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Incidence and Distribution of Deep Vein Thrombosis Following Total Hip Arthroplasty Using an Anterolateral Supine Approach. 仰卧位前外侧入路全髋关节置换术后深静脉血栓形成的发生率和分布。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI: 10.2147/ORR.S430145
Junya Itou, Yutaro Munakata, Yujiro Kuramitsu, Hiromi Madarame, Ken Okazaki
{"title":"Incidence and Distribution of Deep Vein Thrombosis Following Total Hip Arthroplasty Using an Anterolateral Supine Approach.","authors":"Junya Itou, Yutaro Munakata, Yujiro Kuramitsu, Hiromi Madarame, Ken Okazaki","doi":"10.2147/ORR.S430145","DOIUrl":"10.2147/ORR.S430145","url":null,"abstract":"<p><strong>Purpose: </strong>Venous thromboembolism (VTE) is a potential major complication in patients undergoing total hip arthroplasty (THA). However, the incidence of VTE following THA using anterolateral supine approach (ALS) has not been reported. The purpose of this study was to investigate the incidence of perioperative VTE and the distribution and characteristics of deep vein thrombosis (DVT) following ALS THA.</p><p><strong>Patients and methods: </strong>This retrospective single-arm study analyzed the 182 consecutive hips of 164 patients who underwent primary ALS THA. Pharmacological prophylaxis consisted of enoxaparin 20 mg twice daily for approximately 6 days starting 24 h postoperatively until duplex ultrasonography was performed to determine whether postoperative DVT was present. DVT was assessed by whole-leg Doppler ultrasound, and the location and characteristics of any thrombus were recorded. If pulmonary thromboembolism was suspected, contrast-enhanced computed tomography was performed.</p><p><strong>Results: </strong>The overall incidence of VTE was 9.9% for DVT (18/182 hips) and 0.5% for pulmonary thromboembolism (1/182 hips). Most DVTs were in the soleal vein on the affected side and showed isoechoic or hypoechoic echogenicity. All thrombi were non-floating.</p><p><strong>Conclusion: </strong>Following ALS THA with standard pharmacological prophylaxis and an early weight-bearing protocol, the incidence of perioperative DVT was approximately 10%, mostly occurring in the lower leg.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"199-205"},"PeriodicalIF":2.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522269","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}
引用次数: 0
Capital Femoral Epiphysis with Acute Unstable Valgus Type Slip Managed with Closed Reduction and Percutaneous Fixation: A Case Report 经闭合复位经皮固定治疗急性不稳定外翻型股骨头骨骺1例
Orthopedic Research and Reviews Pub Date : 2023-11-01 DOI: 10.2147/orr.s429844
Tim Cheok, Matthew Jennings, Morgan Berman, Kanihska Williams, Jaideep Rawat, Bruce Foster
{"title":"Capital Femoral Epiphysis with Acute Unstable Valgus Type Slip Managed with Closed Reduction and Percutaneous Fixation: A Case Report","authors":"Tim Cheok, Matthew Jennings, Morgan Berman, Kanihska Williams, Jaideep Rawat, Bruce Foster","doi":"10.2147/orr.s429844","DOIUrl":"https://doi.org/10.2147/orr.s429844","url":null,"abstract":"","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"60 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135410140","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}
引用次数: 0
The Risk of Developing Osteosarcoma After Teriparatide Use: A Systematic Review. Teriparatide使用后发生骨肉瘤的风险:一项系统综述。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI: 10.2147/ORR.S408718
Ahmed A Abdulelah, Bassem I Haddad, Abdulrahman A Alhajahjeh, Lina M AlQirem, Layla El-Amayreh
