Journal of Orthopaedic Surgery最新文献

{"title":"Nursing effects of intermittent pneumatic compression pump combined with enteral nutrition support in lower extremity deep venous thrombosis after orthopedic surgery.","authors":"Yanxia Ni, Yingjing Wang, Qunying Qing","doi":"10.1177/10225536251383579","DOIUrl":"https://doi.org/10.1177/10225536251383579","url":null,"abstract":"<p><p>ObjectiveIt aimed to explore the nursing effect of intermittent pneumatic compression pump (IPC) plus enteral nutrition support (ENS) in the prevention of deep venous thrombosis (DVT) in lower limbs of patients after orthopedic surgery (OS).Methods235 patients who underwent hip joint surgery between January 2021 and January 2022 were enrolled as regular group (RG, routine care plan), and 268 patients who underwent hip joint surgery between February 2022 and February 2023 were enrolled as joint group (JG, IPC combined with ENS care plan). The RG only received routine nursing, and the JG received IPC plus ENS nursing. The subjects' coagulation indicators, DVT incidence, postoperative recovery, and other indicators were sorted out.ResultsAfter IPC plus ENS nursing, hemoglobin (Hb) and platelet (PLT) in the JG were visibly lower as against the RG (<i>p</i> < .05); As against the RG, the diameter of bilateral common femoral vein (CFV) did not decrease, and the maximum blood flow velocity (BFV) and average BFV of bilateral CFV were visibly higher in the JG (<i>p</i> < .05). In the JG, fibrinogen (FIB), prothrombin time (PT), activated partial thromboplastin time (APTT) were visibly increased, while D-dimer (D-D) and thrombin time (TT) were visibly decreased; the incidence of DVT was visibly lower; the immobile time in bed and hospital stay was visibly shortened, and the nursing satisfaction of patients was visibly increased (all <i>p</i> < .05).ConclusionIPC plus ENS in the nursing of patients after OS can effectively reduce the incidence of DVT and promote postoperative recovery.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 3","pages":"10225536251383579"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply letter to the editor regarding \"how reliable are ChatGPT and Google's answers to frequently asked questions about unicondylar knee arthroplasty from a scientific perspective?\"","authors":"Ali Aydilek, Ömer Levent Karadamar","doi":"10.1177/10225536251368567","DOIUrl":"https://doi.org/10.1177/10225536251368567","url":null,"abstract":"","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 3","pages":"10225536251368567"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited review article: Artificial intelligence in orthopaedic surgery a comprehensive review.","authors":"Mario Andreacchio, Edward T Mah","doi":"10.1177/10225536251357645","DOIUrl":"10.1177/10225536251357645","url":null,"abstract":"<p><p>The integration of Artificial Intelligence (AI) in orthopaedic surgery has been rapidly evolving, offering innovative solutions to enhance diagnosis, treatment planning, surgical precision, and patient care. This comprehensive review explores the various applications of AI in orthopaedics, highlighting its potential benefits, limitations, and future prospects.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251357645"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between union time and clinical and functional outcomes following reconstruction with free vascularized fibular graft in patients with bone tumors.","authors":"Mehmet Can Gezer, Mustafa Onur Karaca, Hüseyin Yusuf Yıldız","doi":"10.1177/10225536251345182","DOIUrl":"10.1177/10225536251345182","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Large segment bone defects resulting from resections done for bone tumors or chronic osteomyelitis may need various treatment options for reconstruction of which use of free vascularized bone grafting is the most commonly used technique due to its ability to maintain biological continuity. In this study, we aimed to investigate the relationship between union time and functional scores in patients who underwent reconstruction with free vascularized fibular grafts (FVFG) for large segment bony defects resulting from resection of bone tumors. &lt;b&gt;Methods:&lt;/b&gt; This retrospective study aims to evaluate the clinical outcomes of using free vascularized fibula grafts for the reconstruction of segmental defects following tumor resection at our