International Orthopaedics最新文献

{"title":"Three dimensional-printed artificial disc replacement for single-level cervical spondylosis: a cohort study.","authors":"Xiao-Bo Zhang, Zilin Gao, Xin Yao, Zheng-Wei Xu, Ding-Jun Hao","doi":"10.1007/s00264-024-06328-9","DOIUrl":"10.1007/s00264-024-06328-9","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical efficacy of 3D-printed artificial discs with that of ACDF for treating cervical spondylosis.</p><p><strong>Methods: </strong>This was a retrospective analysis of 73 patients with single-level cervical spondylosis who met the inclusion criteria between January 2020 and December 2022 at XX Hospital. The patients were divided: 38 patients in the ACDF group and 35 patients in the CADR group. Patient general information, including operation time and intraoperative blood loss, was collected. The clinical effect of the combination therapy was evaluated by the VAS, JOA, and NDI. The radiological effect was evaluated using the ROM test. Ethics No. 201,606,009.</p><p><strong>Results: </strong>The average follow-up times in the ACDF and CADR groups were 28.24 ± 4.65 and 29.11 ± 5.06 months, respectively (P = 0.443). Clinical symptoms (evaluated by VAS, NDI, and JOA) are significantly improved in both the ACDF and CADR groups with similar efficacy. The preoperative ROM of the ACDF group was 40.03 ± 8.79, while that of the CADR group was 42.11 ± 7.98 (P = 0.293). However, the postoperative ROM in the ACDF group was 35.29 ± 7.23, which was lower than that in the CADR group (40.43 ± 6.98) (P = 0.003). Furthermore, only one patient in the ACDF group experienced mild dysphagia after surgery, and the patient recovered within three days. ASD occurred in nine patients in the ACDF group and in two patients in the CADR group (Χ²=4.597, P = 0.032).</p><p><strong>Conclusions: </strong>Compared with ACDF, 3D-printed artificial discs for treating single-level cervical spondylosis have proven to be clinically effective; it associated with less blood loss and a lower incidence of ASD, and maintain a better cervical ROM.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"195-202"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400268","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}

{"title":"Impact of enhanced recovery after surgery on postoperative blood management following primary total knee arthroplasty: a propensity score-matched analysis.","authors":"Abdullah S Mogalli, Jianbo Zhao, Yang Chen, Xin Qi","doi":"10.1007/s00264-024-06342-x","DOIUrl":"10.1007/s00264-024-06342-x","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of blood management in patients underwent unilateral Total Knee Arthroplasty (TKA) under an enhanced recovery after surgery (ERAS) program.</p><p><strong>Method: </strong>Patients underwent unilateral TKA from January 2019 to October 2023 in a university hospital were retrospectively studied. A total of 200 cases were selected in the analysis. After matching with propensity scoring, 51 patients in each group were included. The postoperative Haemoglobin (Hb), albumin (Alb), C-reactive protein (CRP), total length of stay (LOS), and estimated blood loss after operation were compared between the two groups. Clinical outcomes including Western Ontario and McMaster Universities Arthritis Index (WOMAC), SF-12, and Oxford Knee Score (OKS) were also compared at six week and three month follow-up.</p><p><strong>Results: </strong>The results showed that the Hb of the ERAS group was significantly higher than those of the non-ERAS group (P < 0.05) on the third postoperative. The mean CRP level was lower, LOS was shorter, and Alb level was higher in the ERAS group compared to that in the non-ERAS group (P < 0.05). The clinical outcomes such as WOMAC and OKS, SF-12 scores were higher in the ERAS group at both follow-up.</p><p><strong>Conclusion: </strong>ERAS protocol effectively minimizes perioperative blood loss and supports optimal nutrient levels in patients. ERAS management significantly contributes to the postoperative recovery of knee function in patients undergoing primary total knee arthroplasty.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"53-63"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465598","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}