{"title":"The Risk of Developing Osteosarcoma After Teriparatide Use: A Systematic Review.","authors":"Ahmed A Abdulelah,&nbsp;Bassem I Haddad,&nbsp;Abdulrahman A Alhajahjeh,&nbsp;Lina M AlQirem,&nbsp;Layla El-Amayreh","doi":"10.2147/ORR.S408718","DOIUrl":"https://doi.org/10.2147/ORR.S408718","url":null,"abstract":"<p><p>Teriparatide is a recombinant human parathyroid hormone analog with anabolic mechanism of action utilized in the treatment of osteoporosis with well-established clinical efficacy. Its use is significantly hindered due to label warnings resulting from pre-clinical rat studies demonstrating an increased risk of osteosarcoma. However, clinical trials and post-marketing surveillance studies did not demonstrate any increased risk of osteosarcoma, even after prolonged periods of surveillance reaching up to 15 years, with most of the identified cases of osteosarcomas being solitary and predominantly attributed to other factors. This systematic review provides a comprehensive overview of the currently available literature and provides the highest level of clinical evidence towards demonstrating the lack of any substantial evidence towards osteosarcoma development in patients utilizing TPTD.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"191-198"},"PeriodicalIF":2.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/40/orr-15-191.PMC10544053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41125985","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}
引用次数: 0
Severe Untreated Scoliosis and Early Onset Breast Cancer in a Patient with Neurofibromatosis Associated with a Nonsense Variant of NF1 Gene. 一例与NF1基因无义变异相关的神经纤维瘤病患者的严重未经治疗的脊柱侧弯和早期发病的癌症。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.2147/ORR.S415978
Vivian Reinhold, Antti Saarinen, Eetu Suominen, Stina Syrjänen, Minna Kankuri-Tammilehto
{"title":"Severe Untreated Scoliosis and Early Onset Breast Cancer in a Patient with Neurofibromatosis Associated with a Nonsense Variant of <i>NF1</i> Gene.","authors":"Vivian Reinhold,&nbsp;Antti Saarinen,&nbsp;Eetu Suominen,&nbsp;Stina Syrjänen,&nbsp;Minna Kankuri-Tammilehto","doi":"10.2147/ORR.S415978","DOIUrl":"https://doi.org/10.2147/ORR.S415978","url":null,"abstract":"<p><strong>Background: </strong>Neurofibromatosis 1 (NF1) is a relatively common genetic disorder linked to skeletal abnormalities and elevated risk of cancer. Early onset scoliosis is common in patients with NF1 although severe scoliosis is rare. Scoliosis complicates the normal development and growth and may lead to thoracic insufficiency syndrome. The increased risk for breast cancer in young NF1 female patients has been recently identified.</p><p><strong>Case presentation: </strong>We describe a NF1 patient with dystrophic scoliosis symptoms emerged at childhood. At 37 years of age major scoliosis curve in the thoracolumbar region was 80 degrees. The patient was diagnosed with breast cancer at the age of 37 years, histologically the breast cancer was ductal, hormone receptor positive and Her2-positive.</p><p><strong>Results: </strong>A novel pathogenic variant in <i>NF1</i> p.(Trp2348*) was identified by next-generation sequencing method. The patient did not have pathogenic variants in <i>BRCA</i> genes or in other currently known hereditary breast cancer genes.</p><p><strong>Conclusion: </strong>Here, we describe a novel pathogenic variant in <i>NF1</i> named p.(Trp2348*) which may cause severe dystrophic scoliosis and deteriorate the quality of life and physical function, as well as Her-2 positive breast cancer. Untreated dystrophic scoliosis in patients with NF1 may result in significant spinal deformity and deteriorate the quality of life and physical function. Genetic counseling is recommended in all patients with NF1. Patients need routine follow-up throughout life. Multidisciplinary consulting is warranted in patients with neurofibromatosis 1.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"183-189"},"PeriodicalIF":2.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/40/orr-15-183.PMC10543094.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139018","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}
引用次数: 0
Functional Outcomes of Neglected Elbow Dislocation Treated with Double Approach Surgery. 双入路手术治疗被忽视的肘关节脱位的功能结果。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI: 10.2147/ORR.S419508
Tito Sumarwoto, Seti Aji Hadinoto, Dina Aprilya, Sigit Bayudono, Totok Siswanto
