International Orthopaedics最新文献_第4页

Tourniquet-less total knee arthroplasty does not negatively affect cement penetration: a double-blinded randomized controlled trial. 无止血带全膝关节置换术对骨水泥穿透没有负面影响：一项双盲随机对照试验。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-10-01 Epub Date: 2025-08-13 DOI: 10.1007/s00264-025-06635-9

Seyed Mohammad Javad Mortazavi, Hesan Rezaee, Seyed Mohammad Milad Seyedtabaei, Maziar Nafisi, Parva Javan Shayani, Mohammadreza Razzaghof, Mohammad Ayati Firoozabadi

引用次数: 0

Functional outcomes of an open latarjet procedure for recurrent anterior shoulder dislocation in Yemen. 也门开放性肩前脱位手术治疗的功能结果。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-10-01 Epub Date: 2025-08-30 DOI: 10.1007/s00264-025-06642-w

Abdullah Ali Al-Moaish, Anwar Abdulqader Mughalles, Ghamdan Gamal Alkholidy, Mosleh Saleh Salman, Gamal Abdulraheem Algabarty, Bakil Abdulwahed Saeed

{"title":"Functional outcomes of an open latarjet procedure for recurrent anterior shoulder dislocation in Yemen.","authors":"Abdullah Ali Al-Moaish, Anwar Abdulqader Mughalles, Ghamdan Gamal Alkholidy, Mosleh Saleh Salman, Gamal Abdulraheem Algabarty, Bakil Abdulwahed Saeed","doi":"10.1007/s00264-025-06642-w","DOIUrl":"10.1007/s00264-025-06642-w","url":null,"abstract":"Introduction: Shoulder dislocations occur in approximately 45% of all joint types, and anterior shoulder dislocations account for more than 90% of cases. The purpose of this study was to assess the functional outcomes of an open Latarjet operation for patients with recurrent anterior shoulder dislocations.Methods: A prospective hospital-based study was conducted at the Orthopaedic Department of Al Thawra Modern General Hospital, Sana'a City, between 2015 and 2022. Consecutive patients who experienced recurrent anterior shoulder instability underwent the open Latarjet procedure. Preoperative and postoperative clinical, radiographic, and functional outcomes according to the Rowe score were assessed during the study period.Results: Twenty patients, with a mean age of 20.9 ± 2.9 years, were included in this study. The most common age group at surgery was ≤ 20 years (70%). The median number of recurrent dislocations before surgery was 25. 40% of the patients presented more than two years after the first dislocation, with a mean duration of 2.5 ± one year. Postoperatively, haematoma, infection, neurovascular injury, graft malposition, graft nonunion and osteoarthritis were not observed in any patient. However, one patient (5%) had a stress fracture in the coracoid graft. All patients showed improvement in the preoperative mean Rowe score of 6.5 ± 4.6 to the postoperative mean Rowe score of 91 ± 7% (an excellent grade) at the last follow-up.Conclusion: The open Latarjet procedure had excellent outcomes with a very low rate of complications in this study. We recommend the open Latarjet procedure for the management of recurrent anterior shoulder dislocation in patients with significant glenoid bone defects, especially in developing countries with limited resources, such as Yemen.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2549-2557"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the editor on "Efficacy of focused low-intensity pulsed ultrasound in reducing lower-extremity swelling and pain after total knee arthroplasty: a randomized study". 致编辑的信“聚焦低强度脉冲超声减轻全膝关节置换术后下肢肿胀和疼痛的疗效：一项随机研究”。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-10-01 Epub Date: 2025-08-11 DOI: 10.1007/s00264-025-06633-x

Di Xiao, Yantao Zhao

引用次数: 0

Clinical outcomes of total hip arthroplasty in patients with multiple epiphyseal dysplasia: a single centre study of eighty eight hips at a mean of sixteen year follow-up. 多发性骨骺发育不良患者全髋关节置换术的临床结果：一项平均随访16年的单中心研究，共88个髋关节。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-10-01 Epub Date: 2025-09-03 DOI: 10.1007/s00264-025-06649-3

Chan-Woo Park, Sang-Jin Jeong, Kyungjun Cho, Min Chang Jang, Seung-Jae Lim, Youn-Soo Park

