Indian Journal of Orthopaedics最新文献

{"title":"Management of Elderly Elbow Fractures.","authors":"Ravi Gupta, Anil Kapoor","doi":"10.1007/s43465-024-01331-z","DOIUrl":"10.1007/s43465-024-01331-z","url":null,"abstract":"<p><strong>Background: </strong>Elbow fractures are common in elderly patients with osteoporotic bones, typically resulting from falls on the elbow. Common fracture types include distal humerus, olecranon, and radial head fractures. Occasionally, a combination of these fractures occurs, creating complex injuries such as terrible triad injuries. Accurate evaluation using X-rays and CT scans is essential for optimal treatment planning. Careful preoperative planning, including the decision between non-operative and operative treatment and selecting appropriate surgical implants, is critical for achieving successful outcomes.</p><p><strong>Objective: </strong>This chapter focuses on common elbow fractures in elderly patients and explores the available treatment options. Given the lack of clear consensus on managing elbow fractures in osteoporotic bones, we address the associated complications and highlight various treatment approaches.</p><p><strong>Current knowledge: </strong>Numerous treatment methods have been proposed for osteoporotic elbow fractures, including various fixation techniques, arthroplasty, and excisions. Despite the availability of multiple treatment options, no method has emerged as superior. Each method has distinct advantages and disadvantages. This chapter aims to compile and compare these options, outlining their respective pros and cons.</p><p><strong>Conclusions: </strong>Elbow fractures in osteoporotic bones present significant challenges for surgeons. Although elderly patients with osteoporotic bones generally have lower functional demands compared to younger individuals, they still require adequate, pain-free elbow function for daily activities. Advances in surgical techniques and implant technology have expanded treatment options for these fractures. Achieving successful outcomes requires selecting the appropriate implant, meticulous preoperative planning, and expert surgical execution tailored to the specific fracture characteristics.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"358-367"},"PeriodicalIF":1.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Considerations in Osteoporotic Fracture Fixation.","authors":"Ritabh Kumar","doi":"10.1007/s43465-024-01332-y","DOIUrl":"10.1007/s43465-024-01332-y","url":null,"abstract":"<p><strong>Background: </strong>Osteoporotic Fractures (OF) present formidable but predictable challenges in fixation. With ageing the bone mineral density is reduced and the internal micro-architecture is disrupted. This increases fracture risk and makes implant hold tenuous. Newer implant technology has helped improve fracture fixation but the risks of early mechanical failure remain tangible.</p><p><strong>Purpose: </strong>After fracture reduction and fixation, the surgeon remains apprehensive regarding rehabilitation. The concerns are higher in the lower limb where non-weight bearing is not possible. Understanding basic mechanics and translating that knowledge to fracture surgery helps provide secure surgical stability to enable full weight bearing assisted mobilization.</p><p><strong>Conclusion: </strong>Applying the logic of mechanics to living biological tissue will help the surgeon better understand the unique mechanical requirements of the fractured bone. Judicious surgical technique and careful combination of implants balancing the mechanical and biological needs of the ageing broken bone will help it heal. Integrating technology and surgical technique with the established principles of osteosynthesis will help improve functional outcomes in OF.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"256-270"},"PeriodicalIF":1.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthopedic or Surgical Treatment in Gartland Type II Supracondylar Humerus Fractures: A Systematic Review.","authors":"Andreas Rehm, Rebecca J Worley, Hatem Osman, Katerina Hatzantoni, Luke Granger, Elizabeth Ashby","doi":"10.1007/s43465-025-01340-6","DOIUrl":"10.1007/s43465-025-01340-6","url":null,"abstract":"","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"450-451"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biological and Pharmacological Enhancement of Regeneration in Chronic Spinal Cord Injury.","authors":"P S John, Ann Maria John, Jobin Mathew, Vidhu Joshy","doi":"10.1007/s43465-024-01328-8","DOIUrl":"10.1007/s43465-024-01328-8","url":null,"abstract":"<p><strong>Study design: </strong>Prospective, randomized, single-blind, comparative study.</p><p><strong>Primary objective: </strong>To compare the efficacy of multiple bone marrow implantations and co-administration of citicoline to multiple bone marrow implantations alone in the treatment of chronic Spinal Cord Injury (SCI).</p><p><strong>Setting: </strong>The study was conducted at Fathima Matha Physiotherapy and Rehabilitation Center in Kottayam, India.