Case Reports in Orthopedics最新文献_第5页

Long-Term Outcomes of Osteochondral Allograft with Osteogenic Protein-1 Augmentation: A Twelve-Year Follow-Up. 成骨蛋白-1增强的骨软骨同种异体移植物的长期疗效：12年随访。

Case Reports in Orthopedics Pub Date : 2023-09-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3842443

Eric Assid, Andrew Renshaw, Mawadah Samad, Richard Tupler, Deryk Jones

{"title":"Long-Term Outcomes of Osteochondral Allograft with Osteogenic Protein-1 Augmentation: A Twelve-Year Follow-Up.","authors":"Eric Assid, Andrew Renshaw, Mawadah Samad, Richard Tupler, Deryk Jones","doi":"10.1155/2023/3842443","DOIUrl":"https://doi.org/10.1155/2023/3842443","url":null,"abstract":"Background: Osteochondral lesions (OCLs) can significantly impact functional status and activities of daily living. Weightbearing joints are disproportionately affected due to considerable biomechanical forces in these areas. Various biologic reconstructive procedures such as microfracture, osteochondral autograft transfer (OATS) or allograft transplantation (OCA), and matrix-induced autologous chondrocyte implantation (MACI) are utilized by surgeons to treat OCLs. The integration of osteochondral allografts can restore knee function and maintain the integrity of adjacent joint surfaces. Bone incorporation has been linked to successful outcomes following OCA. Pulse lavage and carbon dioxide have been used to remove marrow elements from the superficial, middle, and deep layers of the allograft; this has been combined with the use of various biologics such as bone marrow aspirate or whole blood to augment donor bone incorporation into the host bone. We present an innovative augmentation approach in OCA transplantation demonstrating excellent incorporation of an osteogenic protein-1 (OP-1) implant (Stryker, Kalamazoo, MI) to treat a large fresh osteoarticular allograft. Case Presentation. We present a 51-year-old male who received OCA augmented with an OP-1 implant (Stryker, Kalamazoo, MI) in 2011. Due to subsequent ACL reconstruction for two years and medial meniscal repair four years following OCA transplantation, we were able to arthroscopically evaluate graft status at short- and intermediate-term follow-ups. Positive findings were further verified with radiographic imaging and patient-reported outcome measures (PROMs).Conclusion: OP-1 implants aided in the bone incorporation of a large osteochondral allograft, restoring a high functional level in a demanding sport.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"3842443"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multiple Intraosseous Cysts of the Carpal Bones Presenting as Unilateral Carpal Tunnel Syndrome. 多发性腕骨骨内囊肿表现为单侧腕管综合征。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/4110616

Raymonde Dahdouh, Dany Aouad, Elyssa Kiwan, Georges Sakhat, Mohammad Daher, Rabih Kortbawi, Joseph Wehbe

引用次数: 0

Difficult Preoperative Diagnosis of Suspected Metal Hypersensitivity in a Case with Early Failure of Bipolar Hemiarthroplasty. 双相半关节置换术早期失败一例疑似金属过敏的术前诊断困难。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/8656265

Airi Shimmyo, Yu Takeda, Shigeo Fukunishi

引用次数: 0

Preliminary Results of Bone Lengthening over Telescopic Titanium Intramedullary Rod. 伸缩式钛髓内棒骨延长的初步结果。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/4796006

Eduard Mingazov, Nikita Gvozdev, Arnold Popkov, Pierre Journeau, Dmitry Popkov

{"title":"Preliminary Results of Bone Lengthening over Telescopic Titanium Intramedullary Rod.","authors":"Eduard Mingazov, Nikita Gvozdev, Arnold Popkov, Pierre Journeau, Dmitry Popkov","doi":"10.1155/2023/4796006","DOIUrl":"https://doi.org/10.1155/2023/4796006","url":null,"abstract":"Background: Limb lengthening and deformity correction in patients with abnormal bone associating fragility often require an approach combining methods of external and internal fixation. This study demonstrates results of simultaneous application of external fixator, and telescopic rod for femoral lengthening and deformity correction in three children with osteogenesis imperfecta or severe form of Ollier's disease.Materials and methods: Three patients (two boys with Ollier's disease and a girl with osteogenesis imperfecta, type I) were operated on for femoral lengthening with combined technique associating Ilizarov frame and titanium telescopic intramedullary rodding.Results: Planned amount of lengthening and deformity correction were achieved for all patients. We found neither rod bending nor pull out of threaded tips. There was no difficulty of expanding of telescopic intramedullary rods made of titanium alloy during distraction phase of lengthening procedure.Conclusion: This short series proved feasibility of performing one-stage surgery with external frame and telescopic rodding in limb lengthening. The technique of telescopic rods in lengthening procedure is promising method requiring meticulous insertion of rod in centralized positioning in epiphysis. Acute alignment of the segment been elongating should be achieved at surgery. No any progressive angular deformity correction in postoperative period is authorized in order to avoid bending of telescopic rod. This combined approach does not affect bone healing.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"4796006"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10689671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Atypical Fragility Fractures due to Bony or Soft Tissue Phosphaturic Mesenchymal Tumors: A Report of Two Cases. 骨或软组织磷化间充质肿瘤所致非典型脆性骨折2例报告。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/5614065

