Journal of Orthopaedic Reports最新文献

{"title":"Evaluating the quality and value of the top 100 most liked TikTok Videos categorized with #aclrehab","authors":"Christian D. Kim,&nbsp;Andrew S. Lee,&nbsp;Neha Boinpally,&nbsp;Zachery M. Davidson,&nbsp;Kathleen S. Beebe","doi":"10.1016/j.jorep.2024.100450","DOIUrl":"10.1016/j.jorep.2024.100450","url":null,"abstract":"<div><h3>Background</h3><p>TikTok specializes in short videos and has become a common source of information for many of its users. To date, only three other studies have characterized the quality and value of popular TikTok content related to orthopedics. This study evaluated the quality and value of the top 100 most liked TikTok videos categorized with #aclrehab.</p></div><div><h3>Methods</h3><p>A comprehensive search was conducted in TikTok using the search parameter #aclrehab. The top 100 most-liked videos were analyzed by four independent reviewers. Video characteristics and viewer interaction parameters were analyzed as well. Videos were categorized first by source and then further classified as useful, misleading/irrelevant, or personal experience. Useful videos were assessed for reliability and comprehensiveness using a modified 5-point DISCERN scale. Personal experience videos were further categorized into positive, negative, or neutral valence. The overall quality of all videos were assessed, regardless of classification, according to the 5-point Global Quality Scale (GQS).</p></div><div><h3>Results</h3><p>Of the 100 videos retrieved, 21 videos were classified as useful, 68 as personal experience, and 11 as misleading/irrelevant. The GQS average for useful videos was 3.36 while the GQS averages for personal experience and irrelevant/misleading videos were 1.43 and 1.18 respectively. While significant differences in GQS scores were observed, the overall reliability and comprehensiveness of useful videos scored poorly. For videos categorized as useful, the DISCERN score average was 2.54. For the videos classified as personal experiences, the number of positive, negative, and neutral valenced videos were 14, 20, and 34 respectively.</p></div><div><h3>Conclusion</h3><p>This study found that the most popular TikTok videos categorized with #aclrehab are mostly personal experiences with little informational value or quality. The study also concluded that of the 21 videos classified as useful, the information regarding ACL rehabilitation is of slightly below moderate quality and reliability.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001450/pdfft?md5=82bbd9e6fd1b067642598c4d005b6d25&pid=1-s2.0-S2773157X24001450-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838562","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":"Salvage composite graft for an Allen’s IV right ring finger avulsion injury and delayed presentation in a 15-year-old boy","authors":"Kenneth Pak Leung Wong,&nbsp;Mohammad Ashik bin Zainuddin,&nbsp;Arjandas Mahadev","doi":"10.1016/j.jorep.2024.100446","DOIUrl":"10.1016/j.jorep.2024.100446","url":null,"abstract":"<div><h3>Background</h3><p>Older age, proximal injuries avulsion-type injuries and delayed reattachment (&gt;4.3hours) are poor prognostic factors for complete survival of composite grafting in fingertip amputations. It has been recommended that bone be removed from the graft to improve survival rate. We herein describe a case of an older paediatric patient who sustained an Allen’s IV right ring finger avulsion injury with a delayed presentation.</p></div><div><h3>Case report</h3><p>A 15-year-old boy sustained a dominant right ring finger traumatic avulsion amputation unsuitable for replantation. The digit was reattached as a composite graft. The bone united and nail bed partially reformed allowing preservation of some length. The remainder tissue necrosed, however. This was debrided and covered with a cross-finger flap from the middle finger. Ultimate cosmetic and functional outcome were good.</p></div><div><h3>Conclusion</h3><p>This experience brings forth the option of length preservation by way of reattachment of the severed bone or even a cortico-cancellous autograft and subsequent local flap for skin coverage.