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0038-1
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Classificazione delle pseudoartrosi e perdite di sostanza ossea: Non Union
           Scoring System
    • Authors: G. M. Calori; M. Colombo; E. L. Mazza; S. Mazzola; E. Malagoli; B. M. Marelli
      Pages: 6 - 7
      Abstract: Abstract A new scoring system is proposed in order to assist surgeons with the complex analysis associated with non-union surgery. Patients with non-union are rarely easily compared with one another and this has frustrated research in this field. We have therefore attributed values to clinical features based on clinical experience and research evidence, so that patients of similar complexity can be compared with one another. When greater experience with this scoring system has been gained it will be further refined and validated. We propose that surgeons with a subspecialist interest in non-union surgery use this system in reporting results, and that non-specialist surgeons use it to inform their decision to treat the fracture themselves, or refer to a subspecialist.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0041-6
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Pseudoartrosi distale di femore trattata con monoterapia: case report
    • Authors: M. Colombo; E. Mazza; S. Mazzola; E. Malagoli; S. W. Marchina; N. Marelli; G. M. Calori
      Pages: 8 - 9
      Abstract: Abstract The long bone nonunions and critical bone defects are two of the more difficult complications to treat. We treated a 59 years old patient that came to our attention through the ambulatory of nonunion of our institute with a diagnosis of distal femoral nonunion on the left side: the patient had undergone previous osteosynthesis with plate and screws. At admission the NUSS score of the patient was calculated in order to orientate on the therapeutic strategy to be adopted. It was decided to follow the principles of monotherapy, proceeding with the resection of necrotic bone and the subsequent installation of bone morphogenetic proteins (BMP-7). The postoperative course was smooth; it took a long motory rehabilitation period but, a year after surgery, the patient has achieved a good functional recovery, reaching a good quality of life.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0042-5
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Nostra esperienza sul trattamento delle pseudoartrosi delle ossa lunghe
           con sostituti ossei e PRP
    • Authors: B. Di Maggio; A. Grazioli; G. Abate; M. Italiano
      Pages: 12 - 14
      Abstract: The
      Authors report their experience on the use of bone substitutes in association with the use of PRP in the treatment of aseptic nonunion. It should be emphasized, for the purposes of healing, the crucial role of primary stabilization of the outbreak and the major inductive stimulus provided by the additional biologic support in the biologically inactive atrophic forms. They reiterate the importance, in order to choose the most suitable treatment, of a correct classification of the patient and pseudoarthrosis. Three significant cases of nonunion are described, extrapolated among those treated from 2010 to 2013 at the P.O. Piedimonte Matese.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0044-3
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Utilizzo dei fattori di crescita nelle lesioni del tendine rotuleo
    • Authors: B. Moretti; G. Vicenti; A. Abate; R. Maddalena; A. Notarnicola
      Pages: 15 - 17
      Abstract: Abstract Chronic tendinopathies represent one of the most common causes of longterm pain and physical disability. Because of poor tendon vascularity and because of the istopathologic changes in the damaged area, tendon healing rate is relatively low compared with other connective tissues, inducing a poor clinical and functional outcome. For these reasons, beside classic surgical and conservative treatments, new therapeutic approaches, such as the use of growth factors, were developed in order to enhance biologic response and healing processes. One of the most innovative systems is based on PRP. PRP (Platelet-Rich Plasma) is a plasma layer, separated after centrifugation of an autologous blood sample, in which platelets are about 8 times more concentrated than in normal plasma. The rationale of this technique is based on scientific evidence of the importance of growth factors, contained in platelet granules, in the normal tendon healing process. In this article we report the effects on clinical, functional and instrumental outcomes of US-guided injections of autologous PRP in 20 patients with patellar tendinopathy, aged between 18 and 43 years, treated in our clinic between 2010 and 2013.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0045-2
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Bone reconstruction using the RIA graft: biological considerations and
           clinical results
    • Authors: P. V. Giannoudis; G. M. Calori
      Pages: 20 - 21
      Abstract: Abstract In traumatologia e ortopedia, l’innesto di tessuto osseo viene frequentemente effettuato per facilitare la rigenerazione ossea. L’innesto di osso autologo è tuttora il “gold standard” e il sito di prelievo più comune rimane la cresta iliaca. La recente introduzione di un nuovo “device”, il “reamer irrigator aspirator” (RIA), consente di prelevare tessuto osseo autologo dal canale intramidollare delle ossa lunghe, e in particolare del femore. Obiettivo del presente studio è descrivere le proprietà biologiche del tessuto osseo autologo ottenuto mediante RIA e discuterne le potenziali applicazioni e i risultati clinici nel “setting” di una insufficiente guarigione ossea dopo una frattura.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0047-0
