Zhongguo gu shang = China journal of orthopaedics and traumatology最新文献

{"title":"[Finite element analysis of the correlation between lateral collateral ligament injury of the ankle joint and subtalar articular cartilage injury].","authors":"Hai-Yang Zhang, Bo Lou, Zheng Liu, Zhe Zhu, Huan Wang","doi":"10.12200/j.issn.1003-0034.20230658","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230658","url":null,"abstract":"<p><strong>Objective: </strong>To establish foot and ankle models of different lateral collateral ligament injuries of ankle joint, and conduct finite element analysis on, and to explore the force conditions of subtalar articular cartilage during foot inversion movements under different gait stages and under different loads.</p><p><strong>Methods: </strong>A normal ankle CT scan of a 30-year-old male healthy volunteer (heighted 175 cm and weighted 60 kg) was selected. The CT images were imported into software such as Mimics 21.0, Geomajic 2017, and Solidworks 2017 respectively, extract the normal ankle bone model. Then, the foot and ankle finite element models of different lateral collateral ligament injuries of ankle joint were constructed and divided into anterior talofibular ligament(ATFL) rupture group, ATFL and calcaneo fibular ligament (CFL) rupture group, ATFL, CFL and posterior talofibular ligament (PTFL) rupture group, and control group with intact ligament function by ANSYS 2021. Corresponding horizontal and vertical loads and torques were applied respectively on tibia and talus according to the force conditions of different phases to simulate landing phase, neutral and off-ground phase in walking gait. The changes in stress distribution area and stress peak of subtalar articular cartilage in the loading phase, neutral phase and off-ground phase gaits among four groups were observed. Simulate varus sprain action, apply different loads of 600, 1, 800, and 4, 200 N respectively, and changes in stress distribution area and the stress peak of subtalar articular cartilage among four groups of models were observed.</p><p><strong>Results: </strong>In the gait simulation, the stress results of loading phase in ATFL fracture group, ATFL and CFL fracture groups, ATFL, CFL and PTFL fracture groups, and control group were 0.889 54, 0.960 89, 1.139 20, and 0.722 64 MPa, respectively. The neutral response force results were 1.250 60, 1.358 50, 1.363 70, 1.246 40 MPa respectively;the results of corresponding forces off-ground phase were 1.029 90, 1.138 70, 1.145 90 and 0.832 40 MPa respectively. In the inversion simulation, the stresses of ATFL fracture group, ATFL and CFL fracture groups, ATFL, CFL and PTFL fracture groups, and control group under load of 600 N were 2.191 3, 2.208 5, 2.215 7, and 2.156 6 MPa respectively. The stresses under a load of 1 800 N were 7.134 7, 9.715 2, 10.064 0, and 7.107 0 MPa respectively;the stresses under a load of 4 200 N were 17.435 0, 25.309 0, 26.119 0 and 16.010 0 MPa respectively.</p><p><strong>Conclusion: </strong>The lateral collateral ligament of ankle joint plays an important role in the stability of the subtalar joint, especially CFL plays an important role in restricting calcaneal varus. If these ligaments are damaged, it will cause instability of the subtalar joint and further lead to lesions in the subtalar articular cartilage. Relevant exercises should be reduced or the ligament injuries should be treat","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"626-32"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555140","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}

{"title":"[Comparison of clinical efficacy of transmetatarsal incision and lateral soft tissue release of medial incision combined with Scarf osteotomy in the treatment of moderate to severe hallux valgus].","authors":"Feng-Ping Wen, Xing Liu, Chong-Yang Chen, Shi-Kun Tian","doi":"10.12200/j.issn.1003-0034.20241127","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20241127","url":null,"abstract":"<p><strong>Objective: </strong>To compare clinical efficacy of intermetatarsal incision and lateral soft tissue release of medial incision combined with Scarf osteotomy in treating moderate to severe hallux valgus (HV).