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100446"},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001413/pdfft?md5=84c39c2c373c59bda297aeb7a566b305&pid=1-s2.0-S2773157X24001413-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853536","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":"Different hyaluronan concentration determinate distinctive physicochemical and biological properties of the intra-articular gel but does not affect satisfactory clinical outcome","authors":"Julián B. Troncoso ,&nbsp;Javier R. Fernández ,&nbsp;Jakub Hubeny ,&nbsp;Marta Grzywacz ,&nbsp;Anna Silwanowicz ,&nbsp;Magdalena Bunikowska ,&nbsp;Patryk Kozłowski ,&nbsp;Marcin Martyniak","doi":"10.1016/j.jorep.2024.100445","DOIUrl":"10.1016/j.jorep.2024.100445","url":null,"abstract":"<div><h3>Background</h3><p>Intra-articular injection of hyaluronic acid (HA) has been established as a suitable treatment for osteoarthritic (OA) joints, able to effectively relieve the disease symptoms. However, HA-based medical devices available on the market differ in their key properties that finally might radically influence their clinical effectiveness. This study aimed to evaluate and compare the physicochemical and biological properties of two different hyaluronic acid-based gels intended for intra-articular injection into large synovial joints and subsequently determine if observed differences have reflection in clinical outcome related to their use.</p></div><div><h3>Methods</h3><p>Samples of Biolevox HA and Biolevox HA ONE (Biovico, Poland) provided from standard production batches were included in the analysis. The HA-based products were analyzed in order to assess their physicochemical properties, cytotoxicity, and the ability to rescue a negative impact of the pro-inflammatory-inducing agent on chondrocyte gene expression levels. Additionally, the clinical recognition of the HA products included in this study was evaluated.</p></div><div><h3>Results</h3><p>HA gels tested in this study differ from each other in terms of their physicochemical characteristics, with a higher product viscosity as a result of higher molecular weight, and higher concentration of hyaluronan in Biolevox HA ONE. Tested HA gels were not able to negatively affect the cell viability-regardless gel concentration used, what excluded any cytotoxic properties. Analysis of the gene expression showed that tested HA gels were able to effectively restore the down-regulated expression rate of <em>bCol2a1</em> and <em>bAcan</em> in chondrocytes stimulated with rBoIL-1. Finally, the use of both Biolevox HA and Biolevox HA ONE gels was evaluated by the majority of physicians as very well-tolerated and painless by the patients.</p></div><div><h3>Conclusions</h3><p>We show here that precisely tailored physicochemical properties of the HA products can provide desired biological properties of the gel and guarantee beneficial outcome related to the product.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001401/pdfft?md5=223c488b21d49d54e8d8767fa2e14ed1&pid=1-s2.0-S2773157X24001401-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851413","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":"Use of articulating antibiotic loaded pre-designed spacer in two-staged revisions for infected total hip arthroplasties: A retrospective long-term outcome study","authors":"Sayantan Saha,&nbsp;Azeem Ahmed,&nbsp;Rama Mohan,&nbsp;Zain Habib","doi":"10.1016/j.jorep.2024.100442","DOIUrl":"10.1016/j.jorep.2024.100442","url":null,"abstract":"<div><h3>Background</h3><p>With the increasing number of total hip arthroplasties performed across the world, there is a noted rise in the number of prosthetic joint infections. Two-staged revisions are the most accepted interventions for these. There are two forms of interim antibiotic spacers - hand-made and prefabricated. There is paucity of long-term data to support the use of the latter. The purpose of our retrospective study was to analyse the long-term results of the same.</p></div><div><h3>Methods</h3><p>Out of 45 patients treated by two-staged revision for prosthetic hip joint infections, 31 underwent implantation of prefabricated antibiotic-loaded spacer in the first stage (June 2011–October 2020). The primary objective was to determine the recurrence rate of infection, and secondary objectives were analysis of outcome, time for infection eradication, and review of complications encountered. Minimal follow-up was 1 year and maximum was 8 years (mean 48.02 months).</p></div><div><h3>Results</h3><p>29 patients underwent both the stages of the revision procedure. None had infection recurrence. 