Orthopedic Research and Reviews最新文献_第8页

Monitoring and Management of Fibrodysplasia Ossificans Progressiva: Current Perspectives [Corrigendum] 进展性骨化性纤维发育不良的监测和管理：当前展望[勘误表]

IF 2

Orthopedic Research and Reviews Pub Date : 2022-05-01 DOI: 10.2147/orr.s373122

Bernard J. Smilde, Esmée Botman, R. D. de Ruiter, J. Smit, B. Teunissen, W. Lubbers, L. Schwarte, P. Schober, E. Eekhoff

引用次数: 0

The Relationship Between Body Mass Index and the Magnitude of Curve at Diagnosis of Adolescent Idiopathic Scoliosis: A Retrospective Chart Review 青少年特发性脊柱侧凸诊断时体重指数与曲线大小的关系:回顾性图表回顾

IF 2

Orthopedic Research and Reviews Pub Date : 2022-05-01 DOI: 10.2147/ORR.S359394

Natalie Woods, K. Wittmeier, K. Mulder, B. Dufault, B. Black

{"title":"The Relationship Between Body Mass Index and the Magnitude of Curve at Diagnosis of Adolescent Idiopathic Scoliosis: A Retrospective Chart Review","authors":"Natalie Woods, K. Wittmeier, K. Mulder, B. Dufault, B. Black","doi":"10.2147/ORR.S359394","DOIUrl":"https://doi.org/10.2147/ORR.S359394","url":null,"abstract":"Purpose To evaluate the relationship between body mass index (BMI) and spinal curvature in patients presenting with idiopathic scoliosis at a major pediatric tertiary care centre. Patients and Methods Retrospective chart review (2015–2019). Data extracted from patient’s first visit included age, sex, height, weight, spinal curvature (magnitude, location), referral source, physical activity participation (yes/no), pain (yes/no). Demographics were analyzed descriptively. The relationship between BMI and spinal curve magnitude was analyzed using Spearman correlation coefficient. Linear regression was applied to determine the relationship between BMI, curve magnitude, and curve location. Exploratory univariate analyses were conducted for BMI and referral source, pain, and skeletal maturity, and physical activity and pain. Results A total of 206 patient charts were included (177 females, 29 males). Patients presented with double major (41.3%), thoracic (26.7%), thoracolumbar (22.8%), and lumbar (9.2%) curves. Mean (SD) BMI percentile was 48.3 (30.5). No relationship existed between BMI percentile and curve magnitude with curve locations combined. However, a test for interaction revealed a positive relationship between BMI percentile and curve magnitude for adolescents with double major curves, and a negative relationship for adolescents with thoracic curves. Exploratory analyses suggested a relationship between BMI percentile and presence of pain, and between referral source and curve magnitude. No relationship was observed between BMI and skeletal maturity, or physical activity and pain. Conclusion The relationship between BMI varied by curve location within this cohort, in which most patients presented with a BMI <85th percentile. Findings highlight the importance of sensitive history taking and careful physical examination for early detection of scoliosis.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"149 - 155"},"PeriodicalIF":2.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46994398","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

Surgical Approaches for Managing Femoral Head Fractures (FHFs); What and How to Choose from the Different Options? 股骨头骨折的外科治疗方法；从不同的选项中选择什么以及如何选择？

IF 2

Orthopedic Research and Reviews Pub Date : 2022-04-23 DOI: 10.2147/ORR.S353582

A. Khalifa, Esraa M. Ahmed, O. Farouk

引用次数: 3

Monitoring and Management of Fibrodysplasia Ossificans Progressiva: Current Perspectives 进展性骨化性纤维发育不良的监测和管理：当前的展望

IF 2

Orthopedic Research and Reviews Pub Date : 2022-04-01 DOI: 10.2147/ORR.S337491

Bernard J. Smilde, Esmée Botman, R. D. de Ruiter, J. Smit, Berend P. Teunissen, W. Lubbers, L. Schwarte, P. Schober, E. Eekhoff