</p><p><strong>Methods: </strong>A retrospective analysis was conducted on clinical data of 42 patients with moderate to severe HV admitted from January 2022 to December 2022. According to different incisions, the patients were divided into medial incision group with 22 patients (22 feet) and intermetatarsal incision group with 20 patients (20 feet). In medial incision group, there were 3 males and 19 females, aged from 40 to 69 years old with an average of (55.0±11.4) years old;body mass index (BMI) ranged from 21 to 29 kg·m-2 with an average of (25.2±2.1) kg·m-2;the courses of disease ranged from 8 to 16 years with average of (12.0±2.2) years;11 patients with moderate deformity and 11 patients with severe deformity. In transplantar incision group, there were 3 males and 17 females, aged from 39 to 68 years old with an average of (53.0±7.5) years old;BMI ranged from 20 to 28 kg·m<sup>-2</sup> with an average of (24.8±1.9) kg·m<sup>-2</sup>;the courses of disease ranged from 9 to 17 years with an average of (14.0±3.1) years;9 patients with moderate deformity and 11 patients with severe deformity. Hallux valgus angle (HVA) and the first-second intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society (AOFAS) forefoot scores and complications between two groups before operation and 12 months after operation were observed and compared.</p><p><strong>Results: </strong>All patients were successfully completed the surgery and were followed up for 12 to 15 months with an average of (13.52±1.65) months. There were no statistically significant difference in HVA and IMA between two groups before operation and 12 months after operation (<i>P</i>>0.05). AOFAS forefoot scores of medial incision group before operation and 12 months after operation were (45.0±6.8) and (86.0±6.7) respectively, and those of transmetatarsal incision group were (46.0±7.4) and (83.0±7.5) respectively. Postoperative AOFAS forefoot scores between two groups at 12 months were statistically significant compared with those of before operation (<i>P</i><0.01). According to AOFAS forefoot scores, 8 patients got excellent result, 14 good in medial incision group;while 6 excellent and 14 good in transplantar incision group. At 12 months, postoperative AOFAS forefoot score of functional score of in medial incision group(38.0±2.5), was better than that in transplantar incision group (34.0±2.2), and the difference was statistically significant (<i>P</i><0.05). One patient in medial incision group occurred HV deformity, mild numbness occurred in 3 toes in transplantar incision group, and 3 patients were dissatisfied with scar. No complications such as infection, nonunion of bones or ischemic necrosis of metatarsal heads occurred in either group.</p><p><strong>Conclu","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"559-65"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555130","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}

{"title":"[Experimental study on autologous osteochondral transplantation in the treatment of recurrent anterior dislocation of the shoulder joint with articular cartilage defect in rabbits].","authors":"Tao Liu, Sen Fang, Fang-Xiang Liu, Ming-Tao Zhang, Zhi-Tao Yang, Bo-Rong Zhang, Jun-Wen Liang, Xi-Hao Wang, Jin Jiang, Xiang-Dong Yun","doi":"10.12200/j.issn.1003-0034.20230804","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230804","url":null,"abstract":"<p><strong>Objective: </strong>To explore clinical effect of autologous osteochondral transplantation (AOT) in the treatment of recurrent anterior dislocation of the shoulder joint with glenoid cartilage defect in rabbits by establishing a model of recurrent anterior dislocation of the shoulder joint with < 20% glenoid cartilage defect in rabbits.</p><p><strong>Methods: </strong>Twenty-four male New Zealand white rabbits, aged 6-month-old, weighed (2.69±0.17) kg were selected. The labrum of shoulder joint of rabbits was artificially destroyed to establish a model of recurrent anterior dislocation of shoulder joint with cartilage defect. They were divided into AOT surgery group and simple suture group, with 12 rabbits in each group. AOT group were underwent AOT surgery, while simple suture group was treated with simple Bankart suture for recurrent shoulder joint dislocation. At 6 and 12 weeks after operation, 6 rabbits between two groups were sacrificed for sampling. The dietary conditions, activity conditions, mental states of rabbits and healing conditions of grafts in the specimens were observed and compared between two groups. HE staining was used to observe cell creep, cell morphology, inflammatory cell infiltration, fibrochondrocytes and their arrangement. Masson staining was used to observe the formation and arrangement of collagen fibers; Safrane-green staining was used to observe the regeneration of articular cartilage, subchondral bone and bone tissue. Bone mineral density (BMD), bone volume (BV) and trabecular thickness (Tb.Th) between two groups were measured by Micro-CT to evaluate the remodeling of shoulder glenoid bone defects by autologous osteochondral cartilage.