International Journal of Orthopaedics Research最新文献

{"title":"Prognosis in Conservative Treated Fracture Clavicle","authors":"","doi":"10.33140/ijor.03.01.06","DOIUrl":"https://doi.org/10.33140/ijor.03.01.06","url":null,"abstract":"Introduction: Traditionally most of clavicular fracture can be treated conservally .Operative treatment is usually\u0000indicated for open injuries, lateral clavicular fracrure, fragments pressing the plueral cavity, neurovascular compromise,\u0000overlying skin. The main aim of this study was to determine the shoulder functional outcomes after clavicle fractures\u0000in conservative treated patients.\u0000Method: Retrospective study of 261 patients of comservative treated clavicular fracture selected . Patient were\u0000examined after 3 months and 6 months according to below given test protocol and constant score was calculated\u0000with reference constant.Pain measured as 0-15 within ordinary shoulder activities within 24 hours. Activtites of daily\u0000living as 4 questions deal with everyday activities expect over last week (0---20points). Four different active and pain\u0000free movement of the arm are performed (0-20).\u0000Result: All the patient with fracture clavicle without associated other injuries were treated conservatively for 4-8\u0000weeks, and then constant score of both affected and nonaffected side were calculated and compared of both sides\u0000after 3 and 6 months as described in materials and methods. Difference between normal and abnormal side graded\u0000as more than 30 pooor, 21-30 fair, 11-20 Good, less than 11 excellent.\u0000Conclusion: Conservative treated case of clavicular fracture is easy way to treat the cases in OPD bases but it lead\u0000to high rate of shortening and nonunion. In few case Operative should be done to restore the normal functional of\u0000shoulder intregreity","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133820120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Abdominal and Spinal Muscles Fatigue in Spinal Postures","authors":"","doi":"10.33140/ijor.03.01.05","DOIUrl":"https://doi.org/10.33140/ijor.03.01.05","url":null,"abstract":"Background: A Pre/Post-Test Cohort investigating the effect of spinal and abdominal muscles fatigue on spinal\u0000curvatures.\u0000Method and Results: The effect of spinal and abdominal muscle fatigue on pelvic tilt, trunk inclination and the lordotic\u0000angle, and on the rotation of the T6, L2 and L4 vertebras was investigated in 10 healthy individuals. Abdominal and\u0000spinal muscles fatigue had a significant effect (p <0.05) on pelvic tilt, trunk inclination and lordotic angle.\u0000Conclusion: Application of simple and quick fatigue tests resulted in changes in all static parameters (pelvic tilt,\u0000trunk inclination and lordotic angle) as measured by the DIERS system.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"1456 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127442938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip Abductor Muscle Weakness after Antegrade Nailing of Femoral Fractures","authors":"","doi":"10.33140/ijor.03.01.04","DOIUrl":"https://doi.org/10.33140/ijor.03.01.04","url":null,"abstract":"Nailing of femoral fractures is now considered as the standard line of management, although having many advantages,\u0000this technique carries some risks related to the technique, in this short review we will handle the issue of hip abductor\u0000muscle weakness after antegrade nailing of femoral fractures.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"19 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126240025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Study of Claw Toe Repair Combining Partial Proximal Phalangectomy\u0000(PPP), Proximal Interphalangeal (PIP) Joint Interpositional Arthroplasty and\u0000Kirschner Wire Fixation","authors":"","doi":"10.33140/ijor.03.01.03","DOIUrl":"https://doi.org/10.33140/ijor.03.01.03","url":null,"abstract":"Background & Objective: Various operative methods have been used for the repair of claw toe deformities. We present\u0000a review of a combination of three operative procedures performed for the correction of this deformity.\u0000Methods: A review was conducted examining 105 patient clinical records over a ten year period. Patients who\u0000received either one or a combination of the following procedures: Partial Proximal Phalangectomy (PPP), Proximal\u0000Interphalangeal Joint (PIP) interpositional arthroplasty, and k-wire fixation were included.\u0000Results: Over a ten year span, a total of 86 PPP, 124 PIP and 29 k-wire fixations were performed on 96 patients. Of\u0000the 105 clinical cases reviewed, there were only 4 recurrences of claw toe deformity. Early complications included\u0000k-wire backout/breakage, reversible avascular toe in the recovery room, and pin site infection.