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

{"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}

{"title":"[Inheritance and optimization of hallux valgus diagnosis and treatment techniques].","authors":"Jian-Min Wen","doi":"10.12200/j.issn.1003-0034.20250590","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20250590","url":null,"abstract":"","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"549-52"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555143","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":"[Meta-analysis of Kirschner's needle and elastic intramedullary nail fixation for the treatment of proximal humeral fractures in children].","authors":"Tao Shi, Zi-Hang Xu, Xin Zhang, Yu-Wang Qian, Lei Zhu, Lai-Fa Kong","doi":"10.12200/j.issn.1003-0034.20240599","DOIUrl":"10.12200/j.issn.1003-0034.20240599","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluated clinical efficacy of Kirschner's needle and elastic intramedullary nail fixation in treating proximal humeral fractures in children by Meta-analysis.</p><p><strong>Methods: </strong>Literature on the treatment of proximal humeral fractures in children with Kirschler needles and elastic intramedullary nails published on Wanfang, VIP, CNKI and China biology medicine (CBM), PubMed, Embase, and Web of Science databases were searched from the establishment of databases to October, 2023. Literature extraction, management and data entry were performed by Endnote X9 and Excel 2019, and Meta-analysis was conducted by RevMan 5.3 software. The operation time, hospital stay, fracture healing time, shoulder joint extension range of motion, disabilities of arm, shoulder and hand(DASH) questionnaire score, Neer score or Constant-Murley score and complications were compared between two groups.</p><p><strong>Results: </strong>A total of 7 literatures were included, 1 was prospective study, 6 were retrospective cohort study. There were 521 children, 264 children in Kirschner wire group and 257 children in elastic intramedullary nail fixation group. The results of Meta analysis showed operation time[<i>WMD</i>=-12.61, 95%<i>CI</i>(-24.89, -0.33), <i>P</i>=0.04], fracture healing time[<i>WMD</i>=-0.26, 95%<i>CI</i>(-0.49, -0.02), <i>P</i>=0.03], total complication rate [<i>OR</i>=6.83, 95%<i>CI</i>(3.33, 14.01), <i>P</i><0.001], nail tract infection rate[<i>OR</i>=6.77, 95%<i>CI</i>(1.72, 26.69), <i>P</i>=0.006] and displacement fracture rate[<i>OR</i>=3.57, 95%<i>CI</i>(1.35, 9.44), <i>P</i>=0.01] between two groups had statistically differences(<i>P</i>>0.05), while there were no statistically significant difference in comparison of hospital stay, shoulder joint extension range of motion, DASH, Neer score, Constant-Murley score, and incidence of skin irritation between two groups (<i>P</i>>0.05).</p><p><strong>Conclusion: </strong>Kirschner's needle internal fixation has a short operation time and simple operation, but it has a higher incidence of complications compared with elastic nail internal fixation technique. In terms of efficacy and safety, elastic intramedullary nail fixation is one of the options for the treatment of proximal humeral fractures in children.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"633-40"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555145","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 efficacy of autologous apheresis platelet-rich plasma combined with adjustable titanium plate fixation in the treatment of Rockwood type Ⅲ acromioclavicular joint dislocation].","authors":"Wei Cai, An-Ping Wu, Hai-Tao Tan, Gao-Bing Xu, Zhuo-Yi Fu, Yong Peng, Di-Shi Gui, Qiao-Mei Pu","doi":"10.12200/j.issn.1003-0034.20230763","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230763","url":null,"abstract":"<p><strong>Objective: </strong>To explore clinical efficacy of autologous platelet-rich plasma(PRP) in treating Rockwood type Ⅲ acromioclavicular dislocation.