</p><p><strong>Results: </strong>After different surgical interventions were carried out in both groups of rabbits, at 6 weeks after the operation, the abduction, extension, internal rotation and external rotation of the shoulder joint on the operated side showed limited range of motion compared with the contralateral side, while adduction and forward flexion showed no obvious abnormalities compared with the contralateral side. At 12 weeks after operation, the range motion of tshoulder joints in both groups of rabbits had returned to the state before modeling. The effects of HE staining, Masson staining and safrane-green staining at 12 weeks after operation in both groups were stronger than the staining results at 6 weeks after operation. Moreover, the results of HE staining, Masson staining and safranin fixation green staining in AOT group at 6 and 12 weeks after operation were all higher than those in simple suture group. Micro-CT scan results at 6 and 12 weeks after operation showed that BMD (0.427±0.014), (0.466±0.032) g·cm-3, BV(116.171±3.527), (159.327±3.500) mm3, and Tb.Th (0.230±0.006), (0.285±0.009) mm in AOT group, which were higher than those of simple suture group in BMD(0.358±0.011), (0.384±0.096) g·cm-3, BV(72.657±3.903), (118.713±3.860) mm3, and Tb.Th(0.204±","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"619-25"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555131","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}

{"title":"[Clinical analysis of fusion therapy for typeⅡpainful scaphoid of foot accessory].","authors":"Jun-Jie Li, Jiang-Feng Zhang, Jia-Bao Dong, Mi-Yang Xu, Gen-Rui Zhu, Xiong-Feng Li","doi":"10.12200/j.issn.1003-0034.20230994","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230994","url":null,"abstract":"<p><strong>Objective: </strong>To explore clinical effect of accessory scaphoid bone fusion in treating typeⅡpainful accessory scaphoid bone.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 26 patients with typeⅡpainful accessory navicular bone treated by accessory navicular bone fusion from January 2012 to June 2022, including 1 male and 25 females, aged from 18 to 70 years old with an average of (44.61±16.32) years old;10 patients with typeⅡA and 16 patients with typeⅡB;20 patients with simple fusion and 6 patients with fusion plus calcaneal translocation osteotomy. Changes of Meary angle, Pitch angle, anteroposterior talar-first metatarsal angle (T1MA), talonavicular coverage angle (TCA), lateral talocalcaneal angle (LTCA) before operation and 6 months after operation were observed and compared, and American Orthopedic Foot and Ankle Society (AOFAS) foot and ankle score and visual analogue scale (VAS) were used to explore clinical effect.</p><p><strong>Results: </strong>All 26 patients were followed up for 7 to 24 months with an average of (10.72±3.94) months. Meary angle, Pitch angle, T1MA, TCA and LTCA were improved from (9.20±2.57) °, (16.45±3.57) °, (33.34±5.02) °, (22.42±5.86) °, (48.89±4.43) ° before opertaion to (3.33±1.06) °, (22.33±4.56) °, (23.89±3.48) °, (11.83±2.67) °, (36.50±3.50) ° at 6 months after operation, the difference were statistically significant (<i>P</i><0.01). Postoperative AOFAS foot and ankle score were (86.24±4.33) and (93.18±6.02) for typeⅡA and typeⅡB at 6 months, which were significantly improved compared with those for typeⅡA and typeⅡB before operation (67.34±6.55) and(65.12±9.51), and the difference was statistically significant (<i>P</i><0.01);20 patients got excellent result, 5 good and 1 poor. Preoperative VAS of typeⅡA(5.67±1.58) and typeⅡB (5.77±1.49) were improved to(2.13±1.01) and (1.43±0.68) at 6 months after operation, with statistical significance(<i>P</i><0.01).</p><p><strong>Conclusion: </strong>Fusion of accessory navicular bone in patients with typeⅡpainful accessory navicular bone combined with internal calcaneal osteotomy in patients with partial calcaneal valvaration could effectively correct flat foot deformity and relieve pain, and could be used as a clinical treatment for painful accessory navicular bone.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"608-12"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555126","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}

{"title":"[Imaging changes of the intervertebral disc after posterior cervical single door enlarged laminoplasty for cervical spinal stenosis with disc herniation].","authors":"Yan-Dong Zhang, Xu-Hong Xue, Sheng Zhao, Gui-Xuan Ge, Xiao-Hua Zhang, Shi-Xiong Wang, Ze Gao","doi":"10.12200/j.issn.1003-0034.20230109","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230109","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To explore prevalence, incidence and possible factors of immediate herniated discs after posterior cervical expansive open-door laminoplasty (EODL).