Journal of Orthopedic and Spine Trauma最新文献

{"title":"Distal Radius Volar T Plate Versus Distal Clavicle Pre-Contoured Locking Plate in Neer 2b Distal Clavicle Fractur: A Randomized Controlled Trial","authors":"Amir Mehrvar, R. Zandi, M. Okhovatpour, Shahab Sarlak, Mohammadreza Minator Sajjadi, Akbar Ehsani, Ahmadreza Ahmadi Abdashti","doi":"10.18502/jost.v10i1.14961","DOIUrl":"https://doi.org/10.18502/jost.v10i1.14961","url":null,"abstract":"Background: The purpose of the current study was to compare the clinical and radiographic outcomes of distal radius volar T plate and pre-contoured locking plate in distal clavicle fracture. \u0000Methods: A total of 60 patients with Neer 2b distal clavicle fracture were included in this study and underwent open reduction and internal fixation (ORIF) between March 2019 and November 2020 via two different plates, distal radius volar T plate and distal clavicle pre-contoured locking plate. All patients were followed at least two years post-operative. Union rate, time to union, need to device removal, and Constant-Murley score (CMS) were assessed among them. \u0000Results: In all patients, the bony union was achieved without wound-related complications. The mean time to union in distal radius volar T plate group was 3.3 ± 0.6 months and in the pre-contoured locking plate group was 3.6 ± 0.7 (P = 0.14). The mean CMS was 93.1 ± 2.2 and 92.1 ± 2.5 in T plate group and pre-contoured plate group, respectively (P = 0.09). Five cases with T plate and eight cases with pre-contoured plate were candidates for device removal (P = 0.53). \u0000Conclusion: Distal radius volar T plate could be a reasonable choice to manage Neer 2b distal clavicle fracture as it restores functional range of motion (ROM) with excellent bone union and without the necessity of device removal, besides its economical price.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"80 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433864","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":"Intravenous Injection of Tranexamic Acid in Patients with Pelvis or Acetabulum Fractures to Reduce Blood Loss: A Double-Blind, Randomized, Controlled Trial","authors":"R. Zandi, Esmaeel Yousefi-Hajivand, Alireza Manafi-Rasi, Mohammadreza Minator Sajjadi","doi":"10.18502/jost.v10i1.14963","DOIUrl":"https://doi.org/10.18502/jost.v10i1.14963","url":null,"abstract":"Background: Despite their low incidence, pelvis and acetabular fractures have a high mortality rate due to extensive hemorrhage. Tranexamic acid (TXA) is an antifibrinolytic drug that inhibits the production of plasminogen. The aim of the current study is to evaluate the safety and efficacy of TXA use for blood loss reduction and the need for blood transfusion in patients with fractures of the pelvis or acetabulum. \u0000Methods: 108 patients were recruited from two tertiary care hospitals and assigned evenly either to the intervention (TXA) or the control group. TXA group received 15 mg/kg TXA 30 minutes before the fracture reduction and fixation surgery. The number of transfused blood units before, during, and after the surgery was recorded. Blood loss was assessed by calculation of estimated blood loss (EBL), collected blood with drain, collected blood with suction, and weight of the used gauzes during the surgery. The time between fracture occurrence and the surgery, the duration of the surgery, and the days of admission were assessed. \u0000Results: The mean age was 39.49 ± 15.81 years, and 69.4% were women. 6 patients had pelvic, and 102 patients had acetabulum fractures. The duration of the surgery was not significantly different. The time gap between the reconstructive surgery and fracture occurrence was significantly higher in the TXA group (P = 0.032). The mean postoperative hospitalization time was significantly lower among TXA group patients (P = 0.037). The mean hemoglobin (Hb) in the TXA group was significantly higher, postoperatively (P = 0.028). The mean EBL, the blood volume collected by suction or drain, the weight of the consumed gauze during the surgery, and the number oftransfused blood units were significantly lower in the TXA group. The transfusion rate was significantly lower in patients with a shorter time gap between fracture occurrence and reduction surgery (P = 0.021). \u0000Conclusion: TXA can decrease blood loss, the transfused blood units during and after the operation, and hospital admission days. Moreover, it did not increase the chance of pulmonary thromboembolism (PTE) or deep vein thrombosis (DVT) in the patients receiving TXA; thus, it can be assumed as a safe and efficient drug in patients with acetabulum or pelvis fractures.