Hong Kong Journal of Orthopaedic Research最新文献_第4页

Radiographic Analysis Comparison of Cervical Alignment After Variable Level of Anterior Cervical Discectomy and Fusion (ACDF) 可变水平颈椎前路椎间盘切除术与融合术后颈椎线对的x线分析比较

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-08-30 DOI: 10.37515/ortho.8231.3204

Tuanrit Sornsa-ard, S. Sribunditkul, Thananthorn Vasutara, Wongthawat Liawrungrueang

{"title":"Radiographic Analysis Comparison of Cervical Alignment After Variable Level of Anterior Cervical Discectomy and Fusion (ACDF)","authors":"Tuanrit Sornsa-ard, S. Sribunditkul, Thananthorn Vasutara, Wongthawat Liawrungrueang","doi":"10.37515/ortho.8231.3204","DOIUrl":"https://doi.org/10.37515/ortho.8231.3204","url":null,"abstract":"Background: To compare the radiographic cervical lordosis alignment between pre-operative and post-operative surgery after variable level of anterior cervical discectomy and fusion (ACDF) .In the current review, the standard surgical treatment of cervical spondylotic myelopathy is ACDF the restoration and maintenance of cervical lordosis alignment is an important clinical parameter after single level or multilevel anterior cervical discectomy and fusion. The increase or decrease cervical lordosis alignment is affected by the sagittal vertical axis and balance. Methods: This study was performed a retrospective radiographic analysis of 147 patients who underwent single to multilevel ACDF (Total N= 147; 1-level (N=36), 2-level (N=60), 3-level (N=42) and 4-level (N=9)) by orthopedic spine surgeons and neurosurgeons between 2016 and 2018. The authors measured the cervical lordosis alignment of the cervical spine using the Cobb method (Inferior endplate of C2 to inferior endplate of C7) at pre-operative and post-operative surgery. Radiographs were measured by three orthopedic doctor viewers. Statistical analysis were performed using R software. Results: The radiographic analysis comparison of cervical alignment after ACDF was showed the results that cervical lordosis alignment had no significantly change of decreased cervical lordosis alignment at pre-op mean 14.88°(± 8.66) and initial post-op mean 13.01°(±7.65) in all level of ACDF. Conclusions: The radiographic analysis of variable level anterior cervical discectomy and fusion in single to multilevel (1-level, 2-level, 3-level and 4-level) has no significantly change in cervical lordosis alignment after initial postop surgery.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116032742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Peroneal Tendon Subluxation following Trivial Ankle Injury and Review of the Literature 踝关节轻微损伤后腓骨肌腱半脱位1例并文献复习

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-08-30 DOI: 10.37515/ortho.8231.3202

S. Shrestha, P. Devkota, B. M. Acharya, Toya Raj Bhatta

引用次数: 0

Spinal Epidural Abscess in Neonate: A Case Report 新生儿脊髓硬膜外脓肿1例报告

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-08-30 DOI: 10.37515/ortho.8231.3203

ZS Tiw, Zainuddin War Wan, S. Esmat, S. Razip

引用次数: 0

Pain Mapping and Neuropathic Features of Common Shoulder Pathologies 常见肩部病变的疼痛定位和神经病变特征

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-08-30 DOI: 10.37515/ortho.8231.3205

