International Orthopaedics最新文献

筛选
英文 中文
The History Of Knee Arthroscopy And Anterior Cruciate Ligament Surgery. 膝关节镜和前交叉韧带手术的历史。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-04 DOI: 10.1007/s00264-025-06598-x
Albert Van Kampen, Fabio Sciarretta, Marius M Scarlat
{"title":"The History Of Knee Arthroscopy And Anterior Cruciate Ligament Surgery.","authors":"Albert Van Kampen, Fabio Sciarretta, Marius M Scarlat","doi":"10.1007/s00264-025-06598-x","DOIUrl":"10.1007/s00264-025-06598-x","url":null,"abstract":"","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2309-2317"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560096","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
Trans-osseous repair of the posterior structures is superior to direct suturing in posterior approach total hip arthroplasty: a comparative cadaveric study. 后路全髋关节置换术中经骨修复后部结构优于直接缝合:一项比较尸体研究。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-26 DOI: 10.1007/s00264-025-06618-w
Ahmed Cherry, James M Broderick, Zoe S Thompson, Veronica Pentland, Matthew J Dietz, Amir Khoshbin, Amit Atrey
{"title":"Trans-osseous repair of the posterior structures is superior to direct suturing in posterior approach total hip arthroplasty: a comparative cadaveric study.","authors":"Ahmed Cherry, James M Broderick, Zoe S Thompson, Veronica Pentland, Matthew J Dietz, Amir Khoshbin, Amit Atrey","doi":"10.1007/s00264-025-06618-w","DOIUrl":"10.1007/s00264-025-06618-w","url":null,"abstract":"<p><strong>Purpose: </strong>Dislocation after total hip arthroplasty (THA) via the posterior approach remains a serious complication. This cadaveric study compared two soft tissue repair techniques-trans-osseous and direct suturing-regarding their effect on dislocation torque and angle.</p><p><strong>Methods: </strong>Ten hips from five fresh-frozen cadavers were used. A Posterior approach identified the short external rotators. Following standard THA, each limb was mounted on a motorized torque wrench. Hips were tested first with no posterior repair (NPR), then with either transosseous or direct repair techniques. Dislocation torque and angle were recorded, with each hip serving as its own control.</p><p><strong>Results: </strong>Posterior repair significantly increased the force required for dislocation compared to NPR (mean 9.12 Nm vs. 2.73 Nm; p = 0.004). Trans-osseous repair led to a 4.41-fold increase in torque (p = 0.04), and direct repair a 2.47-fold increase (p = 0.03), with a significant difference between the two (p = 0.016). The dislocation angle increased with repair (mean 54.6° vs. 45.1°; p = 0.09), though not significantly. Trans-osseous and direct repairs increased the angle by 1.70× and 1.18×, respectively.</p><p><strong>Conclusion: </strong>Posterior soft tissue repair improves hip stability in THA performed via a posterior approach. Trans-osseous repair provides significantly greater resistance to dislocation torque than direct suturing and may be the preferred technique to reduce postoperative instability.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2055-2061"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717939","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 regarding the article "Percutaneous transforaminal endoscopic decompression versus posterior short-segment fusion for treating degenerative lumbar scoliosis with lumbar spinal stenosis: a cohort study with a minimum five-year follow-up". 关于文章“经皮经椎间孔内窥镜减压与后路短节段融合术治疗退行性腰椎侧凸伴腰椎管狭窄:一项至少5年随访的队列研究”的致编辑信。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1007/s00264-025-06625-x
Chen-Wei Zhang, Jun Fei
{"title":"Letter to the Editor regarding the article \"Percutaneous transforaminal endoscopic decompression versus posterior short-segment fusion for treating degenerative lumbar scoliosis with lumbar spinal stenosis: a cohort study with a minimum five-year follow-up\".","authors":"Chen-Wei Zhang, Jun Fei","doi":"10.1007/s00264-025-06625-x","DOIUrl":"10.1007/s00264-025-06625-x","url":null,"abstract":"","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2329-2330"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730918","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
Can preoperative lower limb alignment angles predict necessary soft tissue release during total knee arthroplasty for varus knees? A retrospective cohort study. 术前下肢对齐角度能否预测膝关节内翻全膝关节置换术中必要的软组织释放?回顾性队列研究。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-18 DOI: 10.1007/s00264-025-06615-z
