Journal of Southeast Asian Orthopaedics最新文献

A Randomized Prospective Study of Short-Term Complications Between Simple Release and Extensor Retinaculum Reconstruction in De Quervain’s Tenosynovitis 杜氏腱鞘炎单纯松解术与伸肌网膜重建术短期并发症的随机前瞻性研究

Journal of Southeast Asian Orthopaedics Pub Date : 2024-07-26 DOI: 10.56929/jseaortho-2024-0216

Natdanai Chusing

{"title":"A Randomized Prospective Study of Short-Term Complications Between Simple Release and Extensor Retinaculum Reconstruction in De Quervain’s Tenosynovitis","authors":"Natdanai Chusing","doi":"10.56929/jseaortho-2024-0216","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0216","url":null,"abstract":"Purpose: To study and compare the postoperative complications of De Quervain’s tenosynovitis treatment using two methods: simple release and extensor retinaculum reconstruction.\u0000Methods: This randomized controlled trial included 24 patients divided into two groups: Group 1 (simple release) and Group 2 (extensor retinaculum reconstruction), with 12 patients in each group.\u0000Results: The mean age of the participants was 51.75 and 49.25 years for Groups 1 and 2, respectively. The study participants included three males and 21 females. Intraoperatively, subcompartments were observed in two patients in Group 1 and six patients in Group 2. Additionally, a ganglion cyst in the tendon was found in one patient per group. The mean preoperative visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores for Group 1 were 7.83 and 61.44, respectively, whereas those for Group 2 were 8.17 and 66.52, respectively. Postoperatively, the VAS and DASH scores for Group 1 changed to 2.17 and 15.47, respectively, whereas those for Group 2 changed to 2.67 and 16.33, respectively (p = 0.843 and 0.63, respectively). Tendon subluxation was observed in two patients in Group 1, with none in patients in Group 2 (p = 0.14).\u0000Conclusions: No significant tendon subluxation was observed in either surgery type, with no significant differences in the treatment outcomes.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"25 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802162","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 Efficacy of Inhaled Methoxyflurane Versus Intravenous Sedation for the Reduction of Acute Shoulder Dislocation 吸入甲氧氟醚与静脉镇静对减轻急性肩关节脱位的疗效对比

Journal of Southeast Asian Orthopaedics Pub Date : 2024-07-16 DOI: 10.56929/jseaortho-2024-0215

Chavalit Iemsaengchairat

{"title":"The Efficacy of Inhaled Methoxyflurane Versus Intravenous Sedation for the Reduction of Acute Shoulder Dislocation","authors":"Chavalit Iemsaengchairat","doi":"10.56929/jseaortho-2024-0215","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0215","url":null,"abstract":"Purpose: Anterior shoulder dislocation is one of the most common emergency orthopedic conditions. In general practice, intravenous sedation is the standard treatment to relax patients during shoulder reduction procedures. Sedatives and analgesics are drugs that have side effects after administration, especially when administered intravenously. They can depress neurological function and cause respiratory and cardiovascular system side effects. Self-inhaled methoxyflurane relieves moderate to severe pain. Hospitals may benefit from minimized respiratory and cardiovascular side effects.\u0000Methods: This randomized controlled trial included 50 patients who were randomly assigned to two groups: the inhaled methoxyflurane group (Inh Group) and the intravenous sedation group (IV Group). All patients were assessed for efficacy, procedure duration, pain score during reduction, patient satisfaction, and adverse effects.\u0000Results: Fifty patients satisfied the inclusion requirement: 25 each in the Inh and IV Groups. Reduction was successfully achieved in 92% and 88% of the patients in the Inh and IV Group, respectively. The mean procedural time was 6.4 min and 15.4 min the Inh and IV Group, respectively. Moreover, the mean recovery time was 22.5 min in the Inh Group and 32.4 min in the IV Group.\u0000Conclusions: Inhaled methoxyflurane has better efficacy in reducing acute shoulder dislocation than intravenous sedation alone. Procedural and recovery times were shorter in the Inh Group. Adverse events (hemodynamic instability, desaturation, nausea, vomiting, drowsiness, and dizziness) were more frequent in the IV Group than in the Inh Group.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"73 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141643353","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

Association Between Sarcopenia and Functional Independence After Acute Fragility Hip Fracture at 6 Months 肌肉疏松症与急性脆性髋部骨折后 6 个月的功能独立性之间的关系

