Journal of Musculoskeletal Surgery and Research最新文献

{"title":"Community perception and acceptance of patients with prosthetic devices after disabilities in Saudi Arabia","authors":"Wazzan S. Aljuhani, A. Alhussaini, Hussam S. Alangari, S. Z. Aljabr, A. F. Al Karni, M. I. Alhumaidan","doi":"10.25259/jmsr_132_2022","DOIUrl":"https://doi.org/10.25259/jmsr_132_2022","url":null,"abstract":"\u0000\u0000It is well-known that prostheses help people with special needs to adapt and have a better quality of life; however, the community’s perception and acceptance of patients with prosthetic devices have not been fully assessed. This study aimed to measure the community’s perception and acceptance of patients with prostheses in Riyadh, Saudi Arabia.\u0000\u0000\u0000\u0000A cross-sectional study was conducted using a self-developed questionnaire. The questionnaire included 20 questions to assess three main domains; marriage, employment, and friendship. The questionnaire was distributed for around 4 months to achieve the required sample size. The assessment of community acceptance of people with prostheses was measured by the Prosthesis Acceptance Assessment Test, which is 20 items on a five-point Likert scale. A score of 60 and above indicate a high acceptance rate for a participant.\u0000\u0000\u0000\u0000A total of 526 participants responded to the questionnaire, of which only 68 (12.9%) participants knew someone with a prosthesis. Most participants were female (n = 292, 55.5%) and bachelor’s degree holders (n = 90, 26.1%). The acceptance rate was higher in females (n = 78, 26.7%) than males (n = 58, 24.8%), with most participants (n = 390, 74.1%) not accepting people with prostheses.\u0000\u0000\u0000\u0000Most participants in the study were not socially accepting people with a disability using prostheses. Reasons were not explored as there was no age, gender, or educational status differences that may have potentially explained the low acceptance rate.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126529325","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":"Incidence and risk factors of venous thromboembolism in the perioperative period of spine surgery at a tertiary care hospital","authors":"F. Konbaz, Husam A. Al Tahan, Abdulrahman H. Al Farraj, Salman A. Al Jafari, Rakan S. Al Dusari, R. S. Aleissa","doi":"10.25259/jmsr_120_2022","DOIUrl":"https://doi.org/10.25259/jmsr_120_2022","url":null,"abstract":"\u0000\u0000Spine surgery is considered a moderate risk for developing venous thromboembolism (VTE). To the best of our knowledge, no study has been done to determine the incidence of VTE in our local population. We aimed to study the incidence of VTE and determine the factors associated with developing VTE post-spine surgery.\u0000\u0000\u0000\u0000A retrospective study analyzed 800 adult patients who had undergone elective or emergency spine surgery. The variables included were demographic data, diagnosis, “or trauma if applicable,” type and duration of surgical intervention, and length of hospital stay. In addition, two procedures were used to diagnose VTE, whether it was a pulmonary embolism (PE) or deep vein thrombosis (DVT) pre- and postoperatively. Spiral computed tomography was used to detect PE, whereas duplex ultrasonography was used to confirm DVT. Finally, all patients received post-operative DVT prophylaxis except for cervical spine patients.\u0000\u0000\u0000\u0000Eight hundred patients were included in the study. The overall incidence of VTE was 4.1%. The lumbar spine was the most common location operated on. Increasing age and length of hospital stay were both significantly associated with the development of VTE. Furthermore, cervical spine surgery had a lower incidence of VTE than other locations, with a statistically significant difference. Finally, non-ambulatory patients had a higher risk of VTE than patients who could ambulate postoperatively, with a statistically significant difference.\u0000\u0000\u0000\u0000The incidence of VTE after spine surgery is considered low but carries high morbidity and mortality rates. Increased age and prolonged hospital stay increase its risk, while early ambulation lowers it. Prophylactic measures against VTE are highly recommended, especially amongst high-risk patients.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122117430","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 big round hole in the elbow","authors":"G. Dharmshaktu, T. Pangtey","doi":"10.25259/jmsr_144_2022","DOIUrl":"https://doi.org/10.25259/jmsr_144_2022","url":null,"abstract":"","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127948133","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":"The orthopedic surgery preparatory exam course: Measuring residents’ satisfaction and perceptions through video ethnomethodology and survey analysis","authors":"O. Batouk, Taghreed Justinia, Mohammed M. Almutairi, A. Omair","doi":"10.25259/jmsr_118_2022","DOIUrl":"https://doi.org/10.25259/jmsr_118_2022","url":null,"abstract":"\u0000\u0000Orthopedic training in Saudi Arabia has changed how residents are assessed for their board examination. The new format uses scenario cases instead of real patients during the assessment. However, these changes were not received well by the residents. The Orthopedic Surgery Preparatory Exam Course is a 3-day training course designed specifically to address these concerns. This study investigated the effectiveness, perceptions, and satisfaction levels of the residents who took this course, emphasizing the video recording approach.\u0000\u0000\u0000\u0000A quantitative survey was designed by the research team and validated by experts. Edits were made after their feedback. Purposive sampling was used, and all 12 attendees of the course participated. All participants were 5th-year residents enrolled in the orthopedics residency training program in Saudi Arabia. A qualitative ethnomethodology analysis of video recordings for pre- and post-mock exams was also conducted.