</p><p><strong>Methods: </strong>Twenty-three participants with chronic traumatic SCI, classified as American Spinal Injury Association Impairment Scale (AIS) A, B, or C, were recruited and randomized into two groups. The first group (BMCT group) received multiple intrathecal implantations of autologous non-manipulated bone marrow aspirate along with oral citicoline (Cytidine Diphosphate Choline). The second group (BM group) received only multiple intrathecal bone marrow implantations. Patients were assessed at baseline and followed up every three months for 24 months.</p><p><strong>Results: </strong>Comprehensive evaluation upon completion of the treatment demonstrated statistically significant improvements in AIS, Spinal Cord Independence Measure (SCIM) score, Walking Index for Spinal Cord Injury (WISCI) score and modified Ashworth score in the BMCT group compared to the BM group. The BMCT group demonstrated statistically significant improvement in motor and sensory scores also. Fractional Anisotropy (FA) values of Diffusion Tensor Imaging (DTI) recorded statistically significant improvement in both the groups after treatment. The Diffusion Tensor Tractography (DTT) recorded considerable improvement only in the BMCT group.</p><p><strong>Conclusions: </strong>This study observed statistically significant functional and neurological recovery in the BMCT group. The statistically significant increase in FA values recorded in both groups and the post-treatment improvements in DTT and MRI in the BMCT group are imaging evidences of spinal cord regeneration.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43465-024-01328-8.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"438-449"},"PeriodicalIF":1.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Considerations in Osteoporotic Dorso-Lumbar Spine Fractures.","authors":"Ram Chaddha, Gaurav Agrawal, Agnivesh Tikoo, Harsh Kotadia","doi":"10.1007/s43465-024-01333-x","DOIUrl":"10.1007/s43465-024-01333-x","url":null,"abstract":"<p><strong>Background: </strong>Osteoporotic vertebral fractures are exponentially impacting health-care systems globally with the rapid increase in geriatric population. These fractures are seen most commonly in the dorso-lumbar spine. Lack of timely diagnosis and adequate treatment contributes significantly to morbidity and mortality. It has become vital to thoroughly evaluate these patients clinically, investigate them, optimise them, plan conservative and / or surgical treatment and provide comprehensive pre, peri and post-operative counselling and support.</p><p><strong>Content: </strong>Historically, geriatric patients with multiple comorbidities with vertebral fractures were considered poor candidates for surgical treatment due to high anaesthetic and surgical risk. Those who were offered surgery were not adequately optimised pre-operatively and the fractures were under-stabilised surgically. Better understanding of the biomechanics of an osteoporotic vertebral column with dorso-lumbar fractures, combined with advances in anaesthetic and surgical techniques, implants and technologies facilitate successful surgeries on high-risk geriatric patients significantly reducing morbidity and improving quality of life. This article discusses the pathophysiology of dorso-lumbar osteoporotic vertebral fractures, their clinical presentation, investigative work-up, pre-operative optimization, indications for surgical intervention, various surgical modalities, techniques and technologies for optimal surgical outcomes, post-operative care and follow-up of patients.</p><p><strong>Implications: </strong>In this article, the authors aim to provide an overview of the various pre, peri and postoperative considerations while dealing with patients of osteoporotic dorso-lumbar vertebral fractures. This review provides a comprehensive set of guidelines for the medical optimization and surgical management of these patients with an overview of current techniques, strategies and technologies designed to address the challenges associated with spine surgery in geriatric comorbid osteoporotic patients.</p><p><strong>Sources: </strong>Content for this article has been sourced from routinely cited articles available via PubMed, National Institute of Health, census reports from United Nations, from previous articles by the authors and from the protocols established by the authors in their clinical practice based on experience and detailed case reviews.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"368-381"},"PeriodicalIF":1.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Surgical Management of Late Presenting Intra-Articular Distal Femoral Physeal Fracture: A Multicentric Retrospective Case Series.","authors":"Jaswinder Singh, Hitesh Shah, K Venkatadass, Janki Sharan Bhadani, John Mukhopadhaya","doi":"10.1007/s43465-024-01324-y","DOIUrl":"10.1007/s43465-024-01324-y","url":null,"abstract":"<p><strong>Introduction: </strong>Distal femur physeal fractures in children, particularly Hoffa fractures, are rare and prone to complications. This study aims to evaluate the outcomes of surgical intervention in children presenting with delayed intraarticular distal femur physeal fractures.