Orthoplastic Surgery & Orthopedic Care International Journal最新文献

{"title":"Review of the Pathophysiology, Diagnosis, and Orthopedic Treatment Options for Juvenile Idiopathic Arthritis","authors":"P. Truong, Cindy Ho, Lori Chambers, Cameron Mc Laury, MargaretKell","doi":"10.31031/OOIJ.2021.02.000535","DOIUrl":"https://doi.org/10.31031/OOIJ.2021.02.000535","url":null,"abstract":"While juvenile idiopathic arthritis is the most common inflammatory joint condition within the pediatric population, the burden of this pathology can be lessened by early detection and interdisciplinary man agement to avoid severe joint damage and skeletal deformity. The etiology of juvenile idiopathic arthritis is largely unknown; however, immunologic studies show possible involvement of CD141+, CD123+, and dendritic cells. The natural disease course consists of inflammatory soft tissue damage coupled with joint effusion that eventually progresses to bone and joint changes. In terms of diagnosis, musculoskeletal ultrasonography has been shown to be effective in the early detection of juvenile idiopathic arthritis, espe-cially in small joints. Magnetic resonance imaging and radiography are also valid techniques for diagnosis, but they generally fail to detect preclinical juvenile idiopathic arthritis, whereas ultrasound is successful in doing so. Orthopedic treatment options include conservative measures such as non-steroidal inflammatory drugs and corticosteroid injections. Surgical intervention is often indicated to treat deformity, limb length, and severe arthritis. Total joint replacement is primarily performed for functional impairment and deformity rather than for pain. Factors that may complicate surgical intervention include small bone size, limb deformity, and soft tissue contracture.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126894466","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":"Rapid Osteolysis and Loosening of Unicompartmantal Knee Prosthesis Due to Posterior Dislocation of the Polyethylene Insert","authors":"A. Kochai","doi":"10.31031/ooij.2018.02.000532","DOIUrl":"https://doi.org/10.31031/ooij.2018.02.000532","url":null,"abstract":"Introduction: Unicondylar knee arthroplasty (UKA) is a treatment option for pure medial tibiofemoral osteoarthrosis. The most common complication of UKA is anterior or medial polyethylene dislocation. We report a rare complication (posterior fixed polyethylene dislocation) of UKA. Case: We present a case of 79-year-old man with bilateral medial compart man arthrosis underwent bilaterally medial UKA. He had posterior fixed intra-articular polyethylene dislocation which was missed by his first intervention. After three months of missed polyethylene dislocation the implants of UKA was totally loosen. Conclusion: Diagnostic delay of polyethylene dislocation may result to loosening of component and it will lead to revision of UKA to TKA, which is technically challenging then primer total knee arthroplasty. The most common early complication of UKA is polyethylene dislocation. This should not be forgotten in a painful UKA with locking or without locking. Ortho Surg Ortho Care Int J Copyright © Alauddin Kochai 2/3 How to cite this article: Alauddin K. Rapid Osteolysis and Loosening of Unicompartmantal Knee Prosthesis Due to Posterior Dislocation of the Polyethylene Insert. Ortho Surg Ortho Care Int J . 2(2). OOIJ.000532.2018. DOI: 10.31031/OOIJ.2018.02.000532 Volume 2 Issue 2 The patient was referred to department of chest diseases and department of anesthesiology for preoperative preparation and treatment of lung problems. The department of chest diseases didn’t allow for an elective operation. He had to continue medical treatment for his lung diseases. After one and a half month the department of chest diseases and anesthesiology allowed for operation. In AP graphy the femoral and tibial components were loosen (Figure 2). Revision of UKA to TKA planed. Previous incision and medial parapatellar approach for arthrotomy performed. All compartments of the knee were covered by metallizes. The tibial and femoral components were loose and were moving with flexion and extension of the knee. The polyethylene was fixed at the posterior of the knee. The tibia and femoral components easily removed. Polyethylene released from the posterior of the knee and removed. Femoral and tibia osteotomies for total knee arthroplasty performed. Total knee arthroplasty procedure successfully performed (Figure 3). At the first day after operation the patient began walking comfortably without any support. The patient was extern 4 days after operation with 0-120 degrees ROM of the knee.