</p><p><strong>Methods: </strong>From January 2019 to July 2021, 32 patients with Rockwood type Ⅲ acromioclavicular dislocation were treated with minimally invasive adjustable titanium plate internal fixation, and were divided into PRP group and control group according to whether PRP treatment was performed, with 16 patients in each group. In PRP group, there were 10 males and 6 females, aged from 28 to 47 years old with an average of (36.75±7.14) years old;the time from injury to surgery ranged from 1 to 31 h with an average of (26.13±3.98) h;5 patients on the left side and 11 patients on the right side;PRP was injected once during operation and the 4th and 8th weeks after operation respectively. In control group, there were 8 males and 8 females, aged from 30 to 52 years old with an average of (38.50±5.48) years old; the time from injury to surgery ranged from 1 to 29 h with an average of (25.48±3.11) h;7 patients on the left side and 9 patients on the right side; minimally invasive surgical treatment was performed. Visual analogue scale(VAS) was used to evaluate pain and Constant-Murley score for shoulder joint function was used to evaluate the recovery of shoulder joint movement function before operation and 1, 3, 6, and 12 months after operation respectively.</p><p><strong>Results: </strong>All patients were followed up for 12 to 28 months with an average of (18.3±5.2) months. All incisions patients healed well without adverse events such as infection. Postoperative VAS of PRP group at 1, 3, and 6 months were (5.5±1.2), (3.7±1.6), and (2.4±1.2), respectively, while were lower than those of control group (6.6±1.4), (4.9±1.1), and (3.7±1.3), respectively;and had statistical differences between two groups (<i>P</i><0.05). There was no statistically significant difference in VAS between two groups before operation and 12 months after operation (<i>P</i>>0.05). Postoperative Constant-Murley scores of PRP group at 1, 3, and 6 months were (64.09±11.61), (73.19±12.89), and (82.61±14.81) points, respectively, which were higher than those of control group were (52.32±17.42), (61.65±14.43), and (72.52±11.04) respectively;and the differences were statistically significant (<i>P</i><0.05). There was no statistically significant difference in Constant-Murley scores at 12 months after operation between two groups (<i>P</i>>0.05). In PRP group, there was no statistically significant difference at 6 months and 12 months after operation (<i>P</i>>0.05), while there were statistically significant differences at the other time points (1 month after operation compared with before operation, 3 months after operation compared with 6 months after operation, and 3 months after operation compared with 1 month after operation) (<i>P</i><0.05). In control group, there was no statistically significant difference wh","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"587-93"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555127","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 efficacy of hallux valgus under the guiding of minimally invasive hallux valgus diagnosis and treatment system].","authors":"Pei-Biao Cai, Yi-Biao Dou, Chuang-Jian Lin, Guan-Nan Wen, Hai-Bo Chen, Chuang-Ming Wang","doi":"10.12200/j.issn.1003-0034.20250505","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20250505","url":null,"abstract":"<p><strong>Objective: </strong>To explore short-term clinical efficacy of minimally invasive diagnosis and treatment system for hallux valgus in guiding the treatment of hallux valgus.</p><p><strong>Methods: </strong>From March 2021 to November 2023, 68 patients (136 feet) with hallux valgus were treated under guidance of minimally invasive diagnosis and treatment system, including 12 males and 56 females;aged from 25 to 68 years old with an average of (42.5±8.5) years old, the course of disease ranged from 3.2 to 15.6 years with an average of (10.3±2.6) years. The changes of hallux valgus angle (HVA) and intermetatarsal angle (IMA), visual analog scale (VAS) and American Orthopaedic Foot Ankle Society (AOFAS) forefoot score were recorded and compared before operation and 12 months after operation.