2 died before the second stage. Long term (5 years) mortality was 8.6 %. Mean interval between the 1st and 2nd stage surgeries was 16.5 weeks. 2 patients had spacer dislocations; one required an open reduction. 1 patient had a fracture during the 2nd stage, and 3 had dislocations after the 2nd stage.</p></div><div><h3>Conclusion</h3><p>Prefabricated antibiotic loaded spacer remains a promising option in dealing with prosthetic hip joint infections. Our experience and long-term follow-up results depicts low complication rate of the procedure whilst facilitating long-term infection control and nil infection recurrence rate.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001371/pdfft?md5=1bdd840978670ceaf5d1b241ee4d4ddf&pid=1-s2.0-S2773157X24001371-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697095","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":"Chat-GPT adequate response to FAQs about thumb arthritis","authors":"Chiara Suardi,&nbsp;Andrea Poggetti,&nbsp;Sandra Pfanner","doi":"10.1016/j.jorep.2024.100444","DOIUrl":"10.1016/j.jorep.2024.100444","url":null,"abstract":"<div><p>The purpose of this study is to evaluate ChatGPT responses to common questions patients have regarding thumb carpometacarpal osteoarthritis (CMC OA).</p></div><div><h3>Methods</h3><p>Ten frequently asked questions (FAQs) regarding CMC OA were chosen from FAQs found on the websites of major institutions. These were presented to ChatGPT and responses were rated as “excellent response not requiring clarification,” “satisfactory requiring minimal clarification,” “satisfactory requiring moderate clarification,” or “unsatisfactory requiring substantial clarification.”</p></div><div><h3>Results</h3><p>3 responses were considered excellent requiring no clarification, 4 responses were satisfactory requiring minimal clarification, 3 were satisfactory requiring moderate clarification, and no answer was considered unsatisfactory requiring substantial clarification.</p></div><div><h3>Conclusion</h3><p>As hypothesized, ChatGPT provided generally information to common questions around CMC OA. Although clarification was often needed, responses were satisfactory for providing generalized information about clinical presentation and management (conservative vs surgical).</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001395/pdfft?md5=96bc6772f40e304b394f0261d16ff132&pid=1-s2.0-S2773157X24001395-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047984","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":"Assessment and comparison of the diagnostic value of CT-scan and MRI in acute traumatic spinal compression fractures","authors":"Kaveh Jamalipour Soufi ,&nbsp;Ghazaleh Jamalipour Soufi ,&nbsp;Nastaran Fallahpour ,&nbsp;Ali Hekmatnia","doi":"10.1016/j.jorep.2024.100443","DOIUrl":"10.1016/j.jorep.2024.100443","url":null,"abstract":"<div><h3>Purpose</h3><p>Vertebral compression fractures (VCFs) frequently occur in trauma patients, with a significant portion affecting younger individuals. Choosing suitable modalities is crucial in these patients to early diagnose of VCF, especially for the prevention of further consequences in VCF patients who are asymptomatic or have mild symptoms. The purpose of this study is to assess and compare the diagnostic value of CT scanning and MRI in detecting spinal compression fractures in acute traumatic patients.</p></div><div><h3>Methods</h3><p>This descriptive analytical study has been performed on traumatic patients with VCFs in hospital based on the magnetic resonance imaging (MRI) evidences obtained from April 2020 to February 2021. Computerized tomography (CT), MRI and demographic data of cases were collected from electronic hospital records. Two radiologists reviewed CT-scan and MRI data again.</p></div><div><h3>Results</h3><p>The results were organized in software SPSS 23 for statistical analysis. Compared to MRI, the sensitivity of CT-scan in the diagnosis of stable VCFs was less than 50 % at all levels; accordingly, the results were 20, 42, and 33 % at cervical, thoracic, and lumbar levels, respectively. This significant difference suggested the necessity of MRI evaluations in such cases. Additionally, the difference in sensitivity of unstable cases was significant; the obtained results were 67, 29, and 52 % at cervical, thoracic, and lumbar levels, respectively). CT-scan illustrated 100 % sensitivity for diagnosing the cases with more than 50 % vertebral body height loss (VBHL). Besides, CT-scan sensitivity in the cases with less than 50 % VBHL was 57 %, 38 %, and 47 % at cervical, thoracic, and lumbar levels, respectively.