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Perdita di sostanza ossea omerale trattata secondo il principio della
           camera biologica: case report
    • Authors: M. E. Mazza; M. Colombo; S. W. Marchina; N. Marelli; S. Mazzola; E. Malagoli; G. M. Calori; A. Corradi
      Pages: 25 - 26
      Abstract: Abstract Studies have estimated that 5–10% of all fractures are associated with impaired healing, resulting in delayed union or non-union. Bone defects can result from a high-energy traumatic event, from large bone resection for different pathologies such as tumours or infections or from the treatment of complex non-unions. A large bone defect represents a challenge for the orthopaedic surgeon. This clinical condition is considered critical in relation to the skeletal segment involved: 3 cm for the forearm, 5 cm in the femur and tibia, 6 cm in the humerus. Excluding the traditional surgical techinques (distraction osteogenesis, autologous bone grafts or arthrodesis), the use of biotechnology can be very useful. We treated a 42 years old patient, that came to our observation through the ambulatory of nonunion of our Institute with a diagnosis of “humeral large bone septic defect”; this patient had in his history multiple previous osteosynthesis surgeries. The patient therefore underwent corrective surgery according to the Masquelet’s technique in two surgical times. The postoperative course was uneventful; during the follow-up the patient showed a good functional recovery with great satisfaction.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0049-y
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Il trattamento chirurgico con vite cannulata e PRP della pseudoartrosi
           dello scafoide carpale
    • Authors: M. D’Arienzo; A. Sanfilippo; A. D’Arienzo; M. Ferruzza; G. Margiotta; G. Cera
      Pages: 29 - 30
      Abstract: Abstract Nonunion is an important complication of carpal navicular fractures. The aim of this study is to report the medium term results of a reconstruction technique with cannulated screw combined with Platelet Rich Plasma (PRP) in Herbert fractures C (late consolidation), D1 (fibrous union without deformity) and D2 (pseudarthrosis with initial deformity). The use of PRP according the results showed, in our experience, a good osteoinductive capacity supporting the healing.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0051-4
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Applicazioni biotecnologiche nella Clinica Ortopedica di Padova
    • Authors: R. Aldegheri; A. Pozzuoli
      Pages: 30 - 30
      Abstract: Abstract We usually apply the newest and more accepted biotechnological surgical treatments for bone regeneration. Our results are similar to those in the literature. At the same time, in our Bio-Orthopedics Laboratory, we are conducting studies and research mainly on two topics: bone tissue engineering and reactions to metal release from total hip prostheses. We present in this paper our ongoing research and the preliminary results.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0052-3
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • L’utilizzo del gel piastrinico (prp) nella chirurgia di revisione della
           componente acetabolare d’anca
    • Authors: G. Sessa; L. Costarella; F. R. Evola
      Pages: 31 - 31
      Abstract: Abstract The aseptic loosening of the acetabular cup is a frequently complication in THA. The most important problem in the revision surgery is the bone loss that complicates the surgical procedures and thus the success of the implant in the long term. The homologous and heterologous bone grafts often represent the most widely used solution either in the morselized form, as a filler, or as structural graft with mechanical function. These tissues, however, have biological limitations and lose most of osteogenic and osteoinductive capacity;all this leads to the use of growth factors such autologous platelet rich plasma(P.R.P.). At the Institute of Orthopaedic and Traumatology Clinic of Catania between September 2004 and December 2012 were undergoing surgery for acetabular hip revision 26 patients; in 18 cases the PRP has been associated with homologous bone, while in 6 cases with equine bone. At a mean follow-up of 5 years(range 9–4 ys) the clinical and radiographic results were good in 23 cases, while, in 3 cases there has been an unsatisfactory result. We have not proved significant differences between the two groups of patients treated with homologous or equine bone. To further assess the real effectiveness will have to be carried out randomized studies on a large scale and precisely determine protocols for application and provide clear guidelines.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0053-2
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Osteonecrosi avascolare della testa del femore trattata con tecnica
           mini-invasiva: case report
    • Authors: S. Mazzola; M. Colombo; E. Mazza; E. Malagoli; G. M. Calori
      Pages: 32 - 33