S. Dunkerley, A. King, T. Batten, J. Evans, Jeremy Metz, S. Gallacher, Kathryn Davies, Christopher Smith, J. Kitson

{"title":"Pain Mapping and Neuropathic Features of Common Shoulder Pathologies","authors":"S. Dunkerley, A. King, T. Batten, J. Evans, Jeremy Metz, S. Gallacher, Kathryn Davies, Christopher Smith, J. Kitson","doi":"10.37515/ortho.8231.3205","DOIUrl":"https://doi.org/10.37515/ortho.8231.3205","url":null,"abstract":"Introduction: Pain maps can help quantify the distribution of pain but are not commonly used in shoulder pathology. This prospective study aims to quantify severity, type and distribution of pain associated with common shoulder pathologies using patient derived pain maps. Material and Methods: 219 patients with 5 common shoulder pathologies were prospectively recruited with diagnosis confirmed definitively at time of procedure. Patients completed maps for nociceptive pain and abnormal sensation. Visual Analogue Score and a validated neuropathic pain questionnaire (painDetect) were completed. Maps were generated with images stacked and overlaid using an FFT based image algorithm to generate pathology specific heat maps. Results: Neuropathic pain was likely in 20% of all patients based on painDetectscores. Abnormal sensation was present overall in 49.3%. 16.1% experienced symptoms below the elbow and 11.6% in the hand. Frozen shoulder appears to have the highest frequency of distal limb symptoms. Conclusion: This study provides a clear guide to the distribution and nature of pain arising from procedure confirmed common shoulder conditions. We have demonstrated that neuropathic pain is prevalent in common shoulder pathologies and may spread as far as the hand. Therefore, pain in this distribution should not be dismissed as cervical as this will lead to a delay in the treatment of the shoulder pathology.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124080879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pertrochanteric Fractures in the Elderly: Is the Severity of Fracture Pattern associated with age and an increased rate of mortality? 老年人股骨粗隆骨折:骨折类型的严重程度是否与年龄和死亡率增加有关?

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3106

Kirstine Husum Hoyem, A. Oron, Philip Rozinsky, Y. Kosashvili

{"title":"Pertrochanteric Fractures in the Elderly: Is the Severity of Fracture Pattern associated with age and an increased rate of mortality?","authors":"Kirstine Husum Hoyem, A. Oron, Philip Rozinsky, Y. Kosashvili","doi":"10.37515/ortho.8231.3106","DOIUrl":"https://doi.org/10.37515/ortho.8231.3106","url":null,"abstract":"Purpose: This study was aimed at assessing whether there is a correlation between age and pertrochanteric femur fracture severity and if this may be tied to mortality at a 1-year interval. Background: Pertrochanteric hip fractures are a common low energy fractures and represent a major cause of morbidity and mortality in the elderly population. To date, association of a worse fracture pattern to loss of Bone Mineral Density has not been proven. We set out to assess whether fracture severity may be tied to age in this specific patient population. Methods: From May 2010 to January 2013, we retrospectively collected the data of all patients (>60 years old) sustaining a low energy pertrochanteric fracture which were admitted at the Kaplan Medical Center. The following parameters were collected and evaluated: (1) demographics, (2) fracture pattern, (3) time from admission to surgery, (4) time from surgery to mortality. Results: We included 578 fractures in the study. These were divided into 4 groups according to age. We analyzed the data using a Spearman's rho correlation and Pearson Chi-Square Test but found no significant difference in fracture stability with increase in age. For the 544 fractures that were operated on at Kaplan Medical Center we found that 1-year mortality was significantly higher with increasing age (p=0.000) and male sex (p=0.001). With every additional patient year, the mortality risk rose by 8.3%. Moreover, the relative mortality risk in the male patients of our cohort was 1.93 as compared to the female ones. Fracture severity and time from admission to surgery were not found to have a significant effect on mortality. Conclusions: Statistically the pertrocanteric fracture severity classified after the AO does not correlate with the age or one-year mortality of the patient. The one-year mortality rate was significant higher with increased age and male sex.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121379902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Highlights from the First Student-Run Orthopedics Clinical Research Showcase at Wayne State University School of Medicine 韦恩州立大学医学院首届学生骨科临床研究展示会的亮点

