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

{"title":"[Research progress on the repair of tendon injuries with Tissue Engineering Technology].","authors":"Yan-Jun Wang, Ling-Tong Kong, Shuo-Gui Xu","doi":"10.12200/j.issn.1003-0034.20240545","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240545","url":null,"abstract":"<p><p>Tendon injuries are frequently encountered in clinical practice, and traditional repair methods rarely achieve complete restoration of the tendon's original structure and functionality. The challenges of accelerating and optimizing the healing of injured tendons, enhancing the strength of the regenerated tendon, and preventing adhesion remain significant in clinical settings. Tendon tissue engineering, which combines material science, cell biology, and molecular biology, involves the synergistic application of multiple factors to create functional constructs and has become an emerging technique with promise for repair. The maximization of the regenerative potential of these elements is a critical research question. Future research should concentrate on discovering the optimal combinations of cells, biosignals, and scaffolds to produce tissue that emulates the characteristics of an undamaged, natural tendon. This review will cover various aspects, including the fabrication of tendon tissue scaffolds, the selection of seed cells, strategies for the modulation of healing-related biosignals, and provide a summary with prospective insights, aiming to enhance the comprehension of tissue engineering techniques in tendon injury repair and to inspire innovative applications in this domain.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1126-31"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740607","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 anterior lateral ligament reconstruction and anterior lateral complex repair in the treatment of anterior cruciate ligament combined with anterior lateral ligament injury with high-grade pivot shift].","authors":"Xue-Feng Jia, Qing-Hua Wu, Tong-Bo Deng, Xiao-Zhen Shen, Jian-Ping Ye, He Fang, Rong-Chang Zhou, Yang Cao, You-Fen Chen, Qi-Ning Yang, Guo-Hong Xu","doi":"10.12200/j.issn.1003-0034.20231280","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20231280","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To retrospectively analyze the clinical efficacy of anterior cruciate ligament (ACL) reconstruction combined with anterolateral complex repair and ACL reconstruction combined with ALL reconstruction in the treatment of anterior cruciate ligament injuries with high-grade pivot shift.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;From January 2018 to June 2022, 49 patients combined ACL and ALL injuries with high-grade pivot shift were retrospectively studied from three hospitals, 29 of them underwent ACL reconstruction with anterolateral complex repair (repair group), including 23 males and 6 females with an average age of (27.5±4.8) years old, ranged from 20 to 37 years old;the injured sides were 13 on the left and 16 on the right, and 11 patients were suffered with meniscus injury. The other 20 patients underwent ACL and ALL reconstruction (reconstruction group) including 17 males and 3 females with the mean age of (27.1±4.5) years old, ranged from 20 to 38 years old;the injured sides were 8 on the left and 12 on the right, and 6 patients were suffered with meniscus injury. Knee stability (pivot shift test, KT-2000), range of motion, knee function (Lysholm scoring scale, Cincinnati sports activity scale (CSAS) scoring scale, and Tegner activity level score between two groups were compared.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 49 patients were followed up, the repair group receiving 13 to 20(15.3±1.8) months and the reconstruction group receiving 12 to 21(16.0±2.2) months. There was no statistically significant difference in the preoperative pivot shift test grading distribution between two groups (&lt;i&gt;P&lt;/i&gt;&gt;0.05). At the last postoperative follow-up, there were 24 patients with grade 0 and 5 patients with grade 1 in the repair group, and there were 18 patients with grade 0 and 2 patients with grade 1 in the reconstruction group, there is no significant difference in the distribution of axial shift test grading between two groups(&lt;i&gt;P&lt;/i&gt;&gt;0.05). The preoperative KT-2000 tibial displacement of two groups were (9.39±0.77) mm (repair group) and (9.14±0.78) mm (reconstruction group) respectively, with no statistically significant difference (&lt;i&gt;P&lt;/i&gt;&gt;0.05). At the final postoperative follow-up, there were 24 patients with KT-2000 tibial displacement &lt;3 mm and 5 patients with 3 to 5 mm in the repair group, while 18 patients with &lt;3 mm and 2 patients