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Totally 29 patients with cervical spinal stenosis and intervertebral disc herniation who underwent EODL from October 2020 to December 2021 were collected, including 24 males and 5 females, aged from 43 to 81 years old with an average of (61.3±9.0) years old;the courses of disease ranged from 1 to 120 months with an average of (36.4±37.0) months. Three or more intervertebral discs on C&lt;sub&gt;3&lt;/sub&gt;-C&lt;sub&gt;7&lt;/sub&gt; were observed. The clinical efficacy was evaluated according to Japanese Orthopaedic Association (JOA) score before operation, 3 days and 1, 3, 6 and 12 months after operation, respectively. The changes of herniated disc before and after operation were measured by multipoint area method and two-dimensional distance method, and incidence and percentage of herniated disc regression were further calculated. Cervical imaging parameters such as Cobb angle (C&lt;sub&gt;3&lt;/sub&gt;-C&lt;sub&gt;7&lt;/sub&gt;), intervertebral angle, T&lt;sub&gt;1&lt;/sub&gt; slope (T&lt;sub&gt;1&lt;/sub&gt;S), spinal canal sagittal diameter, K-line angle, dural sac sagittal diameter were measured and compared before and after operation. Pearson correlation was used to analyze correlation between cervical sagittal imaging parameters and disc herniation changes before and after operation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;All patients obtained grade A wound healing, and 14 of them were followed up for 3(1.00, 5.25) months. There were no immediate or long-term postoperative complications. Totally 101 herniated intervertebral discs were measured, of which 79 regression numbers were obtained by area measurement. The number of intervertebral disc regressions by distance measurement was 77. There was no statistically significant difference in Cobb angle, intervertebral angle, T&lt;sub&gt;1&lt;/sub&gt;S and K-line angle of C&lt;sub&gt;3&lt;/sub&gt;-C&lt;sub&gt;7&lt;/sub&gt; (&lt;i&gt;P&lt;/i&gt;&gt;0.05), however, there were statistically significant differences in sagittal diameter of spinal canal, sagittal diameter of dural sac, and JOA score before and after operation(&lt;i&gt;P&lt;/i&gt;&lt;0.05). The regression ratio of disc herniation ranged from 5% to 50%, and regression ratio of disc herniation was greater than 25% in 45.57%(36/79). Disc herniation in C&lt;sub&gt;4,5&lt;/sub&gt; was positively correlated with sagittal plane diameter in C&lt;sub&gt;5&lt;/sub&gt;(&lt;i&gt;r&lt;/i&gt;=0.423, &lt;i&gt;P&lt;/i&gt;=0.028). There was a negative correlation between changes of C&lt;sub&gt;3,4&lt;/sub&gt; and C&lt;sub&gt;3,4&lt;/sub&gt; intervertebral angle (&lt;i&gt;r&lt;/i&gt;=-0.450, &lt;i&gt;P&lt;/i&gt;=0.041). The improvement rate of cervical JOA score immediately after operation was (59.54±15.07) %, and postoperative follow-up improved to (76.57±14.66) %.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Herniated disc regression immediately after EODL is a common occurrence, and EODL should be selected as far as possible under the premise of satisfying surgical indications. The reg","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"572-80"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555141","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}

{"title":"[Mechanism of traditional Chinese medicine monomers on regulating bone marrow mesenchymal stem cells to promote tendon-bone healing].","authors":"Xiang-Zhe Meng, Guan-Ming Tian, Lei Han, Tuo Wang","doi":"10.12200/j.issn.1003-0034.20240899","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240899","url":null,"abstract":"<p><p>The healing of the tendon-bone interface is a complex dynamic process involving the interaction of multiple cellular and molecular signaling pathways. Bone mesenchymal stem cells (BMSCs) have the potential to differentiate into various types of cells, including osteoblasts, chondrocytes and adipocytes, etc., and have the potential to regenerate damaged tissues. They are potential seed cells for promoting tendon-bone healing. How to precisely regulate the proliferation and differentiation of BMSCs to accelerate the process of tendon-bone healing is a current research hotspot. Monomers of traditional Chinese medicine can promote tendon-bone healing by regulating signaling pathways such as Wnt/β-catenin and BMP/Smad to induce osteogenic and chondrogenic differentiation of BMSCs. This article reviews from several aspects such as the regulatory role of related signaling pathways on tendine-bone healing, traditional Chinese medicine monomers and their mechanism of regulating BMSCs to promote tendine-bone healing in order to providing new ideas for promoting tendine-bone healing.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"645-50"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555144","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}