Mohammad Ayati Firoozabadi, Omid Salkhori, Mohammadreza Razzaghof, Hamed Naghizadeh, Sina Aminizadeh, Zainab Saeed Hameed Almutawa, Mohammad Poursalehian, Seyed Mohammad Javad Mortazavi
{"title":"Can preoperative lower limb alignment angles predict necessary soft tissue release during total knee arthroplasty for varus knees? A retrospective cohort study.","authors":"Mohammad Ayati Firoozabadi, Omid Salkhori, Mohammadreza Razzaghof, Hamed Naghizadeh, Sina Aminizadeh, Zainab Saeed Hameed Almutawa, Mohammad Poursalehian, Seyed Mohammad Javad Mortazavi","doi":"10.1007/s00264-025-06615-z","DOIUrl":"10.1007/s00264-025-06615-z","url":null,"abstract":"<p><strong>Purpose: </strong>A proper balance of soft tissues is essential in total knee arthroplasty (TKA) for varus knees, but assessing soft tissue tension preoperatively is challenging. This study aimed to determine whether lower limb alignment angles can predict the necessary degree of soft tissue release.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 953 patients with varus knees (> 10°) who underwent primary TKA from 2018 to 2020. The patients' data, release stage data, and three-joint alignment radiograph parameters were extracted from the Joint Reconstruction Research Center Knee registry, focusing on variables such as age, sex, body mass index (BMI), femoral mechanical‒anatomical angle (FMAA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), joint line congruent angle (JLCA), and varus angle (VA). Data analysis was performed via SPSS 26.0.</p><p><strong>Results: </strong>The mean age of the patients was 65.4 (43-86) years, with a predominance of females (57.9%). Findings revealed significant associations between soft tissue release and FMAA, LDFA, MPTA, JLCA, MPTA/VA, and JLCA/VA. ROC curve analysis indicated that the JLCA/VA ratio had the highest predictive accuracy (0.997). A cutoff value of 0.49 for JLCA/VA was used to predict the soft tissue release grade, with a sensitivity of 98.8% and specificity of 99.9%.</p><p><strong>Conclusion: </strong>Angular parameters from three-joint alignment radiographs can effectively predict soft tissue release needed for TKA in varus knees, with the JLCA/VA being the most reliable parameter.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2077-2085"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659220","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
Aneurysmal bone cysts (ABC): Retrospective analysis of two hundred and fifty eight cases. 动脉瘤性骨囊肿(ABC):回顾性分析258例。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1007/s00264-025-06603-3
Mustafa Onur Karaca, Orhun Eray Bozkurt, Merve Dursun Savran, Mustafa Özyıldıran, Kerem Başarır, Hüseyin Yusuf Yıldız
{"title":"Aneurysmal bone cysts (ABC): Retrospective analysis of two hundred and fifty eight cases.","authors":"Mustafa Onur Karaca, Orhun Eray Bozkurt, Merve Dursun Savran, Mustafa Özyıldıran, Kerem Başarır, Hüseyin Yusuf Yıldız","doi":"10.1007/s00264-025-06603-3","DOIUrl":"10.1007/s00264-025-06603-3","url":null,"abstract":"<p><strong>Purpose: </strong>Aneurysmal bone cysts (ABCs) are bone tumours characterised by blood-filled cystic lesions. Management strategies for ABCs vary widely and lack consensus. This study aims to evaluate outcomes in 258 patients and investigate the factors affecting the recurrence rates.</p><p><strong>Methods: </strong>This study is a single-centre retrospective analysis of patients diagnosed with ABC between January 1990 and December 2020. Patients who were histologically diagnosed with ABC, had available pathology, radiology, and surgery records, and were followed up for at least 24 months were included. Secondary ABCs were excluded. Presenting symptoms and location, computerised tomography (CT) and magnetic resonance imaging (MRI), treatment modalities, and recurrence were investigated.</p><p><strong>Results: </strong>The mean age of the 258 ABC patients was 17.25 ± 12.37 years, 67.44% being under 18 years, and 12.40% under five years. 49.45% were female. The average follow-up duration was 47.80 ± 41.92 months. Pain was the most common presenting symptom, reported by 79.97% of patients. 