</p></div><div><h3>Conclusion</h3><p>CT-scan for detecting traumatic VCFs and assessing VBHL had significantly lower sensitivity than MRI, especially in the stable cases. Also, potential hazards of harmful radiation could be avoided by applying MRI instead of CT-scan.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001383/pdfft?md5=48ce33a2a434195d351daf83f72389a1&pid=1-s2.0-S2773157X24001383-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047983","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":"Awareness, attitude and practice of home based exercise therapy in diagnosed ankylosing spondylitis patients – A descriptive observational study","authors":"Abhijeet Arun Deshmukh ,&nbsp;Rashi Budhraja ,&nbsp;Maneesha S. Deshpande ,&nbsp;Pushpa Dhote","doi":"10.1016/j.jorep.2024.100441","DOIUrl":"10.1016/j.jorep.2024.100441","url":null,"abstract":"<div><h3>Background</h3><p>Ankylosing spondylitis is chronic polyarthritic condition affecting spine and pelvic joints, more prevalent among males than females, appears in early age of 20–40 years. As there are long term symptoms of joint pain, stiffness and functional loss which demands prolonged medical management and rehabilitation for physical and mental health using medicines and exercise therapy. In literature home based exercise therapy (HBET) been considered as effective treatment method but limited literature available about awareness, attitude and practice of HBET among patients with ankylosing spondylitis in India.</p></div><div><h3>Methods</h3><p>Total 266 participants (Females, 18 and Males, 248) responded out of 721 registered patients from ankylosing spondylitis welfare society of age 15-to-62 years. A validated VSPMSCOP awareness, attitude &amp; practice-ankylosing spondylitis questionnaire (VSPMSCOP AAP–ASQ)© was used which contains 5 phases including consent form from the patients with total 21 questions (12 out of 21 questions evaluates attitude, awareness and practice of Home Based Exercise Therapy-HBET in patients with ankylosing spondylitis). The questionnaire was made available to participants via Google form link.</p></div><div><h3>Results</h3><p>In present study, ankylosing spondylitis (AS), 48.9 %, patients were aware about HBET, 55.3 % patients found HBET helpful and 69.9 % participants practices home based exercise therapy (HBET&gt;6 months). In present study, occurrence of AS among males is more than females (Male:Female-13:7 i. e 93.2 % and 6.8 %).</p></div><div><h3>Discussion</h3><p>The HBET needs awareness, positive attitude towards exercise and guidance exercise therapy program for practice under supervision of exercise professionals, which may be beneficial and helpful for improving physical, mental and psychological well being among patients with ankylosing spondylitis.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X2400136X/pdfft?md5=be5701a0a9e4d3fad8ece079e45e8461&pid=1-s2.0-S2773157X2400136X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049916","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":"Infected intramedullary clavicle nail presenting as neck abscess-a case report and a caveat","authors":"Sivabalaganesh Amirthalingam,&nbsp;Karthikeyan Manickam,&nbsp;Sundar Suriyakumar,&nbsp;J.K. Giriraj Harshavardhan","doi":"10.1016/j.jorep.2024.100411","DOIUrl":"10.1016/j.jorep.2024.100411","url":null,"abstract":"<div><h3>Background</h3><p>The investing layer of deep cervical fascia is responsible for the transmission of deep neck space infection from the pharyngeal spaces to the mediastinal spaces. In orthopaedic procedures, implants are a constant source of infection, both early on and afterward. When infected, intra-medullary implants are a constant source of danger that goes undetected and acts as an infection focus.</p></div><div><h3>Case report</h3><p>We report the case of forty-one-year-old man with a deep neck space infection and para-tonsillar abscess which was later diagnosed to be an extension of an infected intra-medullary clavicle implant.