</p><p><strong>Results: </strong>Sixty-five patients (130 feet) were followed up for 12 to 15 months with an average of (13.8±0.5) months, 3 patients (6 feet) were not followed up as required. HVA and IMA improved from (35.5±3.5) ° and (12.5±2.0) ° before operation to (10.5±2.5) ° and (8.5±1.5) °12 months after operation, respectively, with statistically significant differences (<i>P</i><0.05);VAS decreased from (5.5±1.2) before operation to (1.2±0.5) at 12 months after operation, and the difference was statistically significant (<i>P</i><0.05);AOFAS forefoot score increased from (50.6±5.1) before operation to (93.8±5.6) at 12 months after operation, with a statistically significant difference (<i>P</i><0.05). Among them, 102 feet were got excellent result, 24 feet good, and 4 feet fair. Two patients were developed calf intermuscular vein thrombosis, and were cured after 3 months of symptomatic treatment.</p><p><strong>Conclusion: </strong>Under the guidance of minimally invasive diagnosis and treatment system for hallux valgus, the treatment of HV could obviously improve HVA and IMA, and significantly alleviate pain symptoms, and accelerate functional recovery.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"566-71"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555128","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":"[Progress on treatment of posterior angle injury of medial meniscus of knee joint under arthroscopy].","authors":"Shi-Xue Lu, Lei Ding, Qi Chen, You-Zhi Xu, Gan Huang, Jun Li","doi":"10.12200/j.issn.1003-0034.20240088","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240088","url":null,"abstract":"<p><p>The injury of the posterior Angle of the medial meniscus of the knee joint is very common in clinic, and the arthroscopic treatment of the knee joint has been the first choice. However, there are many difficulties in arthroscopic treatment, such as narrow space in the medial posterior corner of the knee joint, insufficient space to deal with the injured meniscus, varion and lateral rotation under 30° flexion, release of the medial collateral ligament of the knee joint, and expansion of the knee joint cavity spinner, all of which could expose and expand the medial space of knee joint. Therefore, it is necessary to master and balance the use to avoid collateral injury. It is also necessary to determine the cause of meniscus injury during arthroscopic treatment, such as degenerative injury, simple meniscus repair and forming can hardly solve the pain of patients. Anterior cross injury is easy to cause instability of the knee joint, which is closely related to the injury of the posterior angle of the medial meniscus of the knee joint. In order to achieve the maximum therapeutic effect, physiological repair should be performed at the same time. There are various types of medial meniscus posterior angle injury, among which the Ramp injury, root fracture and laminae meniscus injury are greatly affected by joint degeneration, narrow knee space or knee stability, and all influencing factors should be fully considered in treatment.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"651-6"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555146","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":"[Role of antibiotic eluting absorbable calcium sulfate in phaseⅠrevision treatment of periprosthetic knee infection].","authors":"Xiao-Bo Chen, Shuai-Lei Li, Ai-Bin Liu, Hao Chai, Yong-Qiang Sun","doi":"10.12200/j.issn.1003-0034.20240310","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240310","url":null,"abstract":"<p><strong>Objective: </strong>To explore the role of antibiotic-eluting absorbable calcium sulfate in treating periprosthetic infection after one-stage revision of knee arthroplasty.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 36 patients(36 knees)who underwent phaseⅠrevision for periprosthesis infection after total knee arthroplasty from January 2018 to March 2022. All patients were underwent knee cavity puncture before operation and had positive results of aseptic body fluid culture, 21 patients received revision combined with antibiotic loaded calcium sulfate at stageⅠ(calcium sulfate group) during operation, and 15 patients underwent renovation at stageⅠ(revision group). There were 9 males and 12 females in calcium sulfate group, aged from 54 to 76 years old with an average of(67.6±6.2) years old. There were 15 patients in revision group, including 4 males and 11 females, aged from 60 to 75 years old with average of (69.6±4.1) years old. The levels of serum C-reactive protein (CRP), interleukin-6 (IL-6) at 7, 14, 30 and 90 days after operation were compared between two groups, and the rate of end-infection control at follow-up were compared. The systemic antibiotic application time, hospital stay and postoperative complications were observed between two groups.