\u0000Conclusions: The combination of the three procedures presented, are an optimal operative treatment for the repair\u0000of claw toe deformity in various patients. Assessments can be made during surgery to determine if the procedures\u0000should be used solely or in combination based on the level of deformity. This customizable technique presented a\u0000minimal level of early complications and a low recurrence rate.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115387389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin Sensitivity to Pressure and Kneeling Ability Before and After TKA","authors":"","doi":"10.33140/ijor.03.01.02","DOIUrl":"https://doi.org/10.33140/ijor.03.01.02","url":null,"abstract":"The kneeling ability and sensitivity to pain tested in 30 consecutive patients undergoing primary TKAs, Thirty (30)\u0000knees (16 right, 14 left). Kneeling difficulties following TKA were noticed in the majority of patients. Before surgery,\u0000the PPTs (Pain Pressure Thresholds) measures were lower in the patients who were unable to kneel compared to\u0000those who were able to kneel. However, this difference was not significant at QT (Quadriceps Tendon) area (p=0.2)\u0000but significant in all other areas (P= < 0.05). At 6 months the values were changed but again the differences were not\u0000significant (p=> 0.05). There were notable gender differences in the kneeling ability before and after TKA.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116927380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Main Implications of Early Surgical Treatment of Elderly Hip Fractures and Their\u0000Influence on Mortality","authors":"","doi":"10.33140/ijor.03.01.01","DOIUrl":"https://doi.org/10.33140/ijor.03.01.01","url":null,"abstract":"Aim: The present literature review aimed to investigate the main indications and implications of early surgical treatment of\u0000hip fractures (proximal femur) and their influence on mortality in the elderly.\u0000Introduction: In Brazil estimates show that about 100,000 hip fractures occur annually in the elderly, being a major public\u0000health problem. When examining mortality, it is observed that the average mortality after one year of fracture is about 30%.\u0000Studies show that the surgical approach is the key element in its treatment, and in general the surgical approach time should\u0000occur as soon as possible, preferably within 24 to 48 hours of admission. Such interval allows clinical stabilization of the\u0000patient, and the time of surgical approach may affect the patient's evolution, delay surgical treatment resulting in delayed\u0000mobilization and thus affect the patient's functional recovery. On the other hand, failure of clinical stabilization before surgery\u0000may increase the risk of perioperative complications.\u0000Methodology: Due to the implications involved in the surgical treatment of proximal femur fractures in the elderly, both peri\u0000and postoperatively, an investigation in the literature produced in the last 10 years using SCIELO, PUBMED, and COCHRANE\u0000as databases. They were selected produced in English or Portuguese. Advanced research was performed using the following\u0000descriptors in English: proximal femur fracture, surgery, elderly, Brazil, hospital, trauma and mortality. About 280 articles\u0000were found. A title reading was performed, followed by a summary and 20 articles pertinent to the theme of this systematic\u0000review were selected at the end.\u0000Results and Discussion: The present literature review showed that many studies showed that the lack of immediate surgical\u0000treatment of the proximal femur fracture resulted in an increase in the mortality rate of about 10% and a complication rate of\u0000about 23% in 30% days. Complications due to late surgical treatment included urinary tract infection, pneumonia, thrombosis,\u0000as well as other cardiorespiratory problems, and other comorbidities.\u0000Conclusion: This review concludes from the studies analyzed that surgical treatment should be performed on the patient no\u0000later than 48 hours after hip fracture or soon after the patient's clinical stabilization, and the mortality rate found after 30\u0000days of surgery. Surgical treatment of proximal femur fracture was about 10% in the elderly. In addition, complications are\u0000present in about 23% of postoperative patients, which implies increased health costs involved in rehabilitation, postoperative\u0000complications and readmissions.