{"title":"Functional Outcomes of Neglected Elbow Dislocation Treated with Double Approach Surgery.","authors":"Tito Sumarwoto,&nbsp;Seti Aji Hadinoto,&nbsp;Dina Aprilya,&nbsp;Sigit Bayudono,&nbsp;Totok Siswanto","doi":"10.2147/ORR.S419508","DOIUrl":"https://doi.org/10.2147/ORR.S419508","url":null,"abstract":"<p><strong>Background: </strong>Neglected elbow dislocation is common in developing countries. The chronic nature of the disease results in a level of complexity that makes treatments and outcomes contradictory. Several treatment methods have been described for neglected elbow dislocations. The goal of this study was to evaluate the results of neglected elbow dislocations treated using the double approach of reduction and K-wire fixation.</p><p><strong>Methods: </strong>This series included patients with neglected elbow dislocations who were treated with open reduction using double approaches (medial and lateral incisions) between November 2020 and March 2021. Patients were evaluated for a minimum of 6 months to ascertain functional recovery in accordance with the Mayo Elbow Performance Index (MEPI) and Disability of Arm, Shoulder, and Hand (DASH) score.</p><p><strong>Results: </strong>Nine patients with neglected elbow dislocations were included in the study, with an average delay of 3.44 months. Four patients had an excellent MEPI and five had a good score at the final follow-up, with a mean MEPI score of 86.67. The average DASH score was 36 (31-59). Five patients (55.56%) experienced no pain, but four patients (44.44%) had mild pain, with a range of pain points of 30-45. The motion arc improvement was 60°-100°, with a mean of 74.44°. Almost all of the patients (eight patients, 88.89%) had elbow stability, but one patient had ulnar nerve paresthesia postoperatively. Heterotopic ossificans was associated in 1 patient, and triceps lengthening was needed in 1 patient; both came 5 months later.</p><p><strong>Conclusion: </strong>Open reduction surgery with a double approach offers a good chance of a good result with few side effects and should be considered for all patients who have this condition.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"175-181"},"PeriodicalIF":2.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/8e/orr-15-175.PMC10519220.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146535","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}
引用次数: 0
The Outcome of Orthopedics Treatment of Lombok Earthquake Victim 2018: A Cohort of One-Year Follow-Up Study-Lesson Learned After Lombok Earthquake. 2018年龙目岛地震患者骨科治疗效果:一项为期一年的随访研究——龙目岛地震后的经验教训
IF 2
Orthopedic Research and Reviews Pub Date : 2023-05-09 eCollection Date: 2023-01-01 DOI: 10.2147/ORR.S387625
Fahmi Anshori, Achmad Fauzi Kamal, Yogi Prabowo, Aria Kekalih, Rudi Febrianto, Dyah Purnaning, Ismail Hadisoebroto Dilogo
{"title":"The Outcome of Orthopedics Treatment of Lombok Earthquake Victim 2018: A Cohort of One-Year Follow-Up Study-Lesson Learned After Lombok Earthquake.","authors":"Fahmi Anshori,&nbsp;Achmad Fauzi Kamal,&nbsp;Yogi Prabowo,&nbsp;Aria Kekalih,&nbsp;Rudi Febrianto,&nbsp;Dyah Purnaning,&nbsp;Ismail Hadisoebroto Dilogo","doi":"10.2147/ORR.S387625","DOIUrl":"10.2147/ORR.S387625","url":null,"abstract":"<p><strong>Introduction: </strong>There was a magnitude 7 on the Richter scale earthquake on Lombok Island in 2018, causing more than 500 deaths. In the event of earthquakes, there is often an imbalance between overcrowding in hospitals and inadequate resources. The initial management of earthquake victims with musculoskeletal injuries is controversial, arguing over whether to utilize debridement, external or internal fixation, or conservative or operative treatment in an acute onset disaster situation. This study aims to determine the outcome of initial management after the 2018 Lombok earthquake, between immediate open-reduction and internal fixation (ORIF) and Non-ORIF procedures after one year follow-up.</p><p><strong>Methods: </strong>This is a cohort study to evaluate radiological and clinical outcomes one year after orthopedic treatment in the Lombok earthquake 2018. The subjects were recruited from eight public health center and one hospital in Lombok in September 2019. We evaluate radiological outcomes (non/malunion and union) and clinical outcomes (infection and SF-36 score).