Orthopedic Research and Reviews最新文献

{"title":"Clinical Outcome of Achilles Tendon Rupture Repaired by a Modified Minimally Invasive Percutaneous Suturing.","authors":"Xiaoyang Qi, Danxia Zheng, Zhijie Lei, Jianglin Yu, Xusheng Qiu, Yixin Chen","doi":"10.2147/ORR.S486218","DOIUrl":"https://doi.org/10.2147/ORR.S486218","url":null,"abstract":"<p><strong>Purpose: </strong>Minimally invasive percutaneous techniques offer a promising alternative to open surgical repair of the Achilles tendon. However, the possibilities of recurrent rupture and nerve complications remain. Hence, the present study was conducted to describe a modified repair technique for the Achilles tendon able to overcome these limitations.</p><p><strong>Patients and methods: </strong>This retrospective study included 36 patients with acute closed Achilles tendon rupture treated at our institution between January 2020 and January 2022. All patients underwent surgery at our institution and were followed up for 12-25 months. Functional evaluation was based on the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale and the Achilles tendon total rupture score (ATRS), along with local complications.</p><p><strong>Results: </strong>None of the patients had sural nerve injury, infection or re-rupture at a minimum follow up of 12 months. At the final follow-up, the average AOFAS ankle-hindfoot score and ATRS were 95.5 and 90.0, respectively. The final magnetic resonance imaging showed continuity and thicker regeneration of the tendon.</p><p><strong>Conclusion: </strong>The modified percutaneous repair of the Achilles tendon is an effective procedure which yields good functional outcome with few complications, and it could be widely promoted in clinical practice.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"17 ","pages":"21-29"},"PeriodicalIF":1.7,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009185","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 Granular Cell Tumor of the Left Thigh, a Rare Case Report and Literature Review.","authors":"Qian Liu, Xiangyu Kong, Jun Yang, Dongdong Zhang","doi":"10.2147/ORR.S499488","DOIUrl":"10.2147/ORR.S499488","url":null,"abstract":"<p><strong>Background: </strong>Granular cell tumor (GCT) is a rare soft tissue tumor characterized by Schwann cell differentiation. While GCT can occur in any part of the body, it is less common in the lower limbs. We report a case of a giant atypical GCT located in the left thigh, the tumor was initially small and painless at the time of discovery but gradually grew to 17 cm over a two-year period.</p><p><strong>Case presentation: </strong>A 60-year-old male patient presented to our hospital two years ago with a painless mass measuring 39×22 mm on the left thigh. He refused treatment due to the absence of discomfort. Over the following two years, the painless mass gradually enlarged. Magnetic resonance imaging (MRI) upon admission revealed a mixed signal, spindle-shaped shadow measuring approximately 170 mm × 50 mm × 55 mm in the left femur's subcutaneous soft tissue, accompanied by mild surrounding swelling. Surgical resection was performed. Microscopic examination revealed round or polygonal tumor cells distributed in sheets or nests, with no evident atypical cells or signs of nuclear division. Immunohistochemistry demonstrated positive staining for S100, SOX-10, Vimentin, NSE, CD56, and H3K27Me3 in the tumor cells, with a Ki-67 labeling index of approximately 15%. The postoperative pathological diagnosis confirmed giant GCT.</p><p><strong>Conclusion: </strong>We report a case of a benign giant GCT in the left thigh. Early diagnosis and treatment of painless lower-limb masses are essential to prevent their enlargement or malignant transformation. Surgery remains the primary treatment for this condition. Pathological assessment is crucial for definitive diagnosis and for distinguishing between benign and malignant forms.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"17 ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971677","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":"Reconstruction of the Tibial Stump After Fibulectomy.","authors":"Yurii Oleksiiovych Bezsmertnyi, Oleg Andriyovych Veremii, Viktor Ivanovych Shevchuk, Olexander Yuriyovych Bezsmertnyi","doi":"10.2147/ORR.S504597","DOIUrl":"10.2147/ORR.S504597","url":null,"abstract":"<p><p>The formation of a functional tibial stump after combat injuries with extensive tissue damage is sometimes difficult. We describe a case of reconstruction of the tibial stump after a mine-blast injury. In this case, the fibula was completely removed as a result of fracture, and the tibia was amputated at the border of the upper and middle thirds. To create a stable platform with a larger bearing surface area and