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"50 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433918","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":"Calcific Myonecrosis of Tibialis Anterior in a 76-Year-Old Man with Foot Drop","authors":"N. Saini, Anamendra Sharma","doi":"10.18502/jost.v10i1.14972","DOIUrl":"https://doi.org/10.18502/jost.v10i1.14972","url":null,"abstract":"Background: Calcific myonecrosis is a rare entity that is considered a sequela of chronic compartment syndrome. A fusiform mass with central liquefaction and peripheral calcification replaces the affected muscle unit. \u0000Case Report: We are presenting a case of calcific myonecrosis of the tibialis anterior in a 76-year-old man. Although the mass was present for several years, the patient recently developed leg pain and foot drop. After radiological and histopathological diagnosis, patient was treated with surgical excision of the mass. \u0000Conclusion: Although calcific myonecrosis is a benign condition, due to the pressure effect on surrounding structures, it may be a source of leg pain and foot drop. Cortical erosion and scalloping of underlying major bone may be reasons for extremity pain. To relieve pain, alleviate pressure effect, and prevent pathological fracture of the underlying bone, complete surgical excision of the lesion is essential.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434964","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":"Giant Cell Tumor in the Proximal Femur of an Eight-Year-Old Boy: A Case Report","authors":"Afshin Taheriazam, Reza Mohammadnejad, Salar Baghbani, Fatemeh Jabalameli","doi":"10.18502/jost.v9i4.13939","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13939","url":null,"abstract":"Background: Giant cell tumor (GCT) is a benign aggressive bone tumor that occurs mostly in young adult patients after puberty. The most common location is around the knee joint. Occurrence in pre-puberty pediatric patients is very rare and accounts for 1.8% to 10% of all known GCTs.
 Case Report: Here, we report an eight-year-old boy who complained of pain and loss of range of motion (ROM) in the right hip. Radiological and pathological studies revealed GCT of the femoral head with joint expansion. We treated the patient by wide resection and osteochondral allograft reconstruction.
 Conclusion: We believe this is the first reported case of GCT in the proximal femoral bone of pediatric patients, which is proven by pathology. Studying the current case may help tumor surgeons to become aware of this possibility.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136158146","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 Knee Tenosynovial Giant Cell Tumor: A Deceptive Case Report with Non-Specific Presentations","authors":"Seyyed-Morteza Kazemi, Reza Minaei-Noshahr, Seyyed-Mohsen Hosseininejad","doi":"10.18502/jost.v9i4.13938","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13938","url":null,"abstract":"Background: Tenosynovial giant cell tumor (TGCT) is a rare hyperplastic disease of the synovial membrane of the joint with a high recurrence rate and tumor-like features, affecting large joints such as the hip, knee, and ankle. Dull and chronic pain is common, as is swelling of the joint, which can make definitive diagnosis difficult. The gold standard of treatment is complete resection of the lesion. In this case report, we present a TGCT at the knee joint of an adult patient with nonspecific clinical presentation.
 Case Report: We present a 33-year-old male patient who presented with chronic swelling, warm sensation, and limited range of motion (ROM) in the knee. He had no history of trauma and infectious disease had been ruled out. After several nonspecific orthopedic procedures and inadequate treatment of signs and symptoms, he was finally diagnosed with local TGCT.
 Conclusion: To make the correct diagnosis, the unusual and somehow deceptive clinical presentation of TGCT must be considered.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"86 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134150","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":"Delaying Anesthesia Assessment Time Can Put Traumatic Patients at Risk","authors":"Mazaher Ebrahimian, Mir Mansour Moazen Jamshidi, Alireza Moharrami","doi":"10.18502/jost.v9i4.13940","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13940","url":null,"abstract":"
 The Article Abstract is not available. 
 
 
 
","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"54 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136133991","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":"Modified French Osteotomy for Cubitus Varus Correction: Our Experience","authors":"Puttamaregowda Madhuchandra, Keelara Mahadevappa Pawankumar, Galla Sunil Santhosh","doi":"10.18502/jost.v9i4.13935","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13935","url":null,"abstract":"Background: Various fixation techniques have been described for osteotomy for correction of cubitus varus. Kirschner-wiring (K-wiring) was used in the past for fixation; however, rates of fixation failure and pin-track infection were high. Fixation with two screws and a figure-of-eight wiring provides a stable fixation in children younger than 15 years. Herein, we used a modified lateral approach and a figure-of-eight construct with two screws and evaluated the outcome.
 Methods: A case series comprising 35 patients out of the total of 54 patients who underwent modified French osteotomy between January 2013 to December 2021 was conducted retrospectively. Functional outcomes were assessed using the modified Mayo Elbow Performance Scoring (MEPS) system.
