Formosan Journal of Musculoskeletal Disorders最新文献

{"title":"CAS as a Research Tool of TKA","authors":"Tokifumi Majimaa, S. Takai","doi":"10.6492/FJMD.20150902","DOIUrl":"https://doi.org/10.6492/FJMD.20150902","url":null,"abstract":"In order to improve clinical results with accurate surgery, computer navigation TKA (CAS TKA) was introduced in the 1990’s. It offers surgeons many advantages. CAS TKA allows serious “High Tech” measurement, improves mechanical axis alignment, enables precision ligament balancing, allows measurement of alignment, gaps, ROM, implant sizing, and improves understanding of errors. In addition to these clinical advantages, CAS is also an excellent research and educational tool. In the present review, I will introduce feasibility of CAS TKA as a research tool for kinematic measurement in TKA. Measurements of knee kinematics during TKA surgery using Navigation System were correlated with postoperative kinematics with using a 2D-3D image matching system. Concerning with this precedence study, intraoperative normal knee kinematic pattern improves clinical outcome of TKA. Furthermore, an intraoperative medial pivot pattern results in reduced patello-femoral contact stress.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"15 1","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2015-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87276446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attritional rupture of extensor pollicis longus by migration of Kirschner wires fixed in non-union scaphoid fracture: A case report","authors":"Yuan-Ta Li, Hsin-Chang Wang, Shih-Yuan Hua, R. Pan, Leou‐Chyr Lin","doi":"10.6492/FJMD.20150804","DOIUrl":"https://doi.org/10.6492/FJMD.20150804","url":null,"abstract":"We report a rare complication of internal fixation induced extensor pollicis longus (EPL) rupture. A 34-year-old male sustained a rupture of EPL tendon after the operation of open-reduction internal fixation of the non-union scaphoid fracture by means of two Kirschner wires and autogenous bone grafting from ipsilateral anterior superior iliac spine. He was successfully treated with palmaris longus tendon graft. Attrition of the extensor pollicis longus tendon by migration of Kirschner wires was the major mechanism.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"1 1","pages":"147-150"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89094220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A patient with painless intractable knee effusion due to secondary lipoma arborescens: A case report","authors":"Ching-Yin Lee, Yu-Chiang Chen, Chih-Hung Chang","doi":"10.6492/FJMD.20151026","DOIUrl":"https://doi.org/10.6492/FJMD.20151026","url":null,"abstract":"Lipoma arborescens (LA) is a benign lesion of the knee with replacement of the subsynovial tissue. Clinically, the affected joint develops intractable knee effusion without much pain. The secondary type of LA is often associated with an underlying inflammatory condition and often occurs at elderly persons. Magnetic resonance imaging can easily detect this lesion with its characteristic frond-like appearance on T1- and T2-weighted images and LA has the same signal intensity as fat on T1- weight images. The choice of treatment is open or arthroscopic synovectomy. The underlying precipitating factor accompanying secondary LA should also be corrected, so as to reduce further progression.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"1 1","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77533709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open treatment for the fracture of a limb with artificial arteriovenous fistula","authors":"Yi-Cheng Cho, Cheng-En Hsu, Kui-Chou Huang, Chih-Hui Chen","doi":"10.6492/FJMD.20150826","DOIUrl":"https://doi.org/10.6492/FJMD.20150826","url":null,"abstract":"There are an increasing number of fractures of a limb with artificial arteriovenous (A-V) fistula in patients with end-stage renal disease (ESRD). These fractures were traditionally treated with close reduction and cast immobilization due to concern of fistula failure and wound infection. We describe successful experience of a fracture of a limb with A-V fistula treated with open reduction and internal fixation (ORIF).","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"21 1","pages":"143-146"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82554347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-stage posterior correction in the treatment of severe rigid neuromuscular scoliosis: Case report","authors":"H. Sheu, Shiau-Tzu Tzeng","doi":"10.6492/FJMD.20150712","DOIUrl":"https://doi.org/10.6492/FJMD.20150712","url":null,"abstract":"Background: Treatment of severe rigid scoliosis is challenging. Traditional methods such as combined anterior and posterior surgery with or without perioperative halo-gravity traction, or more aggressive one-stage posterior correction methods carry many drawbacks and potential risks. To overcome this, a staged posterior approach was raised. We report a patient successfully treated with this new method. Case Report: A 15-year-old boy was diagnosed to have neuromuscular scoliosis of unknown origin. The Cobb angle was 110 degrees at T9- L4, and 77 degrees at T2- T9. The preoperative pelvic tilt was 16 degrees. Bending views showed the flexibility about 10%. Two-stage correction was performed. The major curve magnitude reduced 40 degrees or 36.3% after the first-stage surgery, and 25 degrees or 35.7% after the second-stage surgery. The final correction rate was 59.1%. The postoperative pelvic tilt reduced to 6 degrees. No complication such as infection, neurological injury or respiratory compromise was found. Discussion: This two-stage approach has many advantages, including preventing pulmonary function deterioration, no need of halo traction, avoiding too much manipulation of the spinal cord during each surgery, and facilitating curve correction. However, we should also take into consideration of its large blood loss, nutritional demand and potential risk of infection. Conclusion: Two-stage posterior correction is a reasonable and suitable alternative correction strategy in the treatment of severe rigid scoliosis. However, further study is needed to verify its validity and safety.