SVOA Orthopaedics最新文献_第2页

Outcomes of Shoulder Instability Repair - Latarjet vs Arthroscopic Bankart Repair: A Retrospective Study 肩关节不稳定修复的结果- Latarjet与关节镜下Bankart修复:回顾性研究

SVOA Orthopaedics Pub Date : 2023-06-19 DOI: 10.58624/svoaor.2023.03.045

S. R. Baloch, Syed Ata-ur-Rahman, Muhammad Idrees Shah, Adnan Lokhandwala, Saoud Javed

{"title":"Outcomes of Shoulder Instability Repair - Latarjet vs Arthroscopic Bankart Repair: A Retrospective Study","authors":"S. R. Baloch, Syed Ata-ur-Rahman, Muhammad Idrees Shah, Adnan Lokhandwala, Saoud Javed","doi":"10.58624/svoaor.2023.03.045","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.045","url":null,"abstract":"This retrospective study aimed to compare the outcomes of two surgical procedures, Latarjet repair and arthroscopic Bankart repair, for the treatment of anterior shoulder instability. The study included 31 patients between the ages of 16 and 40 years who underwent either Latarjet repair or arthroscopic Bankart repair. The patients were evaluated using the Constant Murley Shoulder Score (CMS) and the American Shoulder and Elbow Surgeons Score (ASES) at 3, 6, and 12 months postoperatively. The results showed a gradual improvement in functional outcomes for both groups during the follow-up period. At one year postoperative, the Bankart repair group exhibited a CMS score of 89.3 and an ASES score of 94.1, while the Latarjet repair group showed a CMS score of 87.8 and an ASES score of 91.3. Statistical analysis revealed no significant differences in the CMS scores at any follow-up time point. However, the ASES score at 12 months postoperative was significantly higher in the Bankart repair group compared to the Latarjet repair group. The findings of this study suggest that both Latarjet repair and arthroscopic Bankart repair yield favorable clinical outcomes in terms of functional improvement for patients with anterior shoulder instability. Although arthroscopic techniques are minimally invasive and preferred by surgeons, the Latarjet procedure offers comparable results with less expenditure. The choice of surgical approach should be based on factors such as the patient's age, level of activity, and the presence of significant bone defects or soft tissue deficiencies. Further comparative studies with long-term follow-ups are recommended to validate these findings and provide more comprehensive insights into the outcomes of these procedures.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126932517","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 Bent Ring Handle Spike: A Simple Technique in Optimizing Exposure in Shoulder Surgery 弯曲环柄钉:在肩部手术中优化暴露的简单技术

SVOA Orthopaedics Pub Date : 2023-05-25 DOI: 10.58624/svoaor.2023.03.044

S. Tse, An-Sofie Van de Kelft, Michael Thomas

引用次数: 0

Congenital Radioulnar Synostosis and Radial Head Dislocation with Elbow Joint Blockage: A Case Report 先天性尺桡关节闭锁、桡骨头脱位伴肘关节阻塞1例

SVOA Orthopaedics Pub Date : 2023-05-23 DOI: 10.58624/svoaor.2023.03.043

E. Modiano, Maria Galicia Ruiz Godoy, Pedro Jorba Elguero

{"title":"Congenital Radioulnar Synostosis and Radial Head Dislocation with Elbow Joint Blockage: A Case Report","authors":"E. Modiano, Maria Galicia Ruiz Godoy, Pedro Jorba Elguero","doi":"10.58624/svoaor.2023.03.043","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.043","url":null,"abstract":"Background: The proximal radioulnar joint is a syndesmal joint which stabilizes the forearm during pronation and supination, and the elbow during flexion and extension. Radioulnar synostosis is a congenital condition in which this joint is abnormally merged and, sometimes, the radial head is also dislocated. It’s mainly diagnosed in males (2:1) and the average age of diagnosis is 6 years old. Genetics is the main cause of this condition. Case Summary: We present the case of a 16-year-old male patient, diagnosed with radioulnar synostosis with congenital radial head dislocation, who presented with recurrent events of elbow blockage. A surgical resection of the radial head was performed, allowing the patient to regain a more functional elbow range of motion (R.O.M.) and, consequently, a more active lifestyle. The synostosis was not treated since it was not the main complaint, and the patient presented good compensatory movements. He was released with no complications and came for follow up at 2-weeks and 6 months post-operative with no further complications. Conclusion: Since this is a rare congenital condition, it is difficult to find in literature articles addressing this topic, especially how to approach and treat the disease to provide patients the maximum range of motion possible. This can lead to more case reports and further research and consensus on what the best surgical approach for these patients should be.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132810753","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

Proximal Femoral Replacement for Metastatic Bone Disease - A Case Series 转移性骨病的股骨近端置换术-一个病例系列

SVOA Orthopaedics Pub Date : 2023-04-30 DOI: 10.58624/svoaor.2023.03.042

Javeria Junaid

引用次数: 0

Evaluating the Effectiveness of Intra-articular Platelet Rich Plasma Injections for the Treatment of Knee Osteoarthritis: A Systematic Review 评价关节内富血小板血浆注射治疗膝骨关节炎的有效性:一项系统综述

