Orthopedic Reviews最新文献

The impact of quadriceps release therapy on rehabilitation of adolescent athletes with Osgood-Schlatter disease: a retrospective cohort study. 股四头肌释放疗法对青少年奥斯古德-施洛特病运动员康复的影响：一项回顾性队列研究。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138749

Hui Pan, Wei Bai, Chang Zhang, Chao Wang, Liwei Liu, Shuxiang Chen, Zhijun Ding

{"title":"The impact of quadriceps release therapy on rehabilitation of adolescent athletes with Osgood-Schlatter disease: a retrospective cohort study.","authors":"Hui Pan, Wei Bai, Chang Zhang, Chao Wang, Liwei Liu, Shuxiang Chen, Zhijun Ding","doi":"10.52965/001c.138749","DOIUrl":"10.52965/001c.138749","url":null,"abstract":"Objective: Aimed at evaluating the impact of quadriceps muscle relaxation in the treatment of Osgood-Schlatter disease and analyzing the association between quadriceps tension and Osgood-Schlatter disease pathogenesis.Methods: A retrospective cohort study was conducted on 78 Osgood-Schlatter disease patients. Participants were divided into a Local Treatment Group (n=31, receiving local treatment only) and an Combined Release Group (n=47, receiving combined local treatment and quadriceps release). The recovery time, number of treatments, time to relapse,number of relapsesand adverse reactions were compared .Results: The Combined Release Group demonstrated significantly shorter recovery time (1.55 ± 1.23 weeks vs. 3.58 ± 4.26 weeks, P < 0.001) and fewer treatment sessions (3.17 ± 3.63 vs. 5.77 ± 5.47, P = 0.006) compared to the Local Treatment Group. However, no statistical differences were observed in relapse rates (34.0% vs. 35.5%, P = 0.896) or time to relapse (4.88 ± 5.00 months vs. 6.91 ± 5.13 months, P = 0.140).Both groups showed no adverse reactions.Conclusion: Quadriceps release accelerates rehabilitation in Osgood-Schlatter disease and this study highlights the importance of reducing quadriceps tension. It also suggests a possible connection between quadriceps tension and the cause of OSD.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"138749"},"PeriodicalIF":1.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286072","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

Acromioplasty: A Historical Perspective. 肩峰成形术：一个历史的视角。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138666

Andrew K Chow, Sashrik Sribhashyam, Suhas R Velichala, Matthew Smith, Benjamin Cassidy, James R Satalich, John Cyrus, Jonathan Goodloe

{"title":"Acromioplasty: A Historical Perspective.","authors":"Andrew K Chow, Sashrik Sribhashyam, Suhas R Velichala, Matthew Smith, Benjamin Cassidy, James R Satalich, John Cyrus, Jonathan Goodloe","doi":"10.52965/001c.138666","DOIUrl":"10.52965/001c.138666","url":null,"abstract":"Introduction: In patients with shoulder impingement syndrome unresponsive to nonoperative treatment, surgical management is often recommended. This historical review goes into depth on how through research, evidence, and modern technologies, the surgical technique can evolve over time.Objective: This study aims to provide a review of the literature comparing outcomes of arthroscopic versus open acromioplasty and discuss how the evidence influences surgical techniques and surgeons' modern day preferences.Methods: Following PRISMA reporting standards, Medline, Embase (OVID), Web of Science, Pubmed, and Cochrane were searched through October 2024 for studies comparing arthroscopic and open acromioplasty for shoulder impingement syndromes. Outcomes of interest included operating time, hospital stay, range of motion, muscle strength, patient satisfaction, and UCLA shoulder score.Results: Seventeen studies evaluated 1,293 patients (763 males and 530 females) with a mean age of 45.4 years old, who underwent either arthroscopic or open acromioplasty. Both groups showed similar improvements in range of motion, muscle strength, and patient satisfaction. Patients who underwent arthroscopic acromioplasty had quicker recovery and shorter hospital stays, with reduced operative times when performed by experienced surgeons. Outcome scores (UCLA and Constant scores) were generally higher in the arthroscopic group; however, the results were not always statistically significant.Conclusion: Over time, the standard of care has shifted to arthroscopic acromioplasty as it offers better recovery times and improved cosmetic results, making it the favored approach for shoulder impingement syndromes in patients and surgeons alike. Through continued research and surgical innovation surgical techniques can evolve and ultimately improve patient care.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"138666"},"PeriodicalIF":1.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249032","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