{"title":"Factors associated with mechanical complications following primary total hip arthroplasty through a modified direct anterior approach using custom stems.","authors":"Alexis Nogier, Idriss Tourabaly, Sonia Ramos-Pascual, Bethany Grew, Mo Saffarini, Cyril Courtin","doi":"10.1007/s00264-024-06372-5","DOIUrl":"10.1007/s00264-024-06372-5","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the rate and risk factors of mechanical complications (MCs) within two years following total hip arthroplasty (THA) through direct anterior approach (DAA) using custom stems, and to compare findings to other surgical approaches in the literature.</p><p><strong>Methods: </strong>The study included a consecutive series of 479 patients (529 hips) that had undergone primary THA through the DAA using uncemented custom stems between 02/2014 and 04/2017. There were 301 men and 228 women, with a mean age of 55.9 ± 11.6, and a mean body mass index (BMI) of 25.8 ± 4.3 kg/m². All patients were contacted by phone at a minimum follow-up of two years, and those who reported complications were prescribed radiographic imaging and asked to attend clinical assessment. MCs were defined as periprosthetic fracture, aseptic loosening, dislocations, prosthesis failure, prosthesis malposition, or subsidence.</p><p><strong>Results: </strong>At two years follow-up, the rate of MCs was 3.2% (17 hips).The MCs comprised four femoral fractures, three aseptic stem loosening, three cup malpositions, three subsidences, two acetabular fractures, one stem malposition, and one dislocation. Ten hips (1.9%) required revision due to MCs. Compared to patients with no MCs, patients with MCs had significantly greater native femoral anteversion (16.7 ± 7.5º vs. 21.1 ± 9.7º, p = 0.042), more Charnley class C (13% vs. 41%, p = 0.008), fewer diameter 36 mm heads (45% vs. 18%, p = 0.044), and performed less intense physical activity (49% vs. 12%, p = 0.006) and sports (66% vs. 35%, p = 0.048). Multivariable analyses suggested that MCs were associated with greater native femoral anteversion (Odds Ratio [OR] = 1.08, p = 0.020) and Charnley class C (OR = 3.47,p = 0.027), but were inversely associated with intense physical activity (OR = 0.19, p = 0.047).</p><p><strong>Conclusion: </strong>The rate of MCs within 2 years following THA through DAA using custom stems was 3.2% and the rate of revision due to MCs was 1.9%, which is within the range reported in the literature on other surgical approaches for THA. Furthermore, the presence of MCs was associated with greater native femoral anteversion and Charnley class C, but was inversely associated with intense physical activity.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"117-125"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647813","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}

{"title":"Symptoms and joint degeneration correlate with the temperature of osteoarthritic knees: an infrared thermography analysis.","authors":"Luca De Marziani, Lorenzo Zanasi, Giacomo Roveda, Angelo Boffa, Luca Andriolo, Alessandro Di Martino, Stefano Zaffagnini, Giuseppe Filardo","doi":"10.1007/s00264-024-06376-1","DOIUrl":"10.1007/s00264-024-06376-1","url":null,"abstract":"<p><strong>Purpose: </strong>This study aim was to analyze the joint temperature of patients affected by bilateral knee osteoarthritis (OA) using infrared thermography to investigate whether thermographic imaging patterns are influenced by the severity of symptoms and joint degeneration.</p><p><strong>Methods: </strong>Sixty-sixpatients ranging from 43 to 78 years old (63.3 ± 8.8 years) with bilateral knee OA and one symptomatic knee were enrolled. Thermograms of the two knees were captured using a thermographic camera FLIR T1020 and analyzed with the ResearchIR software to calculate the temperature of the overall knee and the four regions of interest (ROIs): patella, suprapatellar, medial, and lateral areas.</p><p><strong>Results: </strong>The temperature of knees affected by OA was influenced by joint degeneration level and symptoms: patients with higher OA grade in the symptomatic knees presented higher total knee temperatures compared to the asymptomatic ones (p = 0.002), as well as in the patellar (p = 0.005), lateral (p = 0.002), and medial (p = 0.001) areas. On the other hand, patients with the same OA level in the two knees presented a higher temperature in the symptomatic knee only in the medial area (p = 0.037). Symptomatic knees demonstrated a different pattern compared to asymptomatic knees, with the medial area presenting the highest temperature changes (p = 0.020). Patients reporting prevalent pain in the lateral knee area presented higher differences in total knee temperature (0.7 ± 0.7 °C) than patients with pain in the medial area (0.1 ± 0.5 °C) (p = 0.023).</p><p><strong>Conclusion: </strong>The temperature of knees affected by OA is influenced by the degree of joint degeneration and by the presence of symptoms, with higher temperatures found in symptomatic joints, especially with prevalent lateral knee pain, and in more severe OA. Symptomatic knees demonstrated a different pattern compared to asymptomatic knees, with the medial area presenting the highest temperature changes.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"101-108"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716195","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}