Journal of Southeast Asian Orthopaedics Pub Date : 2024-04-24 DOI: 10.56929/jseaortho-2024-0212

Science Metadilogkul, Naputt Virasathienpornkul, Pariyut Chiarapattanakom, Nuttavut Chavalparit, Piyabuth Kittithamvongs, Piyatida Yousuk

{"title":"Association Between Sarcopenia and Functional Independence After Acute Fragility Hip Fracture at 6 Months","authors":"Science Metadilogkul, Naputt Virasathienpornkul, Pariyut Chiarapattanakom, Nuttavut Chavalparit, Piyabuth Kittithamvongs, Piyatida Yousuk","doi":"10.56929/jseaortho-2024-0212","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0212","url":null,"abstract":"Purpose: The primary goal of hip fracture treatment is to allow ambulatory life as early as possible to avoid any subsequent complication after fracture. The European Working Group on Sarcopenia in Older People (EWGSOP) defined sarcopenia as the presence of both low muscle strength and low muscle quantity. Our purpose in this study was to identify the association between sarcopenia and functional independence after acute fragility hip fracture.\u0000Methods: Patients 50 years old or more without neurologic diseases who encountered fragility hip fracture for the first time were included. Sarcopenia was assessed using EWGSOP revised 2018 criteria. Functional independence was assessed using the Barthel Index (BI) at 6 months after injury. Data were analyzed using multiple linear regression.\u0000Results: A total of 240 patients were included; overall, 84 patients with and 156 without sarcopenia. Multiple linear regression analysis showed significant difference in BI at 6 months among those with and without sarcopenia (p<0.001). Specifically, the lower limb related components of BI were decreased four points in patients with sarcopenia, which is a more statistically significant result when compared to the overall BI score.\u0000Conclusions: In this study, patients with sarcopenia were associated with functional independence impairment. Lower limb-related components of the BI must be specifically assessed in patients with hip fracture. Moreover, rehabilitation programs should be tailored to the specific needs of the patient.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"24 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660734","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

Does Adapted Self-Exercise Have Benefits for Stiff Shoulders? 适应性自我锻炼对肩部僵硬有好处吗？

Journal of Southeast Asian Orthopaedics Pub Date : 2024-03-22 DOI: 10.56929/jseaortho-2024-0211

Kriangkrai Benjawongsathien

{"title":"Does Adapted Self-Exercise Have Benefits for Stiff Shoulders?","authors":"Kriangkrai Benjawongsathien","doi":"10.56929/jseaortho-2024-0211","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0211","url":null,"abstract":"Purpose: Stiff shoulders restrict shoulder motion and affect the quality of life. Several rehabilitation programs have been implemented to improve these conditions. Various exercises have been designed to achieve positive clinical outcomes. However, too many different sets of exercises can confuse patients and lead to infrequent exercises.\u0000We aimed to compare the clinical outcomes of a small set of adapted self-exercises to a usual set in patients with stiff shoulders.\u0000Methods: Seventy patients with stiff shoulders were randomly assigned to two groups, each performing self-exercises. Self-exercise in group I (the usual set) was composed of ‘wall climbing in front,’ ‘wall climbing at the side,’ and ‘shoulder stretching with a towel,’ and in group II (the adapted set), it was composed of ‘assisted forward flexion stretching in the standing position,’ ‘sleeper stretching in the standing position,’ and ‘doorway or corner stretching.’ The outcome measurements included pain score, functional score, and range of motion.\u0000Results: There were no significant differences in the baseline patient characteristics between the groups in terms of sex (p=0.759), age (p=0.521), underlying disease (p=0.322), or body mass index (BMI) (p=0.687). Group II demonstrated significantly higher improvement in mean pain score decrement (-4.5±1.7 vs. -3.5±2.4, p=0.049), mean ASES score improvement (23.1±9.9 vs. 18.3±13.1, p=0.038) and mean degree improvement of shoulder motion in all directions than in group I.\u0000Conclusions: The adapted self-exercise set may offer favorable results in treating patients with stiff shoulders and may also be a treatment option for overweight patients.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140215570","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

Irreducible Fracture Dislocation of the Elbow Due to Medial Epicondyle Entrapment Associated with Median Nerve Palsy in Adult: A case report 成人肘关节内上髁内陷引起的不可逆性骨折脱位伴正中神经麻痹：病例报告