with 3 to 5 mm in the reconstruction group, KT-2000 tibial displacement distribution of two groups was no significant difference (&lt;i&gt;P&lt;/i&gt;&gt;0.05), but the KT-2000 tibial displacement in the reconstruction group (1.30±0.86) mm was significantly smaller than that in the repair group (1.99±1.11) mm (&lt;i&gt;P&lt;/i&gt;&lt;0.05). The final postoperative follow-up range of motion of the contralateral side knee between two groups was no significant difference (&lt;i&gt;P&lt;/i&gt;&gt;0.05). The range of motion of the suffering knee in the repair group was less than that in the reconstruction group (&lt;i&gt;P&lt;/i&gt;&lt;0.05). There ","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1101-6"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740760","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":"[Study on the effect of the distribution of bone cement of residual back pain after percutaneous vertebra plasty].","authors":"Dong-Fang Yu, Xiang-Shan Wang, De-Peng Kou, Shun-Hai Cao","doi":"10.12200/j.issn.1003-0034.20240333","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240333","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of bone cement distribution on efficacy of residual back pain after percutaneous vertebra plasty(PVP).</p><p><strong>Methods: </strong>From January 2017 to December 2020, a total of 65 cases with single segment osteoporotic thoracolumbar vertebral fractures underwent parallel vertebroplasty surgery. On the basis of the postoperative X-ray films of bone cement distribution were divided into two groups. The bone cement was biased to the lateral side of the vertebral body (partial group, 20 cases), there were 9 males and 11 famales with an average age of (70.3±7.4) years old ranging from 60 to 84 years old. The bone cement was over the vertebral midline, and completely filled with contralateral vertebral body (bilateral group, 45 cases), there were 10 males and 35 famales with an average age of (70.7±8.0) years old ranging from 60 to 86 years old. All of them underwent PVP surgery, bone cement was injected into the vertebral body through paitail transpedicular approach. The amount of bone cement injection, the visual analogue scale(VAS) of preoperation and 1 day, 1 month, 3 months after surgery between two groups were observed and compared.</p><p><strong>Results: </strong>The amount of cement injection was (4.25±0.99) ml in the partial group, and (4.07±1.18) ml in the bilateral group, there was no significant difference between two groups (<i>P</i>>0.05). Postoperative pain was relieved than preoperative pain (<i>P</i><0.05), the VAS of 1 day, 1 and 3 months after operation (3.90±1.37), (2.35±0.67) and (1.55±0.51) in the partial group were higher than (2.67±0.60), (1.62±0.58) and (1.31±0.47) in the bilateral group (<i>P</i><0.05). There were 9 cases in partial group, the pain was not relieved due to unfilled cement until the contralateral bone was injected into the bone cement.</p><p><strong>Conclusion: </strong>The distribution of bone cement is one of the main factors affecting residual back pain after PVP, and in the clinical, we should make sure the distribution of bone cement over the midline of vertebral body.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1075-9"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740645","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":"[Application of modified tibial extramedullary localization technique in Link-Sled prosthesis for unicompartmental knee arthroplasty and its clinical efficacy].","authors":"Tian-Ye Hu, Dao-Chao Lin","doi":"10.12200/j.issn.1003-0034.20230346","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230346","url":null,"abstract":"<p><strong>Objective: </strong>To explore clinical effect of modified tibial extramedullary localization technique applied to unicompartmental knee arthroplasty(UKA) in patients with single compartment osteoarthritis.</p><p><strong>Methods: </strong>From May 2018 to February 2022, 75 patients with single-compartment osteoarthritis of knee joint (33 males and 42 females) were treated with modified tibial extramedullary localization technique UKA, aged from 52 to 73 years old with an average of (64.0±6.0) years old;the course of disease ranged from 0.5 to 11.0 years with an average of (3.2±2.7) years;31 patients on the left side, 37 patients on the right side and 7 patients on both sides. The position of prosthesis was evaluated by AP and lateral X-ray of knee joint and postoperative complications were observed. Visual analog scale(VAS) and Hospital for Special Surgery(HSS) of knee score were compared before and 1 year after operation. Forgotten joint score(FJS) was used to evaluate degree of amnesia at 1 year after operation.