{"title":"[Analysis of rapeutic effect of musculoskeletal ultrasound-guided acupuncture for the treatment of myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy].","authors":"Xiao Liang, Jing Wang, Xiao-Hui Xia, Hong-Tao Wang","doi":"10.12200/j.issn.1003-0034.20240390","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240390","url":null,"abstract":"<p><strong>Objective: </strong>To compare clinical efficacy of musculoskeletal ultrasound-guided acupuncture treatment and radiation extracorporeal shock wave therapy in myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy.</p><p><strong>Methods: </strong>From June 2021 to April 2022, 75 patients with myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy were admitted and divided into musculoskeletal ultrasound group and extracorporeal shock wave group according to different treatment methods. There were 39 patients in musculoskeletal ultrasound group, including 12 males and 27 females, aged from 43 to 77 years old with an average of (56.33±9.45) years old;11 patients on the left side and 28 patients on the right side;the course of disease with a median of 7.00(4.00, 12.00) weeks;acupuncture treatment was performed under the guidance of musculoskeletal ultrasound. There were 36 patients in extracorporeal shock wave group, including 16 males and 20 females, aged from 46 to 72 years old with a median of (58.94±8.94) years old;12 patients on the left side and 24 patients on the right side;the course of disease with an average of 5.50(4.00, 8.00) weeks;extracorporeal shock wave therapy with radiation were performed. Visual analogue scale (VAS) and American shoulder and elbow surgeons score (ASES) were compared between two groups to evaluate improvement of shoulder joint pain and function before treatment and 1, 3, 6, 12, and 24 months after treatment.</p><p><strong>Results: </strong>Both of two groups were followed up for 24 to 27 months with an average of (24.68±0.89) months. No complications such as infection and vascular and nerve injury occurred during follow-up period. At 6 months after treatment, VAS of musculoskeletal ultrasound group (2.00±1.19) was lower than that of extracorporeal shock wave group (3.08±1.02), and the difference was statistically significant (<i>P</i><0.05). At 1, 3, 12 and 24 months after treatment, there were no statistically significant difference in VAS between two groups (<i>P</i>>0.05). At 3, 6 and 12 months after treatment, ASES scores of musculoskeletal ultrasound group were (77.44±11.56), (86.06±6.11), and (89.44±4.66) respectively, which were higher than those of extracorporeal shock wave group (55.23±12.76), (58.10±10.25), (84.03±7.36), the differences were statistically significant (<i>P</i><0.05);there were no statistically significant difference in ASES between two groups at 1 and 24 months after treatment(<i>P</i>>0.05).</p><p><strong>Conclusion: </strong>Musculoskeletal ultrasound-guided acupuncture treatment has advantages of faster pain relief and more rapid improvement of shoulder joint function for myofascial pain syndrome after rotator cuff suture under shoulder arthroscopy compared with radioactive extracorporeal shock wave therapy.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"601-7"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555125","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}

{"title":"[A case report of acute pulmonary embolism after oblique lateral lumbar interbody fusion].","authors":"Peng Qiu, Dong-Xia Chen, Xiao-Feng Liu, Guang-Xi Huang, Shuang Shan, Shi-Hua Cao, Xu He","doi":"10.12200/j.issn.1003-0034.20240266","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240266","url":null,"abstract":"","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"641-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555123","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}

{"title":"[Influence of the presence or absence of the second hammertoe on clinical effect of hallux valgus].","authors":"Jing Tian, Tian-Yu Han, Bing Xie","doi":"10.12200/j.issn.1003-0034.20240149","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240149","url":null,"abstract":"<p><strong>Objective: </strong>To compare clinical effect of Ludloff operation on the clinical efficacy of patients with hallux valgus combined with hammertoe of the second toe.</p><p><strong>Methods: </strong>The clinical data of 66 patients with hallux valgus treated with Ludloff surgery from July 2015 to July 2022 were retrospectively analyzed. According to exclusion criteria, 33 patients with hallux valgus combined with hammertoe were finally included as case group, and 33 patients with simple hallux valgus were paired as control group. There were 11 males and 22 females in case group, aged from 24 to 62 years old with an average of (33.6±12.7) years old;body mass index (BMI) ranged from 19 to 25 kg·m^-2 with an average of(21.7±3.1) kg·m^-2;17 patients on the left side and 16 patients on the right side;hallux valgus angle (HVA) ranged from 25° to 47° with an average of (36.3±10.2) °;the intermetatarsal angle (IMA) ranged from 13° to 21° with an average of (16.9±3.2) °. There were 12 males and 21 females in control group, aged from 22 to 61 years old with an average of (32.2±10.9) years old;BMI ranged from 18 to 26 kg·m^-2 with an average of (22.0±4.2) kg·m^-2;15 patients on the left side and 18 patients on the right side;HVA ranged from 26° to 46° with an average of (37.2±9.3) °;IMA ranged from 12° to 21° with an average of (17.3±4.7) °. HVA, IMA, American Orthopaedic Foot and Ankle Society (AOFAS) forefoot scores and visual analogue scale (VAS) were compared at 3, 6 and 12 months after operation between two groups.