Spontaneous Reductıon Occurrıng Durıng Natural Sleep ın Anterıor Shoulder Dıslocatıon Cases: A Serıes of Four Cases. 自发性Reductıon Occurrıng Durıng自然睡眠ın Anterıor肩部Dıslocatıon病例：1 Serıes / 4例。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-29 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138670

Bedrettin Akar, Erhan Sukur, Mehmet Balioglu, Yusuf Ozturkmen, Fatih Ugur

引用次数: 0

A Landscape of Recent Literature on the Predictors of Success and Failure in Medial Patellofemoral Ligament Reconstruction. 髌股内侧韧带重建成功与失败预测因素的最新文献综述。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138208

Yasser Alshomrani

{"title":"A Landscape of Recent Literature on the Predictors of Success and Failure in Medial Patellofemoral Ligament Reconstruction.","authors":"Yasser Alshomrani","doi":"10.52965/001c.138208","DOIUrl":"10.52965/001c.138208","url":null,"abstract":"Medial patellofemoral ligament reconstruction is a widely used surgical technique to address patellar instability. This procedure is influenced by several key factors, including patient-specific factors, anatomical considerations, graft selection, tunnel placement, tensioning, fixation methods, postoperative rehabilitation, and potential complications. Various graft options, including autografts and allografts, have been studied, with research indicating no significant differences in pain reduction, return to activity, or failure rates between the two. However, some studies suggest allografts may have a lower failure rate and recurrence of patellar instability compared to autografts. The precise placement of the femoral tunnel is essential for successful reconstruction. Ensuring that the graft is neither too tight nor too loose during fixation contributes significantly to the biomechanical stability of the knee. Different fixation methods, including suture anchors and interference screws, have been compared, with both providing reliable initial fixation strength. Postoperative rehabilitation is another crucial aspect, with studies showing that accelerated protocols can yield favorable outcomes without increasing the risk of recurrent instability. Complications such as recurrent dislocations, patellar fractures, and infections have been reported, with technical errors during surgery being a major contributing factor. A comprehensive approach, involving precise surgical technique and tailored rehabilitation protocols, is necessary to minimize complications and optimize long-term success.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"138208"},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143209","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

Proximal Tibiofibular Fracture Following Unicompartmental Knee Arthroplasty: A Case Report and Literature Review. 单室膝关节置换术后胫腓骨近端骨折一例报告及文献复习。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.52965/001c.133980

Hui Zeng, Jiaobin Cai, Yisheng Chen, Guangbao Liu, Tenfei Chen, Qingliang Cao

{"title":"Proximal Tibiofibular Fracture Following Unicompartmental Knee Arthroplasty: A Case Report and Literature Review.","authors":"Hui Zeng, Jiaobin Cai, Yisheng Chen, Guangbao Liu, Tenfei Chen, Qingliang Cao","doi":"10.52965/001c.133980","DOIUrl":"10.52965/001c.133980","url":null,"abstract":"Introduction: Periprosthetic fractures following unicompartmental knee arthroplasty (UKA) are a relatively rare but clinically significant complication. Among these, proximal tibial and fibular fractures are even more uncommon. If not promptly and effectively treated, such fractures can significantly compromise the outcomes of UKA and the long-term survival of the prosthesis.Case: A 64-year-old female patient suffered a proximal tibiofibular fracture after accidentally falling following a UKA.Management and outcomes: We performed an open reduction and internal fixation (ORIF) for the femoral fracture. One year postoperatively, follow-up examination indicated good fracture healing, stable prosthesis, and satisfactory knee joint range of motion, with no reported pain.Conclusion: The treatment of proximal tibiofibular fractures around the prosthesis after UKA should be based on the specific fracture location and type, the stability of the prosthesis, and the overall health condition of the patient, such as the presence of osteoporosis. Surgical intervention remains a viable option for treatment.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"133980"},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143227","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

Understanding the Landscape of Lumbar Epidural Steroid Injections: A Review of Interlaminar, Transforaminal, and Caudal Approaches. 了解腰椎硬膜外类固醇注射的情况：椎间、椎间孔和尾侧入路的综述。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138210