reduce the load on the distal fossa, the Ilizarov method was used. For the first time, the area of the bearing surface of the tibia stump was increased by more than 2 times in the case of the removed fibula. Thanks to the original surgery technique, the mushroom shape of the stump end was also obtained for the first time. In the process of prosthetics, this geometry actually increases the bearing surface area and has advantages over the Ertl technique, where the cylindrical end of the stump due to muscle atrophy and thinning of the fibro-skin lining can lead to bursitis and even ulcers. The spherical shape of the stump end causes less soft tissue trauma, increases the load-bearing capacity and durability of the results. According to the data of the GaitRite system, the walking performance in the long-term period practically corresponded to that of a healthy person. The technique of the operation is described in detail, including petal decortication, two oblique corticotomies of the tibia, formation of bone and periosteum fragments, distraction. The result is a highly functional stump with the possibility of using end support and full prosthetics. The proposed technique can be used in reconstructive operations on the tibia and femur stumps.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"17 ","pages":"9-20"},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971764","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":"Current Status of Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: An Umbrella Review.","authors":"Kenney Ki Lee Lau, Kenny Yat Hong Kwan, Teenie Kwan Tung Wong, Jason Pui Yin Cheung","doi":"10.2147/ORR.S502053","DOIUrl":"10.2147/ORR.S502053","url":null,"abstract":"<p><strong>Background: </strong>Adolescent idiopathic scoliosis (AIS) is a prevalent spinal deformity among teenagers worldwide. Vertebral body tethering (VBT) is an innovative, minimally invasive technique developed to address spinal curvature by modulating vertebral growth. However, the existing body of evidence regarding the effectiveness and safety of VBT in treating AIS is fragmented and requires thorough consolidation and critical assessment.</p><p><strong>Methods: </strong>Six databases were thoroughly examined, yielding 11 relevant systematic reviews and meta-analyses. The methodological quality of the included studies was evaluated using the Joanna Briggs Institute's critical appraisal checklist. The key findings were encapsulated using a narrative synthesis approach.</p><p><strong>Results: </strong>The reviews indicated notable improvements in coronal plane radiographic parameters, transverse plane clinical outcomes, and health-related quality of life scores following VBT. Nevertheless, the complication rates associated warrant attention. Additionally, the variability in methodological quality across the included reviews underscores the necessity for more robust and systematic investigations in this domain.</p><p><strong>Conclusion: </strong>This umbrella review revealed promising results for VBT as a treatment option for AIS. However, further research is needed to address knowledge gaps and limitations, focusing on long-term outcomes, patient selection, standardized techniques, and comparison with traditional treatments.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"305-315"},"PeriodicalIF":1.7,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829492","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":"Exploring Musculoskeletal Injuries and Personalized Recovery Management in Athletes [Response to Letter].","authors":"Saud N Aldanyowi, Lama Ibrahim AlOraini","doi":"10.2147/ORR.S507210","DOIUrl":"https://doi.org/10.2147/ORR.S507210","url":null,"abstract":"","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"303-304"},"PeriodicalIF":1.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770992","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":"Injection of Amniotic Membrane and Umbilical Cord Particulate for Muscle and Ligament Tears in Collegiate Football Athletes: A Single-Center, Retrospective Study.","authors":"Jason Krystofiak","doi":"10.2147/ORR.S485520","DOIUrl":"10.2147/ORR.S485520","url":null,"abstract":"<p><strong>Background: </strong>Football is a leading cause of sports-related injuries, accounting for more than half of time-loss injuries in men's collegiate sports. Amniotic membrane and umbilical cord (AM/UC) powder injection is a novel treatment that may aid in functional recovery and return to play in collegiate athletes due to its anti-inflammatory, anti-scarring, and pro-regenerative properties.