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3107

A. Musa, E. Lau, Martin Weaver, Collin Bennet, S. Farhan

{"title":"Highlights from the First Student-Run Orthopedics Clinical Research Showcase at Wayne State University School of Medicine","authors":"A. Musa, E. Lau, Martin Weaver, Collin Bennet, S. Farhan","doi":"10.37515/ortho.8231.3107","DOIUrl":"https://doi.org/10.37515/ortho.8231.3107","url":null,"abstract":"The Orthopedic Surgery Interest Group Clinical Research Showcase took place on December 3, 2019 on the campus of Wayne State University School of Medicine as the first such student-run event of its kind since the school was established in 1868 as Detroit Medical College. The Clinical Research Showcase was developed by the student leadership of the Orthopedic Surgery Interest Group (Arif Musa, Emily Lau, Martin Weaver, and Collin Bennet) with the support of the Office of Medical Student Research Programs, which was established in 2017. Medical students were encouraged to submit abstracts for poster and podium presentation with the latter taking place in the Margherio Conference Center (Figure 1). The goals of the showcase were to promote student engagement in research, develop skills such as abstract writing and poster design, receive valuable feedback from judges, and foster inter-disciplinary collaboration. These goals were based on previous articles that have documented the impact of peer-led symposia as a valuable learning experience and means promote student involvement in research endeavors [1-3.] It was explicitly stated in the call for abstracts that medical student were welcome to submit abstracts of completed, ongoing, and planned research in any medical discipline. The research showcase was supported by the generous Office of Medical Student Research whom provided dinner and funding for several students’ posters to be printed.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130826522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of pelvic and non-pelvic chondrosarcoma postoperative recurrence risk factors in 65 cases among 3 ethnic groups (Han, Uyghur, and other nationalities) 3个民族(汉族、维吾尔族及其他民族)65例盆腔及非盆腔软骨肉瘤术后复发危险因素分析

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3105

S. Jami, Shi Jiandang, B. Roy, M. Tanvir, LiuChang Hao

{"title":"Analysis of pelvic and non-pelvic chondrosarcoma postoperative recurrence risk factors in 65 cases among 3 ethnic groups (Han, Uyghur, and other nationalities)","authors":"S. Jami, Shi Jiandang, B. Roy, M. Tanvir, LiuChang Hao","doi":"10.37515/ortho.8231.3105","DOIUrl":"https://doi.org/10.37515/ortho.8231.3105","url":null,"abstract":"Background: Chondrosarcomas are a rare tumor that has a variable biological characteristic, also their treatment clinically and surgically is controversial. So, authors are analyzing the related risk factors of influencing the postoperative recurrence of chondrosarcoma. Methods: Retrospective analysis of clinical data, a total of 65 cases of chondrosarcoma were collected from January 2002 to June 2016 in our hospital database and divided into 2 groups (pelvic and non-pelvic chondrosarcoma) with 3 ethnic class (Han, Uyghur, and other nationalities) of Chinese people. The clinical characteristics and prognostic risk factors of chondrosarcoma recurrence were analyzed by different statistic methods. Results: The age, sex, nationality, surgical method, pathological grade and Enneking stage of chondrosarcoma patients were not significantly correlated with postoperative recurrence (P>.05); but the site of tumor growth was significantly correlated with postoperative recurrence (P<0.001). Cox regression model multivariate analysis showed that tumor growth site was an independent factor influencing postoperative recurrence of chondrosarcoma, and the risk of postoperative recurrence of pelvic chondrosarcoma was 3.610 times higher than non-pelvic chondrosarcoma. Conclusion: The recurrence rate of pelvic chondrosarcoma was significantly higher than non-pelvic chondrosarcoma.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132040102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paediatric femoral fractures treated by hip spica- Result of 42 patients 髋部植骨治疗小儿股骨骨折42例疗效分析