</p><p><strong>Results: </strong>Based on 73 subjects, the ORIF group has a higher union rate than the non-ORIF group (31.1% vs. 68.9%; p = 0.021). Incidence of infection only appeared in the ORIF group (23.5%). Clinical outcome as measured by SF36 showed the ORIF group had a lower mean of general health (p = 0.042) and health change (p = 0.039) clinical outcomes than the non-ORIF group.</p><p><strong>Discussion: </strong>The most affected public group is the productive age with significant impact on social-economy. ORIF procedure is a major risk factor of infection in initial treatment after earthquake. Therefore, definitive operation with internal fixation is not recommended in the initial phase of a disaster. Damage Control Orthopedic (DCO) surgery protocol is the treatment of choice in acute disaster setting.</p><p><strong>Conclusion: </strong>The ORIF group had better radiological outcomes than the non-ORIF group. However the ORIF group had higher cases of infection and lower SF-36 than the non-ORIF group. Definitive treatment in acute onset disaster setting should be prevented.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"91-103"},"PeriodicalIF":2.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/64/orr-15-91.PMC10182807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857389","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}
引用次数: 1
3D Printing of Individual Running Insoles - A Case Study. 个人跑步鞋垫的3D打印-一个案例研究。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-01-01 DOI: 10.2147/ORR.S399624
Maria Danko, Jan Sekac, Eva Dzivakova, Jozef Zivcak, Radovan Hudak
{"title":"3D Printing of Individual Running Insoles - A Case Study.","authors":"Maria Danko,&nbsp;Jan Sekac,&nbsp;Eva Dzivakova,&nbsp;Jozef Zivcak,&nbsp;Radovan Hudak","doi":"10.2147/ORR.S399624","DOIUrl":"https://doi.org/10.2147/ORR.S399624","url":null,"abstract":"<p><strong>Purpose: </strong>The study's starting point is to find a low-cost and best-fit solution for comfortable movement for a recreational runner with knee pain using an orthopedic device. It is a case study. The research aims to apply digitization, CAD/CAM tools, and 3D printing to create an individual 3D running insole. The objective is to incorporate flexible shape optimization would provide comfort reductions in foot plantar pressures in one subject with knee pain while running. The test hypothesis was if it is possible to make it from one material. For this purpose, we created a new digital workflow based on the Decision Tree method and analyzed pain and comfort scores during user testing of prototypes.</p><p><strong>Patient and methods: </strong>The input data were obtained during a professional examination by a specialist doctor in the orthopedic outpatient clinic in the motion laboratory (DIERS 4D Motion Lab, Germany) with the output of data on the proband's complex movement stereotype. Surface and volumetric data were obtained in the biomedical laboratory with the 3D scanner. We modified the digital 3D foot models in 3D mesh software, developed the design in SW Gensole (Gyrobot, UK), and finally incorporated the internal structure and the surface layer of the insole data of the knowledge from the medical examination, comfort analyses, and scientific studies findings.</p><p><strong>Results: </strong>Four complete 3D-printed prototypes (n=4) with differences in density and correction elements were designed. All of them were fabricated on a 3D printer (Prusa i3 MK3S, Czech Republic) with flexible TPU material suitable for skin contact. The Participant tested each of them five times in the field during a workout and final insoles three months on the routine training.</p><p><strong>Conclusion: </strong>A novel workflow was created for designing, producing, and testing full 3D-printed insoles. The product is fit for immediate use.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"105-118"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/7b/orr-15-105.PMC10237191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939864","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}
引用次数: 1