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"2 1","pages":"151-155"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87341039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients with secondary hip-spine syndrome having surgeries of hip and spine in Taiwan: The investigation of unnecessary spine surgery","authors":"Chin-Yin Huang, Matthew N H Wang, Shyi-Kuen Wu, Peng Cheng","doi":"10.6492/FJMD.20151207","DOIUrl":"https://doi.org/10.6492/FJMD.20151207","url":null,"abstract":"Purpose: To estimate the incidence of hip-spine syndrome patients who received both hip and spine surgeries in Taiwan. Design: Retrospective study. Setting: Taiwan's National Health Institute Research Database Patient Sample: Taiwan's National Health Institute Research Database provided a total of 596,808 patients from 2002 to 2005. Outcome measures: Patients who underwent a hip surgery after a spine surgery within 25 months were definite as a Secondary Hip-Spine Syndrome patient. Results: Within 25 months, 14 patients had been treated for total hip replacement after a spine surgery; among the 14 patients having secondary hip spine syndrome, neurosurgeons carried out an ineffective treatment on seven of them while the remaining 7 cases had theirs implemented by orthopedic surgeons. The average of 20.4 months had been recorded as regards the interval between the first and last complaints of total hip replacement. 11 cases, which can be estimated to be 78% of the entire sample of patients, exhibited delayed diagnosis of femoral heads' necroses. Conclusion: Secondary hip-syndrome patients received both hip and spine surgeries constituted approximately 3% in spine surgery and 2.4% in hip surgery.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"39 1","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85806064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of giant cervical ganglioneuroma: A case report and literature review","authors":"C. Penga, Liding Chenb, Kuang-Ting Yeh, Ing-Ho Chena, Tzai-Chiu Yu, Shih-Hsiang Hsua, Sai-Tung Kwong, T. Yao, Kun-Chi Wu, Jen-Hung Wang, Y. Hsu, P. Chang, Wen-Tien Wu","doi":"10.6492/FJMD.20150903","DOIUrl":"https://doi.org/10.6492/FJMD.20150903","url":null,"abstract":"Ganglioneuroma is a very rare tumor and it grows very slowly. It may take years before any symptom develop. Although it is a benign tumor, it may grow to become quite huge. If it presents in the cervical spine area and causes spinal cord or nerve root compression, severe symptoms and signs will be apparent. When patients with such symptoms and signs are encountered, surgical intervention is necessary. We report a huge cervical spine ganglioneuroma case, a patient who has myelopathy, radiculopathy and sympathetic sign. According to tumor location and size, we planned to perform anterior and posterior surgical approaches at one stage. Posterior instrumentation with lateral mass screws after hemilaminectomy was performed at first. Anterior partial vertebrectomy, tumor removal, and fusion with strut allograft were then accomplished. After surgery, the patient's neurologic functions improved. Magnetic resonance imaging (MRI) repeated 3 months later revealed the tumor was completely removed and no spinal cord compression was observed. Surgical excision is indicated in this patient. We should take tumor location and size into consideration to decide appropriate surgical approach.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"41 1","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90808978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between AO/OTA Type 31-A2 femoral pertrochanteric fracture fixed with dynamic hip screw with two and four side screws","authors":"Ruei-Cheng Yang, M. Lin, Jui-Sheng Sun","doi":"10.6492/FJMD.20151211","DOIUrl":"https://doi.org/10.6492/FJMD.20151211","url":null,"abstract":"Background: Treating AO/OTA Type 31-A2 femoral pertrochanteric fracture with closed reduction and internal fixation utilizing a dynamic hip screw (DHS) with 4 side screws has been undoubtedly the most common surgical method. Purpose: The aim of this study was to explore whether a DHS with 4 side screws can be substituted by a DHS with 2 side screws when treating this type of injury. Methods: In total, 259 patients with AO/OTA type 31-A2 pertrochanteric femoral fracture fixed using a DHS with 4 side screws or 2 side screws were retrieved retrospectively for dates from December 2004 to December 2007. In this study, the 128 fractures fixed with DHS with 2 side screws were classified into group A, while the 131 fractures fixed with DHS with 4 side screws were classified into group B. Demographic