institution between 2005 and 2021. The tools used for clinical assessment included the Visual Analog Scale (VAS), the Musculoskeletal Tumor Society (MSTS) score, and the Short Form-36 (SF-36) quality of life scale. The relationship between functional outcomes and union time was analyzed retrospectively. The patients were divided into two groups based on union time: those with a union time shorter than 6 months and those with a union time longer than 6 months. The relationship between union time and functional outcomes was analyzed. Additionally, the effects of gender, affected extremity, tumor location, defect size, preoperative and postoperative chemotherapy (CT) and/or radiotherapy (RT) status, presence of distant metastasis, postoperative complications, and hospital stay duration on union time were investigated. &lt;b&gt;Results:&lt;/b&gt; A total of 45 patients were included in the study, comprising 20 females and 25 males, with a mean age of 31.3 years (min: 10, max: 74). Seventeen patients had tumors of the upper extremity, while 28 had tumors of the lower extremity. All patients underwent reconstruction of segmental bone defects using free vascularized fibula grafting (FVFG). Preoperative SF-36 quality of life scores were significantly lower when compared to postoperative scores. The patients were categorized into two groups based on union time: those who achieved union within 6 months and those with a union time exceeding 6 months. The analysis demonstrated that patients with upper extremity tumors had a faster union time, while those who experienced postoperative complications had a prolonged union time. Furthermore, extended hospital stays, the presence of preoperative and/or postoperative chemotherapy (CT) and/or radiotherapy (RT), and distant metastasis were associated with lower MSTS scores. However, this decrease in MSTS scores was not statistically significant. &lt;b&gt;Conclusions:&lt;/b&gt; Free vascularized fibula grafts are effective biological reconstruction methods that accelerate bone union. The average union time is 6 months, extending up to 9-12 months in some cases. However, by 2 years postoperatively, functional scores are similar, with both mood and extremity function significantly improve","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251345182"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between body roundness index and risk of osteoporosis in patients with type 2 diabetes mellitus: A cross-sectional study based on NHANES database.","authors":"Rensheng Chen, Wei Zhao, Pengfei Cai, Chao Peng, Hongxia Liu","doi":"10.1177/10225536251356804","DOIUrl":"https://doi.org/10.1177/10225536251356804","url":null,"abstract":"<p><p><b>Background:</b> Osteoporosis (OP) is a common complication in patients with type 2 diabetes mellitus (T2DM), significantly increasing fracture risk and mortality. Body roundness index (BRI), a novel obesity assessment index, accurately reflects body fat distribution, but its relationship with OP risk in T2DM patients has not been clarified. The aim of this study was to investigate the nonlinear relationship between BRI and OP risk in patients with T2DM. <b>Methods:</b> In this study, based on data from the 2005-2018 National Health and Nutrition Examination Survey, we conducted a cross-sectional study involving 3,178 people with T2DM. Femoral bone mineral density was measured using dual-energy X-ray absorptiometry. Generalized additive model was used to assess the non-linear relationship between BRI and OP risk. Multiple logistic regression analyses were used to assess the relationship between BRI and OP risk, adjusted for various covariates. Subgroup analyses for age, sex, and ethnicity were also performed to assess the consistency and robustness of the results. <b>Results:</b> Generalized additive model analyses demonstrated an L-shaped relationship between BRI and OP risk, and logistic regression analyses indicated that BRI exhibited a negative association with OP risk. The risk of OP exhibited a significant decrease with increasing BRI and appeared to saturate at a BRI of approximately 5.08. When the BRI was below 5.08, the risk of OP was reduced by 49% for each 1-unit increase (OR = 0.51, 95% CI: 0.37-0.71, <i>p</i> < .001); However, when the BRI exceeded 5.08, the protective effect diminished and became statistically non-significant (OR = 0.99, 95% CI: 