Journal of Orthopaedic Reports最新文献

{"title":"Mindfulness-based intervention for non-farmacological pain control after Total Hip and Total Knee Arthroplasty: A systematic review and meta-analysis of randomized controlled trials","authors":"Lorenzo Impieri ,&nbsp;Giacomo Mazzoli ,&nbsp;Andrea Pezzi ,&nbsp;Giuseppe M. Peretti ,&nbsp;Laura Mangiavini ,&nbsp;Nicolò Rossi","doi":"10.1016/j.jorep.2024.100477","DOIUrl":"10.1016/j.jorep.2024.100477","url":null,"abstract":"<div><h3>Background</h3><div>Pain control after Total Hip and Total Knee Arthroplasty (THA and TKA) mainly relies on medications including nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid medications. Despite generally positive outcomes, a substantial subset of patients experiences chronic post-surgical pain and dissatisfaction. This systematic review and meta-analysis aimed to evaluate the effectiveness of mindfulness-based interventions (MBIs) in reducing postoperative pain in patients undergoing THA and TKA.</div></div><div><h3>Methods</h3><div>Following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, a comprehensive literature search was conducted across PubMed, Embase, and Cochrane databases, including manual searches. The eligibility criteria included randomized controlled trials (RCTs) that assessed explicit MBIs on postoperative pain in THA or TKA patients, with outcomes including pain intensity, opioid use, and physical function. Risk of bias was evaluated using the RoB2 tool. A meta-analysis was performed on the studies included in the review.</div></div><div><h3>Results</h3><div>Out of 324 unique results, 5 RCTs met the inclusion criteria, encompassing 778 patients. The interventions varied from single-session mindfulness practices to multi-week courses. The meta-analysis demonstrated a significant reduction in standardized pain scores (Hedge’s g −1.83, 95%CI: −2.70; −0.96, p = 0.002) for MBI groups compared to controls, with high heterogeneity (I² = 80.0 %). Influence analysis indicated no single study disproportionately influenced the results. The Correlated and Hierarchical Effects (CHE) model confirmed the robustness of these findings.</div></div><div><h3>Conclusions</h3><div>MBIs are associated with a significant reduction in postoperative pain following THA and TKA, representing a viable non-pharmacological option for pain management. Further research should focus on optimizing the timing and delivery of these interventions to enhance their efficacy.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100477"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446643","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}

{"title":"Mini-review: The impact of Covid-19 infection on total joint arthroplasty outcomes and optimal surgical timing","authors":"Gabrielle N. Swartz,&nbsp;Reza Katanbaf,&nbsp;James Nace","doi":"10.1016/j.jorep.2024.100476","DOIUrl":"10.1016/j.jorep.2024.100476","url":null,"abstract":"","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100476"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552776","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}

{"title":"Pain distribution in primary care patients affected by femoroacetabular impingement","authors":"Roberto Centemeri ,&nbsp;Michele Augusto Riva ,&nbsp;Michael Belingheri ,&nbsp;Maria Emilia Paladino ,&nbsp;Marco Italo D'Orso ,&nbsp;Jari Intra","doi":"10.1016/j.jorep.2024.100479","DOIUrl":"10.1016/j.jorep.2024.100479","url":null,"abstract":"<div><div>Femoroacetabular impingement (FAI) is a well-known cause of hip pain deter-mined by morphological abnormalities between the femoral neck and the acetabular rim. In this work, we studied the pain location and distribution in subjects affected by FAI, in order to evaluate and identify the most common anatomical areas associated to this pathology. Fifty-two subjects, 29 females and 23 males, with an average age of 42 ± 13 years with clinical and radio-graphic confirmed FAI, were enrolled. Twenty-eight patients without signs of hip impingements were used as control group. The most frequent body areas where the pain was felt were lumbar-pelvic (41 %), knee (16 %), groin (14 %), and cervical shoulder region (12 %). Analyzing the data obtained among the two genders, the prevalence of pain in lumbar-pelvic region was observed both in males and females. Moreover, the males aged older than 40 years predominantly reported pain in lumbar-pelvic region, while females presented a higher variability in pain distribution, although pain in cervical-shoulder region was the most common. Collectively, a heterogeneous pain location and distribution was observed, and no specific was reported as distinctive of this pathology. However, the correlation between the pain location and the radiological findings could be useful to clinicians to implement early optimal conservative treatments and work/sport restrictions in order to monitor the evolution of pathology and improve patient's outcomes before a possible surgical treatment.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100479"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426564","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}