      Abstract: Abstract Avascular necrosis of the femoral head (AVN) is a common cause of hip disability that, if left untreated, may cause collapse of femoral head and secondary hip osteoarthritis in up to 80% of patients. Osteonecrosis of the femoral head typically affects patients in their third-to-fifth decades of life and often, in 50% of these patients, the disease will develop on both sides. Risk factors are many, such as hip trauma, alcohol abuse, excessive use of corticosteroids, hemoglobinopathy, Gaucher’s disease, pregnancy, coagulopathies, Caisson disease, inflammatory or autoimmune disease, antiretroviral therapy, hyperbaric exposure, cancer, smoke, chemotherapy. Often a real risk factor for AVN cannot be found, and the disease is defined idiophatic osteonecrosis. The surgical treatment of our choice consists in the removal of necrotic tissue (core decompression) associated with the inclusion of growth factors (rh-BMP-7) and a “scaffold” of equine flexible bone enriched with autologous mesenchymal stromal cells. The objective of this technique is to create a biological chamber inside the femoral head, leading to the formation of a biological reactor capable of regenerating healthy bone tissue. This procedure is performed with a minimally invasive technique in the operating room, with the aid of a c-arm fluoroscope.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0054-1
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Mesenchimali e patologia condrale e osteocondrale del ginocchio:
           indicazioni e risultati
    • Authors: R. Buda; F. Vannini; M. Cavallo; D. Luciani; M. Baldassarri; A. Olivieri; S. Giannini
      Pages: 39 - 41
      Abstract: Background osteochondral lesions of the knee (OLK) are a cause of knee pain and associated diseases. A new bone-marrow-derived mesenchymal stem cells (CSM) technique has been developed for the treatment of OLK. Results: clinical outcomes, by IKDC and KOOS evaluation before surgery and subsequent follow-up, showed a significant improvement in scores. Control MRI and bioptic samples showed an osteochondral regeneration of the lesion site. Conclusions the one-step technique appears to be a good and reliable option for the treatment of OLK, both in terms of clinical outcomes and of imaging results.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0058-x
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • “Scaffold” e cartilagine
    • Authors: P. Cherubino; M. Ronga
      Pages: 42 - 43
      Abstract: Abstract Autologous chondrocyte implantation (ACI) has demonstrated a high rate of clinical success despite a considerable number of complications. The second-generation ACI techniques require three-dimensional scaffolds. Midterm studies have demonstrated comparable results to ACI, yet with a decreased rate of complications. The aim of this review is to define the requisites of a scaffold and to report clinical results and limits of these techniques.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0059-9
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Biotecnologie meniscali
    • Authors: D. Perugia; M. Pagnottelli; A. Ciompi
      Pages: 43 - 44
      Abstract: Abstract The menisci plays a key role in the knee joint. Meniscal tears are the most common knee injuries. It is none that complete or partial meniscectomy predispose the knee to degenerative joint disease. However, artrhoscopic meniscectomy remains the most frequently perform orthopaedic procedure. Therefore it would be seem logical to try to preserve meniscal tissue by repair, reconstruction or replacements. None of these procedures has been completely successfull and can be considered suitable for all patients, as meniscal tears require specific and patient-related treatments depending on the size and type of lesion. Recent advances in cell biology, biomaterial science and bioengineering have now the potential to drive meniscus regeneration into a series of clinically relevant strategies. In this review paper, the clinical need for meniscus repair, regeneration or replacements strategies will be explained, and past and current experimental studies are reported.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0060-3
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • L’uso di biotecnologie nella riparazione dei tendini flessori
    • Authors: B. Battiston
      Pages: 44 - 45
      Abstract: Abstract Severe flexor tendon injuries in the hand still represent a challenge for the surgeon. Several solutions have been proposed to avoid these problems: better suture techniques, even with mechanical systems, and the use of biotechnologies as barrier agents against scar formation both in primary sutures and in tenolysis following failures. Poor results are to be treated by sophisticated surgical techniques: tenolysis, teno-arthrolysis, tendon grafts (one or two-stage), up to the use of tendon prosthesis.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0061-2
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Trattamento di ampia ferita di gamba con esposizione tendinea con lamine
           cellulari allologhe: un caso clinico
    • Authors: L. Vaienti; M. Brioschi; S. Marcelli; E. Benanti; A. Marchesi
      Pages: 47 - 47
      Abstract: Background Chronic lower limb ulcers still represent a huge cost for health care systems. In addition to traditional surgical and medical techniques, several bioengineered products have been introduced. We report a case of a post-traumatic wound of the leg, complicated by tendon exposure treated. Due to general conditions of the patient, we chose to avoid major surgical operations and we used an allogeneic keratinocyte sheet on a hyaluronan acid device to improve the wound healing. Results The ulcer successfully healed in 60 days without needing any major operations. Conclusions The mechanisms of action, by which these allogeneic devices are able to improve the wound healing, are still uncertain and have to be studied. Nevertheless, these constructs may represent another option in the field of regenerative surgery for lower extremity wounds.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0063-0