</p><p><strong>Results: </strong>Calcium sulfate group were followed up for 12 to 29 months with an average of(18.9±4.2) months, and the infection control rate was 90.5%;while revision group were followed up 18 to 29 months with average of (21.6±3.7) months, and the infection control rate was 86.7% (13/15). There were no significant differences in follow-up time and infection control rate between two groups(<i>P</i>>0.05). Postoperative levels of CRP and IL-6 at 7, 14 and 30 days in calcium sulfate group were (32.79±11.48), (15.50±6.52), (9.36±3.32) mg·L^-1 and (17.31±6.15) pg·ml^-1, respectively;which were lower than those in revision group (40.65±11.32), (30.15±10.57), (18.97±5.86) mg·L^-1 and (25.54±6.73) pg·ml^-1, had statistical differences(<i>P</i><0.05). There were no significant differences in IL-6 levels at 7 and 14 days after operation and CRP levels at 90 days after operation between two groups (<i>P</i>>0.05). The hospitalization time and systemic antibiotic application time in calcium sulfate group were (18.4±2.2) and (63.5±21.4) d, respectively;which were better than those in revision group (20.5±2.4) and (82.7±16.9) d, and had statistical differences(<i>P</i><0.05). No significant wound complications and hypercalcemia were observed in calcium sulfate group.</p><p><strong>Conclusion: </strong>Antibiotic eluted absorbable calcium sulfate could be used to treat periprosthetic knee infection, significantly reducing CRP levels in the early postoperative period, shortening hospital stay and systemic antibiotic application time, but it does not significantly improve the control rate of revision infection at s","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"580-6"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555147","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 labor function rehabilitation after total knee arthroplasty in patients with rheumatoid arthritis].","authors":"Tong Ke, Yang-Quan Hao, Meng-Fei Wang, Yu-Heng Yan, Yuan-Zhen Cai, Chao Lu","doi":"10.12200/j.issn.1003-0034.20240471","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20240471","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To explore the functional rehabilitation of patients with rheumatoid arthritis (RA) after total knee arthroplasty (TKA).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective analysis was conducted on 101 patients who needed TKA due to rheumatoid arthritis (RA) involving both knees from January 2017 to December 2020, including 16 males and 85 females, aged from 41 to 65 years old with an average of (58.13±5.53) years old;body mass index (BMI) ranged from 16.88 to 33.33 kg·m&lt;sup&gt;-2&lt;/sup&gt; with an average of (23.16±3.49) kg·m&lt;sup&gt;-2&lt;/sup&gt;;63 patients with grade 1, 29 patients with grade 2, and 9 patients with grade 3 according to classification of American Society of Anesthesiologists (ASA). According to the latest follow-up results at 12 months after operation, 82 patients returned to work and 19 patients did not return to work. Visual analogue scale(VAS) was used to evaluate the degree of pain relief before operation and 12 months after operation, and work, osteoarthritis and joint replacement questionnaire (WORQ) was used to evaluate knee joint activity status of all patients before and after operation, and the working ability index was used to evaluate working ability of all patients before operation and 12 months after operation. For the 82 patients who returned to work, the labor time stopped before operation and within 12 months after operation was compared, and the changes in labor grades, types of work and labor hours of patients before and after operation were recorded. For the 19 patients who did not return to work, the specific reasons for their non-return to work was analyzed;the postoperative satisfaction