{"title":"Osteochondritis dissecans lesions of the talus in adolescent athletes: Outcomes and management of arthroscopic surgery","authors":"Tommy Pan ,&nbsp;Samantha N. Olson ,&nbsp;Brianne M. Giuffrida ,&nbsp;William Pinamont ,&nbsp;William L. Hennrikus","doi":"10.1016/j.jorep.2024.100478","DOIUrl":"10.1016/j.jorep.2024.100478","url":null,"abstract":"<div><h3>Background</h3><div>Osteochondritis dissecans (OCD) causes joint pain in children. Treatment consists of conservative management or surgery depending on injury staging; however, duration of conservative treatment, surgical modality and postoperative protocols are not well-established. This study aims to evaluate the outcomes of symptomatic OCD of the talus treated by arthroscopic-assisted management and drilling of the talar bed with or without fixation.</div></div><div><h3>Methods</h3><div>A retrospective review was performed on 12 adolescents with symptomatic OCD. Data extracted included: age, gender, body mass index, sporting activity, mechanism of injury (MOI), operative modality and duration of follow-up. AOFAS Ankle-Hindfoot, Alexander/Lichtman, and Berndt and Harty outcome scores were used.</div></div><div><h3>Results</h3><div>Twelve patients were studied (9 girls, 3 boys). The average age was 14.2 years. MOI included: sprain (66.7 %), sporting activity (25 %) and trauma (8.3 %). Berndt and Hardy classification included: Stage 3 (4) and Stage 4 (8). All failed conservative treatment for at least 6 months. Surgery included: arthroscopic-assisted arthrotomy and drilling of the talar bed with or without fragment fixation. Duration of follow-up averaged 23.1 months (range, 3–58 months). At final follow-up, the AOFAS score averaged 96.0. Alexander/Lichtman and Berndt and Hardy scores were all excellent.</div></div><div><h3>Conclusion</h3><div>In the pediatric population with OCD lesions of the talus who have failed an initial 6-month conservative trial prior to operative management, arthroscopy can help assess for instability prior to definitive treatment. Arthroscopic-assisted drilling to stimulate healing and/or open reduction internal fixation of the fragment can result in excellent outcomes and return to sporting activity.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100478"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426563","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}

{"title":"The feasibility of perioperative methadone in older hip fracture patients: A pilot continual reassessment trial (MetaHip trial)","authors":"Kevin Heebøll Nygaard ,&nbsp;Lasse Eriksen ,&nbsp;Thomas Strøm ,&nbsp;Kirsten Specht ,&nbsp;Sofie Ronja Petersen ,&nbsp;Jesper Ougaard Schønnemann","doi":"10.1016/j.jorep.2024.100475","DOIUrl":"10.1016/j.jorep.2024.100475","url":null,"abstract":"<div><h3>Background</h3><div>Hip fractures cause extreme pain, primarily affecting the older and frail. The necessity of sufficient pain relief in combination with a lower tolerance for drugs makes the analgesic treatment of older patients difficult. A single dose of methadone might reduce postoperative pain and opioid consumption. However, the safety of using methadone for older and fragile patients is unknown.</div></div><div><h3>Aim</h3><div>Determine the maximal tolerable dose (MTD) of perioperative methadone in older hip fracture patients and assess the feasibility of this protocol for future clinical trials.</div></div><div><h3>Methods</h3><div>Hip fracture patients ≥60 years old were consecutively included at the hospital in the winter/spring of 2023. An adaptive algorithm allocated 0.10 mg/kg, 0.15 mg/kg, or 0.20 mg/kg of methadone to each patient, administered intravenously at the induction of anesthesia. The primary outcome was respiratory depression, which was monitored continuously. Occurrence required a dosage decrease, while absence allowed an increase. Registered Nurses at the orthopedic ward collected data using observation charts completed 6, 24, and 72 hours after surgery. Secondary outcomes include time spent in the post-anesthesia care unit (PACU), verbal rating pain score (VRS), opioid consumption, and nausea/vomiting.</div></div><div><h3>Results</h3><div>30 patients completed the study. Nine received 0.10 mg/kg, and 21 received 0.15 mg/kg. Three patients experienced respiratory depression in PACU, all receiving 0.15 mg/kg methadone and undergoing general anesthesia. None of the spinal anesthesia patients or those receiving 0.10 mg/kg experienced respiratory depression.</div></div><div><h3>Conclusion</h3><div>Methadone is an effective analgesic for hip fracture surgery. The data suggests that the maximal tolerable dose of methadone in older hip fracture patients is 0.10 mg/kg. This study proves the feasibility of our trial setup and provides a foundation for future randomized controlled trials. Additionally, the findings suggest that the tolerability of methadone may vary depending on the type of anesthesia used, which merits further investigation.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100475"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426466","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}

