Orthopedic Reviews最新文献

Revolutionizing Nonunion Treatment: The Expanding Role of Local Biological Therapies. 革新骨不连治疗：局部生物疗法的扩展作用。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-28 eCollection Date: 2025-01-01 DOI: 10.52965/001c.141405

Elyssa Kiwan, Wendy Ghanem, Hady Ezzeddine, Antoine Saber, Joseph Najjar, Johnny Saadeh, Rita Saad, Fouad Assaf, Mohamad Badra, Ramzi Moucharafieh

{"title":"Revolutionizing Nonunion Treatment: The Expanding Role of Local Biological Therapies.","authors":"Elyssa Kiwan, Wendy Ghanem, Hady Ezzeddine, Antoine Saber, Joseph Najjar, Johnny Saadeh, Rita Saad, Fouad Assaf, Mohamad Badra, Ramzi Moucharafieh","doi":"10.52965/001c.141405","DOIUrl":"10.52965/001c.141405","url":null,"abstract":"The diagnosis and treatment of long bone nonunion remains a historical challenge in the field of orthopedics. Bone nonunion management encompasses surgical and non-surgical options. This review discusses the potential use of untraditional methods in their treatment such as orthobiologics. The cornerstone of local biological therapies lies in their ability to directly stimulate the biological processes essential for bone repair. This precision targeting ensures that bone healing pathways are activated specifically where needed, enhancing both the rate and quality of union. It particularly addresses the use of biologic agents and the possibility of their combination with biomaterials to enhance their stability, delivery, and osteoconductive properties. The aim of this review is to obtain an updated point of view regarding the management of nonunion of the bone as well as expanding on the latest innovations aiming to create a shift from passive biologic supplementation to active regenerative engineering.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"141405"},"PeriodicalIF":1.4,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529169","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

Correction: Biomechanical comparison of single versus double plate osteosynthesis in acromion type III fractures. 纠正：肩峰III型骨折单钢板与双钢板的生物力学比较。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-28 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138220

Marc-Frederic Pastor, Dennis Nebel, Annika Degering, Tomas Smith, Roman Karkosch, Hauke Horstmann, Alexander Ellwein

引用次数: 0

Periprosthetic Joint Infection: A Multifaceted Burden Undermining Arthroplasty Success. 假体周围关节感染：影响关节成形术成功的多方面负担。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-22 eCollection Date: 2025-01-01 DOI: 10.52965/001c.138205

Mohammad H S Aftab, Troye Joseph, Richard Almeida, Nkhodiseni Sikhauli, Jurek R T Pietrzak

{"title":"Periprosthetic Joint Infection: A Multifaceted Burden Undermining Arthroplasty Success.","authors":"Mohammad H S Aftab, Troye Joseph, Richard Almeida, Nkhodiseni Sikhauli, Jurek R T Pietrzak","doi":"10.52965/001c.138205","DOIUrl":"10.52965/001c.138205","url":null,"abstract":"Despite advancements in surgical techniques and implant designs, Periprosthetic joint infection (PJI) continues to be one of the commonest and most devastating causes of failure in total joint arthroplasty. PJIs are associated with significant morbidity and mortality, placing a multifactorial burden on patients, caregivers, surgeons, hospitals, health systems, and economies. The incidence of PJI ranges from 0.5% to 2.3% based on current literature. Mortality rates in PJI subsequent to a primary total hip arthroplasty (THA) range from 4% to 8% after one year. The common treatment for PJI is a two-stage revision THA, which itself is associated with significant morbidity and mortality. The economic burden of PJI is substantial, with treatment costs 3 to 5.6 times higher than primary THA. Patients with PJI experience inferior hip function, lower health-related quality of life scores, and higher odds of developing new onset depression. PJI's negatively impacts on a patient's capacity to work and conduct everyday activities. Orthopaedic surgeons also face significant psychological stress due to the challenges in managing PJI, including feelings of incompetence, insecurity, and frustration. Continued research and innovation are essential to optimize THA outcomes and reduce the need for revision surgeries. Improved prevention strategies, multidisciplinary cooperation, and comprehensive care and support for both patients and surgeons are crucial. It is paramount that every orthopaedic surgeon remains cognisant of this complication to institute better prevention strategies, promote better multi-disciplinary cooperation and enhance patient pre-operative care.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"138205"},"PeriodicalIF":1.4,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485366","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

A Bibliometric Analysis of ACL Injuries in Female Athletes. 女运动员前交叉韧带损伤的文献计量学分析。

IF 1.4

Orthopedic Reviews Pub Date : 2025-06-22 eCollection Date: 2025-01-01 DOI: 10.52965/001c.140714

Radha Gonsai, Latha Ganti

{"title":"A Bibliometric Analysis of ACL Injuries in Female Athletes.","authors":"Radha Gonsai, Latha Ganti","doi":"10.52965/001c.140714","DOIUrl":"10.52965/001c.140714","url":null,"abstract":"Introduction: Since 1972 Title IX legislation there has been an increase in female sports participation, and with that there has been an increase in female related injuries. For example, the female athlete has a two to eight times more frequency of injuring her ACL compared to males. This has led to additional research focusing on why female athletes have a higher disposition for ACL injuries. The aim of this study is to quantitatively assess the literature for authorship relationships, general publication trends, and keyword occurrences through conducting a bibliometric review.Methods: The data used in this analysis was collected from PubMed. A MeSH search was conducted with the following parameters: (women or female[MeSH Terms]) AND (ACL injury[MeSH Terms])) NOT (male[MeSH Terms])) NOT (men[MeSH Terms])) NOT (man[MeSH Terms]) on February 11th 2025.Results: The bibliometric analysis resulted in 435 publications from the year 2000 to 2025. There was a steady increase in the number of publications over the observed study period. The top keywords included: \"ACL injury\" and \"female\", and common sports related ACL injuries like soccer and basketball. Additional noteworthy findings included soccer, basketball, quadriceps, and biomechanics. There was linkage between numerous authors associated with the Norwegian School of Sport Sciences and the Oslo Sports Trauma Research Center.Conclusion: The paper provides an analysis on current female ACL injury trends. It is important to discuss injury related disparities between female and male athletes, so prevention programs can be put into place.","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"140714"},"PeriodicalIF":1.4,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485365","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 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