of patients was evaluated by using Likert satisfaction scale. All patients were followed up for at least 12 months. VAS was decreased from (6.49±0.59) before operation to (1.10±0.43) at 12 months after operation (&lt;i&gt;P&lt;/i&gt;&lt;0.05);for WORQ questionnaire survey, scores of walking, sitting posture, standing and stair climbing were increased from (1.07±0.35), (1.05±0.29), (1.06±0.34) and (1.14±0.42) before operation to (3.00±0.00), (2.87±0.33), (2.95±0.21) and (2.95±0.21) after operation, respectively, had statistically significant (&lt;i&gt;P&lt;/i&gt;&lt;0.05);the labor work index of all patients increased from 1.11±0.46 before operation to 2.99±0.10 at 12 months after operation, and the difference was statistically significant (&lt;i&gt;P&lt;/i&gt;&lt;0.05). Among the 82 patients who returned to work after operation, regarding the time of stopping labor, 81 patients stopped working within 3 months before operation, 1 patient stopped working for 4 to 6 months after operation, and the number of patients who stopped working was 81, 1, and 0 respectively. Forty patients returned to work within 3 months after operation, 4 to 6 months after operation for 29 patients, and 12 months after operation for 13 patients. 95.1% (78/82) of patients engaged in light labor before operation, and 85.4% (70/82) of patients engaged in moderate labor after operatio","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 6","pages":"594-600"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555124","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 the early and medium term efficacy of oblique lateral interbody fusion combined lateral fixation and transforaminal lumbar interbody fusion in lumbar spinal stenosis].","authors":"Ren-Jie Li, Wei-Min Jiang, Tang-Yi-Heng Chen, Sen Yang, Yi-Jie Liu","doi":"10.12200/j.issn.1003-0034.20230398","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230398","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy of oblique lateral interbody fusion(OLIF) combined with lateral fixation and transforaminal lumbar interbody fusion(TLIF) in patients with lumbar spinal stenosis.</p><p><strong>Methods: </strong>Totally 47 patients with lumbar stenosis from November 2018 to December 2021 were analyzed retrospectively and were divided into two groups according to the surgical methods. Among them, 21 cases underwent oblique lumbar interbody fusion supplemental anterolateral screw and rod instrumentation, including 5 males and 16 females, with a mean age of (68.19±6.13) years old ranging 55 to 74 years; the other 26 cases underwent posterior pedicle screw fixation and reduction were recorded, including 8 males and 18 females with a mean age of (65.35±7.64) years old ranging 54 to 78 years. Visual analogue scale(VAS) of pain was recorded to evaluate the degree of low back pain and lower extremity pain. The radiographic parameters were collected to evaluate the efficacy of two approaches including disc height, foraminal height, canal sagittal diameter and cross-sectional area.</p><p><strong>Results: </strong>All operations were completed successfully. The wound healed normally and bone fusion was obtained in the last final follow up. No serious complication was occurred in both groups. One case of dural tear occurred in direct compression group. Four cases of left thigh weakness and pain were recorded in indirect decompression group. The average postoperative follow-up was(21.69±4.37)months in direct compression group, while(20.43±4.80)months in another group. There were no significant difference in bone density, body mass index(BMI), hospital stay, Cobb angel(<i>P</i>>0.05). The differences in intra-operative blood loss, operation time, disc height, foraminal height between two groups were statistically significant(<i>P</i><0.05). The area and sagittal diameter of the spinal canal in the two groups were significantly improved after surgery(<i>P</i><0.05).</p><p><strong>Conclusion: </strong>Both two fusion methods have achieved good clinical results in the treatment of lumbar spinal stenosis, with the advantages of good stability, fast recovery and high fusion rate. Compared with TLIF, the advantage of OLIF has greater advantages in less bleeding and less trauma.