and clinical parameters, such as age, gender, injury site, surgical time, amount of blood transfusion, and whether major implant related complication developed, were compared between the two groups. Results: No significant differences between the two groups for demographic parameters such as sex, age, and injury site were found. The surgical time of group A (87.6 ± 28.3, range: 35- 175 minutes) was significantly shorter than the surgical time of group B (109.8 ± 34.1, range: 40-210 minutes) (p ＜ 0.001). Moreover, the amount of blood transfusion for group A (2.16 ± 2.16, range: 0- 10 units) was significantly less than the amount of blood transfusion for group B (2.98 ± 2.37, range: 0-8 units) (p = 0.004). The development of major implant related complications among patients in group A was statistically equivalent to group B. Conclusion: Treatment of AO/OTA type 31-A2 femoral pertrochanteric fracture by DHS with 2 side screws gave a comparable outcome with respect to the development of major implant related complications and was superior in terms of surgical time and amount of blood transfusion compared with a DHS with 4 side screws. The use of a DHS with 2 side screws can therefore be regarded as an alternative implant to a DHS with 4 side screws when treating AO/OTA type 31-A2 femoral pertrochanteric fracture.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"62 1","pages":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90867666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migration of bioabsorbable interference screw after anterior cruciate ligament reconstruction: A case report and literature review","authors":"Chao-Chih Lin, Shiu‐Bii Lien","doi":"10.6492/FJMD.20150801","DOIUrl":"https://doi.org/10.6492/FJMD.20150801","url":null,"abstract":"Graft fixation using bioabsorbable interference screws in anterior cruciate ligament (ACL) reconstruction has become a common and standard procedure. Bioabsorbable implants are also referred to as biodegradable implants because they undergo hydrolytic degeneration. Complications are uncommon, and include cyst formation, abscess formation, fibroxanthoma, bone tunnel fracture, effusion, infection, screw breakage, and migration. Migration of bioabsorbable interference screws after ACL reconstruction is a rarely reported complication. Here, we present a case of intra-articular migration of femoral bioabsorbable screw. At arthroscopy, the whole femoral screw was observed lying in the intercondylar notch and completely removed under the assistance of arthroscopy. The symptoms resolved postoperatively at 1-year follow-up. Recognition and adequate management of bioabsorbable screw migration may prevent associated morbidities.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"78 1","pages":"109-113"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83746820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment outcomes of fungal vertebral osteomyelitis: A case series study and literature review","authors":"Meng-Huang Wu, Tsung-Yu Huang, Yen-Yao Li, Tsung-Jen Huang, Chin‐Chang Cheng, Ching-Yu Lee, Mel S Lee, R. Hsu","doi":"10.6492/FJMD.20150815","DOIUrl":"https://doi.org/10.6492/FJMD.20150815","url":null,"abstract":"Introduction: Fungal vertebral osteomyelitis (FVO) is rare and difficult to treat. It is usually an opportunistic infection in immunocompromised patients or is related to a prior surgery. Difficulty diagnosing the infection often leads to delayed treatment. Medical treatment and surgical outcomes are not always predictable. Purpose: To report the outcomes of FVO in our hospital and to review cases reported in the literature. Methods: In this retrospective series, 15 cases between January 2000 through June 2014 in Chang Gung Memorial Hospital’s Spinal Surgery Registry were reviewed. Demographic data, surgical records, culture results, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) levels, and image studies (X-ray and magnetic resonance imaging) were reviewed. A PubMed and Medline literature review was also done. Results: The causative pathogens were primarily Candida species (86.6%, Candida albicans in 11 patients; others were Candida glabrata, Candida parapsilosis, and Candida tropicalis) and Cephalosporium. All 15 patients had severe back pain, 5 had radiculopathy, and 1 had paralysis. Ten patients (66.7%) had an epidural abscess and spinal cord compression. The time to diagnosis ranged from 8 to 237 days from the onset of symptoms. Thirteen patients were managed with surgical debridement and antifungal treatment, 1 with antifungal treatment without surgery, and 1 with neither surgery nor antifungal treatment. Although the infections resolved in 12 patients, 4 recurred before complete resolution. One patient died of fungal sepsis and 2 of systemic disease. Antifungal treatment usually required more than 3 months; and off treatment CRP and ESR levels were usually higher than the normal range. Conclusions: The post-treatment FVO recovery rate was 80%. Surgical treatment was usually necessary. When vertebral collapse and spinal cord compression occur, surgical debridement, fusion, and stabilization combined with antifungal medications eradicated the infection and resolved the neurological deficits.","PeriodicalId":100551,"journal":{"name":"Formosan Journal of Musculoskeletal Disorders","volume":"59 4 1","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77570084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}