Journal of Southeast Asian Orthopaedics Pub Date : 2024-03-12 DOI: 10.56929/jseaortho-2024-0214

Navapong Anantavorasakul, Piyabuth Kittithamvongs, Sopinun Siripoonyothai, Science Metadilogkul, Naputt Virasathienpornkul

{"title":"Irreducible Fracture Dislocation of the Elbow Due to Medial Epicondyle Entrapment Associated with Median Nerve Palsy in Adult: A case report","authors":"Navapong Anantavorasakul, Piyabuth Kittithamvongs, Sopinun Siripoonyothai, Science Metadilogkul, Naputt Virasathienpornkul","doi":"10.56929/jseaortho-2024-0214","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0214","url":null,"abstract":"Purpose: Medial epicondyle fractures are common elbow injuries in pediatric and adolescent population. However, this condition is extremely rare in adults, with only a few cases reported in the literatures. This report presents the case of an adult patient with an irreducible fracture dislocation of the elbow due to intra-articular entrapment of the medial epicondyle associated with median nerve palsy.\u0000Methods: A case of 36-year-old man presented with posterolateral fracture dislocation of the left elbow with displaced medial epicondyle and median nerve palsy. Closed reduction was attempted, resulting in a grossly unstable elbow. Post-reduction radiographic study demonstrated the articular incongruence with the entrapped medial epicondyle. The patient underwent an open reduction and median nerve exploration. A fragment of the medial epicondyle was found comminuted and repaired using our novel technique with suture anchors. The lateral ulnar collateral ligament was repaired because of varus residual instability. The dislocated elbow was successfully reduced.\u0000Results: At 6 months follow-up, the elbow was stable with nearly full range of motion, although radiographic studies demonstrated union fractures with partially fragment resorption. Both sensation and motor function of the median nerve were gradually recovered.\u0000Conclusions: We presented a novel fixation technique for a rare case of irreducible fracture dislocation of the elbow due to intra-articular entrapment of the medial epicondyle associated with median nerve palsy in adults. The median nerve should be explored in every case, and delayed diagnosis should be avoided, which may lead to devastating complications.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140250857","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

Effect of Transdermal Microneedle Patch Plus Nonsteroidal Anti-Inflammatory Drug in Knee Osteoarthritis: A Randomized, Double-Blind Study 透皮微针贴片加非甾体抗炎药对膝骨关节炎的影响：随机双盲研究

Journal of Southeast Asian Orthopaedics Pub Date : 2024-01-10 DOI: 10.56929/jseaortho-2024-0192

Saradej Khuangsiriguk, M. Pisuttanawat, D. Heebthamai, T. Chotanaphuti

{"title":"Effect of Transdermal Microneedle Patch Plus Nonsteroidal Anti-Inflammatory Drug in Knee Osteoarthritis: A Randomized, Double-Blind Study","authors":"Saradej Khuangsiriguk, M. Pisuttanawat, D. Heebthamai, T. Chotanaphuti","doi":"10.56929/jseaortho-2024-0192","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0192","url":null,"abstract":"Purpose: No recent clinical study has shown the efficacy of transdermal microneedle patch (TDM) plus nonsteroidal antiinflammatory drug (NSAID) in early knee osteoarthritis (OA). This study aimed to determine the effect of TDM plus NSAID on synovial hypertrophy, knee pain, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score in osteoarthritic knees.\u0000Methods: A randomized, controlled, double-blind trial was conducted. One hundred participants, aged 40–70 years, with painful knee OA and radiographic nonstructural changes were randomly assigned into two groups to undergo TDM plus NSAID (ketorolac 30 mg) or TDM (placebo) at the medial joint line of the knee twice (once weekly). The synovial thickness was measured using ultrasonography at pretreatment, weeks 1, 2, and 4. The visual analog scale (VAS) for pain, WOMAC score, and adverse events (AEs) were also recorded.\u0000Results: The TDM plus NSAID group demonstrated a significant reduction in synovial thickness and VAS at weeks 2 and 4 compared with the placebo group (P<0.05). At week 4, the mean synovial thickness reduction was 1.1 and 0.3 mm, and the mean VAS reduction was 3.2 and 1.7 for the TDM plus NSAID and placebo groups, respectively. The mean WOMAC scores at week 4 were significantly reduced (5.7 and 0.9 for the TDM plus NSAID and placebo groups, respectively). No complication and treatment-related AEs occurred.\u0000Conclusions: TDM plus NSAID significantly reduced synovitis and improved the pain score in knee OA after 2 weeks. The WOMAC score improved at week 4 without any AEs.\u0000Thai Clinical Trials Registry (TCTR), TCTR identification number is TCTR20200613001.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439113","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