SVOA Orthopaedics Pub Date : 2023-04-03 DOI: 10.58624/svoaor.2023.03.041

Thomas Joanna, Jayaditya Devpal Patil, Al Dallal Wessam, Athanasiou Anastasia

{"title":"Evaluating the Effectiveness of Intra-articular Platelet Rich Plasma Injections for the Treatment of Knee Osteoarthritis: A Systematic Review","authors":"Thomas Joanna, Jayaditya Devpal Patil, Al Dallal Wessam, Athanasiou Anastasia","doi":"10.58624/svoaor.2023.03.041","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.041","url":null,"abstract":"Introduction: Osteoarthritis (OA) is the most frequently presented joint disorder, and its treatment is often challenging. Current literature has controversial results regarding the efficacy of Platelet Rich Plasma therapy (PRP) when compared to placebo injections. This systematic review investigates the role of intra-articular PRP injections as a recommended treatment option for knee OA with the potential to establish appropriate guidelines for treating physicians. Method: This review used PUBMED, Cochrane and CINHAL database. A thorough review of literature examining PRP injections as treatment options for knee OA was performed. Two independent reviewers evaluated the studies against inclusion and exclusion criterias. The WOMAC stiffness score, VAS Score, and KOOS score were used to assess efficacy of PRP treatment. Twelve articles met the criteria for inclusion and were analysed in this study. Results: PRP injections caused a significantly better improvement in WOMAC stiffness score (25.5%), VAS Score (31.7%), and KOOS score (6.2%) after six months of treatment. Conclusion: This review demonstrated significant improvement in pain relief and stiffness levels in patients with knee OA receiving intra-articular PPR when compared to placebo. Further research is required to establish the optimum dose and duration of treatment with PRP injections for knee OA.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122214819","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

Extramedullary Intradural Spinal Schwannoma: A Case Report and Successful Treatment Approach 髓外硬膜内脊髓神经鞘瘤一例报告及成功治疗方法

SVOA Orthopaedics Pub Date : 2023-03-28 DOI: 10.58624/svoaor.2023.03.040

Yousif Sharaf, F. Salloom, H. Meer, Mohamed Albagali, Abdulla hasan Alqallaf, Yakub Sayyad, Zahra R. Alzaimoor

{"title":"Extramedullary Intradural Spinal Schwannoma: A Case Report and Successful Treatment Approach","authors":"Yousif Sharaf, F. Salloom, H. Meer, Mohamed Albagali, Abdulla hasan Alqallaf, Yakub Sayyad, Zahra R. Alzaimoor","doi":"10.58624/svoaor.2023.03.040","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.040","url":null,"abstract":"Studies have shown that extramedullary intradural tumors (EIDTs) can develop from various tissues and structures surrounding the spinal cord, including nerve roots, meninges, or vertebral bodies. Nerve sheath tumors account for approximately 30% of EIDTs in adult, while meningeal tumors account for approximately 25%. The prevailing types of tumors are Schwannomas, accounting for 29% of cases, and gliomas at 22%. We present our 46-year-old female who visited the clinic reporting a persistent upper back pain in the thoracic region for one year. The MRI revealed an EIDT on the right side of the spinal canal at the T6-T7 level which was consistent with a possible diagnosis of schwannoma. This case report highlights the diagnosis, management, and outcome of a patient with schwannoma. Following removal of the extradural portion of the mass, the dura defect was closed by duraplasty. Fortunately, there was no observed loss of function after surgery. This favorable result underscores the critical role of timely and precise diagnosis, meticulous preoperative assessment, and appropriate surgical methods in managing such tumors. This case report on Schwannomas can contribute to our understanding of the disease and help in developing better treatment and management strategies compared to the literature which is still unclear.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129519572","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

Genicular Nerve Radiofrequency Ablation Before Meniscal Transplant - A Case Report 半月板移植前膝神经射频消融术1例

SVOA Orthopaedics Pub Date : 2023-02-14 DOI: 10.58624/svoaor.2023.03.038

Rosana P. F. Pinheiro, J. L. Carvalho, Tiago Lopes, Adriana Pascoal, Luis F. P. Oliveira, E. Gonçalves, M. Martins, R. Araujo

