Journal of Orthopaedic Case Reports最新文献

{"title":"Elevating Orthopaedic Care through Materiovigilance.","authors":"Sachin Kale, Arvind Janardhan Vatkar, Ashok Shyam, Deepak Langade","doi":"10.13107/jocr.2025.v15.i06.5640","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i06.5640","url":null,"abstract":"<p><p>Advanced medical devices serve an important role in modern medicine, particularly in orthopaedics, by improving patients' mobility and quality of life. However, the intricacy of devices such as joint replacements and spine implants raises hazards such as mechanical failures and biocompatibility difficulties. Materiovigilance, notably through India's Materiovigilance Programme of India, is critical for detecting and treating adverse events, hence assuring device safety and efficacy. Despite its relevance, hurdles such as a lack of understanding and reporting issues impede implementation. Strengthening materiovigilance through education, simplified reporting, and a supportive culture may spur innovation, enhance patient outcomes, and position India as a worldwide leader in medical device optimization.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Effectiveness, Safety, and Patient Outcomes of 3D Printing in Orthopedic Implant Design and Customization: A PRISMA-Complaint Systematic Review.","authors":"Mainak Roy, Madhan Jeyaraman, Naveen Jeyaraman, Arpit Sahu, Sanjeevi Bharadwaj, Abhijith K Jayan","doi":"10.13107/jocr.2025.v15.i06.5720","DOIUrl":"10.13107/jocr.2025.v15.i06.5720","url":null,"abstract":"<p><strong>Introduction: </strong>The advent of 3D printing technology has revolutionized the field of orthopedics, particularly in the design and customization of implants. This study aims to evaluate the effectiveness, safety, and patient outcomes associated with the use of 3D-printed custom implants for various orthopedic conditions.</p><p><strong>Materials and methods: </strong>The systematic review was registered in PROSPERO (CRD42025648097). The literature search analyzed studies from multiple databases, focusing on parameters, such as implant fit, functionality, surgical outcomes, and patient satisfaction. Studies were selected based on their relevance to 3D-printed custom implants for various orthopedic conditions.</p><p><strong>Results: </strong>The analysis included data from numerous studies, highlighting several key findings, such as (a) customization: 3D-printed implants provide a highly personalized fit that conforms precisely to individual anatomies, enhancing biomechanical performance and reducing complications, (b) surgical outcomes: The use of 3D-printed implants significantly reduces surgery time and intraoperative errors due to advanced imaging and meticulous pre-operative planning, (c) patient satisfaction: Patients reported higher satisfaction rates due to improved implant stability and functionality, leading to quicker recovery and a better quality of life post-surgery, and (d) challenges: The high costs of 3D printing technology and concerns about the long-term durability and performance of 3D-printed implants remain significant barriers to widespread adoption.</p><p><strong>Conclusion: </strong>The integration of 3D printing technology into orthopedic implant design represents a transformative advancement, offering significant improvements in patient-specific outcomes and surgical precision. Despite financial and technical challenges, the potential benefits of delivering personalized, high-quality care are substantial. Future research should focus on long-term follow-up studies to provide comprehensive evidence on the safety and durability of 3D-printed implants, and efforts should be made to reduce production costs and streamline manufacturing processes to enhance accessibility.</p><p><strong>Level of evidence: </strong>Systematic review and meta-analysis, Level II.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"213-222"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcome of Extended Curettage and Reconstruction using Sandwich Technique for Giant Cell Tumor around Knee.","authors":"Kevin Jose, Joe Joseph Cherian, Jerin Jeevo, Anoop Pilar, Rinju Krishnan, Mevin Mathew Nedumparambil","doi":"10.13107/jocr.2025.v15.i06.5714","DOIUrl":"10.13107/jocr.2025.v15.i06.5714","url":null,"abstract":"<p><strong>Introduction: </strong>Giant cell tumors (GCT) are benign yet locally aggressive neoplasms. The primary objectives of treatment are to entirely eliminate the tumor, rebuild the defect, and restore limb functionality. Numerous surgical treatment options have been proposed, ranging from more drastic interventions, such as en bloc excision, to less invasive techniques such as curettage or curettage combined with bone grafting. Limited research addresses the functional outcomes following treatment for giant cell tumors, despite the abundance of publications focusing on cure rates, recurrence, and other surgical considerations of the condition.