{"title":"Monitoring and Management of Fibrodysplasia Ossificans Progressiva: Current Perspectives","authors":"Bernard J. Smilde, Esmée Botman, R. D. de Ruiter, J. Smit, Berend P. Teunissen, W. Lubbers, L. Schwarte, P. Schober, E. Eekhoff","doi":"10.2147/ORR.S337491","DOIUrl":"https://doi.org/10.2147/ORR.S337491","url":null,"abstract":"Abstract Fibrodysplasia ossificans progressiva (FOP), sometimes known as myositis ossificans progressiva, is an ultra-rare disease in which bone is formed in muscular tissue, tendons and ligaments. This is known as heterotopic ossification (HO). FOP is caused by a heterozygous mutation in the highly conserved ACVR1/ALK2 gene which affects about 1 in 1.5–2 million individuals. At birth, patients with the predominant R206H mutation only exhibit a bilateral hallux valgus. During childhood, heterotopic bone formation develops in a typical pattern, affecting the axial muscles first before appendicular body parts are involved. HO can start spontaneously but is often elicited by soft tissue trauma or medical procedures. After soft tissue injury, an inflammatory process called a flare-up can start, followed by the formation of HO. HO leads to a limited range of motion, culminating in complete ankylosis of nearly all joints. As a result of HO surrounding the thorax, patients often suffer from thoracic insufficiency syndrome (TIS). TIS is the most common cause of a limited life expectancy for FOP patients, with a median life expectancy of 56 years. Management is focused on preventing soft-tissue injury that can provoke flare-ups. This includes prevention of iatrogenic damage by biopsies, intramuscular injections and surgery. Anti-inflammatory medication is often started when a flare-up occurs but has a poor basis of evidence. Several forms of potential treatment for FOP are being researched in clinical trials. Progression of the disease is monitored using CT and 18F-NaF PET/CT combined with functional assessments. Patients are regularly evaluated for frequently occurring complications such as restrictive lung disease. Here, we review the current management, monitoring and treatment of FOP.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"113 - 120"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48669821","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: 10

Short versus Long-Leg Hip Spica After Closed Reduction in Developmental Dysplasia of the Hip: A Retrospective Comparative Study [Corrigendum] 髋关节发育不良闭合复位后短腿与长腿髋关节骨刺:回顾性比较研究[勘误]

IF 2

Orthopedic Research and Reviews Pub Date : 2022-04-01 DOI: 10.2147/orr.s370797

Mohamad S Yasin, Mohammed S Alisi, Y. Hammad, Omar Q Samarah, Freih O Abu Hassan

引用次数: 0

A Novel 3D Light Assisted Drawing (3D-LAD) Method to Aid Intraoperative Reproduction of Osteotomy Lines Surrounding a Bone Tumor During Wide Resection: An Experimental Study 一种新的三维光辅助绘图（3D-LAD）方法在骨肿瘤大面积切除术中辅助骨切除线的术中复制：实验研究

IF 2

Orthopedic Research and Reviews Pub Date : 2022-04-01 DOI: 10.2147/ORR.S349240

Guangyu He, Amos Z. Dai, Vamiq M. Mustahsan, C. Blum, I. Kao, F. Khan

{"title":"A Novel 3D Light Assisted Drawing (3D-LAD) Method to Aid Intraoperative Reproduction of Osteotomy Lines Surrounding a Bone Tumor During Wide Resection: An Experimental Study","authors":"Guangyu He, Amos Z. Dai, Vamiq M. Mustahsan, C. Blum, I. Kao, F. Khan","doi":"10.2147/ORR.S349240","DOIUrl":"https://doi.org/10.2147/ORR.S349240","url":null,"abstract":"Introduction Computer navigation and customized 3D-printed jigs improve accuracy during bone tumor resection, but such technologies can be bulky, costly, and require intraoperative radiation, or long lead time to be ready in OR. Methods We developed a method utilizing a compact, inexpensive, non-X-ray based 3D surface light scanner to provide a visual aid that helps surgeons accurately draw osteotomy lines on the surface of exposed bone to reproduce a well-defined preoperative bone resection plan. We tested the accuracy of the method on 18 sawbones using a distal femur hemimetaphyseal resection model and compared it with a traditional, freehand method. Results The method significantly reduces the positional error from 2.53 (±1.13) mm to 1.04 (±0.43) mm (p<0.001), and angular error of the front angle from 2.10° (±0.83°) to 0.80° (±0.66°) (p=0.001). The method also reduces the mean maximum deviation of the bone resection, with respect to the preoperative path, from 3.75mm to 2.69mm (p=0.003). However, no increased accuracy was observed at the back side of the bone surface where this method would not be expected to provide information. Discussion In summary, we developed a novel 3D-LAD navigation technology. From the experimental study, we demonstrated that the method can improve the ability of surgeons to accurately draw the preoperative osteotomy lines and perform resection of a primary bone sarcoma, with comparison to traditional methods, using 18 sawbones.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"101 - 109"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43771294","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