Exogenous Crosslinking of Tendons as a Strategy for Mechanical Augmentation and Repair: A Narrative Review. 外源性交联肌腱作为机械增强和修复的策略:叙述回顾。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-01-01 DOI: 10.2147/ORR.S421106
Alexandru Fofiu, Robert G Tripon, Tiberiu Băţagă, Traian V Chirilă
{"title":"Exogenous Crosslinking of Tendons as a Strategy for Mechanical Augmentation and Repair: A Narrative Review.","authors":"Alexandru Fofiu,&nbsp;Robert G Tripon,&nbsp;Tiberiu Băţagă,&nbsp;Traian V Chirilă","doi":"10.2147/ORR.S421106","DOIUrl":"https://doi.org/10.2147/ORR.S421106","url":null,"abstract":"<p><p>Collagens constitute a family of triple-helical proteins with a high level of structural polymorphism and a broad diversity of structural and chemical characteristics. Collagens are designed to form supporting aggregates in the extracellular spaces of our body, but they can be isolated from animal sources and processed to become available as biomaterials with wide applications in biomedicine and bioengineering. Collagens can be conveniently modified chemically, and their propensity for participating in crosslinking reactions is an important feature. While the crosslinking promoted by a variety of agents provides a range of collagen-based products, there has been minor interest for therapies based on the crosslinking of collagen while located within living connective tissues, known as exogenous crosslinking. Currently, there is only one such treatment in ocular therapeutics (for keratoconus), and another two in development, all based on mechanical augmentation of tissues due to ultraviolet (UV)-induced crosslinking. As seen in this review, there was some interest to employ exogenous crosslinking in order to reinforce mechanically the lax tendons with an aim to arrest tear propagation, stabilize the tissue, and facilitate the healing. Here we reviewed in details both the early stages and the actual status of the experimental research dedicated to the topic. Many results have not been encouraging, however there is sufficient evidence that tendons can be mechanically reinforced by chemical or photochemical exogenous crosslinking. We also compare the exogenous crosslinking using chemical agents, which was predominant in the literature reviewed, to that promoted by UV radiation, which was rather neglected but might have some advantages.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"165-173"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/69/orr-15-165.PMC10455955.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112162","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}
引用次数: 0
Management of Acromioclavicular Injuries - Current Concepts. 肩锁损伤的处理-当前概念。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-01-01 DOI: 10.2147/ORR.S340531
Charlotte de Groot, Daniel E Verstift, Jelle Heisen, Derek F P van Deurzen, Michel P J van den Bekerom
{"title":"Management of Acromioclavicular Injuries - Current Concepts.","authors":"Charlotte de Groot,&nbsp;Daniel E Verstift,&nbsp;Jelle Heisen,&nbsp;Derek F P van Deurzen,&nbsp;Michel P J van den Bekerom","doi":"10.2147/ORR.S340531","DOIUrl":"https://doi.org/10.2147/ORR.S340531","url":null,"abstract":"<p><strong>Introduction: </strong>Treatment of a patient with acromioclavicular joint (ACJ) injury remains challenging for orthopedic surgeons. To date, there is debate over the optimal management of ACJ injuries. This review provides an overview of assessment, treatment, and future perspectives for the treatment of and research into ACJ.</p><p><strong>Material and methods: </strong>A scoping literature review was performed. The search was built including the following terms: acromioclavicular joint injuries or dislocation, and pathophysiology, etiology, anatomy, treatment, and trauma mechanism. The papers with evidence levels 1-3 were included in the current narrative review.</p><p><strong>Results: </strong>A total of 2242 potential relevant studies were identified in the searches. After removal of duplicates, 432 studies were screened on their titles and abstracts, resulting in 35 studies being included in the review, based on the eligibility criteria.