Orthopedic Research and Reviews最新文献

{"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}

{"title":"3D Printing for Personalized Solutions in Cervical Spondylosis [Letter].","authors":"Danielle Furness","doi":"10.2147/ORR.S504408","DOIUrl":"10.2147/ORR.S504408","url":null,"abstract":"","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"261-262"},"PeriodicalIF":1.7,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648129","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":"3D Printing for Personalized Solutions in Cervical Spondylosis.","authors":"Li-Na Wu, Zhi-Feng Zhang, Ru-Jun Li, Da-Qi Xin, Jun-Feng Wang","doi":"10.2147/ORR.S486438","DOIUrl":"10.2147/ORR.S486438","url":null,"abstract":"<p><p>In the context of the digital revolution, 3D printing technology brings innovation to the personalized treatment of cervical spondylosis, a clinically common degenerative disease that severely impacts the quality of life and increases the economic burden of patients. Although traditional surgeries, medications, and physical therapies are somewhat effective, they often fail` to meet individual needs, thus affecting treatment adherence and outcomes. 3D printing, with its customizability, precision, material diversity, and short production cycles, shows tremendous potential in the treatment of cervical spondylosis. This review discusses the multiple applications of 3D printing in the treatment of cervical spondylosis, including the design, manufacture, and advantages of 3D-printed cervical collars, the role of 3D models in clinical teaching and surgical simulation, and the application of 3D-printed scaffolds and implants in cervical surgery. It also discusses the current challenges and future directions.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"251-259"},"PeriodicalIF":1.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471638","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 a Short Tibial Stump with a Long Fibula Using the Ilizarov Technique: A Case Study.","authors":"Yurii Oleksiiovych Bezsmertnyi, Viktor Ivanovych Shevchuk, Olexander Yuriyovych Branitsky, Olexander Yuriyovych Bezsmertnyi","doi":"10.2147/ORR.S485430","DOIUrl":"https://doi.org/10.2147/ORR.S485430","url":null,"abstract":"<p><p>The creation of a functional tibial stump after combat injuries is sometimes too difficult. We describe a case of high amputation after a mine-blast injury. In this case, the tibia stump was too short (5 cm) and the fibula stump was too long (12 cm). There was a soft tissue reserve. The Ilizarov method was used to lengthen the tibia. The technique of the operation with exposure of the anterior medial ligament, its separation from the distal part of the bone, subperiosteal excision of the medial part of the patellar tendon from the tibia, oblique-frontal corticotomy of the tibia, which allowed to avoid undesirable complications during the distraction and to obtain a wide, strong regenerate, is described in detail. The alignment of the tibia lengths resulted in a highly functional stump with the possibility of full prosthetics. The proposed technique can be used in reconstructive operations on short stumps that require lengthening.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"243-249"},"PeriodicalIF":1.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471639","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":"Magnetic Resonance Imaging of Anterior Cruciate Ligament Injury.","authors":"Badera Al Mohammad, Monther A Gharaibeh","doi":"10.2147/ORR.S450336","DOIUrl":"10.2147/ORR.S450336","url":null,"abstract":"<p><p>The Anterior Cruciate Ligament (ACL) is considered the most commonly injured ligament of the knee. Magnetic Resonance Imaging (MRI) has become an indispensable imaging tool and modality of choice for assessing and managing knee conditions. This article outlines an effective MRI imaging technique that improves the diagnostic accuracy of ACL injuries of the knee, covering the appropriate pulse sequences and optimal imaging planes. Furthermore, the article provides a comprehensive review of the appearance of complete and partial ACL tears on MRI in the acute and chronic phases. In addition, it identifies and illustrates the primary MRI signs (signs related to the absence or abnormal visualization of the ACL fibers) and secondary MRI signs (signs related to the mechanism of injury or associated knee injuries) of ACL injury.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"233-242"},"PeriodicalIF":1.7,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11463185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392155","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":"Open Reduction and Fixation of Late-Presenting Pediatric Supracondylar Humeral Fractures: A Prospective Study.","authors":"Mohammed A Abdelraheem","doi":"10.2147/ORR.S474219","DOIUrl":"https://doi.org/10.2147/ORR.S474219","url":null,"abstract":"<p><strong>Background: </strong>Supracondylar humeral fracture (SCHF) is a common injury in children, and early treatment provides excellent results and prevents disabilities. Delayed presentation is still prevalent, mainly in developing countries, because many factors hinder the opportunity to receive appropriate treatment. Currently, there are no standard treatment protocols, and there is insufficient published literature on this topic. This study aimed to evaluate the effectiveness and outcomes of open reduction and Kirschner wire fixation using a triceps-sparing posterior approach in neglected cases with complicated fractures.</p><p><strong>Methods: </strong>This was a prospective multicenter clinical study conducted between July 2016 and June 2021, which included 28 pediatric patients with neglected SCHF who presented to the hospital for definitive treatment five days or more after initial trauma without previous surgical intervention. All the patients underwent open reduction and K-wire fixation using a posterior triceps-sparing approach. The final functional outcome was assessed using the Mayo Elbow Performance Index (MEPI) and Flynn criteria.</p><p><strong>Results: </strong>All fractures (100%) united within 3-5.5 weeks (mean 4 ± 0.7 weeks). Excellent scores observed in 67.9% (n = 19), good in 21.4% (n = 6), fair in 7.1% (n=2), and poor in 3.6% (n = 1) patients according to MEPI. Correspondingly, Flynn's criteria showed 96.4% (n = 27) satisfactory and 3.6% (n = 1) unsatisfactory outcome.</p><p><strong>Conclusion: </strong>Open reduction and fixation using Kirschner wires through the posterior triceps-sparing approach is an effective treatment method for late-presenting SCHF in children with consequent satisfactory results.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"221-231"},"PeriodicalIF":1.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351348","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":"Biomechanical Characteristics of Kissing Spine During Extension Using a Human Cadaveric Lumbar Spinal Model.","authors":"Yuichi Kasai, Takaya Kato, Tadashi Inaba, Sotaro Baba, Permsak Paholpak, Taweechok Wisanuyotin, Weerachai Kosuwon, Hirohito Hirata, Tadatsugu Morimoto","doi":"10.2147/ORR.S468237","DOIUrl":"10.2147/ORR.S468237","url":null,"abstract":"<p><strong>Introduction: </strong>Although kissing spine syndrome in the lumbar spinal region is a relatively common condition in older adults, no study examining its biomechanical characteristics has been reported. We hypothesized that kissing of the spinous processes during extension causes an increase in the flexural rigidity of the spine and significantly limits the deformation behavior of extension, which in turn might cause lower back pain.</p><p><strong>Methods: </strong>Three test models (human cadavers A, B, and C) were prepared by removing supraspinal/interspinous ligaments between L4 and L5. The dental resin was attached to the cephalocaudal spinous process so that the spinous processes between L4 and L5 were almost in contact with each other to simulate the condition of a kissing spine. The flexion-extension direction's torque-range-of-motion (torque-ROM) curve was generated with a six-axis material tester for biomechanical measurements.</p><p><strong>Results: </strong>In all three models, the maximum ROMs at the time of extension were smaller than those at the time of flexion, and no sudden increase in torque was observed during extension.</p><p><strong>Conclusion: </strong>The results indicated no apparent biomechanical effects of kissing between the spinous processes, suggesting that the contact between the spinous processes has little involvement in the onset of lower back pain.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"16 ","pages":"199-203"},"PeriodicalIF":1.7,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11234890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580429","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}