{"title":"Marginal bone resection and immediate internal fixation in multidrug resistant chronic septic nonunions of lower limb long bones: a case series.","authors":"Seyed Hadi Kalantar, Amir Human Hoveidaei, Nima Bagheri, Seyyed Saeed Khabiri, Mohammad Poursalehian","doi":"10.1007/s00264-024-06349-4","DOIUrl":"10.1007/s00264-024-06349-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the efficacy of a combined treatment approach integrating extensive debridement, immediate internal fixation, and the Masquelet technique for the management of infected nonunion of long bones in the lower limbs caused by multidrug-resistant (MDR) and extensively drug-resistant (XDR) bacteria.</p><p><strong>Methods: </strong>This retrospective case series was conducted at the Imam Khomeini Hospital Complex, Tehran, Iran, a tertiary-level academic referral centre. The study documented consecutive cases of patients presenting with infected nonunion of the tibia or femur, with a positive culture for MDR or XDR bacteria, treated between January 2019 and December 2022. Inclusion criteria were adults with a confirmed diagnosis of infected nonunion due to MDR or XDR bacteria, with exclusion criteria including patients with unrelated infections or allergies to the components of the treatment regimen. The primary outcomes measured were infection resolution and bone healing.</p><p><strong>Results: </strong>The study cohort comprised 16 patients, predominantly male (87.5%) with an average age of 38.5 years. Methicillin-resistant Staphylococcus aureus (MRSA) was identified as the causative agent in 31.25% of the infections. Patients were followed for a period ranging from 12 to 26 months. The treatment protocol was uniformly applied across all cases. Successful bone union was observed in the majority of patients within 140 to 240 days following grafting. However, there were two instances where amputation was necessitated due to the failure to eradicate the infection. Complications arose in three cases during the follow-up period: two required re-debridement due to a recurrence of the infection, and one was subjected to bone transport owing to persistent nonunion. Notably, all cases that either failed or encountered complications were smokers.</p><p><strong>Conclusions: </strong>In this integrated approach, high rates of infection resolution and bone healing were achieved, suggesting this method as a viable option for these complex cases.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"5-17"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465599","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}

{"title":"Long-term results of revision total hip arthroplasties using cementless stems and allografts for paprosky type IIIB and IV femoral defects short title: Revision hip arthroplasty in type IIIB and IV femoral defects.","authors":"Young-Hoo Kim, Jang-Won Park, Young-Soo Jang, Eun-Jung Kim","doi":"10.1007/s00264-024-06367-2","DOIUrl":"10.1007/s00264-024-06367-2","url":null,"abstract":"<p><strong>Purpose: </strong>We determined long-term (1) clinical results of revision total hip arthroplasty (THA) in the presence of Paprosky type IIIB and IV femoral defects using validated scoring instrument; (2) osseointegration and bone remodeling; (3) the fate of cortical strut onlay allograft; (4) rates of revision and osteolysis; and (5) survivorship of the cementless stem.</p><p><strong>Methods: </strong>We reviewed the results of 240 revision THAs in 220 patients (mean age, 59 years, range, 36-67 years) performed with an extensively porous-coated femoral stem (Solution stem; DePuy, Warsaw, Indiana) combined with a cortical strut onlay allografts for Paprosky Type IIIB and IV femoral diaphyseal bone defects from February 1994 to June 2003. Demographic data, Harris hip score, WOMAC score, UCLA activity score, and radiographic data were recorded. We determined the fate of strut cortical strut allograft and component survival rates at a mean of 26.5 years using revision and aseptic loosening as end points. Minimum follow-up was 21 years (range, 21-30 years).</p><p><strong>Results: </strong>The clinical results improved significantly for the Harris hip score, WOMAC, and UCLA activity scores (p < 0.001). At the final follow-up, mean Harris hip, WOMAC, and UCLA activity scores were 83 ± 15 (34-100), 20 ± 15 (11-52) and 6.7 ± 1.3 (5-8) points, respectively. Of the 240 femoral stems, 218 (91%) had bone ingrowth, and 22 (9%) were unstable. Allografts were well incorporated in the host femur in all hips. The resorption of allografts was graded as mild in 192 hips (80%) and moderate in 48 hips (20%). A Kaplan-Meier survivorship analysis at a mean of 26.5 years follow-up showed that the survival rate of the femoral component was 91% (95% CI, 0.88-0.96) with re-revision for any reason as the endpoint for failure. The survival rate at a mean of 26.5 years for worst case scenario was 76% (95% CI, 0.71-0.88).</p><p><strong>Conclusion: </strong>We found good results at a mean of 26.5 years after the revision surgery in terms of longevity and functional outcome using an extensively porous-coated stem combined with cortical strut allografts in the Paprosky Type IIIB and IV femoral diaphyseal defects. We agree that the initial quality of an uncomplicated revision of THA using supportive cortical strut allografts maintains relatively well beyond minimum 21 years of follow-up. Future studies might compare this approach with allograft-prosthesis composites, proximal femoral replacement, or modular fluted tapered stems.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"109-116"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647816","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}

