Journal of Musculoskeletal Surgery and Research最新文献

{"title":"Reuse of orthopedic implants in a peri-implant fracture of both forearm bones in an adolescent: A case report","authors":"Felipe Aguilar-Chavez, Pedro Jorba-Elguero, Mónica Alejandra Cruz-Cortés, Fernando González-González","doi":"10.25259/jmsr_182_2023","DOIUrl":"https://doi.org/10.25259/jmsr_182_2023","url":null,"abstract":"Fractures of both forearm bones in adolescents are common. Many of these fractures are surgically fixed with internal fixation. However, among the complications that can occur are peri-implant fractures, which are somewhat infrequent. They are due mainly to high-energy injuries. Therefore, not much information about them is found in the literature. Reusing implants is not a frequent or well-documented practice, and it is carried out only when the necessary resources are unavailable, particularly in developing countries. We are reporting a 16-year-old male patient who suffered a peri-implant fracture distal to plates that were placed 3 years earlier in both left forearm bones. The material was removed successfully and reused, achieving an adequate reduction and fixation with one dynamic compression plate (DCP) plate for the radius and one reconstruction plate for the ulna. The patient recovered successfully. This case report aimed to understand the lack of resources in a developing country and a possible solution for this problem in this type of scenario.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"55 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588247","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":"Advanced spine life support: Is it time to start?","authors":"Abdullah T. Eissa","doi":"10.25259/jmsr_184_2023","DOIUrl":"https://doi.org/10.25259/jmsr_184_2023","url":null,"abstract":"Acute spine cases such as traumatic injuries and cord compression are unique. They need special attention, early recognition, and proper intervention. Treating such conditions needs extended practice, more experience, and comprehensive knowledge about spine acute pathologies. Different centers and regions have different approaches to treating these injuries with different outcomes. This report emphasizes the importance of establishing courses and manuals for advanced spine life support, similar to advanced trauma life support, basic life support, and advanced cardiac life support, to unify the treatment approaches, make them systematic, and lower morbidity and mortality rates.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"58 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590974","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":"Pediatric elbow diagonal (MELAINE) injury: A rare variant","authors":"G. Dharmshaktu","doi":"10.25259/jmsr_217_2023","DOIUrl":"https://doi.org/10.25259/jmsr_217_2023","url":null,"abstract":"","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"39 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606579","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":"Large intramuscular and parosteal lipoma of the upper limb: A case report and literature review","authors":"Khalid Alghamdi, Meshari Alshayie","doi":"10.25259/jmsr_183_2023","DOIUrl":"https://doi.org/10.25259/jmsr_183_2023","url":null,"abstract":"Although lipomas are the most common benign soft-tissue tumors, the intramuscular type is rare and the parosteal type is even rarer. These types of tumors can present like malignant tumors like liposarcoma. Unlike superficial lipomas, deep lipomas (intramuscular/parosteal) require magnetic resonance imaging to evaluate for and rule out malignant features. We report this patient with giant and mixed types of rarest lipomas (intramuscular and parosteal) that arise from the humeral periosteum and within the brachioradialis muscle with encasement of the radial nerve. We aimed to increase awareness to think outside the box and shed light on this giant, rarest mixed type of intramuscular and parosteal lipomas. Furthermore, it emphasizes the need for careful investigations to rule out malignant tumors like liposarcoma. Finally, many orthopedic oncology centers designate large, deep lipomas as low-grade liposarcoma due to the risk of local recurrence.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"45 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606502","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 novel technique of using percutaneous nerve catheter for post-operative analgesia and early mobilization in hand surgeries","authors":"B. N. J. Kamath, Keerthan Ranga Nayak, Megha Thaleppady, K. R. Kamath","doi":"10.25259/jmsr_180_2023","DOIUrl":"https://doi.org/10.25259/jmsr_180_2023","url":null,"abstract":"\u0000\u0000The need for the early mobilization of the fingers after hand surgery cannot be overemphasized in the outcome of the patients. In hand surgeries, the open method of blocking the distal nerves at the distal forearm is well-known and practiced in some centers. The same with a closed method has not been practiced or published in the English literature.\u0000\u0000\u0000\u0000We performed the technique soon after the surgery when the patient was still under regional anesthesia/ general anesthesia. Pain score was assessed using a numeric pain rating scale (NPRS) between post-operative day 1 and day 4 during the finger mobilization. Active metacarpophalangeal (MCP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joint movements were recorded using a goniometer.\u0000\u0000\u0000\u0000NPRS improved from 2.88 ± 0.81 at post-operative day 1–1.69 ± 0.48 at post-operative day 4. Similarly, the range of motion of the MCP joint improved from 66.67 ± 12.31° to 82.67 ± 8.877°. The range of motion of the PIP joint significantly improved from 69.38 ± 26.95° to 85 ± 11.55°, respectively. Similarly, the range of motion of the DIP joint improved from 85 ± 11.55° to 69 ± 11.55°. We have not encountered any major complications such as infection, hematoma, or injury to tendons or nerves.\u0000\u0000\u0000\u0000The percutaneous nerve catheter is an excellent technique in hand surgeries for blocking peripheral nerves, thus providing analgesia and early rehabilitation.