5.04% were asymptomatic and diagnosed incidentally, whereas 11.63% were diagnosed following a pathological fracture. The median disease-free survival was ten months, with the average time to first recurrence being 24.22 ± 22.14 months. Recurrence was more common in patients under five years of age (34.38% vs. 19.03%, p = 0.046) and in those with pathologic fractures (40.00% vs. 18.42%, p = 0.006). Conversely, recurrence was less common when burr and/or cautery was added to curettage (31.97% vs. 11.03%, p < 0.001). Time to recurrence was significantly shorter in cases with soft tissue oedema (median 5 vs. 12 months, p = 0.010) or fluid-fluid levels (median 6 vs. 12 months, p = 0.038).</p><p><strong>Conclusions: </strong>The study found that pathological fractures and age under five years are associated with a higher risk of recurrence in aneurysmal bone cysts. Electrocauterization and/or high-speed burring as local adjuvant therapy is associated with low recurrence rates.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2207-2217"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted closed reduction of femoral shaft fractures: a prospective controlled study. 机器人辅助股骨干骨折闭合复位:一项前瞻性对照研究。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-08-01 DOI: 10.1007/s00264-025-06623-z
Chunpeng Zhao, Honghu Xiao, Qiyong Cao, Mingjian Bei, Bo Li, Yingchun Song, Gang Zhu, Xinbao Wu
{"title":"Robot-assisted closed reduction of femoral shaft fractures: a prospective controlled study.","authors":"Chunpeng Zhao, Honghu Xiao, Qiyong Cao, Mingjian Bei, Bo Li, Yingchun Song, Gang Zhu, Xinbao Wu","doi":"10.1007/s00264-025-06623-z","DOIUrl":"10.1007/s00264-025-06623-z","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate and compare the effectiveness of an intelligent fracture reduction robotic system in assisting closed reduction and intramedullary nailing of femoral shaft fractures with that of conventional fluoroscopy-assisted manual reduction and fixation.</p><p><strong>Methods: </strong>In this prospective, non-randomized controlled study, 30 patients with newly diagnosed femoral shaft fractures were enrolled, with 15 cases in the experimental group (robot-assisted) and 15 cases in the control group (conventional). The experimental group utilized an orthopaedic surgical navigation system to assist in closed reduction and intramedullary nailing, while the control group underwent fluoroscopy-assisted manual reduction and fixation. The reduction time, total operation time, intraoperative fluoroscopy count, blood loss, and reduction error were compared between the two groups.</p><p><strong>Results: </strong>Baseline characteristics were similar across both groups. The experimental group required significantly fewer intraoperative fluoroscopies (36.67 ± 25.41 vs. 117.26 ± 61.28, P < 0.001). Postoperative femoral length discrepancy (1.74 ± 1.37 mm) and anteversion difference (3.66 ± 3.37°) were significantly smaller in the experimental group compared to the control group (4.16 ± 2.67 mm, P = 0.004; 13.81 ± 9.58°, P = 0.001). Intraoperative blood loss was comparable between groups (experimental group: 207.33 ± 119.91 mL vs. control group: 240.00 ± 139.13 mL, P = 0.497). Reduction time was not statistically significant (experimental group: 74.27 ± 27.38 min vs. control group: 69.73 ± 34.10 min, P = 0.691).</p><p><strong>Conclusions: </strong>The robot-assisted approach provided more precise fracture reduction, required fewer intraoperative X-ray fluoroscopies, and offered significant advantages over the conventional method for the minimally invasive treatment of femoral fractures.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2251-2261"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Factors contributing to instability after primary total knee arthroplasty: a 25-Year retrospective cohort study. 对原发性全膝关节置换术后不稳定因素的修正:一项25年回顾性队列研究。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 DOI: 10.1007/s00264-025-06641-x
Musa Ergin, Maximilian Budin, Osman Çiloğlu, Felipe Forero, Thorsten Gehrke, Mustafa Çıtak
{"title":"Correction to: Factors contributing to instability after primary total knee arthroplasty: a 25-Year retrospective cohort study.","authors":"Musa Ergin, Maximilian Budin, Osman Çiloğlu, Felipe Forero, Thorsten Gehrke, Mustafa Çıtak","doi":"10.1007/s00264-025-06641-x","DOIUrl":"https://doi.org/10.1007/s00264-025-06641-x","url":null,"abstract":"","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":"49 9","pages":"2331"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954227","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
Is the innovative both column screw fixation technique a biomechanical game-changer in the fixation of acetabular posterior column fractures? 创新的双柱螺钉固定技术是髋臼后柱骨折固定的生物力学改变者吗?