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122261717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tarsal Navicular Osteonecrosis in Children","authors":"","doi":"10.33140/ijor.02.01.06","DOIUrl":"https://doi.org/10.33140/ijor.02.01.06","url":null,"abstract":"Osteonecrosis (avascular, aseptic or ischemic bone necrosis) of the tarsal navicular in children may develop either spontaneously (primary, idiopathic, atraumatic or non-traumatic) or secondary to trauma (post-traumatic) and osteochondrosis. In both groups, of primary and secondary osteonecrosis, the clinical findings as well as the radiographic abnormalities are self-limited and usually resolve spontaneously irrespective of weight-bearing and immobilization treatment modalities. Köhler’s disease has been defined either as atraumatic navicular osteonecrosis or as an osteochondrosis process, based on the similar radiographic appearance of increased sclerosis and flattening detected in both asymptomatic and symptomatic children. Post-traumatic tarsal navicular osteonecrosis in children may follow microtrauma or overuse injuries, stress fractures, acute fractures, osteochondritis dissecans and severe foot injuries. This editorial aims to present the primary and secondary causes of osteonecrosis of the tarsal navicular in children and to describe the difficulties of the clinical and radiological evaluation in order to define an accurate diagnosis.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125677155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Vivo Therapeutic Effect of a Novel Thiolated Chitosan/Modified Calcium\u0000Carbonate Composite Microspheres Scaffold for Bone Repair","authors":"","doi":"10.33140/ijor.02.01.05","DOIUrl":"https://doi.org/10.33140/ijor.02.01.05","url":null,"abstract":"In this study, thiolated chitosan (CS-TBA) and modified calcium carbonate microspheres (CCM), were used to\u0000fabricate composite scaffolds, and their physical and performances were compared and evaluated in vitro and in\u0000vivo. Specimen of the following was prepared as 5 mm diameter, 1 mm thick discs; CS-TBA/CCM group and a control\u0000group (blank group). A scanning electron microscope study was conducted. Graft materials were implanted in a 5\u0000mm diameter in the calvarial bone. Rats were sacrificed after four and eight weeks for micro-CT and histological\u0000staining, and the findings obtained were used to calculate the bone mineral density (BMD), bone volume/total bone\u0000volume (BV/TV), and trabecular number (TB.N). It was found that these three values were significantly higher in the\u0000CS-TBA/CCM group than in the control group (p<0.05). This study demonstrated an excellent potential of CS-TBA/\u0000CCM scaffold as a bone graft substitute.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127029072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Etiology of the So-Called Idiopathic Scoliosis, Connection with\u0000“Syndrome of Contractures and Deformities”, Role of Gait and Standing ‘At Ease’\u0000On the Right Leg in the Development of Spine Deformity, New Treatment, Causal\u0000Prophylactics","authors":"","doi":"10.33140/ijor.02.01.04","DOIUrl":"https://doi.org/10.33140/ijor.02.01.04","url":null,"abstract":"In years 1984 – 1995 were gathered first information about the biomechanical etiology of the so-called idiopathic\u0000scoliosis. In years 1995 – 2007 were found all importance of knowledge about etiology, new classification, and new\u0000therapy. The development of scoliosis is connected with “asymmetry of movement” of the hips and this is the part of\u0000asymmetries described by Professor Hans Mau as “Seven Contracture Syndrome” (German Siebenersyndrom). Next\u0000scoliosis develop because of “permanent standing ‘at ease’ on the right leg” and during “gait”, when blocked moment\u0000of the right hip, as compensatory movement, is transmitted to pelvis and the spine-making / acting the spine deformity.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125265570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Report of a Medial Femoral Condyle Fracture in a Unicompartmental Oxford\u0000Knee Replacement Surgery","authors":"","doi":"10.33140/ijor.02.01.03","DOIUrl":"https://doi.org/10.33140/ijor.02.01.03","url":null,"abstract":"Introduction: The unicompartmental Oxford prosthesis has been used as a goodalternative for medial unicompartmental\u0000osteoarthritis because it is associated with earlyrehabilitation and a low rate of intraoperative complications. This\u0000case describes a rarecomplication during the procedure.\u0000Case Presentation: We present an intraoperative fracture of the medial condyle in a 70-year-old woman that was\u0000treated with 6.5 mm cannulated screws with a compressiontechnique. The patient remained in a non-weight bearing\u0000protocol for 6 weeks andreached a full range of mobility at 3 months. Complete radiological consolidation and\u0000agood functional outcome were observed.\u0000Conclusion: Intraoperative fractures benefit from a stable osteosynthesis that allows freerange of mobility and does\u0000not delay postoperative rehabilitation.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122651761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}