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"262 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114470483","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":"Retrospective Revision of Knee Arthroplasty Performed using Robotically Assisted Technique","authors":"Perazzini Pg, G. Conti, P. Sembenini, A. Marangon, F. Alberton","doi":"10.31031/ooij.2018.02.000531","DOIUrl":"https://doi.org/10.31031/ooij.2018.02.000531","url":null,"abstract":"Minimally invasive unicompartimental knee arthroplast is characterized by numerous advantages, in comparison with total knee arthroplasty, such as earlier recovery, less post-operative morbidity, improved knee function. These advantages have been obtained also thanks to the robotic assisted surgery, that allow to plan the arthroplasty more accurately, with improved outcome for patient. A device for robotically assisted arthroplasty that has emerging as the best device for unicompartimental knee arthroplasty. It works on compute tomography acquisitions and predicts the correct position for prosthesis, the ligament stress and the final extension and flection of the treated leg. In this study, we describe the results obtained on 876 patients subjected to different procedures in which the robotic device for knee arthroplasty has been employed to perform 919 knee implants. Statistic evaluation of different parameters, measured before and immediately after prosthesis placement, demonstrate the accuracy of robotic device for knee arthroplasty, in facilitate and assist surgeon procedures in order to obtain the best results for patients. By robotically assisted arthroplasty a negative outcome can be prevented because the positioning of the prosthesis is more correct and programed already before surgery, aligning rightly tibia and femur, balancing correctly the ligament and optimizing bone preparation.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114469816","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":"\"Veterinary Education in the Role of Geometric Imagination in Imagen-Ology: Three-Dimensional Mental Configurations of Two-Dimensional Radiologic Plates\"","authors":"Rodríguez Salazar Lm, Oliver Mr, García Tovar Cg","doi":"10.31031/OOIJ.2018.02.000529","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.02.000529","url":null,"abstract":"The main aim of our research group in epistemology of imagination-a theoretical proposal by the first author of this paper, is shift the veterinary education in imagen-ology, grounded in the representation of anatomical structures to be interpreted by students, toward cognitive actions to in which students can constructs their own representations. In short, move from representations for student’s interpretation, toward cognitive representative actions where the students construct the radiologic plates. Our proposal for the construction of representative actions entails the imagination of actions grounded in geometrical thinking, the representative actions must be grounded in imaginary actions, then, we change the concept of imaging in radiology, for to imagen-ology in imagination.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114378908","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":"\"Wound Bed Preparation: Standards of Care and Predictability of the Healing Time of Chronic Wounds\"","authors":"Claudio Ligresti, F. Sasso, Emiliano Jahaj, Erind Ruka","doi":"10.31031/OOIJ.2018.02.000527","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.02.000527","url":null,"abstract":"We intend to highlight the need to establish a hypothetical time of healing for chronic wounds. Such innovative aspect within the TIME acronym [tissue, infection/inflammation, moisture balance and edge of wound] is based on a more correct analysis of the general and local symptoms that the patient presents, classifying them in different ways according to their characteristics. The analysis of medical history, pathogenesis and clinical leads to a total score that can direct the clinician to choose principals important and aggressive that can be used according to basic concepts. Ortho Surg Ortho Care Int J Copyright © Erind Ruka 2/7 How to cite this article: Claudio L, Fabio S, Emiliano J, Erind R. Wound Bed Preparation: Standards of Care and Predictability of the Healing Time of Chronic Wounds . 