Stephanie M Clegg, Emily S Eiel, Sara Fine, Rachel I Gafni, Mathew J Most

{"title":"Atypical Fragility Fractures due to Bony or Soft Tissue Phosphaturic Mesenchymal Tumors: A Report of Two Cases.","authors":"Stephanie M Clegg, Emily S Eiel, Sara Fine, Rachel I Gafni, Mathew J Most","doi":"10.1155/2023/5614065","DOIUrl":"https://doi.org/10.1155/2023/5614065","url":null,"abstract":"Introduction: Tumor-induced osteomalacia (TIO) is a rare paraneoplastic disorder where patients present with hypophosphatemia, chronic diffuse bone pain, and occasionally fractures. Benign phosphaturic mesenchymal tumors (PMT) are responsible for the TIO and are largely soft tissue tumors.Cases: Two male patients with TIO secondary to PMT were reported-one in the bony scapula and the other in the plantar foot soft tissue. The first case describes a 63-year-old Caucasian male, who sustained an intertrochanteric proximal femur stress fracture and approximately two years of diffuse bone pain and hypophosphatemia. Wide excision of a left scapula boney lesion resulted in immediate resolution of his electrolyte abnormalities and bone pain. Case 2 describes a 58-year-old male with four years of multifocal bone pain and atraumatic fractures. A 68Ga-DOTATATE-positron emission tomography/computed tomography (PET/CT) scan identified a soft tissue tumor in his plantar foot, which was ultimately excised. He also experienced near immediate resolution of his pain and no additional fractures.Conclusion: TIO is a rare condition presenting with chronic multifocal bone pain, stress fractures, and hypophosphatemia. These two cases highlight that the causative tumor may originate in soft tissue or bone. Furthermore, a high index of suspicion, along with fibroblast growth factor-23 testing and DOTATATE-PET/CT localization, can help with diagnosis and minimize treatment delays.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"5614065"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9392518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic Anterior Hip Dislocation in the Elderly: Description and Review of a Rare Trauma. 老年人外伤性髋关节前脱位:一种罕见创伤的描述和回顾。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/3100256

Quentin Schopfer, Roland Strasser, Eric Ngassom Leumessi, Aurélien Traverso

{"title":"Traumatic Anterior Hip Dislocation in the Elderly: Description and Review of a Rare Trauma.","authors":"Quentin Schopfer, Roland Strasser, Eric Ngassom Leumessi, Aurélien Traverso","doi":"10.1155/2023/3100256","DOIUrl":"https://doi.org/10.1155/2023/3100256","url":null,"abstract":"Background: Traumatic hip dislocation (THD) is an orthopaedic emergency that requires rapid reduction. THD is generally encountered in high-energy trauma. THD with low-energy trauma is extremely rare, even more so in the elderly. Methods/Results. We report the case of a 72-year-old woman who presented to the emergency department with anterior superior left hip dislocation after a low-energy trauma.Results: The patient was initially treated with closed reduction. Because of recurring dislocation, closed reduction was performed a second time. Magnetic resonance imaging showed no soft tissue interposition. At 12 week follow-up, the patient complained of intractable hip pain and was treated with total hip arthroplasty. The post-operative course was uneventful with a return to pre-injury functional mobility. We also conducted a review of the literature with regard to anterior hip dislocation in the population aged 70 years or more.Conclusion: THD can be associated with significant morbidity. Time to reduction is considered essential in improving functional outcomes. In the case of poor functional outcomes, total hip arthroplasty should be considered.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"3100256"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9531816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posteromedial Submeniscal Arthrotomy and Fixation with a Posteromedial Rim Plate in a Comminuted Medial Tibial Plateau Fracture. 后内侧半月板下关节切开术及后内侧缘钢板固定治疗胫骨内侧平台粉碎性骨折。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/3635067