</p></div><div><h3>Conclusion</h3><p>Infection of implants used for internal fixation of clavicle can spread to the neck rapidly and present as a deep neck space infection and abscess. This case report should alert Orthopaedic Surgeons to this possibility and ensure that implant removal is done at the earliest once such infection is suspected.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001061/pdfft?md5=6b6f9aa1fd86b4f8d34ebfae30dced26&pid=1-s2.0-S2773157X24001061-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049900","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":"Navigating mortality and morbidity trends in geriatric patients post-surgical fixation OF HIP surgery","authors":"Sadia Sarwath ,&nbsp;Fouzia Nikhath ,&nbsp;Mohammed Siddique Mohiuddin ,&nbsp;Adeeba Sana","doi":"10.1016/j.jorep.2024.100429","DOIUrl":"10.1016/j.jorep.2024.100429","url":null,"abstract":"<div><h3>Introduction</h3><p>Hip fractures in the elderly pose significant risks, with potentially life-threatening complications. This retrospective analysis examines post-surgery mortality factors, focusing on age, pre-existing medical conditions, and surgical delay, while considering demographic variables and comorbidities.</p></div><div><h3>Methods</h3><p>Data from patients undergoing post-hip immobilization surgery were retrospectively collected from hospital records. A follow-up questionnaire was administered approximately one year post-surgery via telephone.</p></div><div><h3>Results</h3><p>Among 52 patients with hip fractures, 23 were women and 29 were men. The study's mortality rate stood at 30.7 %. Analysis of chi-square statistics for males (1.3535) and females (0.244669) showed no sex-related mortality impact. However, a significant p-value from the <em>t</em>-test indicated better post-surgery daily activity performance in males than females.</p></div><div><h3>Conclusion</h3><p>The intervention, timely surgery and educating elderly patients on surgery delay risks could substantially mitigate mortality rates. Incorporating these strategies into clinical practice may yield considerable benefits in hip fracture management. Thus, the outcome of this is reduced mortality rates and improved postoperative functional outcomes.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 3","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001243/pdfft?md5=c4287a8152206609ff054bf800fe5107&pid=1-s2.0-S2773157X24001243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050423","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":"Bio-integrative, fiber-reinforced fixation device in carpometacarpal (CMC) joint fusions following carpal boss removal: A case series","authors":"Claire Callan ,&nbsp;Elizabeth Anne Ouellette ,&nbsp;Marla Geltner ,&nbsp;Anna-Lena Makowski","doi":"10.1016/j.jorep.2024.100413","DOIUrl":"10.1016/j.jorep.2024.100413","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this case series is to provide insight into the surgical treatment of carpometacarpal (CMC) instability after carpal boss removal with the OSSIOfiber® trimmable fixation nail, a bio-integrative fixation device.</p></div><div><h3>Methods</h3><p>This review includes five patients who underwent CMC joint fusions post removal of symptomatic carpal boss presenting for surgical management from one board certified hand surgeon. Patient information, clinical images, and outcome scores are collected through retrospective chart review.</p></div><div><h3>Results</h3><p>There is evidence of CMC joint fusion at three months for all five subjects based on radiographic evidence. All subjects were pain free at 6 weeks post operation. Range of wrist motion was within normal limits for all subjects prior to surgery and again at 3 months for 4/5 subjects. No tissue reaction to the OSSIOfiber® trimmable bone nail was noted in the five subjects.</p></div><div><h3>Conclusion</h3><p>The outcome of the joints treated includes rate of CMC joint fusion at 3 months with no significant adverse events to the trimmable bone nail. Using a fiber-reinforced bio-integrative implant that integrates naturally within the bone may be a desired choice over using a metallic fixation device for many orthopedic hand surgeons.</p></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 2","pages":"Article 100413"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773157X24001085/pdfft?md5=07b24528fce75e7818ecf46034c851c1&pid=1-s2.0-S2773157X24001085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049899","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}