</p><p><strong>Results: </strong>Seventy-five patients were followed up for 12 to 15 months with an average of (13.0±1.5) months. Postoperative complications were occurred in 2 patients, of which 1 patient was superficial incision infection, which healed after dressing change. One patient was developed intraarticular bleeding at 1 month after operation, which was improved after arthroscopic cleaning. VAS was decreased from (6.4±0.9) before operation to (2.3±0.3) at 1 year after operation (<i>P</i><0.01), and HSS was increased from (65.2±7.5) before operation to (92.8±5.3) at 1 year after operation (<i>P</i><0.01). FJS score at 1 year after operation was (70.5±2.3), indicating that the sensation of knee joint after operation was close to proprioception.</p><p><strong>Conclusion: </strong>UKA has definite clinical effect on single-compartment osteoarthritis, which could reduce postoperative pain, improve knee joint function, and is the main surgical treatment for single-compartment osteoarthritis. The modified tibial extramedullary localization technique could be used to locate osteotomy direction and prosthesis position more conveniently and accurately during operation, and obtain good clinical effect.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1120-5"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740752","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":"[Biological total hip arthroplasty combined with impacting bone grafting for the treatment of moderate to severe acetabular invagination secondary to rheumatoid arthritis].","authors":"Peng Liu, Xiao-Yang Song, Yan-Feng Chang, Ping Zhen, Jun Liu, Sheng-Hu Zhou","doi":"10.12200/j.issn.1003-0034.20230068","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230068","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To explore the surgical technique and clinical outcomes of biological total hip arthroplasty(THA) combined with impacting bone grafting for the treatment of moderate to severe acetabular invagination secondary to rheumatoid arthritis(RA).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Total of 20 patients(28 hips) with RA secondary to acetabular invagination were treated with THA of bioprosthesis combined with autogenous bone grafting from January 2012 to October 2020, including 5 males(8 hips) and 15 females(20 hips) with an average age of (55.10±4.96) years old from 45 to 64 years old. The depth of acetabular invagination was 8.43 to 16.25 mm with an average of (11.91±2.59) mm. According to Sotello-Garza and Charnley classification criterion, there were 15 cases(23 hips) of type Ⅱ(protrusio acetabuli 6 to 15 mm), and 5 cases(5 hips) of type Ⅲ(protrusio acetabuli&gt;15 mm). Autologous femoral head granular bone and(or) allograft impacting grafting were used to reconstruct the acetabum, the biological porous acetabular cup was fixed by pressure fitting. At the postoperative follow-up, the activity function of the hip joint, the length of both lower limbs, VAS and Harris score were evaluated, and the healing of bone graft, the restoration of the hip rotation center and loosening of prosthesis were assessed by X-ray.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The operation time was 75 to 160 min with anverage of (103.32±18.18) min, the intraoperative blood loss was 150 to 650 ml with an average of (319.64±122.61) ml. There were no neurovascular complications during the operation. All patients were followed up from 2 to 10 years with an average of (5.45±2.50) years. The horizontal distance between the center of femoral head and the Kohler's line was increased from (11.40±1.85) mm preoperatively to (25.99±2.56) mm at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.01), and the vertical distance between the center of femoral head and the line joining bilateral ischial tuberosities was decreased from (89.36±5.20) mm preoperatively to (71.84±3.55) mm at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.01). The range of flexion motion of hip joint increased from (44.43±10.57)° preoperatively to (98.75±12.52)° at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.01), the range of abduction motion of hip joint increased from (12.50 ±6.01)°preoperatively to final follow-up (32.82±5.39)°(&lt;i&gt;P&lt;/i&gt;&lt;0.01). The discrepancy of both lower limbs was significantly decreased from (19.39±5.93) mm preoperatively to (6.64±2.87) mm at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.01). The VAS decreased from (5.36±0.78) preoperatively to (1.82±0.86) at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.05), and the Harris score increased from (41.39±7.77) preoperatively to (89.00±4.67) at the final follow-up(&lt;i&gt;P&lt;/i&gt;&lt;0.01). All the patients could move independently without assistance. Among them, 2 patients(2 hips) had hip pain after exercise, and 1 patient(1 hip) suffered from periprosthetic fracture due to fall.