\u0000\u0000\u0000\u0000The analysis demonstrated that participants were less anxious in the post-mock exam and showed improvement in their confidence and communication skills based on analysis of the assessed criteria such as eye contact, vocal projection, gestures, posture, and movement. The participants generally perceived the course useful in preparing for their board exam.\u0000\u0000\u0000\u0000The participants generally perceived the course to be useful in helping them to prepare for their board exam by familiarizing them with the exam environment. The participants reported the strength of the course as being able to provide a realistic simulated experience. On the other hand, the participants viewed the weakness of the course in its duration and generally requested more days to be added to the course. They were generally satisfied with the course helping them prepare for the board exam. It is recommended to incorporate the course as part of the residency training program curriculum.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134149803","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":"Calcanectomy in primary high-grade sarcomas: Foot salvage without the need for any reconstruction","authors":"I. Khan, M. Shaheen, A. Board, R. Pant","doi":"10.25259/jmsr_130_2022","DOIUrl":"https://doi.org/10.25259/jmsr_130_2022","url":null,"abstract":"The calcaneum is a rare site for primary bone sarcomas. Calcanectomy is not considered for high-grade malignancies due to anticipated issues with obtaining negative margins, providing adequate soft-tissue coverage, and preserving satisfactory function. A below-knee amputation overcomes these difficulties and is very functional and, thus, the preferred local control option. The aim of this study is to evaluate the role of total calcanectomy, without any formal reconstruction, in high-grade calcaneal sarcomas. Over 14 years, three patients with high-grade calcaneal sarcomas underwent limb salvage surgery as opposed to amputation for their primary malignancy. Total calcanectomy was undertaken using a Cincinnati incision. No formal “calcaneal” reconstruction was undertaken after resection, essentially leaving the patient with an excision arthroplasty through the subtalar joint. The Achilles tendon was reattached to the posterior talus. Negative resection margins were achieved in all cases with the primary wound closure. Two patients are alive with no evidence of disease at 15 and 10 years. The third patient, at over 1 year postoperatively, has no evidence of local disease recurrence but has had metastasectomy for documented pulmonary metastases at the presentation. The average musculoskeletal tumor society score was 85.5%, and the average Toronto extremity salvage score was 88.5%. In our experience, even high-grade malignancies at this unusual site are potentially amenable to limb salvage. Our results show that perhaps ablative surgery should not be considered inevitable. Good functional outcomes can be achieved without reconstruction, thus minimizing potential “construct”-related morbidities.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132418701","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 disposable plastic syringe helps protect the femoral stem trunnion during acetabular cup only revision: A technical note","authors":"A. Abdelaal, A. Khalifa","doi":"10.25259/jmsr_134_2022","DOIUrl":"https://doi.org/10.25259/jmsr_134_2022","url":null,"abstract":"Up to 25% of revision total hip arthroplasty (RTHA) requires acetabular cup only revision, during which the femoral stem is left in place. The metal retractors and instruments used to obtain the required exposure during revision surgery with the femoral stem in place could damage the trunnion, which could lead to further failure due to trunnionosis. Hence, protection of the trunnion during surgery is paramount. Here, we describe the use of a disposable plastic syringe to cover the trunnion during acetabular cup only RTHA, in which we consider an effective and cheap effective technique.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127239377","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":"Fragility fractures of the pelvis: An update","authors":"P. Rommens, A. Hofmann","doi":"10.25259/jmsr_141_2022","DOIUrl":"https://doi.org/10.25259/jmsr_141_2022","url":null,"abstract":"Fragility fractures of the pelvis (FFP) are becoming a frequent diagnosis in clinical practice. FFP typically appear after a low-energy trauma in female patients of old age with osteoporosis. The characteristics of FFP differ from pelvic injuries after high-energy trauma. The new comprehensive FFP-classification reflects the specific morphology of the fractures and distinguishes different categories of instability. Key factors for operative treatment are the degree of instability, late presentation, and failure of conservative treatment. It is recommended to treat FFP type I and FFP type II conservatively, whereas FFP type III and FFP type IV should be treated operatively. Surgical stabilization should be as minimal-invasive as possible. Alternatives for the posterior pelvic ring are ilio-sacral screw osteosynthesis with or without cement augmentation, the transiliac internal fixator, the trans-sacral bar, and lumbopelvic fixation. Alternatives for the anterior pelvic ring are the retrograde transpubic screw, the internal fixator, and plate osteosynthesis. The length of hospital stay and complication ratio is higher after operative treatment, whereas mortality is lower than in the conservative group. Quality of life and mobility are reduced in all patients, independent of the classification and treatment type. The FFP-classification and the treatment recommendations provide a framework for searching for the best solution for each individual patient.