{"title":"Towards optimized biopsy use in vertebral compression fractures: integrating risk assessment for better clinical decision-making.","authors":"Yanjie Zhu, Kaiqi Yang, Chuanfeng Wang, Yunshan Fan, Xinbo Wu, Shisheng He, Guangfei Gu","doi":"10.1007/s00264-024-06361-8","DOIUrl":"10.1007/s00264-024-06361-8","url":null,"abstract":"<p><strong>Purpose: </strong>Tissue biopsy is the gold standard for differentiating osteoporotic vertebral compression fractures from malignant lesions. However, the necessity of routine biopsies during percutaneous vertebroplasty and kyphoplasty is debated due to the low malignancy detection rates. This study aims to identify key predictors of positive biopsy outcomes in patients undergoing these procedures, with the goal of refining biopsy selection criteria to enhance diagnostic yield and improve clinical decision-making.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study involving 295 patients who underwent percutaneous vertebroplasty and kyphoplasty with biopsy between June and December 2023. Clinical data, including age, gender, fracture aetiology, imaging findings, and biopsy results, were collected. Binary logistic regression analysis was employed to identify significant predictors of positive biopsy outcomes.</p><p><strong>Results: </strong>The biopsy results revealed an overall malignancy rate of 1.01% (3/295). Among the 17 cases with abnormal (positive) biopsy findings, 17.6% were malignant, while the remainder were benign. Significant predictors included age (OR = 0.936), gender (OR = 0.307 for males), fracture aetiology (OR = 5.300 for fractures with no apparent cause), and imaging abnormalities (OR = 8.388).</p><p><strong>Conclusion: </strong>This study underscores the low malignancy detection rate in routine biopsies for vertebral compression fractures, advocating for a more selective approach by reserving biopsies for patients with specific high-risk factors. A targeted biopsy strategy, informed by enhanced pre-operative screening, could improve diagnostic accuracy and treatment outcomes, optimizing clinical management.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"203-209"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557839","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}

{"title":"Hysterical motility disorders during the First World War: cases from the orthopaedic department of the Red Cross Hospital in Zagreb.","authors":"Stella Fatović-Ferenčić, Martin Kuhar","doi":"10.1007/s00264-024-06388-x","DOIUrl":"10.1007/s00264-024-06388-x","url":null,"abstract":"<p><strong>Purpose: </strong>This paper examines how Vladimir Ćepulić at the orthopaedic department of the Red Cross Hospital in Zagreb described, understood and treated hysterical motility disorders between 1915 and 1917.</p><p><strong>Methods: </strong>We analysed Ćepulić's article from 1919 on 107 cases of motility disorders among World War I veterans. Our analysis involved a formal examination of historical records, articles, and contemporary literature on conversion disorders, as well as a contextual analysis of Ćepulić's work.</p><p><strong>Results: </strong>Ćepulić's report is a rare record of patients with conversion disorder treated within an orthopaedic department during the First World War. It provides detailed descriptions and documentation including photographs. By subscribing to the hysterical aetiology of this disorder, Croatian orthopaedists employed a diverse range of treatments, such as hypnosis, suggestion, electricity, anaesthesia and surgery.</p><p><strong>Conclusion: </strong>We have demonstrated that a significant number of patients with motility disorders of psychogenic origin were treated at the orthopaedic department of the Red Cross Hospital in Zagreb. The detailed descriptions left by our predecessors can be used to trace the epidemiology and evolution of these disorders over time, including complex conditions like conversion disorder.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"289-297"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768883","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}