{"title":"Periprosthetic medial tibial plateau fracture in robotic-assisted unicompartmental knee arthroplasty using a burr-all technique: A case report and literature review","authors":"Roger Quesada-Jimenez ,&nbsp;Andrew R. Schab ,&nbsp;Drashti Sikligar ,&nbsp;Ady H. Kahana-Rojkind ,&nbsp;Mark F. Schinsky","doi":"10.1016/j.jorep.2024.100474","DOIUrl":"10.1016/j.jorep.2024.100474","url":null,"abstract":"<div><h3>Introduction</h3><div>Unicompartmental knee arthroplasty (UKA) has emerged as a popular treatment for isolated osteoarthritis affecting one knee compartment. Robotic assistance and use of burr-all techniques have been shown to aid with component placement and enhance precision and limb alignment.</div></div><div><h3>Methods</h3><div>In this study, we report a medial vertical shear periprosthetic tibial plateau fracture after an uneventful robotic-assisted UKA using a burr-all technique presented 3 weeks postoperative. An analysis of the available literature was performed to investigate possible risk factors for periprosthetic fractures after UKA.</div></div><div><h3>Results</h3><div>After confirming good implant fixation to the fragment, the patient underwent open reduction with internal fixation (ORIF). At six weeks, postoperative X-rays revealed adequate consolidation and correct alignment of the fracture. The patient was pain-free at four months follow-up. Periprosthetic risk factors post-UKA were found to be similar to those identified for TKAs, special considerations for depth of resection into the proximal medial tibia, pin placement into the medial edge of the tibial plateau, and positioning of sagittal saw cuts.</div></div><div><h3>Conclusion</h3><div>Meticulous care should be exercised during the preparation of the tibial plateau for a burr-all robotic assisted burr-all UKA to maintain stability. When loosening is ruled out, an ORIF with a plate in a buttress mode can be a feasible approach to treat a vertical shear periprosthetic tibial plateau fracture.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100474"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426562","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}

{"title":"Standardized procedure managing limb reconstruction and post traumatic complications: Acute shortening-relengthening and multipotent stem cells","authors":"Marianna Faggiani ,&nbsp;Salvatore Risitano ,&nbsp;Giorgio Borella ,&nbsp;Giuseppe Malizia ,&nbsp;Eraclite Pertuccelli ,&nbsp;Luigi Conforti ,&nbsp;Alessandro Massè","doi":"10.1016/j.jorep.2024.100473","DOIUrl":"10.1016/j.jorep.2024.100473","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>Circular External Fixation (CEF) is a complex and long-term treatment used to manage bone gaps and limb reconstructions after post traumatic complications. The purpose of this study is to introduce an innovative management protocol to reduce the time of illness.</div></div><div><h3>Materials and methods</h3><div>A multicentric retrospective study including patients treated with CEF for post traumatic complications was conducted. In Group A were enrolled patients with a bone gap managed with bifocal acute shortening and relengthening (Bifocal ASR) and infiltrated with multipotent stem cells (MSC) at a selected time between 60 and 90 days after the frame application. In Group B patients with bone gaps were managed by bone transport (BT) without cell infiltration. Radiological and clinical outcomes have been collected at a minimum 1-year follow-up.</div></div><div><h3>Results</h3><div>23 patients were enrolled. At the final follow-up, 3 patients in Group B had docking point problems, 1 case of acquired deformity, 3 delays in bone healing and 7 patients needed another surgical procedure before the removal of the frame. Group A achieved a radiographic union and stable clinical test in an average of 5 months, Group B in 9 months. The average of time between the application of the external fixation and the frame removal was 6,1 months for Group A and 11 months for Group B.</div></div><div><h3>Conclusions</h3><div>A treatment protocol for patients with bone gap managed with CEF with Bifocal ASR technique and infiltration of MSC in a set time, allows to achieve a healing and removal of the fixator more quickly.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100473"},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142322336","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}

{"title":"The 3D-Printed custom prosthesis for treatment of traumatic tibial plafond and midfoot fracture nonunion: A case report","authors":"Tommy Pan ,&nbsp;Athan G. Zavras ,&nbsp;Samantha N. Olson ,&nbsp;Brianne M. Giuffrida ,&nbsp;Kevin T. Monahan ,&nbsp;Edward R. Westrick","doi":"10.1016/j.jorep.2024.100464","DOIUrl":"10.1016/j.jorep.2024.100464","url":null,"abstract":"<div><p>Open fractures involving the foot and ankle provide a challenge to orthopedic surgeons due to increased rates of nonunion, higher risk of infection and/or delayed return to function. Over the past decade, three-dimensional (3D) printing has made significant advances in the field of orthopedic surgery, specifically in guiding surgeon preoperative planning and restoration of the bony anatomy. We present two cases of patients who sustained open ankle plafond and midfoot fractures with significant initial soft tissue involvement and bony loss that went on to nonunion. Both patients were subsequently treated with a 3D-printed custom prosthesis and achieved bony union. Our goal is to shed light on the viability of 3D-printing technology in treating orthopedic trauma of the foot and ankle.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001590/pdfft?md5=97ebe21e72d7ec980565659e9ebf2b24&pid=1-s2.0-S2773157X24001590-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239257","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}