</p><p><strong>Materials and methods: </strong>A multicentric retrospective study involving six pediatric patients with delayed presentation of distal femur physeal fractures was conducted. Five patients underwent surgical intervention involving osteotomy and anatomical refixation of the malunited fragments. One patient opted for conservative management. The age at presentation, time since injury, surgical procedures, and clinical and radiological outcomes were evaluated at the final follow-up. Fixation with lag screws was sufficient in three patients, while two required additional plate stabilization.</p><p><strong>Results: </strong>The mean age of patients was 12.2 years, comprising four boys and two girls. The average delay in presentation was 30.8 months (ranging from 3 months to 8 years). For the surgical group (<i>n</i> = 5), the knee range of motion improved from an average of 16-66 degrees preoperatively to 6-128 degrees postoperatively at a mean follow-up of 60 months. The mean limb shortening was 3 cm (range 0.5-5 cm). Two patients required additional procedures for distal femur varus malalignment. The conservatively managed patient showed no improvement in knee movements at the 12 month follow-up, serving as a control.</p><p><strong>Conclusions: </strong>Surgical intervention involving osteotomy and anatomical reduction for malunited intraarticular Salter-Harris type III and IV fractures of the distal femur in children yields good to excellent outcomes. Limb length discrepancy and malalignment, if present, can be addressed separately. Longer follow-up until skeletal maturity is necessary to evaluate final outcomes in these patients.</p><p><strong>Level of evidence: </strong>Level IV (Case series). Therapeutic.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43465-024-01324-y.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"426-437"},"PeriodicalIF":1.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of 1 Week Accelerated Ponseti and Standard Ponseti Technique for Management of Idiopathic Congenital Talipes Equinovarus Deformity in Infants: A Randomized Controlled Trial.","authors":"Ritesh Arvind Pandey, Anup Kumar, Nadim Anjum Mollah, Prabhat Agrawal","doi":"10.1007/s43465-024-01314-0","DOIUrl":"10.1007/s43465-024-01314-0","url":null,"abstract":"<p><strong>Background: </strong>The implementation of the standard Ponseti technique (SPT) in management of idiopathic clubfoot can be challenging due to the need for frequent travelling and long duration to achieve correction. The one week accelerated Ponseti technique (OWAPT) reduces the duration of correction to seven days and has been reported to be effective and safe. However, children still need to travel for change of cast.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted to compare the SPT and OWAPT for their effectiveness, safety and treatment expenditure. Children under one year of age with untreated idiopathic CTEV were included. Those undergoing correction with OWAPT were hospitalized till tendo-achillis tenotomy. The relevant data was collected and analyzed using appropriate statistical methods.</p><p><strong>Results: </strong>Forty six children (68 feet) were enrolled with 22 (33 feet) in OWAPT group and 24 (35 feet) in SPT group. The mean age at treatment in OWAPT and SPT group was 1.55 months and 2.91 months, while their mean Pirani score was 4.59 and 4.70 respectively. The Pirani score improved significantly within both groups without any significant difference between the two groups. The total number of casts required to achieve correction were also comparable (<i>p</i> = 0.779). The OWAPT was observed to be more economical (<i>p</i> < 0.001) but had more minor complications.</p><p><strong>Conclusion: </strong>The OWAPT is equally effective, achieves faster correction and is more cost-effective than SPT. Its implementation by hospitalizing the children avoids travelling issues and achieves 100% compliance during correction phase. Hospitalization also ensures better plaster care and monitoring for complications.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 2","pages":"181-190"},"PeriodicalIF":1.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Augmentation in the Fixation of Osteoporotic Fractures.","authors":"Chinmoy Das, Partha Pratim Das","doi":"10.1007/s43465-024-01323-z","DOIUrl":"10.1007/s43465-024-01323-z","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoporotic fractures present a significant challenge due to the compromised bone quality, leading to complications in traditional fracture fixation methods. Augmentation techniques have emerged as a valuable approach to enhance the stability of fracture fixation in osteoporotic patients.</p><p><strong>Aim: </strong>This review explores the various augmentation methods used in fracture management, including polymethylmethacrylate (PMMA) and calcium phosphate cements, as well as novel injectable materials. Additionally, the role of biomechanical augmentation techniques, such as locked plating and hybrid fixation, is discussed in enhancing fixation strength. Clinical applications in vertebral, proximal femur, and upper extremity fractures are examined, with a focus on the effectiveness of augmentation in improving patient outcomes. Despite the benefits, augmentation presents challenges, such as the risks associated with cement leakage and the economic burden on healthcare systems. The review also highlights future directions, including the development of bioactive and biodegradable materials, as well as innovations in minimally invasive techniques.