</p><p><strong>Methods: </strong>A single-center, retrospective chart review was performed on consecutive college football players who sustained acute muscle or ligament tear and were subsequently treated with 50 or 100 mg injection of AM/UC powder (Clarix Flo, BioTissue, Miami, FL). Data collection included patient demographics, diagnosis, grade and extent of injury, position of the player, time to return to play (in days), and complications.</p><p><strong>Results: </strong>Ten athletes with tears of the medial collateral ligament (n=3), hamstring (n=6), and abdomen (n=1) were included for analysis. The majority (n=6) of tears were partial (grade 2), with partial to full tears (grade 2±3) noted in 2 patients, and a complete tear (grade 3) noted in 2 patients. Athletes returned to play 29.6 ± 15.2 days post-injury, with 80% of athletes returning to play within 4 weeks. No complications or re-injuries occurred during the follow-up period of 6 months.</p><p><strong>Conclusion: </strong>Injection of AM/UC powder is a safe treatment that enables quick return to play in this cohort of football players suffering from muscle or tendon tears. Prospective, randomized studies are warranted to verify whether injection of AM/UC can hasten return to play compared to the current standard treatment.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"295-301"},"PeriodicalIF":1.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770928","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":"Ultrasound-Guided Suprainguinal Fascia Iliaca Compartment Block in Combination with Sciatic Nerve Block for Pain Reduction in Total Hip Arthroplasty: A Prospective Randomized Controlled Study.","authors":"Jianshun Zhou, Mingling Guo, Jiasheng Wang, Qian Hu, Yingying Liu, Zhen Chen, Feng Lu, Yong Lin, Maolin Zhong, Lifeng Wang","doi":"10.2147/ORR.S489775","DOIUrl":"https://doi.org/10.2147/ORR.S489775","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to observe the intraoperative and postoperative analgesic effects of suprainguinal fascia iliaca compartment block (SFICB) combined with sciatic nerve block (SNB) in patients undergoing total hip arthroplasty (THA).</p><p><strong>Patients and methods: </strong>Eighty-seven THA patients were randomly assigned to three groups: general anesthesia (Group C), general anesthesia with SFICB (Group F), and general anesthesia with SFICB and SNB (Group F+S). Numeric Rating Scale (NRS) scores were used to evaluate pain levels at rest and during activity at various postoperative time points. The secondary outcomes included heart rate (HR), mean arterial pressure (MAP), intraoperative sufentanil consumption, number of effective presses on the analgesic pump, rescue analgesic administration, postoperative nausea and vomiting, and serum levels of IL-1β and TNF-α.</p><p><strong>Results: </strong>NRS scores were significantly lower in Groups F and F+S compared to Group C at different postoperative time points both at rest and during activity (P<0.05). Intraoperative sufentanil consumption, the number of effective presses on the analgesic pump, rescue analgesic administration, and postoperative nausea and vomiting were lower in Groups F and F+S compared to Group C (P<0.05). There were also significant differences in sufentanil consumption and the number of effective presses on the analgesic pump between groups F and F+S (P<0.05). The expression levels of IL-1β and TNF-α were lower in groups F and F+S compared to group C (P<0.05) at specific time points.</p><p><strong>Conclusion: </strong>The application of ultrasound-guided SFICB combined with SNB for total hip arthroplasty can provide more comprehensive analgesia, reduce postoperative NRS scores, alleviate haemodynamic fluctuations, decrease opioid drug use, and reduce the serum levels of inflammatory factors, especially when combined with SNB.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"283-293"},"PeriodicalIF":1.7,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771012","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 Stress Fractures of Amputated Tibial Stumps in the Setting of Chronic Compartment Syndrome.","authors":"Yurii Oleksiiovych Bezsmertnyi, Dmytro Vadymovych Bondarenko, Viktor Ivanovych Shevchuk, Halyna Viktorivna Bezsmertna","doi":"10.2147/ORR.S485472","DOIUrl":"https://doi.org/10.2147/ORR.S485472","url":null,"abstract":"<p><strong>Introduction: </strong>Limb amputation and subsequent prosthetics lead to significant disturbances in bone residual limb remodeling.</p><p><strong>Aim: </strong>To familiarize specialists with the possibility of simultaneous bilateral stress fractures of amputation residual limbs resulting from intensive loads and poor-quality prosthetics causing chronic compartment syndrome. A case of bilateral stress fractures of the tibia in a 28-year-old male military serviceman with paired transtibial amputation is presented. The fractures occurred in the process of active exploration of poorly fitting prostheses, complicated by chronic compartment syndrome that masked the clinical picture.