</p>","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 5","pages":"465-72"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217063","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":"[Early results and indications of Stand-alone oblique lateral interbody fusion in lumbar lesions].","authors":"Zhong-You Zeng, Xing Zhao, Wei Yu, Yong-Xing Song, Shun-Wu Fan, Xiang-Qian Fang, Fei Pei, Shi-Yang Fan, Guo-Hao Song","doi":"10.12200/j.issn.1003-0034.20230538","DOIUrl":"https://doi.org/10.12200/j.issn.1003-0034.20230538","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To summarize the early clinical results and safety of Stand-alone OLIF application of lumbar lesions, and explored its surgical indications.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Total of 92 cases of lumbar spine lesions treated with Stand-alone OLIF at two medical centers from October 2014 to December 2018 were retrospectively analyzed, including 30 males and 62 females with an average age of (61.20±12.94) years old ranged from 32 to 83 years old. There were 20 cases of lumbar spinal stenosis, 15 cases of lumbar disc degeneration, 11 cases of lumbar degenerative spondylolisthesis, 6 cases of discogenic low back pain, 7 cases of giant lumbar disc herniation, 13 cases of primary lumbar discitis, 6 cases of adjacent vertebral disease after lumbar internal fixation surgery, and 14 cases of degenerative lumbar scoliosis. Pre-operative dual energy X-ray bone density examination 31 cases' T-values ranged from -1 to -2.4, 8 cases' T-values ranged from -2.5 to -3.5, and the rest had normal bone density. The number of fusion segments: 68 cases of single segment, 9 cases of two segment, 12 cases of three segment , and 3 cases of four segment. Fusion site:L&lt;sub&gt;1,2&lt;/sub&gt; 1 case, L&lt;sub&gt;2,3&lt;/sub&gt; 4 cases, L&lt;sub&gt;3,4&lt;/sub&gt; 10 cases, L&lt;sub&gt;4,5&lt;/sub&gt; 53 cases, L&lt;sub&gt;2,3&lt;/sub&gt;-L&lt;sub&gt;3,4&lt;/sub&gt; 3 cases, L&lt;sub&gt;3,4&lt;/sub&gt;-L&lt;sub&gt;4,5&lt;/sub&gt; 6 cases, L&lt;sub&gt;1,2&lt;/sub&gt;L&lt;sub&gt;2,3&lt;/sub&gt;L&lt;sub&gt;3,4&lt;/sub&gt; 1 case, L&lt;sub&gt;1,2&lt;/sub&gt;L&lt;sub&gt;3,4&lt;/sub&gt;L&lt;sub&gt;4,5&lt;/sub&gt; 1 case, L&lt;sub&gt;2,3&lt;/sub&gt;L&lt;sub&gt;3,4&lt;/sub&gt;L&lt;sub&gt;4,5&lt;/sub&gt; 10 cases, L&lt;sub&gt;1,2&lt;/sub&gt;L&lt;sub&gt;2,3&lt;/sub&gt;L&lt;sub&gt;3,4&lt;/sub&gt;L&lt;sub&gt;4,5&lt;/sub&gt; 3 cases. The clinical results and imaging results of this group of cases were observed, as well as the complications.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The surgical time ranged from 40 to 140 minutes with an average of (60.92±27.40) minutes. The intraoperative bleeding volume was 20 to 720 ml with an average of (68.22±141.60) ml. The patients had a follow-up period of 6 to 84 months with an average of (38.50±12.75) months. The height of the intervertebral space recovered from (9.23±1.94) mm in preoperative to (12.68±2.01) mm in postoperative, and (9.11±1.72) mm at the last follow-up, there was a statistically significant difference(&lt;i&gt;F&lt;/i&gt;=6.641, &lt;i&gt;P&lt;/i&gt;=0.008);there was also a statistically significant difference between the postoperative and preoperative height of the intervertebral space(&lt;i&gt;t&lt;/i&gt;=9.27, &lt;i&gt;P&lt;/i&gt;&lt;0.000 1);and there was also a statistically significant difference (&lt;i&gt;t&lt;/i&gt;=10.06, &lt;i&gt;P&lt;/i&gt;&lt;0.000 1) between the last follow-up and postoperative height of the intervertebral space. At the last follow-up, cage subsidence grading was as follows:level 0 in 69 cases (76 segments), levelⅠin 17 cases (43 segments), level Ⅱin 5 cases (14 segments), and level Ⅲ in 1 case (1 segment);according to the number of segments, normal subsidence accounts for 56.72%, abnormal subsidence accounts for 43.28%. Bone mineral desity of normal subsidence groups was -0.50±0.07 whinch was better ","PeriodicalId":23964,"journal":{"name":"Zhongguo gu shang = China journal of orthopaedics and traumatology","volume":"38 5","pages":"454-64"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217066","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}