Journal of Joint Surgery and Research最新文献

筛选

英文中文

Contemporary posterior surgical approach with standard cemented total hip arthroplasty for femoral neck fracture in patients of age 60 years and older: Still a safe option? 标准骨水泥全髋关节置换术治疗60岁及以上患者股骨颈骨折的现代后路手术方法：仍然是一种安全的选择？

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.08.002

Kevin Syam , P Nithin Unnikrishnan , Akmal Turaev , Jeremy Oakley , Henry Wynn Jones , Nikhil Shah

{"title":"Contemporary posterior surgical approach with standard cemented total hip arthroplasty for femoral neck fracture in patients of age 60 years and older: Still a safe option?","authors":"Kevin Syam , P Nithin Unnikrishnan , Akmal Turaev , Jeremy Oakley , Henry Wynn Jones , Nikhil Shah","doi":"10.1016/j.jjoisr.2023.08.002","DOIUrl":"10.1016/j.jjoisr.2023.08.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The ideal operative treatment of displaced intracapsular femoral neck fractures in the active elderly is contentious. Recent literature favours a better outcome with the use of total hip arthroplasty (THA). Dislocation remains a major concern with THA, especially when a posterior approach is used. More recently, the concept of dual mobility cups is being promoted to avoid dislocations. The aim of the present study was to look at the outcomes of cemented THA utilising the posterior approach for these patients using a 28 mm (mm) femoral head.</p></div><div><h3>Methods</h3><p>This study retrospectively analysed the outcome of 108 primary cemented THA, performed by specialist hip surgeons, using a posterior approach with robust soft tissue repair in patients of age 60 years and older presenting with displaced intra capsular femoral neck fractures using a 28 mm head.</p></div><div><h3>Result</h3><p>At mean follow-up of 5.2 years (2.0–10.5 years), there were 2 dislocations (1.9%). One underwent manipulation under anaesthesia and the other had application of a posterior lip augmentation device. No other revisions were performed during the follow up period. The 30 day mortality was nil and no post-operative deep infections. Hundred patients (93%) at 1 year follow-up were independently mobilising.</p></div><div><h3>Conclusions</h3><p>With optimal patient selection, an excellent outcome can be achieved for patients with displaced femoral neck fractures using the standard cemented THA via the posterior approach with 28 mm head. A robust soft tissue repair and a specialist hip surgeon is recommended for this cohort of patients.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 192-196"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000270/pdfft?md5=39a27efc17a44aecadcb1461425d8f87&pid=1-s2.0-S2949705123000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of single leg standing up exercise for recovery of knee muscle strength and lower extremity motion function following anterior cruciate ligament reconstruction 单腿站立运动对前交叉韧带重建后膝关节肌力和下肢运动功能恢复的效果

Journal of Joint Surgery and Research Pub Date : 2023-12-01 DOI: 10.1016/j.jjoisr.2023.07.006

Koichi Kamiike , Takahisa Mori , Shinichi Yoshiya , Kotaro Kawaguchi , Shigeo Fukunishi

{"title":"Effectiveness of single leg standing up exercise for recovery of knee muscle strength and lower extremity motion function following anterior cruciate ligament reconstruction","authors":"Koichi Kamiike , Takahisa Mori , Shinichi Yoshiya , Kotaro Kawaguchi , Shigeo Fukunishi","doi":"10.1016/j.jjoisr.2023.07.006","DOIUrl":"10.1016/j.jjoisr.2023.07.006","url":null,"abstract":"<div><h3>Purpose</h3><p>We investigated the effectiveness of single-leg standing exercise (SLSE) as a home-based self-exercise for the recovery of knee joint muscle strength and lower limb motor function after anterior cruciate ligament (ACL) reconstruction.</p></div><div><h3>Methods</h3><p>In addition to postoperative rehabilitation, 55 patients who underwent ACL repair were asked to begin SLSE as a home-based self-exercise 50 times per day using a platform elevated at 40 cm for 2 months, 30 cm at 3 months, 20 cm at 4 months, and 10 cm at 5 months (intervention group). Sixty-four patients who underwent ACL reconstruction and followed the existing rehabilitation protocol were included in the control group. Isokinetic knee extension and flexion at 60° angular velocity at 3, 8, and 10 months after surgery and lower limb motor function performance at 8 and 10 months after surgery were compared within and between the two groups.</p></div><div><h3>Results</h3><p>Knee extension and flexion muscle strength and lower-extremity motor function recovered over time in both groups. There were no significant differences in knee extension and flexion muscle strength between the two groups at 3 months after surgery. However, knee extension strength, flexion strength, and triple hop test (THT) results were significantly higher in the intervention group (<em>p</em> < 0.01) 8 months after surgery. In addition, knee flexion strength and THT were significantly higher in the intervention group (<em>p</em> < 0.01) 10 months after surgery.</p></div><div><h3>Conclusions</h3><p>The results of this study suggest that SLSE can be an effective exercise for recovering knee joint muscle strength and lower limb motor function.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 ","pages":"Pages 179-185"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705123000257/pdfft?md5=bb1fcd5352697d56ec09e8438f6094c8&pid=1-s2.0-S2949705123000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50195379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页