0.88-1.11, <i>p</i> = .824). The log-likelihood ratio test demonstrated a significant model fit superiority (<i>p</i> < .001). Subgroup analyses and interaction tests demonstrated that this association remained stable across various demographic and socioeconomic groups, including age, sex, education, poverty-to-income ratio, exercise, and smoking. However, race had an interaction association with BRI and OP risk (<i>p</i> interaction < 0.050). <b>Conclusion:</b> Our study demonstrated that a negative association was found between BRI and OP risk in the United States population with T2DM and that this relationship was nonlinear. Further studies are needed to validate this.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251356804"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D simulation and printing for complex comminuted pelvic and acetabular fractures: A single-center experience.","authors":"Kai-Xing Alvin Lee, Tsung-Li Lin, Cheng-Ting Shih, Yi-Wen Chen, Yi-Chin Fong, Hsien-Te Chen, Chun-Hao Tsai","doi":"10.1177/10225536251352768","DOIUrl":"https://doi.org/10.1177/10225536251352768","url":null,"abstract":"<p><p>BackgroundPelvic and acetabular fractures are associated with significant morbidity and mortality. The efficacy of 3D printing technology in improving surgical outcomes for these fractures has not been conclusively demonstrated.PurposesThis study aimed to evaluate the efficacy of 3D simulation and printing in managing AO/OTA 61C and 62 B/62C pelvic and acetabular fractures.MethodsA retrospective cohort study was conducted on patients aged >18 years with AO/OTA 61C and 62 B/62C fractures treated at a tertiary hospital between 2017 and 2022. Outcomes included postoperative complications, the need for total hip arthroplasty (THA), and quality of life measures, including the EuroQol Visual Analogue Scale (EQ-VAS), the EuroQol 5-Dimension 5-Level utility score (EQ-5D-5 L), and the Majeed pelvic score, assessed at 6 months, 1 year, and 2 years post-surgery.Results92 patients were analyzed, with 28 in the 3D printing group and 64 in the traditional treatment group. The mean age was 44.9 years. After adjusting for confounders, no significant differences were observed between the two groups in EQ-VAS, Majeed Pelvic Scores, or EQ-5D-5 L utility scores at 2 years (all <i>p</i> > .05). No significant differences were observed in the risk of THA or postoperative complications between the two groups.ConclusionsThe use of 3D printing for complex pelvic and acetabular fractures did not demonstrate an improvement in the primary outcomes of this study, including complications and the need for THA. This indicates that benefits of 3D printing observed in preoperative planning did not translate into improved clinical outcomes. Further research with larger, randomized trials is still warranted.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251352768"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging observation of allogeneic bone and bone-induced calcium phosphate biomaterials as supplements in the treatment of infectious bone defects.","authors":"Keye Li, Shan Yu, Daqiang Lin, Xu Zhang, Yuxiang Liang, Dong He, Qiang Guo, Junyu Tao, Yu Zhong, Zhigang Lang","doi":"10.1177/10225536251362765","DOIUrl":"10.1177/10225536251362765","url":null,"abstract":"&lt;p&gt;&lt;p&gt;ObjectiveTo compare osseous regeneration efficacy of allogeneic bone versus bone-induced calcium phosphate biomaterial (biological artificial material induced artificial bone, BAM-induced artificial bone) in treating tibial infected bone defects.MethodsThis study was a prospective study that enrolled participants hospitalized at Sichuan Orthopedic Hospital for tibial osteomyelitis. These subjects had undergone osteomyelitis surgery and presented with bone defects requiring bone grafting under controlled infection conditions. Participants meeting inclusion criteria for tibial infected bone defects were divided into observation group (BAM-induced artificial bone) or control group (allogeneic bone) based on their bone graft material selection. The observation group used BAM-induced artificial bone (OICPC, Bayamon Corp) mixed with autologous iliac bone as the surgical graft material. The control group used allogeneic bone mixed with autologous iliac bone as the surgical graft material. Both materials were applied for bone defect reconstruction during surgery. Digital radiography (DR) imaging examinations were performed at three timepoints (postoperative, 3 months postoperative, 6 months postoperative) to evaluate osseous regeneration. Image J software then analyzed void ratios and absorption rates in the grafted areas. SPSS statistical analysis compared differences between the two graft materials.ResultsA total of 56 subjects with infected bone defects were included in this study, of which 50 cases ultimately included for statistical analysis (observation group: 19 men and 7 women with a mean age of 44.12; control group: 18 men and 6 women with a mean age of 45.83). Postoperative radiographic evaluation showed varying degrees of bone absorption in both the observation group and the control group. No significant difference in void ratio was observed between the two groups immediately after surgery (observation group: 17.09 ± 3.84, control group: 18.12 ± 2.63; &lt;i&gt;t&lt;/i&gt; = 1.101, &lt;i&gt;p&lt;/i&gt; = .277). At 3 and 6 months postoperatively, both groups demonstrated increased void ratio and absorption rate compared to the immediate postoperative values and the increase in the observation group was significantly lower than control group. At 3 months postoperatively, the void ratio and absorption rate in the observation group were significantly lower than control group (20.67 ± 3.78 vs 23.56 ± 4.34, &lt;i&gt;t&lt;/i&gt; = 2.488, &lt;i&gt;p&lt;/i&gt; = .016; 3.58 ± 2.73 vs 5.44 ± 3.39, &lt;i&gt;t&lt;/i&gt; = 2.118, &lt;i&gt;p&lt;/i&gt; = .039). At 6 months postoperatively, the void ratio and absorption rate in the observation group were significantly lower than control group (27.20 ± 5.46 vs 31.83 ± 4.71, &lt;i&gt;t&lt;/i&gt; = 3.175, &lt;i&gt;p&lt;/i&gt; = .002; 10.11 ± 5.25 vs 13.71 ± 4.54, &lt;i&gt;t&lt;/i&gt; = 2.566, &lt;i&gt;p&lt;/i&gt; = .014); Severe absorption voids (void ratio &gt;33%) incidence in the control group (8 cases, 16%) was higher than the observation group (2 cases, 4%).ConclusionBAM-induced artificial bone demonstrated superior bone-fo","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251362765"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of a jaw-designed suture passer as compared to the Lasso-loop suture technique for arthroscopic treatment of chronic lateral ankle instability.","authors":"Weiwei Mao, Zhigao Jin, Yong Zhang, Wei Li, Ying Zhu, Weiqi Kong, Ying Wang, Jianzhong Qin","doi":"10.1177/10225536251345185","DOIUrl":"https://doi.org/10.1177/10225536251345185","url":null,"abstract":"<p><p>PurposeThis study compares the clinical outcomes of the Lasso-loop and Jaw-designed suture passer techniques for arthroscopic treatment of chronic lateral ankle instability (CLAI) caused by anterior talofibular ligament (ATFL) injuries. We aimed to assess whether the Jaw-designed technique provides similar outcomes with reduced intraoperative stitch time.MethodsThis retrospective cohort study included 40 patients with CLAI, who underwent arthroscopic ligament repair between February 2019 and February 2022. They were divided into two groups: 20 treated with the Lasso-loop technique and 20 with the Jaw-designed suture passer. Functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) scale, Karlsson Ankle Functional Score (KAFS), Tegner activity scale (TAS), and Visual Analog Scale (VAS) for pain. Intraoperative ligament stitch time was also recorded for both groups.ResultsBoth groups showed significant improvement in AOFAS, KAFS, TAS, and VAS scores from preoperative to final follow-up (<i>p</i> < .001). The mean intraoperative ligament stitch time was significantly shorter in the Jaw-designed group (9.1 min) compared to the Lasso-loop group (16.5 min) (<i>p</i> < .001). However, no significant differences in final functional outcomes (AOFAS, KAFS, TAS, and VAS scores) were observed between the two groups (<i>p</i> > .05).ConclusionThe Jaw-designed suture passer technique for repairing the ATFL in CLAI offers clinical outcomes comparable to the Lasso-loop technique, with the added benefits of a shorter suture time and simpler execution. This technique may be particularly beneficial for novice surgeons and can serve as a reliable alternative to the Lasso-loop suture technique in the arthroscopic repair of CLAI.