</p><p><strong>Case report: </strong>Individuals aged 20-40 are typically the ones affected with GCT. Patients typically exhibit pain during rest or sleep, and in certain instances, may also experience pathologic fractures.All patients were clinically evaluated, plain X-ray of the knee, chest X-ray, computed tomography , and magnetic resonance imaging were taken before the procedure. In all patients a pre-operative, biopsy was performed to determine the tumor's histological grade and to confirm the diagnosis.</p><p><strong>Conclusion: </strong>The sandwich technique is an appropriate reconstructive procedure for GCT around the knee joint, involving the use of polymethylmethacrylate to occupy the residual cavity post-curettage, the placement of a structural allograft in the subchondral region, and the application of a gel form in the intervening space.It also has less complications, favorable survival rates, and positive functional outcomes. This approach preserves the advantages of cementing, mitigates potential complications, and restores the subchondral bone stock.None of our patients experienced any collapse of the joint, recurrences, immunological complications. All of them also had good functional status of the limb after 1 year. Thus, based on our good findings, we advocate this technique for joint salvage in GCTs around the knee.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"197-202"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant Cell Tumor of the Proximal Femur with Pathological Fracture of Femoral neck.","authors":"Gagandeep Gupta, Abhishek Singh, Shivang Kala, Akhilesh Saini, Shristi Singh, Sopan Shende","doi":"10.13107/jocr.2025.v15.i06.5684","DOIUrl":"10.13107/jocr.2025.v15.i06.5684","url":null,"abstract":"<p><strong>Introduction: </strong>Giant cell tumor (GCT) of bone is a locally aggressive, benign neoplasm, accounting for approximately 20% of all bone tumors. While the distal femur and proximal tibia are the most common locations for GCTs, with the majority arising in the epiphyseal regions, their occurrence in the proximal femur is relatively rare, representing only 5.5% of cases. These tumors pose significant management challenges due to their tendency to cause pathological fractures, aggressive local behavior, and involvement of critical weight-bearing bones. Effective treatment requires careful consideration of both oncological control and functional preservation.</p><p><strong>Case report: </strong>A 43-year-old male presented with a GCT in the proximal femur, complicated by a pathological fracture of the femoral neck. Given the tumor's size and location, the patient underwent extended curettage (EC) to remove the tumor, followed by internal fixation with a dynamic hip screw and the application of bone cement for additional stabilization. Post-operative monitoring, including clinical and radiological assessments, showed favorable results. After a 12-month follow-up period, the patient had no signs of recurrence, and his functional and radiological outcomes were excellent, with restored mobility and the ability to bear weight on the affected limb.</p><p><strong>Conclusion: </strong>This case emphasizes the need for a tailored treatment strategy when managing GCTs of the proximal femur, particularly in resource-limited settings. The combination of EC, internal fixation, and bone cement was effective in achieving both oncological control and functional recovery. Long-term follow-up remains essential to monitor for recurrence and to ensure the integrity of the fixation device. The positive outcomes in this case highlight the potential for successful management of GCTs in challenging anatomical locations with appropriate surgical intervention and post-operative care.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"113-118"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Bilateral Congenital Radial Head Dislocation: A Case Report.","authors":"Onur Gultekin, Semih Ak, Mehmet Fatih Aksay, Halil İbrahim Arikan, Bekir Eray Kilinc","doi":"10.13107/jocr.2025.v15.i06.5644","DOIUrl":"10.13107/jocr.2025.v15.i06.5644","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital radial head dislocation (CRHD) is a rare deformity of the upper extremity that may be sporadic or genetic in origin. While most of the cases are unilateral and asymptomatic, bilateral involvement is very rare. This condition may be related to genetic syndromes such as Ehlers-Danlos and Turner syndromes, or it may appear as an isolated anomaly. The current pathology is the deterioration of the anatomical relationship between the humerus and the head of the radius due to a developmental anomaly.</p><p><strong>Case report: </strong>In our study, we present a 71-year-old male patient who experienced elbow pain during daily activities for about 2 years. Our patient has no history of trauma. He has been able to move functionally independently throughout his life. Physical examination revealed flexion, supination, and pronation limitations in the range of motion of the elbow joint. Plain radiograph (X-ray) and three-dimensional-computed tomography imaging revealed bilateral anterior radius head dislocation, capitellum hypoplasia, ovoid radial head, long radial neck, and shallow trochlear incisura.