2(1). OOIJ.000527.2018. DOI: 10.31031/OOIJ.2018.02.000527 Volume 2 Issue 1 relation with the therapy. The TH is=to IG and will not change if the therapeutic choice [soft] resides on the left side of the table; is <30% of IG if therapy undertaken [medium aggressive] is in the middle of the table; is <60% of IG if therapy choice [aggressive] is on the right side of the table. We assume that we are faced with an ulcer from healing [healing time >60 days]. We can change the situation by customizing the type of therapy on the individual case. In this way we can modify the healing time [4]. Take for example a lesion volume between 50 and 100cm3. We can have a lesion T0, I0, M0, E0, thus devoid of necrotic tissue, bacterial contamination, exudate and with re-epithelialisation rate >75%, or a lesion T4, I4, M4 and E4 with 100% of necrotic tissue infections, exudate and the absence of spontaneous reepithelialization: with the same situation, in any case, the choice of therapy will change the history of the lesion and the timing of healing. For example, the T, we can see how, by choosing a soft treatment [such as autolysis, we have a significant improvement of the lesion as low as 25 days [25-27]. This time can decrease, even drastically, by level up in the type of strategy used: the time passes to 20 days with osmosis, 15 days with the larvae, until a day using hydrotherapy, ultrasound or surgery. Regarding the I: we passed from an improvement of 55 days with saline [strategy blander], to 21 days of antiseptics/ dressings with silver/NPWT [negative pressure wound therapy] up to 7 days after the surgery/ antiseptics/antibiotics/NPWT. The M represents an increase in 55 days with hydrogel/hydrocolloid, hydrofibre 28 days with up to 10 days of the surgery. Finally, the E: re-epithelialization from 100 days with advanced medications, VAC 45 days with up to 10 days with autologous graft [28-56]. Time of Healing The numerical value is in direct relation to the selected therapy. It is=to that of IG patient and its value will not change if the therapy choice [soft] is in the left side of the table therapeutic It is <30% of IG patient if treatment choice [medium-aggressive] ","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127053919","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":"\"Is Patient’s Identification Improving with Advances in Information Technology?\"","authors":"M. Rashid","doi":"10.31031/OOIJ.2018.02.000526","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.02.000526","url":null,"abstract":"","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125574226","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 Comparative Analysis of Vitamin D3 and Biofield Energy Treated Vitamin D3 in Bone Health Using MG-63 Cell Line\"","authors":"Lauree Ann Duprey-Reed, M. Trivedi, A. Branton, Dahryn Trivedi, G. Nayak, M. Gangwar, S. Jana","doi":"10.31031/OOIJ.2018.01.000525","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.01.000525","url":null,"abstract":"Author(s): Duprey-Reed, Lauree Ann; Trivedi, Mahendra Kumar; Branton, Alice; Trivedi, Dahryn; Nayak, Gopal; Gangwar, Mayank; Jana, Snehasis | Abstract: Poor bone health is related with various bone disease that predisposes to fractures, while sufficient supplementation with calcium and vitamin D suggested prevention of bone diseases. The present study aimed to find the effect of Consciousness Energy Healing based vitamin D3 and DMEM medium on in vitro bone health parameters using MG-63 cells such as alkaline phosphates enzyme (ALP) activity, collagen levels, and bone mineralization. The test items (TI) i.e. vitamin D3 and DMEM medium were divided into two parts. The test samples received Consciousness Energy Healing Treatment by Lauree Ann Duprey-Reed and samples were defined as the Biofield Energy Treated (BT) samples, while the other parts of each sample were denoted as the untreated test items (UT). Cell viability using MTT assay showed that cell viability range 76% to 139% with safe and nontoxic profile of test samples on MG-63 cell line. ALP was significantly increased by 171.8% and 189.7% at 10µg/mL in the UT-DMEM+BT-TI and BT-DMEM+BT-TI groups, respectively as compared with the untreated group.In addition, 100% and 33.3% increased ALP at 0.1 and 10µg/mL, respectively in BT-DMEM+UT-TI group as compared with the untreated group. The level of collagen was significantly increased at 10µg/mL by 145.8% in the