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-19 DOI: 10.1007/s00264-025-06604-2
Vedat Öztürk, Burak Kaya, Talip Çelik, Malik Çelik, Cemal Kural, Mustafa Gökhan Bilgili
{"title":"Is the innovative both column screw fixation technique a biomechanical game-changer in the fixation of acetabular posterior column fractures?","authors":"Vedat Öztürk, Burak Kaya, Talip Çelik, Malik Çelik, Cemal Kural, Mustafa Gökhan Bilgili","doi":"10.1007/s00264-025-06604-2","DOIUrl":"10.1007/s00264-025-06604-2","url":null,"abstract":"<p><strong>Purpose: </strong>The Both Column Screw (BCS) fixation technique is a recently introduced, innovative method for the treatment of acetabular posterior column fractures. This study aims to biomechanically compare the BCS technique with conventional posterior column lag screw fixation methods using finite element analysis.</p><p><strong>Methods: </strong>Five different internal fixation models were simulated using five distinct screw fixation techniques: antegrade posterior column screw (APCS), retrograde posterior column screw (RPCS), magic screw (MS), anterior BCS (aBCS), and posterior BCS (pBCS). The modeling process included meshing, assignment of material properties, and definition of boundary conditions. Each model was subjected to three different loading conditions: level walking, stairs up, and stairs down. The biomechanical performance of each fixation technique was evaluated based on five parameters: maximum stress in the screw, maximum stress in the bone, total deformation, gap in fracture surfaces, and sliding distance in the fracture surface.</p><p><strong>Results: </strong>Finite element analysis demonstrated biomechanical differences among the five fixation techniques. The APCS model consistently showed the highest stress values and deformation across all loading conditions, whereas the MS, aBCS, and pBCS models exhibited lower deformation and stress parameters. Among these, pBCS generally displayed the most favorable performance in terms of stress reduction and fracture stability. Overall, the BCS configurations (aBCS and pBCS) showed improved biomechanical behavior compared to conventional fixation methods.</p><p><strong>Conclusion: </strong>The BCS fixation technique, due to its superior biomechanical properties, may serve as a valuable addition to current methods for acetabular posterior column fractures. It broadens surgical options and may support clinical decision-making for orthopaedic surgeons.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2271-2280"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors contributing to instability after primary total knee arthroplasty: a twenty five Year retrospective cohort study. 导致初次全膝关节置换术后不稳定的因素:一项25年回顾性队列研究。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-26 DOI: 10.1007/s00264-025-06620-2
Musa Ergin, Maximilian Budin, Osman Çiloğlu, Felipe Forero, Thorsten Gehrke, Mustafa Çıtak
{"title":"Factors contributing to instability after primary total knee arthroplasty: a twenty five Year retrospective cohort study.","authors":"Musa Ergin, Maximilian Budin, Osman Çiloğlu, Felipe Forero, Thorsten Gehrke, Mustafa Çıtak","doi":"10.1007/s00264-025-06620-2","DOIUrl":"10.1007/s00264-025-06620-2","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) is a highly effective procedure for end-stage knee osteoarthritis, but postoperative instability remains a major concern, impacting patient satisfaction and leading to potential revision surgeries. Understanding patient-related risk factors for instability is crucial for optimizing outcomes and minimizing complications.