Tommy Li, Cynthia Gonzalez, Jamie Provost, Jamal Hasoon, Anvinh Nguyen

{"title":"Understanding the Landscape of Lumbar Epidural Steroid Injections: A Review of Interlaminar, Transforaminal, and Caudal Approaches.","authors":"Tommy Li, Cynthia Gonzalez, Jamie Provost, Jamal Hasoon, Anvinh Nguyen","doi":"10.52965/001c.138210","DOIUrl":"10.52965/001c.138210","url":null,"abstract":"Purpose of the review: Lumbar epidural steroid injections (ESIs) have been used for decades for managing lumbosacral pain, particularly in patients with radiculopathy and chronic low back pain. Despite frequent use, there remains debate regarding their overall effectiveness, fueled by variability in physician technique and differing opinions on the optimal approach. This narrative review examines the three primary methods of lumbar ESI administration-transforaminal, interlaminar, and caudal-to evaluate their respective advantages, limitations, and clinical applications.Summary: Each ESI technique offers unique benefits and potential risks. The transforaminal approach provides targeted delivery to affected nerve roots but is associated with higher risks of complications such as nerve injury or vascular compromise. The interlaminar approach allows broader spread of injectate with a lower technical complexity but may lack precision in targeting the specific source of pain. The caudal approach, typically reserved for patients with altered spinal anatomy or prior lumbar surgery, offers the safest trajectory but often the least precise medication delivery. Outcomes with ESIs are highly variable, which contributes to the ongoing debate about their role in lumbosacral pain management.Conclusion: Understanding the technical differences, risk profiles, and clinical indications of each lumbar ESI approach can help guide treatment planning and optimize outcomes. By tailoring the injection technique to the individual patient's anatomy and clinical presentation, physicians may improve both the efficacy and safety of epidural steroid injections in the treatment of lumbosacral pain.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"138210"},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143234","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

Direct Anterior Approach and Posterior Approach for Total Hip Arthroplasty: A Systematic Umbrella Review of Meta-Analyses of Randomized Controlled Trials. 全髋关节置换术的直接前路和后路：随机对照试验荟萃分析的系统综述。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.52965/001c.137665

Joseph E Nassar, Lama A Ammar, Mikel Madi, Majd Mzeihem, Maya Hemdanieh, Mohamad Nassereddine

{"title":"Direct Anterior Approach and Posterior Approach for Total Hip Arthroplasty: A Systematic Umbrella Review of Meta-Analyses of Randomized Controlled Trials.","authors":"Joseph E Nassar, Lama A Ammar, Mikel Madi, Majd Mzeihem, Maya Hemdanieh, Mohamad Nassereddine","doi":"10.52965/001c.137665","DOIUrl":"10.52965/001c.137665","url":null,"abstract":"Introduction: Total Hip Arthroplasty (THA) has revolutionized orthopaedic surgery, with demand expected to double by 2030. This umbrella review assessed the efficacy and patient satisfaction of the direct anterior approach (DAA) versus the posterior approach (PA).Methods: We searched three databases. Quality was assessed using A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR-2), and discrepancies were investigated through matrices (PROSPERO: CRD42023450069).Results: Of 11 SRs/MAs comparing DAA to PA, two were low and nine critically low quality. PA reduced operation duration (OD) in five out of eight direct meta-analyses (DMAs) (mean difference [MD] 13.74 to 18.92). PA showed less blood loss (BL) in one DMA (MD 91.87 [27.99, 155.74]), while DAA showed less BL in another (MD -67.02 [-131.46, -2.58]). DAA decreased length of stay (LOS) in three DMAs (MD -0.31 to -0.56). DAA also showed less pain on post-operative days (POD) 1 and 2 in two DMAs (MD -0.65 [-0.91, -0.38] and MD -0.67 [-1.34, -0.01]). No significant differences were observed at post-operative weeks (POW) 2, POW6, or post-operative months (POM) 12. DAA significantly improved hip function at POW2 in one DMA and POW6 in two DMAs and one network meta-analysis (NMA) (MD 3.7 to 6.80), but no significant differences were found at POM6 or POM12.Discrepancies in OD, BL, and LOS results stemmed from study selection factors including non-randomization, language barriers, approach comparisons, search periods, and inconsistencies in reporting.Conclusion: DAA offers advantages in early pain reduction and functional improvement due to its muscle-sparing technique.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"137665"},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143212","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 Effectiveness of Mesenchymal Stem Cell (MSCs) Therapy Combined with Arthroscopy as Treatment for Knee Osteoarthritis (KOA): A Systematic Review. 间充质干细胞（MSCs）联合关节镜治疗膝关节骨性关节炎（KOA）的有效性：一项系统综述。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.52965/001c.137660