{"title":"Genicular Nerve Radiofrequency Ablation Before Meniscal Transplant - A Case Report","authors":"Rosana P. F. Pinheiro, J. L. Carvalho, Tiago Lopes, Adriana Pascoal, Luis F. P. Oliveira, E. Gonçalves, M. Martins, R. Araujo","doi":"10.58624/svoaor.2023.03.038","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.038","url":null,"abstract":"Case Description: A 47 - year - old male with left knee pain after partial medial meniscectomy and arthroscopic chondral microfractures, was proposed for meniscal transplantation in 2019. Patient ’ s knee pain was described as a moderate constant pain (6/10 in Visual Numeric Scale, VNS), with major interference in daily activity. Previous conservative treat-ment (physical therapy and oral analgesic medication) showed no substantial result. An intra - articular injection with hyaluronic acid and intra - articular of autologous platelet - rich plasma had also been performed without long term pain relief. Results: The patient underwent genicular nerve radiofrequency ablation (RFA), which resulted in long lasting pain relief. At six months of follow - up, patient reported a pain reduction, with VNS 0/10. Discussion: Genicular nerve RFA shows promising results in both pain reduction and functional improvement in patients with knee osteoarthritis. There is no data evaluating the efficacy of pain control before meniscal transplantation, with genicular nerve RFA. In our case, patient reported no pain after treatment and no need for analgesic treatment during this follow - up. Conclusion : Genicular nerve RFA seems to be a treatment option to fill the gap between conservative treatment and invasive surgery, even in patients with non - osteoarthritis related chronic knee pain.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121515429","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

Evaluation of Walking Disorders After Lower Extremity Fractures 下肢骨折后行走障碍的评估

SVOA Orthopaedics Pub Date : 2023-02-14 DOI: 10.58624/svoaor.2023.03.039

Mehmet Hanifi Kaya, Ayşe Nur Ergi̇ndoğan, B. Büyükturan, Ö. Büyükturan

引用次数: 0

Comparison of Upper and Lower Extremity Normal Joint Spaces of Patients with Adolescent Idiopatic Scoliosis with their Healthy Contemporary 青少年特发性脊柱侧凸患者的上、下肢正常关节间隙与健康同龄人的比较

SVOA Orthopaedics Pub Date : 2023-02-08 DOI: 10.58624/svoaor.2023.03.037

Mehmet Hanifi Kaya

{"title":"Comparison of Upper and Lower Extremity Normal Joint Spaces of Patients with Adolescent Idiopatic Scoliosis with their Healthy Contemporary","authors":"Mehmet Hanifi Kaya","doi":"10.58624/svoaor.2023.03.037","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.037","url":null,"abstract":"Objective: This study was conducted to compare the normal range of motion of the shoulder and elbow in the upper extremity, hip and knee in the lower extremity of patients with a diagnosis of adolescent idiopathic scoliosis (AIS) with their healthy peers. Method: Socio - demographic and physical characteristics of all individuals participating in the study were recorded. Only subjects with Lenke type 1 curve were included in the study and all included subjects had right thoracic curves. The hip, knee, shoulder and elbow flexion and extension normal range of motion of the participants were evaluated using a universal goniometer. Results: A total of 56 adolescents, 20 girls and 8 boys in the AIS group, and 20 girls and 8 boys in the control group, participated in the study. The thoracic curve of the group with scoliosis was calculated as 19.61±4.16. Among the cases included in the study, the mean age of the AIS group was calculated as 14.2±1.26 years, and the mean age of the control group as 13.84±0.62 years. When we look at the findings, it was seen that the shoulder, hip and knee flexion normal range of motion values of children with right thoracic adolescent idiopathic scoliosis were statistically lower than the flexion normal range of motion values of healthy children. (p<0.05) Conclusion: According to the findings of the study, the decrease in flexion and normal joint range of motion in the extremities should also be considered in the treatment of adolescent idiopathic scoliosis.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121056230","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

Posterolateral Fusion Surgery with Decompression: An Effective Treatment Option for Lumbar Spinal Stenosis 后外侧融合减压手术:腰椎管狭窄症的有效治疗选择

SVOA Orthopaedics Pub Date : 2023-01-30 DOI: 10.58624/svoaor.2023.03.036

Yousif Sharaf

{"title":"Posterolateral Fusion Surgery with Decompression: An Effective Treatment Option for Lumbar Spinal Stenosis","authors":"Yousif Sharaf","doi":"10.58624/svoaor.2023.03.036","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.036","url":null,"abstract":"Objective: The purpose of this study was to provide a comprehensive description of our experience in treating lumbar spinal stenosis (LSS) patients and the clinical outcomes and postoperative complications of surgical decompression and non - instrumented posterolateral fusion. Methods: It ’ s an observational descriptive cross - sectional study conducted on 124 consecutive patients operated for the first time for lumber spinal stenosis. Results: A total of 124 patients operated for the first time for lumber spinal stenosis during the study period. The mean age was 63.8±11.6 years. Women were slightly predominant compared to men (52.4% vs. 47.6%). The mean Oswestry disability index differed statistically significantly between time points (F (1.93, 237.798) = 6995.59, P < 0.0001) between all the periods (Figure 1). Similarly for Zurich Claudication Questionnaire score over time, the mean also was significantly different between time points (F (2, 246) = 70.828, P < 0.0001). Conclusion: Posterolateral fusion surgery with decompression was found to be an effective treatment for lumbar spinal stenosis. This approach involves fusion without instrumentation, which reduces both operating time and intraoperative complications. It also leads to faster post - operative mobilization and less pain. Therefore, it is suggested that posterolateral noninstrumented fusion surgery with decompression be considered as a primary treatment option for lumbar spinal stenosis.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130828210","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