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of patients who underwent revision TKA at our clinic between 1996 and 2021, focusing on those who required revision specifically due to instability. We analyzed a dataset of 39,572 primary TKA patients without documented revisions and 859 revision patients. Data extraction included age, gender, body mass index (BMI), age-adjusted Charlson Comorbidity Index (CCI) score, and comorbidities. Statistical analyses, including binary logistic regression, were performed to identify independent risk factors for instability.</p><p><strong>Results: </strong>The instability group (n = 859) had a mean age of 65.7 years and a significantly lower proportion of males compared to the control group (mean age 67.5 years, p < 0.001; males 30.7% vs. 38.1%, p < 0.001). Notable risk factors included younger age, female gender, stroke, deep vein thrombosis (DVT), and scleroderma. Specifically, scleroderma was associated with a high risk of instability (P < 0.01 OR [odds ratio] 9.27, CI [confidence interval] 2.01 to 42.7), stroke (P = 0.01 OR 1.8, CI: 1.1 to 3.1), and DVT (p < 0.01 OR: 2.0, CI: 1.4 to 2.8).</p><p><strong>Conclusion: </strong>Patient-related factors such as younger age, female gender, stroke, DVT, and scleroderma significantly influence the risk of instability following primary TKA. These findings highlight the multifactorial nature of TKA instability and underscore the importance of tailored preoperative assessment and postoperative care. Addressing these risk factors can improve patient outcomes and reduce the incidence of instability following TKA.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2063-2068"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717938","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
Predictive modeling and long-term outcomes in optimizing fusion strategies for congenital scoliosis: a retrospective analysis of posterior hemivertebra resection. 预测模型和优化先天性脊柱侧凸融合策略的长期结果:后路半椎体切除术的回顾性分析。
IF 2.6 3区 医学
International Orthopaedics Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1007/s00264-025-06595-0
Zhiming Peng, You Du, Haoran Zhang, Chenkai Li, Shengru Wang, Jianguo Zhang
{"title":"Predictive modeling and long-term outcomes in optimizing fusion strategies for congenital scoliosis: a retrospective analysis of posterior hemivertebra resection.","authors":"Zhiming Peng, You Du, Haoran Zhang, Chenkai Li, Shengru Wang, Jianguo Zhang","doi":"10.1007/s00264-025-06595-0","DOIUrl":"10.1007/s00264-025-06595-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study compares short-segment (2-level) versus longer-segment (> 2-level) fusion after posterior hemivertebra resection in congenital scoliosis (CS) and identifies preoperative thresholds to guide fusion strategy selection.</p><p><strong>Methods: </strong>Eighty-eight CS patients (mean age: 5.42 years) undergoing hemivertebra resection with fusion (31 short-segment [Fused_2], 57 longer-segment [Fused_GT2]) were retrospectively analyzed. Radiographic parameters, complications, and reoperations were assessed. Logistic regression derived predictive thresholds for fusion length.</p><p><strong>Results: </strong>Both groups achieved comparable initial (~ 77%) and final (~ 61%) main curve correction. The Fused_2 group had shorter operative time (154 vs. 204 min, p < 0.001) and lower blood loss (249 vs. 356 mL, p = 0.011). Reoperation rates (20.5% overall), crankshaft phenomenon (25.0%), and neurological complications (5.7%) did not differ between groups. Preoperative main curve ≤ 41.8° and thoracic kyphosis ≤ 30.2° predicted suitability for 2-segment fusion.</p><p><strong>Conclusion: </strong>Short-segment fusion reduces invasiveness without compromising correction in select CS patients. Preoperative thresholds (main curve ≤ 41.8°, kyphosis ≤ 30.2°) may guide strategy, though individualized assessment remains essential.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"2195-2205"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567369","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信