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606327","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":"Erratum: Effectiveness and outcome of spinal decompression surgery in overweight and obese patients","authors":"","doi":"10.25259/jmsr_42_2022_er","DOIUrl":"https://doi.org/10.25259/jmsr_42_2022_er","url":null,"abstract":"","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139306842","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":"Prone or lateral patient positioning in KocherLangenbeck approach in acetabular fractures fixation: A systematic review and meta-analysis","authors":"Ashraf T. Hantouly, Loay A. Salman, Ahmad T. Toubasi, Osama Z. Alzobi, Yahya Alborno, Hammam Kayali, Ghalib O. Ahmed","doi":"10.25259/jmsr_127_2023","DOIUrl":"https://doi.org/10.25259/jmsr_127_2023","url":null,"abstract":"The Kocher-Langenbeck (K-L) approach is the approach of choice to treat fractures involving the posterior acetabulum. It provides direct exposure to the acetabulum, adequate reduction, and access to treat associated hip fractures. However, there is no consensus on the positioning of the patient; prone or lateral. This review aimed to investigate the effect of patient positioning on the outcomes of the K-L approach in acetabular fracture fixation. Cochrane, Web of Science, Google Scholar, and PubMed were searched from inception until February 22, 2022. Inclusion criteria encompassed studies that investigated acetabular fracture fixation utilizing the K-L approach in relation to patient positioning (Prone and/or Lateral). Only English manuscripts that reported at least one of the outcomes of interest were included in the study. Studies that utilized both positions without specifying the outcomes in relation to the patient position were excluded from the study. The Newcastle–Ottawa Scale and the Joanna Briggs Institute tool were utilized to assess the quality of the included studies. This study included 521 patients from six articles. Of those patients, 46.1% were operated on in the lateral position and 53.9% in the prone position. The mean operative time of lateral and prone positions was 160.9 min (95% confidence intervals [CI]: 135.11–186.64) and 212.5 min (95% CI: 167.08–257.94), respectively. The mean blood loss in the lateral position was 502.mL (95% CI: 471.61–532.47) compared to 482.5 mL (95% CI: 396.77–568.28) in the prone position. The pooled complications in the lateral position were 29% (95% CI: 19–39%) compared to 37% (95% CI: 6–75%) in the prone position. The outcomes did not significantly differ when comparing lateral and prone patient positioning for posterior acetabular fracture fixation through the K-L approach. Further prospective randomized controlled studies are recommended to reach the best evidence.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114837522","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":"Complications among patients with osteogenesis imperfecta following surgical interventions","authors":"Mutaz M. Alenizi, Alanoud Alrashdi, Rabea Habib, Alshahid Fadhl","doi":"10.25259/jmsr_97_2023","DOIUrl":"https://doi.org/10.25259/jmsr_97_2023","url":null,"abstract":"Osteogenesis imperfecta (OI) is a genetic bone disorder caused mainly by a defect in the COL1A1 or COL1A2 genes. This study aimed to analyze the complication using surgical interventions, including intramedullary telescopic rod fixation, Rush pin fixation, and Kirschner-wire (K-wire) fixation. This retrospective and cohort study was conducted in our institution, Riyadh, Saudi Arabia. A total of 23 patients with OI were treated from 2018 to 2022, out of which 19 were treated surgically. A total of 29 long bones were surgically managed. Our patients’ data were collected from the hospital’s electronic system. The overall incidence of Rush pin fixation post-operative complications was 57% (five out of seven cases) and K-wire fixation was 50% (one out of two cases). The main indications for intramedullary telescopic rod implantation were osseous deformities and fractures, with the overall incidence of post-operative complications reaching around 35% (seven out of 20 cases). In our population, the overall incidence of complications after intramedullary telescopic rod fixation was lower than those after Rush pin fixation and K-wire fixation. In addition, more studies are needed to add to the literature new ways of tackling post-operative complications following the insertion of intramedullary telescopic rods, such as nail migration and new fractures or refractures.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"30 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116906096","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":"Fix and replace technique in elderly acetabular fractures","authors":"Camilo A. Delgadillo, R. Pesántez","doi":"10.25259/jmsr_130_2023","DOIUrl":"https://doi.org/10.25259/jmsr_130_2023","url":null,"abstract":"Fragility fractures in the pelvis and lower limbs increase morbidity and mortality. The surgical treatment and rehabilitation of acetabular fractures in the elderly are challenging due to weight-bearing limitations. With the “fix and replace” technique, the combined management of open reduction and internal fixation of the acetabular fracture and total hip replacement could be beneficial, having high consolidation rates, long prosthesis survival, a mortality rate of 13% and early weight-bearing with good functional outcomes. This publication aimed to review the available literature on treating acetabular fractures in the elderly, with particular attention to the “fix and replace” technique.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134325719","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":"Do not neglect the hips in cerebral palsy!","authors":"A. Johari","doi":"10.25259/jmsr_164_2023","DOIUrl":"https://doi.org/10.25259/jmsr_164_2023","url":null,"abstract":"","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116705196","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}