Hip Capsular Repair Affect on Joint Laxity in Total Hip Arthroplasty 髋关节囊修复对全髋关节置换术中关节松弛的影响

Journal of Southeast Asian Orthopaedics Pub Date : 2024-01-10 DOI: 10.56929/jseaortho-2024-0180

Sirisak Boonruksa, Nathee Ruangthong

{"title":"Hip Capsular Repair Affect on Joint Laxity in Total Hip Arthroplasty","authors":"Sirisak Boonruksa, Nathee Ruangthong","doi":"10.56929/jseaortho-2024-0180","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0180","url":null,"abstract":"Purpose: Loss of tissue tension around the hip is a cause of hip dislocation. The shuck test is a simple intraoperative test for soft tissue tension. This study evaluated the soft tissue tightness around the hip joint after capsule repair and compared the joint tension resulting from different capsule repair approaches.\u0000Methods: Fifty-three patients underwent a non-cemented total hip replacement using image-free computer-assisted surgery. The patients were divided into the posterior and the anterolateral approach groups. After the hip was reduce, a computer navigation plan was devise to restore proper leg length. The shuck test was applied to determine the soft tissue tension before and after capsule repair. The leg length was recorded after hip reduction and the shuck test. Data from the computer navigation were collected for analysis.\u0000Results The results of this study showed that after the shuck test, the leg length increased by up to 5.98±1.75 mm. (6.73±1.64 mm. and 5.26±1.56 mm for the posterior and anterolateral approach, respectively). After capsule repaire, the leg was shortened by 4.78±1.31 mm. (5.42±1.10 mm. and 4.15±1.20 mm for posterior and anterolateral approach, respectively). The study found that the leg shortening from the posterior approach was significantly higher than the anterolateral approach (p-value <0.001). There were no hip dislocations in this series.\u0000Conclusions: Hip capsule repair improves the soft tissue tension around the hip joint. This helps reduce the risk of hip dislocation. Hip capsule repair using a posterior approach has a better outcome.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"77 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440773","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

Orthopedic Treatment in the Era of COVID-19: Perspectives from a National Survey in Thailand COVID-19 时代的骨科治疗：泰国全国调查的视角

Journal of Southeast Asian Orthopaedics Pub Date : 2024-01-04 DOI: 10.56929/jseaortho-2024-0207

Surut Jianmongkol, Kamolsak Sukhonthamarn, Chaiyos Vinitpairot

{"title":"Orthopedic Treatment in the Era of COVID-19: Perspectives from a National Survey in Thailand","authors":"Surut Jianmongkol, Kamolsak Sukhonthamarn, Chaiyos Vinitpairot","doi":"10.56929/jseaortho-2024-0207","DOIUrl":"https://doi.org/10.56929/jseaortho-2024-0207","url":null,"abstract":"Purpose: The coronavirus disease 2019 (COVID-19) pandemic has affected the management of patients with non-emergent orthopedic conditions, resulting in postponed surgical intervention(s) and changes in hospital services. Specific guidelines have been issued for emergency orthopedic cases; however, no definitive guidelines have been proposed for the management of elective or non-urgent conditions during the pandemic. As such, physicians have been obliged to make decisions based on their judgment. This study aimed to analyze data regarding changes in general orthopedic practices during the pandemic, especially those pertaining to surgery, clinical procedures, follow-up periods, referrals, and protective equipment.\u0000Methods: This study investigated the impact of the COVID-19 pandemic on the management of non-urgent orthopedic conditions by outpatient orthopedists. A questionnaire was developed and shared with nationwide orthopedic social media groups and through e-mails.\u0000Results Of the 200 orthopedic surgeons invited to participate, 129 (64.5%) responded. Results revealed that 65.9% of the surgeons preferred conservative treatment to surgery among patients with the appropriate indications. Additionally, follow-up periods were extended in 69.0% of patients, and 70.5% were prescribed more medication. The N-95 mask and home delivery system for medications were the two most desirable protective equipment and innovations that surgeons needed (79.1% and 69.8% of respondents, respectively).\u0000Conclusions: The COVID-19 pandemic has led to changes in general orthopedic practices in outpatient clinics, such as a preference for more conservative treatment than surgery, extension of appointment periods, prescription of medicine for a longer period, and use of drug delivery to patients’ homes.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"27 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139386991","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