Nicolás Franulic, Tomás Pineda, José Laso, Diego Valiente, Nicolás Gaggero

引用次数: 0

MACI "Sandwich" Technique for a Large Osteochondritis Dissecans Lesion: A Case Report. MACI“三明治”技术治疗大面积夹层性骨软骨炎1例报告。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/7612206

Bhumit Desai, Graylin Jacobs, Deryk Jones

引用次数: 0

Simultaneous Bilateral Avulsion of Tibial Anterior Tubercle in Adolescent: Two Case Reports and Narrative Review of the Literature. 青少年胫骨前结节同时双侧撕脱:2例报告及文献回顾。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/1035705

Dario Giunchi, Jorge Gonzalez, Marco Odorizzi, Mario Sagaon Mendoza, Vincenzo De Rosa

{"title":"Simultaneous Bilateral Avulsion of Tibial Anterior Tubercle in Adolescent: Two Case Reports and Narrative Review of the Literature.","authors":"Dario Giunchi, Jorge Gonzalez, Marco Odorizzi, Mario Sagaon Mendoza, Vincenzo De Rosa","doi":"10.1155/2023/1035705","DOIUrl":"https://doi.org/10.1155/2023/1035705","url":null,"abstract":"Fractures of the anterior tibial tuberosity are uncommon, ranging from 0.4% to 2.7% of all epiphyseal lesions reported. Bilateral sequential fractures are even rarer, with less than twenty-eight cases described to date and, as such, there is very little consensus data on their treatment as a whole. We report the first two documented cases of bilateral tibial tuberosity avulsions of the anterior tubercle in Switzerland, treated by open reduction and internal fixation. Both cases were 14-year-old healthy males with no previous medical history, who both suffered extra-articular fractures after falling from a height. The first case was treated in 2012 with a four-year long clinical follow-up and full recovery. The second, treated in 2019, was clinically followed for one year with a complete recovery and has returned to sporting activity at a pre-injury level. Due to the rarity of the condition, a lack of consensus on the optimal therapy, we believe the documentation of these two cases treated by the same team may be of clinical relevance.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"1035705"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10757709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation. 闭合性枕部骨折致软组织坏死1例腓肠逆动脉瓣联合环形外固定架治疗。

Case Reports in Orthopedics Pub Date : 2023-01-01 DOI: 10.1155/2023/9222479

Ryu Igaki, Tomohiro Yasuda, Yuki Samejima, Yuko Irie, Yuto Murakami, Taisuke Yoneya, Shinsuke Takagi, Keikichi Kawasaki, Koji Kanzaki

{"title":"A Case of Closed Pilon Fracture Resulting in Soft-Tissue Necrosis and Treated with Reverse Sural Artery Flap and Circular External Fixation.","authors":"Ryu Igaki, Tomohiro Yasuda, Yuki Samejima, Yuko Irie, Yuto Murakami, Taisuke Yoneya, Shinsuke Takagi, Keikichi Kawasaki, Koji Kanzaki","doi":"10.1155/2023/9222479","DOIUrl":"https://doi.org/10.1155/2023/9222479","url":null,"abstract":"Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. Open reduction and internal fixation is a commonly used method of treatment. However, it has a high risk of infection and soft-tissue complications due to the extensive detachment of soft tissue. We report on a case with a tibial pilon fracture and soft-tissue necrosis that we treated using limited internal fixation combined with a circular external fixator (LIFCEF) and reverse sural artery flap (RSAF) as part of an orthoplastic approach within the orthopedic surgery department alone, which obtained good results. A 51-year-old man was injured in a motorcycle accident and transported to a nearby hospital. X-rays at the time of injury showed tibial pilon fractures (AO Foundation/Orthopedic Trauma Association 43c3.3, Ruedi-Allgower: Type III). Soft-tissue necrosis with blisters on the medial side of the lower leg (AO soft-tissue classification: IC3-MT1-NV1) was observed. In addition, the patient was referred to our hospital on day 10 of the injury. LIFCEF was chosen for treating the fracture because plate fixation was accompanied by the risk of plate exposure, soft-tissue complications, and an increased skin defect area, and RSAF was chosen to reconstruct the soft tissue defect. Four years after the surgery, the American Orthopedic Foot and Ankle Score was 92 points. X-ray alignment evaluation showed mLDTA 93° and aADTA 91°. Stage 2 arthrosis was present according to the Takakura ankle osteoarthritis classification, but the patient was able to walk without pain. Tibial pilon fractures are difficult to treat due to articular comminution and soft-tissue injuries caused by high-energy trauma. The timing and choice of treatment are crucial concerning the soft tissue.","PeriodicalId":30287,"journal":{"name":"Case Reports in Orthopedics","volume":"2023 ","pages":"9222479"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0