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Autologo","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1087-95"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740759","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":"[Huge hematoma caused by gastrocnemius bleeding in left calf following anticoagulant by rivaroxaban in patient after total knee arthroplasty:a case report].","authors":"Xiao-Feng Wang, Yong-Sheng Sun, Wei-Xin Lyu, Xiu-Jun Jin","doi":"10.12200/j.issn.1003-0034.20240853","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240853","url":null,"abstract":"","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1131-4"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740254","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":"[Efficacy analysis of 3D printing prefixed nail path model assisted lumbar and sacral hemivertebra orthopaedic surgery].","authors":"Xiao-Nan Wu, Wei-Ran Hu, Hao-Hao Ma, Yan-Zheng Gao, Xin-Ge Shi, Hong-Qiang Wang, Wen-Sheng Liao","doi":"10.12200/j.issn.1003-0034.20230176","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230176","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the safety and effectiveness of 3D printing prefabricated nail path model assisted lumbosacral hemivertebra orthopaedic surgery.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 8 patients with lumbosacral hemivertebra deformity admitted from January 2016 to July 2021, including 3 males and 5 females, aged 6 to 15 at the time of surgery. The hemivertebra of 4 cases located on the left side and 4 cases on the right side. The hemivertebra of 1 case located at L_2,3, 2 cases at L_3,4, 2 cases at L_4,5, and 3 cases at L₅S₁. Four cases were fully segmented hemivertebra and 4 cases were incomplete segmented hemivertebra. The patient CT data was imported into Mimics 21.0 software for modeling, and then the model data was imported into 3-Matic software. The vertebra requiring screw placement was selected to simulate the optimal screw placement angle and length, and the model was printed for preoperative planning and intraoperative guidance. All patients underwent orthopedic surgery with the aid of 3D printing preset nail path model. The safety and effectiveness of the 3D printing prefabricated nail tunnel model assisted lumbosacral hemivertebra orthopaedic surgery was evaluated by comparing the imaging parameters of the patients. The main outcome measures were the Cobb angle of the main curve, the Cobb angle of the proximal compensatory curve, the coronal balance index C₇ plumb line-center sacral vertical line(C₇PL-CSVL), the accuracy of nail placement, and the correction rate of scoliosis before surgery, 1 week and 1 year after surgery.</p><p><strong>Results: </strong>All of 8 patients were followed up for 13 to 31 months. A total of 98 pedicle screws were placed in 8 patients. The number of pedicle screw grades A, B, C, D, E was 38, 46, 10, 4, 0 screws. The screws of grade A and B were defined as good position, the accuracy rate of screw placement was 85.7%. The Cobb angle of the main curve were 21° to 38° before operation, 5° to 11° at 1 week after operation, 7°to 12° at 1 year after operation. The Cobb angle of the proximal compensatory curve were 16° to 39° befoer operation, 7° to 12 °at 1 week after operation, 7° to 14° at 1 year after operation, the correction effect remained good with no correction loss. The coronal balance index C7PL-CSVL were 20 to 35 mm before operation, 11 to 18 mm at 1 week after operation, 10 to 16 mm at 1 year after operation, the coronal imbalance improved. The scoliosis correction rate was 65.6% to 84.2% 1 week after surgery, and 61.9% to 81.6% 1 year after surgery.</p><p><strong>Conclusion: </strong>The use of 3D printing prefixed nail tunnel model in lumbosacral hemivertebra osteotomy is safe and effective, and can significantly improve patients' local deformities. It is a reliable method to assist lumbar sacral hemivertebra osteotomy.