{"title":"Decoding osteoporosis: Understanding the disease, exploring current and new therapies and emerging targets","authors":"Dhruvee Patel,&nbsp;Bhagawati Saxena","doi":"10.1016/j.jorep.2024.100472","DOIUrl":"10.1016/j.jorep.2024.100472","url":null,"abstract":"<div><div>Bone is a dynamic tissue that is constantly changing and adapting through multiple processes such as osteogenesis, modeling, and remodeling, which usually include the coordinated activities of osteoclasts and osteoblasts. However, a disturbance in this cycle may result in complications with bone health. One of this complication is osteoporosis, a condition that affects globally over 0.2 billion people and causes nearly 90 lakhs fractures yearly. Osteoporosis is a complex disorder impacted by a range of variables, including lifestyle choices, physical activity, genetics, hormonal and endocrine systems, comorbidities (pre-existing diseases), and the use of certain drugs. This article delivers a short overview of the osteoporosis, its diagnosis, and management by non-pharmacological and pharmacological interventions and limitations of existing medications. The review article also highlights both emerging medications and novel targets for preventing and managing osteoporosis, providing a comprehensive look at future therapeutic strategies aimed at protecting bone strength and retarding bone loss. New medications for osteoporosis include romosozumab, cinacalcet and tiliroside. Potential novel targets for preventing bone loss and osteoporosis which are explored in current article include Wnt/β-catenin pathway, fibroblast activation protein, NLRP3 inflammasome, cuproptosis, P2X7 receptor, tumor necrosis factor receptor associated factor 3, Krüppel-like factor, Toll like receptor 4, Yes-associated protein and the transcriptional coactivator with PDZ-binding motif and Sirtuin 3.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100472"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319702","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}

{"title":"Comparison of physician compensation using work relative value units in septic revision total shoulder arthroplasty","authors":"Arman Kishan ,&nbsp;Sarah I. Goldfarb ,&nbsp;Kiyanna Thomas ,&nbsp;Sanjay Kubsad ,&nbsp;Ansh Kishan ,&nbsp;Jacob D. Mikula ,&nbsp;Henry Maxwell Fox ,&nbsp;Umasuthan Srikumaran","doi":"10.1016/j.jorep.2024.100471","DOIUrl":"10.1016/j.jorep.2024.100471","url":null,"abstract":"<div><h3>Background</h3><p>Revision total shoulder arthroplasty (TSA) for prosthetic joint infection (herein, “septic revision TSA”) requires more time and resources compared with revision in the absence of infection (“aseptic revision TSA”). Physician compensation should accurately reflect this greater burden. In this study, we assessed whether physician compensation for septic revision TSA is proportionate to that for aseptic revision TSA.</p></div><div><h3>Methods</h3><p>The National Surgical Quality Improvement Program database was queried from 2006 to 2021 to identify cases of aseptic and septic revision TSA. Work relative value units (wRVUs), operative time, wRVUs per minute, and compensation per hour were compared between aseptic and septic cases. Univariate and multivariate analyses were conducted to assess wRVU adequacy for septic revision TSA. The wRVU-to-dollar conversion factor was obtained from the US Centers for Medicare &amp; Medicaid Services, and wRVU dollar valuations were calculated. P values &lt; 0.05 were considered significant.</p></div><div><h3>Results</h3><p>Mean (± standard deviation) operative times were 125 ± 62 (range, 21–695) minutes for aseptic revision TSA and 135 ± 58 (range, 30–418) minutes for septic revision TSA (P = .025). wRVUs per minute were 0.26 for aseptic revision TSA and 0.23 for septic revision TSA (P = .002). Compensation per hour was $504 for aseptic revision TSA and $453 for septic revision TSA (P = .002).</p></div><div><h3>Conclusions</h3><p>Current physician compensation for septic revision TSA does not reflect the greater complexity associated with these procedures compared with aseptic revision TSA. This incongruity may discourage surgeons from performing septic revisions, which could result in delayed or inadequate treatment for patients. Our results suggest a need for a more precise system of wRVU assignment in septic revision TSA cases to ensure that surgeons are compensated fairly.</p></div><div><h3>Level of evidence</h3><p>Level III; retrospective study.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100471"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001668/pdfft?md5=34dad041d87ede8ce4d96616d6b4245a&pid=1-s2.0-S2773157X24001668-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239256","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}