{"title":"Clinical outcomes of total hip arthroplasty in patients with multiple epiphyseal dysplasia: a single centre study of eighty eight hips at a mean of sixteen year follow-up.","authors":"Chan-Woo Park, Sang-Jin Jeong, Kyungjun Cho, Min Chang Jang, Seung-Jae Lim, Youn-Soo Park","doi":"10.1007/s00264-025-06649-3","DOIUrl":"10.1007/s00264-025-06649-3","url":null,"abstract":"Background: Multiple epiphyseal dysplasia (MED) is an inherited condition characterized by delayed and irregular ossification of the epiphyses that can lead to premature osteoarthritis. This study aimed to report the long-term outcomes of total hip arthroplasty (THA) in patients with MED.Methods: We reviewed THAs performed in MED patients at a single institution between April 1997 and May 2014. Of the 57 identified patients (103 hips), 48 (88 hips) who satisfied a minimum follow-up of tenyears were included. The Harris Hip Score was used for clinical evaluation. Hip radiographs were analyzed to evaluate changes in limb length, femoral offset, and implant stability. The mean age was 50 years and the mean follow-up duration was 16 years.Results: The mean Harris Hip Score improved from 43 preoperatively to 91 at the final evaluation (P < 0.001). Limb length and femoral offset increased after surgery by a mean of 16.1 (P < 0.001) and 7.3 mm (P < 0.001), respectively. Seven (8.0%) intraoperative periprosthetic femoral fractures were identified, but no postoperative fractures were identified. Overall, three revision surgeries were performed; two for osteolysis and one for periprosthetic joint infection. No dislocations or major neurovascular injury were observed. Implant survivorship free of any revision was 95.9% at 16 years.Conclusion: THA performed in patients with MED demonstrated excellent clinical outcomes with high implant survivorship at a mean follow-up of 16 years. Our findings suggest that THA is an effective and durable option for treating osteoarthritis secondary to MED.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2481-2488"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Over ten year follow-up results of a prospective and consecutive series of primary total knee arthroplasty with a multimodular total knee prosthesis. 前瞻性和连续的一系列全膝关节置换术与多模块全膝关节假体超过十年的随访结果。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-30 DOI: 10.1007/s00264-025-06634-w

Claude Schwartz, Didier Mainard, Laurent Vastel, Jacques Hummer, Nicolas Hummer

引用次数: 0

The devastating impact of hip dislocations on quality of life after total hip arthroplasty: patient priorities in implant choice, such as dual mobility or constrained liners, differ from those of surgeons. 髋关节脱位对全髋关节置换术后生活质量的破坏性影响：患者优先选择植入物，如双活动或约束衬垫，与外科医生不同。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-29 DOI: 10.1007/s00264-025-06662-6

Philippe Hernigou, Sami Karam, Charles-Henri Flouzat-Lachaniette

{"title":"The devastating impact of hip dislocations on quality of life after total hip arthroplasty: patient priorities in implant choice, such as dual mobility or constrained liners, differ from those of surgeons.","authors":"Philippe Hernigou, Sami Karam, Charles-Henri Flouzat-Lachaniette","doi":"10.1007/s00264-025-06662-6","DOIUrl":"https://doi.org/10.1007/s00264-025-06662-6","url":null,"abstract":"Purpose: Recurrent hip dislocation after total hip arthroplasty is among the most distressing complications for patients, often reshaping their everyday lives. Beyond the immediate physical consequences, repeated instability generates fear of movement, social withdrawal, and emotional strain. Yet, the extent of this burden has rarely been quantified using patient-centered methods.Methods: We evaluated 170 patients who had experienced at least three dislocations and were scheduled for revision surgery. To capture the impact on health-related quality of life (HRQoL), patients completed a Time Trade-Off (TTO) assessment, estimating how many years of life they would exchange for a dislocation-free state. A parallel measure, the Survival Implant TTO, explored whether patients would sacrifice implant longevity in favor of greater stability. Their preferences were compared with surgeons' attitudes toward balancing implant durability and stability.Results: Patients consistently described instability as a devastating experience, with many reporting restrictions in daily activities and a loss of independence. On average, patients were prepared to exchange nearly one quarter of their remaining life expectancy for stability and were also willing to shorten projected implant survival if this reduced the likelihood of further dislocations. In contrast, surgeons-particularly when treating younger patients-often emphasized implant durability over stability.Conclusions: Recurrent hip dislocation has a far-reaching impact on quality of life, comparable to or exceeding that of chronic systemic diseases. Importantly, patient priorities differ from those of surgeons: stability is consistently valued over implant longevity. Incorporating these perspectives into revision planning is essential for truly patient-centered care.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of dual mobility arthroplasty in thumb basal joint arthritis: a clinical and radiographic study of one hundred and fifty prostheses with four-years follow-up. 双活动关节置换术治疗拇指基底关节关节炎的疗效：150个假体的临床和影像学研究，随访4年。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-29 DOI: 10.1007/s00264-025-06639-5

Giulia Frittella, Leopoldo Arioli, Matteo Guzzini

{"title":"Outcomes of dual mobility arthroplasty in thumb basal joint arthritis: a clinical and radiographic study of one hundred and fifty prostheses with four-years follow-up.","authors":"Giulia Frittella, Leopoldo Arioli, Matteo Guzzini","doi":"10.1007/s00264-025-06639-5","DOIUrl":"https://doi.org/10.1007/s00264-025-06639-5","url":null,"abstract":"This study evaluated the outcomes of double mobility trapeziometacarpal prostheses for treating osteoarthritis (OA) of the trapeziometacarpal (TMC) joint. A prospective observational analysis was conducted on 150 implants with a maximum follow-up of four years, including a clinical and radiographic assessment and an evaluation of complications. The results indicate a prosthesis survival rate of 97.9% after the first two years post-surgery, calculated using the Kaplan-Meier method. Significant improvements were observed in pain reduction (mean VAS at 3 months post-surgery 2,9 and 1.5 after 6 months), hand grip strength (25.93 kg at 6 months post-surgery), and range of motion (Kapandji score from 8.8 to 9.2, comparing the preoperative mean with the mean after the first postoperative month). The complication rate was low, with only two cases of cup migration and one case of trapezium resorption. Patient satisfaction was high due to the rapid functional recovery and reduced invasiveness compared to traditional techniques. Double-mobility prostheses offer a highly effective treatment for stage II and III TMC OA according to the Eaton-Littler classification, with minimal need for revision surgeries.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patellofemoral arthroplasty and chondrocalcinosis: a twenty year follow-up. 髌股关节置换术和软骨钙化症：20年随访。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-29 DOI: 10.1007/s00264-025-06663-5