</p><p><strong>Conclusion: </strong>This case shows that bilateral CRHD, which is extremely rare, can be managed with minimal symptoms and can be successfully managed with conservative treatment. Reporting similar cases will contribute to a better understanding of the natural history of this rare condition and the most appropriate treatment strategies.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Kohler's Disease in a 5-Year-Old Girl: A Case Report.","authors":"Furkan Soy, Ibrahim Deniz Canbeyli, Meric Cirpar, Yasin Kozan, Sancar Serbest","doi":"10.13107/jocr.2025.v15.i06.5696","DOIUrl":"10.13107/jocr.2025.v15.i06.5696","url":null,"abstract":"<p><strong>Introduction: </strong>Köhler's disease is a self-limiting disorder affecting endochondral ossification, marked by fragmentation and sclerosis in the tarsal navicular bone. In 1908, Köhler highlighted these complexities by describing concurrent osteochondrosis of the tarsal navicular.</p><p><strong>Case report: </strong>A relevant case involves a 5-year-old girl who visited an orthopedic clinic with bilateral foot pain and an inability to bear weight for a week. She was diagnosed with bilateral Köhler's disease.</p><p><strong>Conclusion: </strong>Although uncommon, Köhler's disease should be considered in the differential diagnosis of pediatric foot pain to avoid unnecessary treatments and to ensure optimal care for the patients.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"148-150"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Ipsilateral Pilon with Calcaneal Fractures: A Rare Case Report.","authors":"Siddhart Yadav, K P Chiranjeevi, Akash Singh Jadon, Dharm Bedwal, Sameer Pandey","doi":"10.13107/jocr.2025.v15.i06.5680","DOIUrl":"10.13107/jocr.2025.v15.i06.5680","url":null,"abstract":"<p><strong>Introduction: </strong>Ipsilateral pilon and calcaneal fractures are quite rare. Tibial pilon fractures are uncommon, <1% of all fractures to the lower extremity. Calcaneum is the most frequently fractured tarsal bone.</p><p><strong>Case report: </strong>This is a case report of a 33-year-old male presented on April 21, 2023 in Apollo Hospital, Navi Mumbai with ipsilateral pilon and calcaneal fracture with L2 burst fracture with cauda equina syndrome.</p><p><strong>Result: </strong>The patient was treated D12-L4 Stabilization with dural repair on April 22, 2023 and was operated on April 28 with internal fixation with plates and screws for pilon and calcaneum .patient was followed up for a period of 1 year postoperatively.</p><p><strong>Discussion: </strong>Open reduction and internal fixation of displaced calcaneal fractures and pilon fractures by locking plate to maintain the height and joint congruity. Surgery for pilon fractures fixation should be delayed, ideally till \"wrinkling of the skin\" occurs.</p><p><strong>Conclusion: </strong>Based on our study, we conclude that a delayed single-stage open reduction and internal fixation with locking plate for calcaneum and pilon fracture with iliac crest bone graft is an excellent treatment option with good post-operative outcome and no significant complications. Axial loading due to a fall from height is the most common mode in these types of injuries.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rare Case of Subscapularis Myositis Ossificans with Intra-articular Extension.","authors":"Sundarajan Silvampatti, Shivam Shah, Terence D Souza, Ramakanth Rajgopalakrishan, Shanmuganath Rajsekaran","doi":"10.13107/jocr.2025.v15.i06.5716","DOIUrl":"10.13107/jocr.2025.v15.i06.5716","url":null,"abstract":"<p><strong>Introduction: </strong>Many of the shoulder pathologies present with pain and stiffness; the principal diagnosis of this condition includes calcific tendonitis or rotator cuff tears. Among these, myositis ossificans is very rare.</p><p><strong>Case report: </strong>A 22-year-old female presented to us with a complaint of pain in the shoulder for 6 months. On clinical examination, external rotation and internal rotation were restricted. On evaluation, X-ray was normal, while magnetic resonance imaging and computed tomography scan showed 1.5 cm × 1 cm lesion in the subscapularis extending in the shoulder joint. First an ultrasound-guided biopsy was performed, which was followed by open excision biopsy revealing myositis ossificans. Post-operative period was uneventful with the patient achieving full range of motion after 15 days of surgery. Shoulder functional score Constant-Murley score (0-100) increased from 66 to 95, and University of California score (0-35) improved from 17 to 34 from pre-operative to post-operative period, respectively.</p><p><strong>Discussion: </strong>Myositis is usually a post-traumatic benign heterotopic ossificans that involves large muscles of extremities like the thigh, elbow, etc. So far, only 3 cases have been reported with involvement of rotator cuff tendons, but none with an intra-articular extension. Treatment of this condition is usually conservative; however, surgical treatment is indicated should be considered for those with impaired joint function, continued symptoms, or neurovascular problems. Thus, our case was successfully treated operatively because of impairment in her day-to-day activities.