Yanuarso, Keri Lestari Dandan, Terawan Agus Putranto, Cynthia Retna Sartika, Andi Wijaya, Dicky Mulyadi, Irma Ruslina Defi, Rima Haifa, Nabilla Farah Naura, Karina Kalasuba, Billy Yoshua Constantin Pongajow

{"title":"The Effectiveness of Mesenchymal Stem Cell (MSCs) Therapy Combined with Arthroscopy as Treatment for Knee Osteoarthritis (KOA): A Systematic Review.","authors":"Yanuarso, Keri Lestari Dandan, Terawan Agus Putranto, Cynthia Retna Sartika, Andi Wijaya, Dicky Mulyadi, Irma Ruslina Defi, Rima Haifa, Nabilla Farah Naura, Karina Kalasuba, Billy Yoshua Constantin Pongajow","doi":"10.52965/001c.137660","DOIUrl":"10.52965/001c.137660","url":null,"abstract":"Osteoarthritis (OA) is a progressive and chronic disease that can result in the patient's increased pain and loss of function. There might be some potential approaches to improve the recovery with mesenchymal stem cells (MSCs). The efficacy of using MSCs in treatment of OA was found to have a significant impact on the treatment and was focused on improving physical function and psychometric measures of pain. Although various available data and research studies regarding MSCs have shown their potential in clinical use, there is still limited data of MSCs regarding actual long-term safety and efficacy in larger clinical trials. To address these issues and inform future studies, we performed a clinical systematic review of MSC therapy for knee osteoarthritis combined with arthroscopy procedure. Cochrane (2022), EMBASE (2022), MEDLINE (2022) and PubMed (2022) were utilized as research platforms. Using the inclusion criteria, the total viable studies that were used within the systematic review amounts to around 18 studies. Clinically, MSCs treatment on OA have also reported improvements on the target site, such as that of articular cartilage, subchondral bone, and joint-space width. The results were obtained from data results of WOMAC, VAS, KOOS and ICRS, as well as through radiological imaging using MRI. However, there are still limitations that the reviews provide such as heterogeneity complications of MSCs of the studies reviewed, as well as the potential of risk bias assessment during publication. Therefore, future studies will need to address the evaluation of MSCs effect on cartilage regeneration on knee osteoarthritis (OA), improving structural outcomes of the knee, as well as its efficacy during combined treatment methods of arthroscopy.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"137660"},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143231","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

Safety of Catheter-Based Cervical Epidural Steroid Injections: A Retrospective Review. 基于导管的宫颈硬膜外类固醇注射的安全性：回顾性回顾。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI: 10.52965/001c.137668

Jamal Hasoon, Saiyid Mahmood, Syed Mahmood, Alan D Kaye, Christopher L Robinson

{"title":"Safety of Catheter-Based Cervical Epidural Steroid Injections: A Retrospective Review.","authors":"Jamal Hasoon, Saiyid Mahmood, Syed Mahmood, Alan D Kaye, Christopher L Robinson","doi":"10.52965/001c.137668","DOIUrl":"10.52965/001c.137668","url":null,"abstract":"Background: Cervical epidural steroid injections (CESIs) are frequently utilized for the treatment of cervical radiculopathy and axial neck pain. Given the anatomical complexity of the cervical spine, techniques that enhance precision while maintaining safety are essential. This case series evaluates the safety of a catheter-based approach for CESI, allowing targeted medication delivery to the affected spinal level.Methods: A retrospective review was conducted of 9 patients who underwent cervical ESIs using a catheter-based technique. Under fluoroscopic guidance, the epidural space was accessed with a touhy needle, and a flexible catheter was advanced to the level of pathology for medication administration. All patients were monitored during and after the procedure for any complications.Results: All 9 procedures were successfully completed without any reported complications. There were no cases of dural puncture, neurological injury, or other adverse events associated with the procedure.Conclusion: This case series supports the safety and feasibility of catheter-based cervical epidural steroid injections. The technique allowed for accurate targeting of pathology without any observed complications. These preliminary findings warrant further investigation in larger, controlled studies to confirm safety and efficacy.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"137668"},"PeriodicalIF":1.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093646","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 Orthopedic Splint and Its Origins. 骨科夹板及其起源。

IF 1.4

Orthopedic Reviews Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI: 10.52965/001c.137673

Rohan Surabhi, Ananya Surabhi, Latha Ganti

引用次数: 0