</p><p><strong>Conclusion: </strong>The management of acute and chronic ACJ injuries is not clarified in the current literature. However, there is currently insufficient high-level evidence for the overall treatment options for ACJ injuries. If surgical intervention is decided upon in consultation with the patient, the complications may not outweigh the benefits. The multitude of existing techniques is indicative of the uncertainty surrounding this issue, and no gold standard has yet been established for treatment methods. An ideal classification would include not only vertical and horizontal instability, but also the severity of kinematic alterations of the shoulder complex. This indicates the need for a new and improved diagnostic tool for the classification of ACJ injuries.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/d6/orr-15-1.PMC9940602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9328295","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}
引用次数: 2
Genetic Role in Recurrence of Idiopathic CTEV: A Systematic Review. 遗传在特发性CTEV复发中的作用:一项系统综述。
IF 2
Orthopedic Research and Reviews Pub Date : 2023-01-01 DOI: 10.2147/ORR.S400243
Hilmi Muhammad, Sofia Mubarika Haryana, Rahadyan Magetsari, Aryadi Kurniawan, Bima Baikuni, Paramita Ayu Saraswati
{"title":"Genetic Role in Recurrence of Idiopathic CTEV: A Systematic Review.","authors":"Hilmi Muhammad,&nbsp;Sofia Mubarika Haryana,&nbsp;Rahadyan Magetsari,&nbsp;Aryadi Kurniawan,&nbsp;Bima Baikuni,&nbsp;Paramita Ayu Saraswati","doi":"10.2147/ORR.S400243","DOIUrl":"https://doi.org/10.2147/ORR.S400243","url":null,"abstract":"<p><strong>Background: </strong><i>Congenital Talipes Equinovarus</i> (CTEV) is a multitude of deformities involving <i>equinus, varus, adductus</i>, and <i>cavus</i> deformities. Clubfoot affects 1 in every 1000 infants born worldwide, with various incidences according to geographical areas. It has been previously hypothesized that the possible genetic role in Idiopathic CTEV (ICTEV) might have a treatment-resistant phenotype. However, the genetic involvement in recurrent ICTEV cases is yet to be determined.</p><p><strong>Aim: </strong>To systematically review existing literature regarding the discovery of genetic involvement in recurrent ICTEV to date to further understand the etiology of relapse.</p><p><strong>Methods: </strong>A comprehensive search was performed on medical databases, and the review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. A comprehensive search was performed on several medical databases: PubMed (MEDLINE), Scopus, the Cochrane Library, and European PMC on May 10, 2022. We included studies reporting patients with recurring idiopathic CTEV or CTEV of unknown cause after treatment, reporting whole-genetic sequencing, whole-exome sequencing, Polymerase Chain Reaction, or Western blot analysis as methods of genetic analysis (intervention) and providing results of idiopathic CTEV genetic involvement. Non-English studies, literature reviews, and irrelevant articles were excluded. Quality and risk of bias assessments were performed using Newcastle-Ottawa Quality Assessment Scale for non-randomized studies where appropriate. The authors discussed data extracted with the primary outcome of gene(s) frequency being reported of their involvement in recurrent ICTEV cases.</p><p><strong>Results: </strong>Three pieces of literature were included in this review. Two studies analyzed the genetic involvement in CTEV occurrence, while one analyzed the protein types found.</p><p><strong>Discussion: </strong>With included studies of less than five, we could not perform other forms of analysis apart from qualitatively.</p><p><strong>Conclusion: </strong>The rarity of literature exploring the genetic etiology of recurrent ICTEV cases has been reflected in this systematic review, giving opportunities for future research.</p>","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"15 ","pages":"19-25"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/25/orr-15-19.PMC10010973.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9132700","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}
引用次数: 0
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