</p><p><strong>Conclusion: </strong>Myositis ossificans is rare around the shoulder, but when present, it demonstrates differences with respect to appearance and location as compared to other commonly reported heterotopic ossification. Its management should be according to the degree of symptoms and patient-specific complaints.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"203-206"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Population Knowledge and Awareness of Nursemaid's Elbow in Children: A Cross-Sectional Study in Al-Baha Region, Saudi Arabia.","authors":"Ramy Samargandi, Reem M Alharthi, Adham M Alghamdi, Miad A Alzahrani, Majdi H Alzahrani, Khalid A Alzahrani","doi":"10.13107/jocr.2025.v15.i06.5730","DOIUrl":"10.13107/jocr.2025.v15.i06.5730","url":null,"abstract":"<p><strong>Introdcution and aims: </strong>Nursemaid's elbow (NME) is a common pediatric upper-extremity injury affecting young children. In this study, we aim to assess the knowledge and awareness of the NME in children between population in Al-Baha region in Saudi Arabia.</p><p><strong>Materials and methods: </strong>This is a cross-sectional study conducted among the population Al-Baha region, from February 2024 to April 2024, inclusion criteria include individuals living in Al-Baha, who are older than 18 years and agree to participate. We excluded those who are not willing to participate or not residing in Al-Baha and healthcare professionals. Data collection done via an online validated questionnaire in Arabic language. Statistical analyses were conducted using Chi-square test and Fisher's exact test. A significance level of less than 0.05 (P < 0.05) was considered statistically significant.</p><p><strong>Results: </strong>588 participants were included. Females were majority (69.6%), and the largest age group was 40-49 years old (34.7%). We found that (59.5%) of participants had not heard or read about NME. There were some misconceptions noted, such as (67.3%) who believed that both genders are equally affected and incorrect identification of symptoms (37.1%). The awareness of the case recurrence was (55.1%). Friends or family are the primary sources of information (18.2%). And lastly, (76.9%) of participants expressed a desire to learn more about NME.</p><p><strong>Conclusion: </strong>There is an obvious lack of knowledge about NME among population in the Al-Baha region, so more awareness campaigns for society are needed to raise the level of knowledge, and to prevent the occurrence and recurrence.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"257-263"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transtrochanteric Transverse Fracture of Proximal Femur in Pediatric Child: A Rare Variant: Case Report and Surgical Management.","authors":"S Rohinth, K R Tarun Prashanth, M R Thirunthaiyan, R Dorai Kumar, B Sundararaja","doi":"10.13107/jocr.2025.v15.i06.5690","DOIUrl":"10.13107/jocr.2025.v15.i06.5690","url":null,"abstract":"<p><strong>Introduction: </strong>Femoral fractures in the transtrochanteric region and avulsion of the greater trochanter in skeletally immature individuals occur due to high-energy trauma. Due to the unique anatomy and blood supply of the proximal femur in growing children, these fractures are notorious for high rates of complications despite appropriate management. Classification of these fractures is done according to the Delbet system and AO classification, which not only guides management but also provide prognostic clues. Multiple fixation methods have been described, and there is no consensus on what constitutes the best treatment. Non-union, coxa vara, and pre-mature physeal arrest are the most frequent complications. The association of a transverse transtrochanteric proximal femur fracture with avulsion of the greater trochanter in a young patient, to the best of our knowledge, has not been previously described in the literature.</p><p><strong>Case report: </strong>We present the case of a 16-year-old boy who sustained an injury to the right hip following a high-velocity road traffic accident. Initial clinical examination revealed severe swelling and tenderness in the hip joint, and imaging confirmed a transtrochanteric transverse fracture with a greater trochanter avulsion fracture. Higher imaging, such as computed tomography, was performed to understand the fracture anatomy. Surgical management involved open reduction and internal fixation of the proximal femur. Post-operative rehabilitation focused on joint mobility and strength, and the patient achieved full weight-bearing and near-complete range of motion by 3 months.</p><p><strong>Conclusion: </strong>A transtrochanteric transverse fracture with greater trochanter avulsion requires appropriate surgical intervention, which helps in early mobilization and prevents long-term complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"131-135"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}