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124132530","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":"Diagnostic accuracy of phone messaging forwarded images for developmental dysplasia of the hip","authors":"Ahmad K. Almigdad, Noor A. Megdadi, Khalid A. Banimelhem, Bashar Al Omari, Anas Al Abdallat, Ghandi Almanasir","doi":"10.25259/jmsr_125_2022","DOIUrl":"https://doi.org/10.25259/jmsr_125_2022","url":null,"abstract":"\u0000\u0000The objectives of this study were to evaluate the accuracy of the diagnosis based on the phone forwarded pelvic radiographs for developmental dysplasia of the hip (DDH) and whether to accept decisions based on phone images.\u0000\u0000\u0000\u0000Two hundred and eight pelvic radiographs (416 hips) performed for DDH screening were evaluated by three orthopedic surgeons on picture archiving and communication system (PACS) and re-evaluated by the same surgeons after receiving them blindly on their phones through the WhatsApp application. Phone pictures were evaluated on both portrait and landscape viewing interfaces.\u0000\u0000\u0000\u0000Nine ossification centers (2.9%) were detected on PACS but were not noticed when evaluated on the phone due to the lower phone image quality. All dislocated and dysplastic hips were correctly diagnosed by the phone. The phone overestimated the acetabular index by about two degrees, which explains why 4.8% and 7.5% of normal hips on PACS viewers were labeled dysplastic once evaluated on phone portrait and landscape viewers, respectively. However, landscape phone viewing and smaller phone screens were associated with a higher overestimation of the acetabular index.\u0000\u0000\u0000\u0000The phone is a valuable and safe tool for diagnosing DDH from pelvic radiographs. However, a precaution should be taken in borderline cases as the phone overestimated hip angles resulting in a misdiagnosis of normal hips as dysplastic. However, we do not recommend or encourage this practice because clinical evaluation is essential in any clinical decision-making.\u0000","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130684303","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":"Experience using immersive virtual reality simulation during an AO trauma regional course in Latin America","authors":"C. A. Berezowsky, R. P. Hoyos, P. Lourenço","doi":"10.25259/jmsr_129_2022","DOIUrl":"https://doi.org/10.25259/jmsr_129_2022","url":null,"abstract":"Virtual reality has been used in orthopedics for several years now, both as a training and assessment tool. The use of extended reality technologies in surgical training and simulation is the most developed and validated of all the current applications. However, formal and massive implementation in continuous orthopedic education has yet to happen. This report aimed to present our experience during the first AO trauma regional courses in Latin America that incorporated the use of immersive virtual reality (IVR) simulation as a hands-on activity as part of the program. IVR was used for the first time as part of a course activity during the advanced principles of fracture treatment course as part of the AO regional courses in Rio de Janeiro, Brazil, in 2022. The activity was implemented for 120 participants in a back-to-back fashion. Each participant used the IVR simulation for the trochanteric nail application and did a traditional hands-on exercise with a synthetic bone model. An appreciation survey was answered by participants. Seventy-four persons answered the survey. About 62% considered that the IVR simulation was like reality, and 76.38% thought that IVR was helpful in the learning process. The majority (91.6%) would like to use IVR for training, and 93% would be willing to use IVR again. This was the first time, IVR simulation was implemented as a massive and structured educational activity during the principles of fracture treatment course. Participant feedback was positive, and most people would use IVIR again. A systematic way of implementing IVR simulation sessions with educational goals needs to be developed for these activities.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127243304","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":"Bilateral talocalcaneal tarsal coalition with flatfeet treated with single-stage coalition resection and calcaneal lengthening osteotomy: A case report","authors":"Abdulrahman I. Alabdulkareem, Y. Alkhalife, Abdulaziz Bayounis, Abdullah A. B. Shabib, Waleed A. Alrogy, Fares H. Al-Jahdali, Samir O. Alsayegh","doi":"10.25259/jmsr_109_2022","DOIUrl":"https://doi.org/10.25259/jmsr_109_2022","url":null,"abstract":"A coalition is a bridge connecting osseous structures. Tarsal coalitions typically involve talocalcaneal and calcaneonavicular joints. As a result, patients might present with pain and/or rigid flatfoot deformity. We outline a case of bilateral middle facets talocalcaneal tarsal coalition with rigid flatfeet who was treated with resection combined with flatfoot reconstruction. the patient was an 11-year-old Saudi girl who had progressive bilateral flatfoot for which non-operative treatment failed. A single-stage middle facet talocalcaneal coalition resection with concomitant Evans calcaneal lengthening osteotomy and gastrocnemius recession was performed. Postoperatively, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle midfoot score was measured, and the patient had a score of 90/100. The outcome was satisfactory, and the other foot was operated on 6 months later, with the same procedure and outcome (AOFAS: 90/100). Six years of follow-up showed no recurrence and a satisfactory lifestyle with no activity limitation. We aimed to highlight the AOFAS score 6 years after resecting the coalitions while reconstructing the foot in a single-staged procedure.","PeriodicalId":266222,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134480143","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}