</p><p><strong>Results: </strong>Both groups were completed 1 year postoperative follow-up. Postoperative cutaneous margin necrosis occurred in 2 patients of case group and incision rupture occurred in 1 patient of control group. There was no significant difference between two groups (<i>χ</i>²=0.058, <i>P</i>>0.05). Both groups were achieved bone union at stageⅠat 12 weeks after opertaion, and no recurrence of bunion was observed during follow-up. Three months after operation, AOFAS forefoot function score of case group was (73.4±8.6), which was lower than that of control group (82.1±10.3), and the difference was statistically significant (<i>P</i><0.05). There were no significant differences in HVA, IMA, AOFAS and VAS between two groups at 6 and 12 months after operation (<i>P</i>>0.05).</p><p><strong>Conclusion: </strong>Ludloff surgery for the treatment of bunions with malleform toe of the second toe is slow in the early postoperative functional recovery, but it did not affect the long-term clinical outcome of the patients.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"553-8"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555142","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}

{"title":"[Comparative study of combined external fixator and plate fixation in the treatment of humerus throwing fracture].","authors":"Pei-Gang Gao, Xing-Cun Wang, Li-Qiang Zhu","doi":"10.12200/j.issn.1003-0034.20240349","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240349","url":null,"abstract":"<p><strong>Objective: </strong>To compare clinical efficacy of combined external fixator and plate fixation in treating throwing fracture of humerus.</p><p><strong>Methods: </strong>Sixty-seven male patients with throwing humerus fracture admitted from February 2018 to February 2021 were retrospectively analyzed and divided into external fixator group and plate group according to different treatment methods. There were 32 patients in external fixator group, aged from 18 to 27 years old with an average of (23.6±2.6) years old;19 patients with type A, 13 patients with type B according to AO classification;fixed by combined external fixer. There were 35 patients in plate group, aged from 17 to 28 years old with an average of (23.2±2.9) years old;21 patients with type A, 14 patients with type B according to AO classification;fixed with steel plate screws. Operation time, intraoperative blood loss, total incision length, fracture healing time and complications were compared between two groups. Clinical effect was evaluated by Mayo elbow performance score (MEPS) and shoulder Neer score at 12 months after operation.</p><p><strong>Results: </strong>Patients in both groups were successfully completed operation and followed up for 15 to 21 months with an average of (18.3±3.4) months. In external fixator group, intraoperative blood loss, incision length, fracture healing time and postoperative MEPS of elbow joint function at 12 months were (68.5±15.7) ml, (4.9±1.2) cm, (10.5±2.9) weeks, (93.6±5.1) min, respectively;which were superior to ml (149.4±38.9) ml, (12.5±2.4) cm, (12.8±2.7) weeks, (85.6±6.8) in plate group (<i>P</i><0.05), and had significant differences;there were no significant difference in operative time and postoperative Neer score of shoulder joint function at 12 months between two groups (<i>P</i>>0.05). There were 6 patients occurred radial nerve injury in plate group and no patient occurred radial nerve injury in external fixator group, and the difference between two groups was statistically significant (<i>χ</i>²=6.025, <i>P</i><0.05). There were no significant difference in postoperative MEPS grading and Neer shoulder joint grading at 12 months (<i>P</i>>0.05). Bone healing was achieved in both groups without failure of internal fixation.</p><p><strong>Conclusion: </strong>The combined external fixator for the treatment of humerus throwing fracture has characteristics of low incidence of radial nerve injury, less bleeding, less complications, fast fracture healing, which is convenient to remove after fracture healing.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"613-8"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555129","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}