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3103

Umesh Yadav, A. Sheoran, Vasudha Dhupper, A. Devgan, Ayushi Gupta, Mudit Nemani

引用次数: 0

Titanium Mesh in Spinal Fusion: A Case Serie 钛网在脊柱融合:一个案例系列

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3102

P. Kiester, S. Farhan, A. Musa, A. Alvarez, Connor T. Byrne, Yu-po Lee, N. Bhatia

{"title":"Titanium Mesh in Spinal Fusion: A Case Serie","authors":"P. Kiester, S. Farhan, A. Musa, A. Alvarez, Connor T. Byrne, Yu-po Lee, N. Bhatia","doi":"10.37515/ortho.8231.3102","DOIUrl":"https://doi.org/10.37515/ortho.8231.3102","url":null,"abstract":"Background: Maxillofacial titanium mesh is most commonly used in reconstructive surgery for its versatility, stability, affordability, tissue tolerance, and compatibility with multiple imaging modalities. Here we describe the novel use of maxillofacial titanium mesh for spinal fusion surgery in a case series. Methods: We present three cases requiring instrumented spinal fusion. A 95-year-old women with one-month history of falls and back pain was found to have a spinal canal mass at T2-T3 and T11 burst fracture. A 32-year-old male had a L4 burst fracture following a motor vehicle accident. A 66-year-old female with one-year history of lumbar pain was diagnosed with thoracolumbar kyphosis, secondary hyperlordosis of the lumbar spine, stenosis at L4-L5, and L2-L5 spondylolisthesis. Results: Instrumented spinal fusion was carried out and maxillofacial titanium mesh was cut and contoured appropriately prior to being precisely placed over the dura mater. Post-operative imaging demonstrated adequate fixation for all cases. No intraoperative or postoperative complications occurred. Conclusions: Maxillofacial titanium mesh has long been used in maxillofacial reconstructive surgery for a variety of reasons including malleability, strength, and the distinct biocompatibility of titanium. However, titanium mesh may also be used to augment spinal fusion for tumor, trauma, and degenerative conditions without complication. Titanium mesh can offer the spine surgeon a safe, cost-effective and efficacious tool when used in spinal fusion. Future randomized controlled trials are needed to validate these findings in large sample sizes. Level of Evidence: 4.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126484182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of virtual telephone clinic in elective foot and ankle follow up 虚拟电话门诊在选择性足踝随访中的应用

Hong Kong Journal of Orthopaedic Research Pub Date : 2020-04-30 DOI: 10.37515/ortho.8231.3104

H. Ahmed, K. Teoh

{"title":"The use of virtual telephone clinic in elective foot and ankle follow up","authors":"H. Ahmed, K. Teoh","doi":"10.37515/ortho.8231.3104","DOIUrl":"https://doi.org/10.37515/ortho.8231.3104","url":null,"abstract":"Introduction: Virtual clinics have been shown to be safe and cost-effective in many specialties. Many articles have been found in the literature about its usefulness in fracture occasions, but we have not found many discussing its effectiveness in foot and ankle elective cases follow ups. The aim of this audit is to show its safety, clinical outcomes, and complications. Patients and methods: In Princess Alexandra Hospital, UK, we collected data from COSMICS system which contained patient contact details, PACS and case note management system were used to see previous investigations and dictation letters and to check the outcome of the virtual clinic. Results: 292 patients were included, from them 167 were females (57.8%), while 125 were males (42.8%).148 patients were contacted by mobile phones (50.7%), 41 patients (14%) were contacted by landline, and unfortunately 67 patients (22.9%) have not picked the phone. From the 292 patients, 232 (79.5%) patients were dischargedone patient requested to be seen face to face. 40 patients (14%) were listed for being reviewed and 12 patients were listed for surgery (4.1%). 8 patients were listed for having PRP/local anesthetic/ steroid injection. Conclusion: Virtual telephone clinics for elective foot and ankle cases are very effective way for management of busy clinics with long waiting lists provided that it was run safely. We reported from our study the rules by which we run it and many benefits and drawbacks were also highlighted with our recommendations to maximize the gain from it.","PeriodicalId":252930,"journal":{"name":"Hong Kong Journal of Orthopaedic Research","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116880317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1