Hip Arthroscopy for Femoroacetabular Impingement-Associated Labral Tears: Current Status and Future Prospects 髋关节镜治疗股髋臼撞击相关的唇部撕裂:现状和未来展望

IF 2

Orthopedic Research and Reviews Pub Date : 2022-04-01 DOI: 10.2147/ORR.S253762

Scott Buzin, Dhruv S. Shankar, Kinjal D. Vasavada, T. Youm

{"title":"Hip Arthroscopy for Femoroacetabular Impingement-Associated Labral Tears: Current Status and Future Prospects","authors":"Scott Buzin, Dhruv S. Shankar, Kinjal D. Vasavada, T. Youm","doi":"10.2147/ORR.S253762","DOIUrl":"https://doi.org/10.2147/ORR.S253762","url":null,"abstract":"Abstract Femoroacetabular impingement (FAI) has emerged as a common cause of hip pain, especially in young patients. While the exact cause of FAI is unknown, it is thought to result from repetitive microtrauma to the proximal femoral epiphysis leading to abnormal biomechanics. Patients typically present with groin pain that is exacerbated by hip flexion and internal rotation. Diagnosis of FAI is made through careful consideration of patient presentation as well as physical exam and diagnostic imaging. Use of radiographs can help diagnose both cam and pincer lesions, while the use of MRI can diagnose labral tears and cartilage damage associated with FAI. Both non-operative and surgical options have their role in the treatment of FAI and its associated labral tears; however, hip arthroscopy has had successful outcomes when compared with physical therapy alone. Unfortunately, chondral lesions associated with FAI have had poorer outcomes with a higher conversion rate to arthroplasty. Capsular closure following hip arthroscopy has shown superior clinical outcomes and therefore should be performed if possible. More recently, primary labral reconstruction has emerged in the literature as a good option for irreparable labral tears. While non-operative management may have its role in treating patients with FAI, hip arthroscopy has developed a successful track record in being able to treat cam and pincer lesions, chondral damage, and labral injuries.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"121 - 132"},"PeriodicalIF":2.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44040822","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: 1

Short Stem for Total Hip Arthroplasty (THA) – Overview, Patient Selection and Perspectives by Using the Metha® Hip Stem System 全髋关节置换术（THA）用短柄——使用Metha®髋关节柄系统的概述、患者选择和前景

IF 2

Orthopedic Research and Reviews Pub Date : 2022-03-24 DOI: 10.2147/ORR.S233054

B. Ishaque

引用次数: 3

Short versus Long-Leg Hip Spica After Closed Reduction in Developmental Dysplasia of the Hip: A Retrospective Comparative Study 髋关节发育不良闭合复位后短腿和长腿髋关节Spica的回顾性比较研究