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251345185"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of fibula plating versus fibula nailing: A systematic review with meta-analysis of all current comparative literature.","authors":"Troy B Puga, McKenna W Box, Charles R Marchese, Alan Lam, Sam Stegelmann, John T Riehl","doi":"10.1177/10225536251345196","DOIUrl":"10.1177/10225536251345196","url":null,"abstract":"<p><p>Ankle fracture surgeries are common orthopaedic procedures. Fibular fixation is often an important component in restoring ankle stability. Fibular intramedullary nailing (fIMN) has gained recent interest as an alternative technique to fibular plating. This systematic review and meta-analysis was performed to compare the outcomes of fibular nailing versus fibular plating for all current available literature. A PRISMA-compliant systematic review was conducted across MEDLINE/Pubmed, Cochrane, and Embase databases for cohort and clinical trial studies comparing outcomes of fibular nailing and fibular plating of ankle fractures. Demographics and results of the studies were extracted from the articles. Outcomes of interest extracted included operative time, functional outcomes scores, hardware/loss of reduction, malunion/nonunion, re-operations, and wound complications. Meta-analysis of included studies used odds ratios and standardized mean difference when appropriate. Nine studies were included in this systematic review. Eight studies were then used for meta-analysis comparison. fIMN showed equivalent operating times to fibular plating. fIMN had equivalent outcomes when compared with fibular plating for hardware failure/loss of reduction, Olerud and Molander Ankle Score, malunion/nonunion, and re-operations. Fibular nailing showed a decrease in wound complications (OR: 0.35 [0.18, 0.66] (<i>p</i> = .001)) when compared with fibular plating. fIMN showed equivalent outcomes and decreased wound complications compared to fibular plating. fIMN is a safe and effective alternative treatment method that can be used by surgeons to treat distal fibula fractures.Level of Evidence3.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251345196"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological and clinical outcomes of patients diagnosed with intraosseous ganglion cysts of the lunate treated with arthroscopic dorsal ligamento capsulodesis with or without grafting: Minimum 1-year follow-up.","authors":"Ömer Ayik, Serkan Bayram, Ahmet Emre Paksoy, İsmail Bülent Özçelik","doi":"10.1177/10225536251340115","DOIUrl":"https://doi.org/10.1177/10225536251340115","url":null,"abstract":"<p><p>PurposeWe aimed to compare radiological and clinical results between patients diagnosed with Intraosseous ganglion cysts of the lunate (IGCL)-treated arthroscopic dorsal ligamento capsulodesis (ADLC) with or without grafting.Methods26 patients who underwent wrist arthroscopy with the diagnosis of intraosseous ganglion cysts of the lunate were included in the study. The patients in the series were divided into two groups according to the surgery they underwent: patients who underwent isolated ADLC in group A and ADLC with autografting in group B. The wrist range of motion, patient satisfaction, Visual Analogue Scale (VAS) and the Mayo Wrist Score (MWS) were used for clinical and functional results.ResultsGroup A consisted of 12 (7 females - 5 males), Group B consisted of 14 (9 females - 5 males). The mean age was 33,1 years in Group A (range 22-49), and 32,3 years in Group B (range 21-47). The VAS, Mayo Wrist Score, wrist range of motion, and the level of patient satisfaction were similar in the two groups. In Group A, the postoperative mean cyst diameter (CD) was 4.2 (range: 1.3 - 7.3 mm), comparable to the mean cyst diameters before surgery. In Group B, trabeculation was observed in 13 patients, and CD was not calculated. Only one patient in Group B had a 3.5 mm (preoperative 3.6 mm) cyst, attributed to graft lysis.ConclusionAs we have observed scapholunate instability at different stages in this case series diagnosed with IGCL, we believe that the source of pain is related to instability and treatment should focus on the existing instability. This hypothesis is supported by our obtaining similar results when comparing only ADCLs for instability, which were chosen according to our clinical experience, with those who underwent ADCLs with bone grafting.</p>","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"33 2","pages":"10225536251340115"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}