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Il trattamento del difetto osseo senza l’uso di biotecnologie
    • Authors: M. Berlusconi
      Pages: 50 - 51
      Abstract: Abstract The Author reports his 7 years’ experience of treatment of more than 200 cases of non union with different sizes of bone defect. The study of the patient and of the non union are the starting point for the correct application of AO principles: compression, tension band, bone graft and osteotomies. In this paper are described the main techniques with specific tricks. More recently the Author has added a good experience with the Masquelet technique in infected non unions. No biotechnology has ever been used and the bone transport with Ilizarov technique has been reserved only in infected non unions of the tibia with severe injury of soft tissues.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0065-y
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Le osteotomie tibiali di addizione nelle gonartrosi e nelle deformità
           post-traumatiche in valgo: indicazioni, tecnica chirurgica, complicanze,
           risultati
    • Authors: G. Laurà; M. De Noia; G. Vergottini; R. Ballis
      Pages: 52 - 53
      Abstract: Abstract The effectiveness of tibial osteotomy for the treatment of varus gonarthrosis has been widely discussed in the literature, while works reporting its role in the correction of constitutional or acquired post-traumatic valgus deformities are less numerous, if not rare. We present the study of 16 patients with valgus knee treated by external opening wedge tibial varus osteotomy above the tibial tuberosity between 1998 and 2008. We analyzed the results with a median follow-up of 6 years (range 2–12 years): with the rating scale of Lysholm and Gillquist, the average value was 83 (range 61–93). Our indication for surgical intervention was addressed to subjects aged <60–62 years with unadvanced valgus gonarthrosis, <12°, with medial-lateral laxity, mostly occurring after lateral spontaneous or surgical meniscectomy, outcomes of tibial lateral plateau fracture or constitutional valgus deformities. Under such conditions, this procedure, that is performed in intraligamental area, can restore ligament tension and rebalance the knee, at the cost of an acceptable joint line’s obliquity.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0066-x
      Issue No: Vol. 124, No. 1-3 (2013)
       
  • Le fratture acetabolari nel paziente anziano: nostra esperienza
    • Authors: F. Carluzzo; G. F. Longo
      Pages: 54 - 55
      Abstract: Abstract The acetabular fractures in the elderly are characterized by a high variability in terms of types of patients and fracture characteristics. In the elderly, the majority of acetabular fractures are pathological fractures due to the presence of osteoporosis, caused by falling low energy and can occur in unusual way. At A.O. Cannizzaro of Catania from 2007 to 2012, we treated 45 patients with acetabular fractures, over the age of 60 years. Of these patients, 34 were treated surgically (31 patients with ORIF, 3 patients with ORIF more acute PTA) and 11 conservatively. Of the patients treated surgically only 21 were subject to follow-up clinical, radiographic and pschicofunctional (SF-12 card), while 9 patients were evaluated only with card SF-12. Of the 31 patients surgically treated with ORIF only 4 needed a second operation of PTA secondary to the development of hip osteoarthritis post.traumatic. The range of movement of patients surgically treated with ORIF was similar if compared with controlateral hip or with patients treated conservatively, we witnessed only a modest reduction of intrarotation respect to the contralateral hip. The results of the functional and psychological’ SF-12 as well as the quality of life were better in patients surgically treated with ORIF compared to those subjected to synthesis more PTA in acute or secondary hip prosthesis for the development of a post-traumatic arthrosis. The anatomical reconstruction of the acetabulum, as demonstrated in the literature, it is clearly preferable to the prosthetic replacement since it allows to avoid many of the well-known complications due to surgery of the hip prosthesis, although the anatomical reconstruction of the acetabulum can considerably more complex than in the elderly patient for the fracture characteristics that distinguish it. A non-surgical treatment can be justified only if there is no serious breakdown of the acetabulum, or hip subluxation in the absence of traction and in patients with poor general condition. In the literature, the treatment of acetabular fractures in elderly patients is very controversial (O.R.I.F. vs. arthroplasty in acute vs conservative treatment). In our experience the O.R.I.F. represents an excellent treatment option in acetabular fractures in elderly patients and, in patients who do not develop secondary osteoarthritis were documented excellent results both from the clinical point of view that quality of life.
      PubDate: 2013-12-01
      DOI: 10.1007/s10261-013-0067-9
      Issue No: Vol. 124, No. 1-3 (2013)
       
 
 
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