IF 2

Orthopedic Research and Reviews Pub Date : 2022-03-01 DOI: 10.2147/ORR.S353279

Mohamad S Yasin, Mohammed S Alisi, Y. Hammad, Omar Q Samarah, Freih O Abu Hassan

{"title":"Short versus Long-Leg Hip Spica After Closed Reduction in Developmental Dysplasia of the Hip: A Retrospective Comparative Study","authors":"Mohamad S Yasin, Mohammed S Alisi, Y. Hammad, Omar Q Samarah, Freih O Abu Hassan","doi":"10.2147/ORR.S353279","DOIUrl":"https://doi.org/10.2147/ORR.S353279","url":null,"abstract":"Purpose Closed reduction (CR) is a standard treatment for developmental dysplasia of the hip (DDH) after failed conservative treatment. After CR, the affected hip is held in the reduced position by a spica cast that typically extends below the knee (long). Above knee (short) spica cast is an alternative technique utilized by some pediatric orthopedic surgeons. We aimed to compare short versus long spica cast after CR in terms of success rate and complications. Methods Patients who underwent CR with short or long hip spica cast over a 3-year period (2016–2019) were evaluated for the success (sustainability of the reduction) and complications. The acute and long-term success were recorded retrospectively. Acute success was defined as concentric reduction of the hip confirmed by intraoperative arthrogram and immediate postoperative CT scan. Long-term success was defined as maintained reduction at 12 months’ post reduction. Results Forty-seven patients were included in our study. Long spica casts were used in 24 patients and short ones in the remaining 23. The overall acute and long-term success rates were 83% and 66%, respectively. The acute success rate of long spica was 87.5%, while short spica achieved 78.2%. On the long term, the success rate of short spica was higher than long one (73.9% vs 58.3%). Cox regression analysis showed that the type of cast (short vs long spica) was not correlated with acute success (P = 0.405), long-term success (P = 0.263), residual dysplasia (P = 0.405), or avascular necrosis (P = 0.053). Conclusion CR in DDH is an important line of management in the younger patient population and can save them an invasive open surgery later in life. A short leg spica could represent an easier and likely as successful alternative to the traditional long spica. More prospective future research is needed to validate our observational findings. Level of Evidence III.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"71 - 76"},"PeriodicalIF":2.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49438075","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 Radiological Complications of Short-Segment Pedicle Screw Fixation Combined with Transforaminal Interbody Fusion in the Treatment of Unstable Thoracolumbar Burst Fracture: A Retrospective Case Series Study in Vietnam 短节段椎弓根螺钉内固定联合经椎间孔椎间融合治疗不稳定胸腰椎爆裂性骨折的放射学并发症:越南回顾性病例系列研究

IF 2

Orthopedic Research and Reviews Pub Date : 2022-03-01 DOI: 10.2147/ORR.S356296

Ngoc Quyen Nguyen, Trong Hau Phan

{"title":"The Radiological Complications of Short-Segment Pedicle Screw Fixation Combined with Transforaminal Interbody Fusion in the Treatment of Unstable Thoracolumbar Burst Fracture: A Retrospective Case Series Study in Vietnam","authors":"Ngoc Quyen Nguyen, Trong Hau Phan","doi":"10.2147/ORR.S356296","DOIUrl":"https://doi.org/10.2147/ORR.S356296","url":null,"abstract":"Background The radiological complications including correction loss and hardware failure of short segment posterior pedicle screw fixation in the treatment of unstable thoracolumbar burst fractures remain a main concern. Several procedures aiming to reinforce the anterior column have been introduced to solve these limitations, including transforaminal interbody fusion (TIF). The purposes of this study were to evaluate the radiological complications of short-segment pedicle screw fixation in combination with transforaminal interbody fusion in the treatment of unstable thoracolumbar burst fractures. Methods This retrospective case series study enrolled patients with isolated unstable thoracolumbar burst fractures, who were treated by posterior short fixation with TIF between January 2013 and January 2017. Patients were followed up for a minimum of one and half years. For evaluation of correction loss, % loss of anterior vertebral body height (%AVB), vertebral kyphotic angle (VA) and regional kyphotic angle (RA) were collected preoperatively, postoperatively and at the final follow-up. Hardware failure was assessed on radiological images at the last follow-up. Results There were 36 patients who met the inclusion criteria with a mean follow-up duration of 53 months. The mean correction loss of %AVB, VA and RA were 10.2%, 2.9° and 5.6°, respectively. There were 6 patients (16.7%) with hardware failure at the final follow-up. Conclusion Short-segment posterior pedicle screw fixation with TIF using bone chip grafts does not completely prevent hardware failure and progressive kyphosis in the treatment of unstable thoracolumbar burst fractures.","PeriodicalId":19608,"journal":{"name":"Orthopedic Research and Reviews","volume":"14 1","pages":"91 - 99"},"PeriodicalIF":2.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43800754","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: 1