Comparing Clinical Outcomes of Early and Elective Reconstruction in Patients with Anterior Cruciate Ligament Tears 前交叉韧带撕裂早期重建与择期重建的临床效果比较

Journal of Southeast Asian Orthopaedics Pub Date : 2023-10-05 DOI: 10.56929/jseaortho-2023-0194

Sombun Wutphiriyaangkun

{"title":"Comparing Clinical Outcomes of Early and Elective Reconstruction in Patients with Anterior Cruciate Ligament Tears","authors":"Sombun Wutphiriyaangkun","doi":"10.56929/jseaortho-2023-0194","DOIUrl":"https://doi.org/10.56929/jseaortho-2023-0194","url":null,"abstract":"Purpose: The optimal time of treatment for anterior cruciate ligament tears remains controversial. Two times are early (< 6 weeks) and elective (≥ 6 weeks) reconstruction. This retrospective study tested the hypothesis that clinical outcomes are similar between the two time groups for anterior cruciate ligament reconstruction. Methods: A total of 61 patients were included in this study. Thirty and 31 patients were in the early and elective reconstruction groups, respectively. The collected patient data included a preoperative and 2-year postoperative range of motion, visual analog scale scores, anterior stability tests, and clinical knee scores. Results: There were no significant differences in the 2-year postoperative range of motion, visual analog scale scores, or anterior stability tests. The Lysholm and International Knee Documentation Committee knee evaluation form scores were significantly higher in the early reconstruction group than in the elective reconstruction group. Conclusions: Early anterior cruciate ligament reconstruction is a more effective clinical knee score than elective reconstruction in treating anterior cruciate ligament tears.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"440 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135481164","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 Safety and Effectiveness of an In-Depth Esmarch Tourniquet Technique in Achieving Target Pressures for Pediatric Upper Extremity Surgery 深度Esmarch止血带技术在小儿上肢手术中达到目标压力的安全性和有效性

Journal of Southeast Asian Orthopaedics Pub Date : 2023-08-01 DOI: 10.56929/jseaortho-2023-0188

Kanchai Malungpaishrope, Prapasiri Charoensri, Piyabuth Kittithamvongs, Navapong Anantavorasakul, C. Uerpairojkit, S. Leechavengvongs

{"title":"The Safety and Effectiveness of an In-Depth Esmarch Tourniquet Technique in Achieving Target Pressures for Pediatric Upper Extremity Surgery","authors":"Kanchai Malungpaishrope, Prapasiri Charoensri, Piyabuth Kittithamvongs, Navapong Anantavorasakul, C. Uerpairojkit, S. Leechavengvongs","doi":"10.56929/jseaortho-2023-0188","DOIUrl":"https://doi.org/10.56929/jseaortho-2023-0188","url":null,"abstract":"Purpose: This study aimed to determine the appropriate number of turns required for an Esmarch tourniquet, using commonly sized Esmarch bandages, to achieve a pressure target of at least 150 mm Hg during pediatric upper extremity surgery.\u0000Methods: Twenty participants who underwent upper extremity surgery were included in the study. Two surgeons used 2- and 3-inch-sized Esmarch bandages to apply an Esmarch tourniquet to each participant’s arm. The pressure and number of turns were recorded from the second to fifth turns. The pressure was measured using a pressure sensor device.\u0000Results: At the third turn of both the 2- and 3-inch-sized Esmarch bandages, a 150 mm Hg pressure was achieved in all participants. Intra-observer reliability resulted was “good”; however, inter-observer revealed “poor” reliability.\u0000Conclusions: The Esmarch tourniquet is an effective and safe method for creating a bloodless operative field for upper extremity surgery in pediatric patients. The results of this present study suggested the application of three turns of the 2- and 3-inch-sized Esmarch bandages.","PeriodicalId":333749,"journal":{"name":"Journal of Southeast Asian Orthopaedics","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123708457","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