</p><p><strong>Conclusion: </strong>Overall, augmentation plays a crucial role in addressing the limitations of traditional fixation in osteoporotic bone, offering promising solutions to improve fracture management.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"294-299"},"PeriodicalIF":1.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcomes in Aseptic Humeral Shaft Nonunion Treated With Plate Osteosynthesis: A Retrospective Cohort Study.","authors":"John Mukhopadhaya, Janki Sharan Bhadani, Rajeev Ranjan, Shubhanshu Ranjan Kushwaha","doi":"10.1007/s43465-024-01317-x","DOIUrl":"10.1007/s43465-024-01317-x","url":null,"abstract":"<p><strong>Introduction: </strong>Aseptic nonunion is prevalent in orthopedic practice, causing persistent pain and functional impairment. Humeral shaft fractures, accounting for 3-5% of all fractures, have nonunion rates of 2-33% in nonoperative and 5-10% in surgical management. This study, the largest case series on operative management of aseptic humeral shaft nonunion (AHSN), treated with plate osteosynthesis.</p><p><strong>Materials and methods: </strong>This retrospective study, conducted at a referral center in eastern India, included 132 patients with aseptic humeral shaft nonunion from May 2002 to April 2012 and May 2015 to December 2020. Patients aged 20-70 years with nonunion more than 6 months post-trauma were included. Exclusions were open fractures, infections, gap nonunions, pathologic fractures, and concomitant upper limb injuries. Surgical techniques involved excising fibrous and unhealthy tissue, compressing the nonunion site, decorticating, shingling, autologous bone grafting, and stable fixation with dynamic or locking compression plates. Outcomes were assessed using Quick DASH, VAS, Constant Shoulder score at a minimum follow-up of 24 months.</p><p><strong>Results: </strong>The study included 132 patients, 84 males and 48 females, with a mean age of 42.3 years. Fractures were due to high-energy trauma in 78 cases and low-energy trauma in 54 cases. All patients with atrophic type of AHSN received autologous bone grafts and plating techniques. Quick DASH scores improved from 77 to 5 on average. Constant Shoulder score improved from 22 to 88 and VAS score improved from 6.7 to 1.3. Union was achieved in 21 weeks on an average, with minimal complications. Despite variations in time intervals, treatments, and follow-up durations, consistent management strategies emphasize stable fixation, bone grafts, and careful management of complications to achieve high union rates and satisfactory outcomes. Complications included seven infections, one failure needed refixation and two case of transient radial nerve palsy.</p><p><strong>Conclusion: </strong>Absolute stability using plate with or without autologous bone grafting for aseptic humeral shaft nonunion results in high union rates and satisfactory radiologic and functional outcome.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 2","pages":"218-230"},"PeriodicalIF":1.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancements in the Management of Irreparable Rotator Cuff Tears.","authors":"In-Ho Jeon, Erica Kholinne","doi":"10.1007/s43465-024-01322-0","DOIUrl":"10.1007/s43465-024-01322-0","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears (RTC) are a common cause of shoulder pain in adults, with massive and irreparable tears presenting significant treatment challenges. Addressing these tears effectively is crucial for improving patient outcomes. To review recent advancements in the surgical management of irreparable rotator cuff tears.</p><p><strong>Methods: </strong>This review examines both non-surgical and surgical approaches for managing irreparable RTCs. Non-surgical treatments, such as physical therapy, are considered for less severe tears, while surgical options are categorized into nonprosthetic and prosthetic procedures, with an emphasis on recent advancements.</p><p><strong>Results: </strong>Surgical interventions for irreparable rotator cuff tears (RTC) include non-prosthetic procedures such as debridement, partial repair, marginal convergence, tendon transfer, interposition graft, subacromial balloon spacer, and superior capsular reconstruction. Additionally, prosthetic surgery options include reverse total shoulder arthroplasty. Recent innovations in surgical techniques and technologies have enhanced treatment outcomes, allowing for more personalized approaches to managing irreparable RTC. These advancements have improved both functional recovery and patient satisfaction.</p><p><strong>Conclusion: </strong>The management of massive and irreparable RTCs requires a personalized treatment strategy, considering patient-specific factors and the latest surgical advancements. Ongoing research is needed to refine these interventions and improve long-term results for patients with this challenging condition.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"731-742"},"PeriodicalIF":1.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}