</p><p><strong>Treatment: </strong>Rest, reopolyglucin, heparin 5000 U, furosemide, B vitamins, ascorbic acid, calcium, vitamin D, percutaneous electrical stimulation of muscles.</p><p><strong>Techniques: </strong>Radiography, ultrasound, blood biochemistry, measurement of subfascial pressure.</p><p><strong>Outcomes: </strong>After treatment, the phenomena of compartment syndrome disappeared, stress fractures healed, new receiving sleeves of prostheses were made, gradual dosed loads were started. 7 months after the diagnosis of stress fractures and compartment syndrome, the patient started using the prosthesis without aids. Examined 18 months later. Worked as a warehouse manager, walking an average of 4 km per day.</p><p><strong>Conclusion: </strong>With complaints from the patient with an amputation stump of muscle and bone pain that appeared after exercise, passed after rest, and reparative reaction detected on radiographs, functional overstrain of the bone should be suspected, which can potentially lead to a stress fracture. The causes of stress fractures in the patient were acute overstrain of the bone tissue during prosthesis development, noncompliance with the loading and resting regimes, and local disturbance of the bone blood supply due to the narrowed rigid socket of the prosthesis. Stress fractures of the bone tissue of the amputation stump contain elements of insufficiency and fatigue. Chronic compartment syndrome may exacerbate and mask the stress fracture.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"273-281"},"PeriodicalIF":1.7,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770986","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":"Exploring Musculoskeletal Injuries and Personalized Recovery Management in Athletes [Letter].","authors":"Hao Rao","doi":"10.2147/ORR.S501064","DOIUrl":"10.2147/ORR.S501064","url":null,"abstract":"","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"271-272"},"PeriodicalIF":1.7,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710886","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":"Prevalence and Risk Factors of Hip Fracture at Tertiary Hospital in Mogadishu, Somalia.","authors":"Abdirazak Ahmed Adan, Mohamed Abdullahi Awale, Hassan Salad Ibrahim, Mohamed Abdullahi Omar, Ahmed Abdi Hassan, Abdikadir Muhumed Jinow, Faiza Ibrahim Mohamud","doi":"10.2147/ORR.S484954","DOIUrl":"10.2147/ORR.S484954","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the frequency of hip fractures and associated risk factors among patients receiving care at the Somalia Turkish Training and Research Hospital in Mogadishu.</p><p><strong>Patients and methods: </strong>A retrospective study of patients treated at the Somalia Turkish Training and Research Hospital in Mogadishu was carried out. 96 of the 108 patients who were admitted met the inclusion criteria. Analyzing the medical records of individuals diagnosed with hip fractures between January and December 2023 allowed for the collection of data on demographics, hip fracture type, and medical history and also conducted follow-ups to identify other potential contributing factors that may not be available in medical records. The main conclusions have been established using descriptive statistical analysis.</p><p><strong>Results: </strong>About 8.67% of all fracture cases were hip fractures, Elderly people (60+) represented the largest group at 64.6%, followed by younger people (17-39) and Middle-aged people (40-59) at 15.6%, and children (3-16) at 4.2%. Females comprised 56.3% of cases, while males made up 43.8%. Most patients (78.1%) had low physical activity. Falls were the primary cause of fractures (83.3%), followed by other traumas (13.5%), and pathological fractures (7.3%). 32.3% of patients had comorbidities, 8.3% had a family history, and 22.9% had prior fractures. The most prevalent hip fractures (81.3%) were those of the femur neck, followed by subtrochanteric and intertrochanteric fractures (10.4% and 8.3%, respectively).</p><p><strong>Conclusion: </strong>This study emphasizes the frequency of hip fractures in Mogadishu, Somalia, as well as the significance of fall prevention, age, gender, and comorbidity treatment. We suggest comprehensive risk assessments, gender-specific bone health programs, fall prevention programs, focused prevention for the elderly, and public education campaigns to reduce the burden of hip fractures and encourage healthier people in our community by putting these measures into practice.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"263-269"},"PeriodicalIF":1.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648136","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}