{"title":"Is the clavicla pro humero a reliable reconstruction for paediatric proximal humerus sarcomas?","authors":"Zhuoyu Li, Daoyang Fan, Qing Zhang, Weifeng Liu","doi":"10.1007/s00264-024-06345-8","DOIUrl":"10.1007/s00264-024-06345-8","url":null,"abstract":"<p><strong>Purpose: </strong>The proximal humeral reconstruction is challenging. This study aims to investigate the survival, function and complications of clavicla pro humero (CPH) for pediatric proximal humeral reconstruction.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on eight patients (4 males, and 4 females) who underwent clavicla pro humero reconstruction between January 2009 and December 2020 in our institution. The average age was 10.4 ± 2.7 years (range, 6 to 14 years). The functional outcomes were assessed by the Musculoskeletal Tumor Society Score (MSTS-93), the Toronto Extremity Salvage Score (TESS), the American Shoulder and Elbow Surgeons (ASES) score and the range of motion (ROM) of the shoulder. The complications and overall survivorship of clavicla pro humero were recorded in the follow-up.</p><p><strong>Results: </strong>The mean follow-up of all patients was 54.6 ± 23.9 months (range, 24 to 84 months) and 73.3 ± 8.5 months (range, 72 to 84 months) in all survivors. All patients had a bone union at an average of 3.8 months after the initial procedure. Only one patient had no complications in the follow-up. The most common complications were clavicle fracture (87.5%, 7/8), followed by pseudarthrosis (62.5%, 5/8), proximal clavicle osteolysis (37.5%, 3/8) and skin flap necrosis (12.5%, 1/8). The average MSTS-93 score was 79% (range, 73-86%), the average TESS was 82% (range, 76-86%) and the average ASES was 70% (68-73%), respectively.</p><p><strong>Conclusions: </strong>The clavicla pro humero procedure provides rapid bone union but has a high complication rate. Therefore, we do not recommend this technique as a routine surgical procedure for paediatric proximal humeral reconstruction when other methods are available.</p><p><strong>Level of evidence: </strong>level IV therapeutic study.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"271-278"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400258","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}

{"title":"A survey on the perspective and benefits of being an international Visiting Surgeon at a leading Level I Trauma centre.","authors":"Abramo Fratus, Pornsak Nirunsuk, Xiaoreng Feng, Cyril Mauffrey","doi":"10.1007/s00264-024-06375-2","DOIUrl":"10.1007/s00264-024-06375-2","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the impact on career, leadership positions, and involvement in educational roles among participants in the International Visiting Physician (IVP) program at a leading Level I Trauma centre.</p><p><strong>Methods: </strong>An electronic survey was conducted among Denver Health Department of Orthopedics IVP program alumni from 2010 to 2024. Data collected included demographics, baseline experience, career level, and leadership positions at the time of application and their current status. Factors influencing the decision to apply, research, surgical observership, educational, and host city experiences during the fellowship were assessed using a 10-point Likert scale. The impact of the fellowship on career advancement, leadership roles, and educational involvement post-fellowship was also evaluated using a 7 and 10-point Likert scale.</p><p><strong>Results: </strong>Since 2010, 61 surgeons participated in the program, with 45 (73.8%) responding to the survey. Respondents originated from 26 countries across all continents (5 from Europe, 23 from Asia, 5 from Africa, 9 from South America, 2 from North America, and 1 from Oceania). Six alumni were female (13.3%), and the mean age was 37.02 years. On a 10-point Likert scale, the fellowship's impact on the current working position scored 7.53, effects on future positions scored 8.14, inclination to serve in teaching/research roles scored 7.67, and future leadership roles scored 8.00.</p><p><strong>Conclusion: </strong>International Visiting Physician (IVP) programs significantly benefit participants' careers, enhancing their professional positions, leadership roles, and inclination to be involved in teaching and research.</p>","PeriodicalId":14450,"journal":{"name":"International Orthopaedics","volume":" ","pages":"29-33"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647810","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}