Philippe Hernigou, Jacques Caton

{"title":"Patellofemoral arthroplasty and chondrocalcinosis: a twenty year follow-up.","authors":"Philippe Hernigou, Jacques Caton","doi":"10.1007/s00264-025-06663-5","DOIUrl":"https://doi.org/10.1007/s00264-025-06663-5","url":null,"abstract":"Purpose: Calcium pyrophosphate dihydrate (CPPD) deposition, often visible radiographically as chondrocalcinosis, frequently accompanies knee osteoarthritis and is usually encountered at the time of arthroplasty. Whether its presence influences the outcome of patellofemoral arthroplasty (PFA) remains uncertain.Methods: We reviewed 100 PFAs performed in 82 patients between 1997 and 2005, and followed them for an average of 22 years (range, 20-25 years). At surgery, 35 knees showed radiographic chondrocalcinosis, and an additional 33 developed calcification during follow-up.Results: Fifteen knees (15%) required revision to total knee arthroplasty (TKA) at a mean of 12 years after PFA. The main reasons for revision were tibiofemoral osteoarthritis progression (6 knees), patellar malalignment (7 knees), one implant loosening, and one patella fracture. The 20-year survival rates were 87% for knees without chondrocalcinosis and 90% for those with chondrocalcinosis, with no significant difference in revision timing between groups (log-rank p = 0.64).Conclusion: Although chondrocalcinosis became more prevalent with age and follow-up, it did not increase the risk of conversion to TKA. These findings suggest that PFA remains a suitable option in carefully selected patients, regardless of the presence of chondrocalcinosis.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Orthopaedic portrayals in The Seven Works of Mercy painted by a Dutch master in the year 1504. 1504年一位荷兰大师所画的《七件慈悲作品》中的骨科肖像。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-26 DOI: 10.1007/s00264-025-06653-7

Stella A Bult, Pien E J de Ruiter, Pieter-Paul A Vergroesen, Thomas M van Gulik

{"title":"Orthopaedic portrayals in The Seven Works of Mercy painted by a Dutch master in the year 1504.","authors":"Stella A Bult, Pien E J de Ruiter, Pieter-Paul A Vergroesen, Thomas M van Gulik","doi":"10.1007/s00264-025-06653-7","DOIUrl":"https://doi.org/10.1007/s00264-025-06653-7","url":null,"abstract":"Purpose: We examined The Seven Works of Mercy, painted by the Master of Alkmaar in 1504, through the lens of orthopaedic pathology. This study approaches the panels from a medical perspective, aiming to uncover visual indicators of disease and disability. The findings offer insight into how physical abnormalities were observed and depicted in the early sixteenth century. To our knowledge, this is the first study to explore orthopaedic pathology in the Seven Works of Mercy.Methods: An interdisciplinary analysis of The Seven Works of Mercy was undertaken, with a focus on the visual representation of illness and physical disabilities. The seven panels were examined to identify physical abnormalities. The findings were compared with clinical features of the suggested illnesses and disabilities and with known medical conditions prevalent in the fifteenth and sixteenth century in Europe.Results: Several depicted orthopaedic disabilities were suggested in the panels of The Seven Works of Mercy. Possible underlying conditions included clubfeet, spinal tuberculosis (Pott's disease), syphilis, poliomyelitis, ergotism, and genu recurvatum. The physical deformities, depicted with remarkable anatomical detail, were cross-referenced with known clinical presentations. In several cases, assistive devices and posture supported the proposed diagnoses.Conclusion: The Seven Works of Mercy by the Master of Alkmaar is a mirror of society in the early sixteenth century, in which a number of depicted orthopaedic conditions were identified. While artistic interpretation must be considered, several physical deformities and disabilities are reproduced with remarkable detail. The artist captured in this masterpiece, a gallery of orthopaedic pathologies common in his time.","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: Impact of navigation on functional and radiological outcomes after total knee arthroplasty: a retrospective analysis of one hundred and ninety cases. 修正：导航对全膝关节置换术后功能和影像学结果的影响：190例回顾性分析。

IF 2.6 3区医学

International Orthopaedics Pub Date : 2025-09-26 DOI: 10.1007/s00264-025-06655-5

Juan Miguel Gómez-Palomo, Amparo Zamora-Mogollo, Carmen Tara-Abad, Marta Diez-Izquierdo, Juan José García-Vera, Ana Martínez-Crespo

引用次数: 0