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1113-9"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739583","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":"[Surgical treatment methods and strategies for cervical intervertebral disc herniation].","authors":"Xi-Feng Zhang, Rong-Qiang Bu","doi":"10.12200/j.issn.1003-0034.20241012","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20241012","url":null,"abstract":"","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1041-5"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740652","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":"[Expert consensus on Chinese external treatment protocol for acute external ankle ligament injury].","authors":"Lei Zhang, Yue-Lin Hu, Ying-Hui Hua, Xue-Song Wang, Tian-Xin Chen","doi":"10.12200/j.issn.1003-0034.20240503","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240503","url":null,"abstract":"<p><p>Acute lateral ankle ligament injuries represent a prevalent form of joint sports trauma, with their occurrence increasing alongside the expanding sports demographic. Inadequate initial management of these injuries can precipitate chronic pain, joint instability, and related complications, sometimes necessitating surgical intervention. Chinese medicine, renowned for its long history and extensive experience in treating ligament injuries, is frequently integrated with modern medical practices for a comprehensive treatment approach. Addressing the distinct phases of tissue damage and repair in acute ligament injuries-early, middle, and late-expert group summarizes relevant research evidence and develops a three-stage treatment plan for Chinese medicine, and a new three-phase external treatment protocol was proposed by experts. The focus of the proposed protocol is on \"cooling blood to stop bleeding, activating blood circulation and removing stasis, and harmonizing and regenerating new tissue, \" tailored to the specific characteristics of each stage. To enhance the diagnostic and treatment capabilities of healthcare professionals and standardize the management of acute lateral ankle ligament injuries, an expert consensus was formulated using a combination of clinical research, practical experience, and the Delphi method. The aim of the consensus is to refine the accuracy and efficacy of diagnosis and treatment through evidence-based practices and expert opinions.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1135-40"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740159","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":"[Artificial disc replacement for the treatment of cervical disc herniation].","authors":"Yu-Ming Cui, Fang-Gang Liu","doi":"10.12200/j.issn.1003-0034.20230459","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230459","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical efficacy of artificial cervical disc replacement for cervical disc herniation.</p><p><strong>Methods: </strong>Retrospective analysis of 24 patients with cervical disc herniation with 24 segments admitted from July 2016 to July 2022, including 12 males and 12 females, with an average age of (50±2) years old ranging from 36 to 68 years old. The intervertebral space height of the lesion segment before replacement was 4.3 to 7.2 mm with an average of (5.6±1.6) mm, the range of motion of anterior flexion and posterior extension was 5.6° to 7.2° with an average of (6.4±1.3)°, the range of motion for the left and right lateral flexion was 10.2° to 11.4° with an average of (10.7±1.8)°, and the Japanese Orthopaedic Association (JOA) score was 8 to 13 scores with an average of (8.0±0.3) scores. Through anterior incision, artificial cervical disc replacement surgery was performed after cervical discectomy and decompression.</p><p><strong>Results: </strong>After surgery, all patients'incisions healed well. All patients were followed up from 12 to 60 months with an average of (33±12) months. At the final follow-up, the intervertebral space height of replacement segment was 4.0 to 6.8 mm with an average of (5.4±1.3) mm, the range of motion of anterior flexion and posterior extension was 4.6° to 6.4°with an average of (5.6±1.2)°, the range of motion of left and right lateral flexion was 8.7°to 10.3°with an average of (9.5±1.5)°. The prosthesis did not shift or sink, slight heterotopic ossification occurred within the operative segment(ⅠorⅡgrade). The height of adjacent intervertebral spaces was not lost, there was no vertebral degeneration, no significant change in the comparison of adjacent segment mobility before and after surgery. The JOA score increased from (8.0±0.3) scores before replacement operation to (15.0±0.2) scores after operation.</p><p><strong>Conclusion: </strong>Artificial cervical disc replacement surgery can not only obtain the same efficacy as the anterior cervical disc fusion surgery, but also avoid the increase of compensatory stress of adjacent segments, maintain the stability of the biomechanical environment, thereby reducing the incidence of degeneration of adjacent segments, and can be used as an effective method for the treatment of cervical disc herniation, , but the long-term efficacy and the existing problems of replacement surgery need to be further studied and solved in the future.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"37 11","pages":"1051-5"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740757","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}