UT-DMEM+BT-TI group, while 65.8% and 145.8% at 1 and 10µg/mL, respectively in BT-DMEM+UT-TI group as compared with the untreated group. In addition, BT-DMEM+BT-TI group showed a significant increased collagen level by 86.3% and 136.1% at 1 and 10µg/mL, respectively as compared with the untreated test item and DMEM group.The percent of bone mineralization was significantly increased by 150%, 21%, and 73.2% at 0.1, 10, and 100µg/mL, respectively in the UT-DMEM+BT-TI group, while 258.3% and 126.8% at 0.1 and 100µg/mL, respectively in the BT-DMEM+UT-TI group as compared with the untreated group. In addition, BT-DMEM+BT-TI group showed a significant increased bone mineralization by 33.3%, 32.7%, and 187.4% at 0.1, 10, and 100µg/mL, respectively as compared with the untreated group. Biofield Energy Treatment might be vital in promotion and maintenance of strong and healthy bones and quality of life by assisting them in maintaining optimal vitamin D levels. It regulates the osteoblast function, improves bone mineralization, and calcium absorption in wide range of bone disorders along with wide range of adverse health conditions, comprising cancer, and many autoimmune disorders.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114688917","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":"Vitamin D and Biphosphonate in Neoadjuvant Advanced Breast Cancer","authors":"S. Sakhri","doi":"10.31031/NACS.2018.01.000519","DOIUrl":"https://doi.org/10.31031/NACS.2018.01.000519","url":null,"abstract":"Vitamin D and calcium deficiency is associated with increased breast cancer risk and decreased breast cancer survival. The purpose of this study is to determine whether the addition of vitD and Zoledronic acid (ZA) to neoadjuvant chemotherapy (NACT) [1,2] gives complete histological responses. We report a prospective evaluation comparing complete pathological response between different biomolecular sub-groups. Patients and methods: The study included 431 women with stages III locally advanced breast cancer who received neoadjuvant chemotherapy and Zoledronic acid. All patients were prescribed vitamin D3 (cholecalciferol) 400 IU and calcium carbonate 1,000mg daily. The main objective is the complete histologic response. Secondary endpoints were the overall survival of patients targeted by the study. Results: Histologic complete response with Zoledronic acid and vit D was 40.13%. The higher in the subgroup Her2 / luminal (RH±Her2+) and under Her2+(HR-Her2 +) and the lowest rate was observed in the triple negative group as classified by Sataloff, overall survival was 45.77 months for subgroups (Her2/luminal and in Her2+group) vs 44.11 months for triple negative group. Conclusion: Our study confirms the potential protective and antiproliferatif effects with vitamin D and Zoledronic acid in neoadjuvant advanced breast cancer.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128931316","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":"\"Radial Club Hand, a Rare Congenital Abnormality: Report of Two Cases\"","authors":"Ashima Mahajan","doi":"10.31031/OOIJ.2018.01.000524","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.01.000524","url":null,"abstract":"","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127804826","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":"\"Skin and Wound Complications after Calcaneal Fracture Fixation\"","authors":"A. Khedr, Walid Reda, A. Elkalyoby, A. Abdelazeem","doi":"10.31031/OOIJ.2018.02.000528","DOIUrl":"https://doi.org/10.31031/OOIJ.2018.02.000528","url":null,"abstract":"Soft tissue complications are one of the most feared complications after operative treatment of calcaneus fractures. The incidence of wound complications is reported to be as high as 32%. The better understanding of the blood supply of the hind-foot together with the development of minimally invasive and percutaneous techniques helped to reduce such complications. Authors have reported on patient and surgery related factors that can contribute to skin and soft tissue complications however; drawing a definitive conclusion about the importance of each of these factors is cumbersome. In this article, we discussed the reported incidence of soft tissue complications associated with operative treatment.","PeriodicalId":104157,"journal":{"name":"Orthoplastic Surgery & Orthopedic Care International Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117159528","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}