 Results: There were 22 male and 13 female subjects in the study group. We had excellent results in 16 cases, good outcomes in 13 cases, and fair outcomes in 6 cases. Superficial infection was seen in three patients and four patients had occasional negligible pain. In addition, there was no loss of correction or fixation failures in our study.
 Conclusion: Modified French osteotomy using two screws and figure-of-eight wiring is a simple and safe procedure that yields satisfactory outcomes. A careful preoperative planning, sufficient surgical technique, and stable fixation are key to achieving satisfactory functional outcomes.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"5 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136157852","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":"Functional Movement Disorder; Importance of Proper Diagnosis and Treatment: A Case Report","authors":"Hadi Shojaei, Taylor Wilkins","doi":"10.18502/jost.v9i4.13936","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13936","url":null,"abstract":"Background: Dystonia is a common movement disorder with a wide range of aetiologies. Delays in the identification and initiation of effective treatments should be minimized to improve patient pain and optimize outcomes. This case report aims to underscore the successful treatment of chronic dystonia with the use of mood-modifying serotonin and norepinephrine reuptake inhibitors (SNRI), and encourage clinicians to consider a diagnosis of functional (psychogenic) movement disorder in patients with dystonia that is refractory to usual treatment.
 Case Report: This case report describes a 40-year-old woman who presented to a chronic pain clinic for pain related to cervical dystonia with associated head tremor. Her symptoms were refractory to nearly a decade of quarterly botulinum toxin injections. Based on careful evaluation of the patient’s history, a normal neurological examination, increased Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Injustice Experiences Questionnaire (IEQ) scores, and unsuccessful symptom management with botulinum toxin A, a diagnosis of functional movement disorder (FMD) was made. Low-dose Cymbalta was initiated. The patient achieved near complete symptom remission and resolution of her chronic pain within 2 months and achieved near complete resolution in 2 years.
 Conclusion: A diagnosis of FMD should be considered in all patients with dystonia, but especially in patients who respond inadequately to botulinum toxin injections or other rehabilitation therapies. The treatment of comorbid psychiatric conditions can result in substantial benefits and remission from dystonia due to FMD.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"57 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136157491","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":"Pigmented Villonodular Synovitis in a 15-Month-Old Boy Challenged the Physicians for Two Years: A Case Report and Literature Review","authors":"Afshin Taheriazam, Reza Mohamadnejad, Salar Baghbani, Behzad Khanmohammadi, Amin Dindar Mehrabani, Asal Farokhzadeh","doi":"10.18502/jost.v9i4.13937","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13937","url":null,"abstract":"Background: Pigmented villonodular synovitis (PVNS) is a very rare pathology of the synovial membrane and even less common in the pediatric group. Rarity leads to misdiagnosis in pre-puberty cases, which may waste significant time for the patient before definite treatment. Reviewing such cases is useful for every pediatrician or orthopedic surgeon to avoid misdiagnosing possible cases.
 Case Report: We report a 15-month-old boy who suffered pain and swelling in his knee for about two years before he was eventually diagnosed with PVNS and underwent surgery. Keeping this diagnosis in mind may have saved him and his family from two years of pain, several admissions, and unnecessary prescriptions.
 Conclusion: PVNS in pediatrics is rare, but it can occur and be misdiagnosed for diseases such as juvenile rheumatoid arthritis (JRA) and septic arthritis which elongates the pain period. PVNS responds well to subtotal synovectomy, and symptoms are relieved after the surgery if well performed.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"54 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136133983","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":"Definition and Classifications of Kienbock Disease in the Past 100 Years: A Review of the Evidence","authors":"Mazaher Ebrahimian, Mir Mansour Moazen Jamshidi, Behzad Enayati, Amir Reza Mafi, Amir Hosein Mafi, Alireza Moharrami","doi":"10.18502/jost.v9i4.13929","DOIUrl":"https://doi.org/10.18502/jost.v9i4.13929","url":null,"abstract":"Kienbock disease (KD) was described by Robert Kienbock in 1910 as osteomalacia of the lunate. A century has passed since the first description of KD, and numerous theories, classifications, and treatments have been published for achieving the best outcomes for this disease, but the treatments remain controversial among surgeons. Various classifications have been proposed for KD based on radiography, magnetic resonance imaging (MRI), arthroscopy, and morphology from 1947 to 2017. Recently, the pioneers of KD (Lichtman and Bain) proposed a new classification based on all the previous classifications (radiography, MRI, and arthroscopy). This classification seems to be the best evaluation and treatment method for KD. We recommend using this new classification for the assessment of KD.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":"10 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136231897","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}