Orthopaedics and Trauma最新文献

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Recent advances in metastatic bone disease 转移性骨病的最新进展
Orthopaedics and Trauma Pub Date : 2025-05-14 DOI: 10.1016/j.mporth.2025.03.005
Jason Mavrotas, Amit Kumar
{"title":"Recent advances in metastatic bone disease","authors":"Jason Mavrotas,&nbsp;Amit Kumar","doi":"10.1016/j.mporth.2025.03.005","DOIUrl":"10.1016/j.mporth.2025.03.005","url":null,"abstract":"<div><div>Metastatic bone disease (MBD) is a common sequela of malignancy and can lead to significant morbidity on patients. Systemic medical therapies and oncology surgery have greatly enhanced cancer survival rates over recent decades. Orthopaedic surgeons occupy a key position within the multidisciplinary team and coordinate surgical care for bone metastases where appropriate. This review describes the investigations for, and management of, patients with metastases to the appendicular skeleton. National British Orthopaedic Association Standard (BOASt) guidelines exist to help orthopaedic clinicians and departments optimize patient care. We outline and illustrate the freely available OPTIModel app, which is an innovative, straightforward and useful tool for prognostic evaluation and suggestion of loco-regional treatment options for patients with symptomatic long bone metastases.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 172-183"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137719","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 basic science of musculoskeletal tumours 肌肉骨骼肿瘤的基础科学
Orthopaedics and Trauma Pub Date : 2025-05-14 DOI: 10.1016/j.mporth.2025.03.006
Kenneth S Rankin
{"title":"The basic science of musculoskeletal tumours","authors":"Kenneth S Rankin","doi":"10.1016/j.mporth.2025.03.006","DOIUrl":"10.1016/j.mporth.2025.03.006","url":null,"abstract":"<div><div>The basic science of musculoskeletal tumours is a complex subject and has been historically related to pathological descriptions of the lesions. Our understanding of these conditions has increased rapidly with the advent of genetic sequencing and molecular diagnostic techniques. This article covers the main topics and touches on the relevant research strategies which seek to open up further management options, particularly for the sarcomas.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 184-190"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137720","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
Amputations of the lower limb: an overview of principles with surgical tips and advances 下肢截肢:手术技巧和进展的原则概述
Orthopaedics and Trauma Pub Date : 2025-05-14 DOI: 10.1016/j.mporth.2025.04.001
Heledd Havard, Sanjay Gupta
{"title":"Amputations of the lower limb: an overview of principles with surgical tips and advances","authors":"Heledd Havard,&nbsp;Sanjay Gupta","doi":"10.1016/j.mporth.2025.04.001","DOIUrl":"10.1016/j.mporth.2025.04.001","url":null,"abstract":"<div><div>Amputations are an operation that can strike fear into the heart of a trauma and orthopaedic surgeon with a sense of doom and gloom on occasion for both the surgeon and the patient. At one extreme there may be the emergency life-saving setting, and on the other the more controlled elective setting often following multiple attempted limb-salvage procedures. Either way, there can be a feeling of failure at the end of the treatment road. This need not be the case. Patients coming out of a protracted treatment pathway sometimes wonder why they did not have the limb removed sooner and are usually grateful for the sense of freedom that the operation has given them. This review aims to provide a brief historical perspective through to an update on current techniques with a dedicated discussion around osseointegration. There are suggested techniques, that will provide at the very least a refresher or indeed an alternative thought process to approach both the operation and the patient. Amputations are often the beginning of a new life, but not necessarily the end of the old one.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 165-171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138505","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
Benign and intermediate soft tissue tumours for trauma and orthopaedic exam candidates 创伤和骨科考试考生的良性和中度软组织肿瘤
Orthopaedics and Trauma Pub Date : 2025-05-13 DOI: 10.1016/j.mporth.2025.03.001
Thomas Robert William Ward, Nicholas Eastley
{"title":"Benign and intermediate soft tissue tumours for trauma and orthopaedic exam candidates","authors":"Thomas Robert William Ward,&nbsp;Nicholas Eastley","doi":"10.1016/j.mporth.2025.03.001","DOIUrl":"10.1016/j.mporth.2025.03.001","url":null,"abstract":"<div><div>A soft tissue swelling is a common clinical presentation, and although the majority of causes are benign, an intermediate or malignant diagnoses must be ruled out. A thorough history and examination are key to highlight any red flags such as rapid growth, a large tumour size (&gt;5 cm), a deep location, pain or recurrence. These flags should be investigated thoroughly, and if there is any diagnostic uncertainty patients should be discussed with a sarcoma multidisciplinary team (MDT) prior to treatment, and biopsy considered. The inadvertent resection of a malignant soft tissue sarcoma (termed a ‘whoops’ procedure) must be avoided at all costs. Ultrasound is a cheap and easily accessible first-line imaging modality that in specialist hands can identify or rule out aggressive features accurately. Magnetic resonance imaging is the gold standard cross-sectional imaging modality for soft tissue tumours, and allows a detailed anatomical assessment key for surgical planning. Most benign lesions can be managed conservatively or with active surveillance, although symptomatic patients may benefit from a surgical excision. Intermediate tumours should be managed in conjunction with a sarcoma MDT given their rarity and complexity, and will usually require an excision.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 138-143"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138501","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
CME questions on Orthopaedic Oncology 关于骨科肿瘤学的CME问题
Orthopaedics and Trauma Pub Date : 2025-05-10 DOI: 10.1016/j.mporth.2025.03.008
{"title":"CME questions on Orthopaedic Oncology","authors":"","doi":"10.1016/j.mporth.2025.03.008","DOIUrl":"10.1016/j.mporth.2025.03.008","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Pages 191-192"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137721","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
Answers to the CME questions on Major Trauma CME关于重大创伤的问题解答
Orthopaedics and Trauma Pub Date : 2025-05-10 DOI: 10.1016/j.mporth.2025.03.007
{"title":"Answers to the CME questions on Major Trauma","authors":"","doi":"10.1016/j.mporth.2025.03.007","DOIUrl":"10.1016/j.mporth.2025.03.007","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 3","pages":"Page 193"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137723","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
Management of the spine in the polytrauma victim 多发伤患者脊柱的处理
Orthopaedics and Trauma Pub Date : 2025-04-01 DOI: 10.1016/j.mporth.2025.01.002
M Zaki B Choudhury, Athanasios I Tsirikos
{"title":"Management of the spine in the polytrauma victim","authors":"M Zaki B Choudhury,&nbsp;Athanasios I Tsirikos","doi":"10.1016/j.mporth.2025.01.002","DOIUrl":"10.1016/j.mporth.2025.01.002","url":null,"abstract":"<div><div>Major trauma is a common occurrence globally and a leading cause of death in younger patients. Its definition and epidemiology is described in depth elsewhere in the symposium. In the UK there are approximately 22,000 cases presenting per year. Overall management strategy dictates that major trauma is directed to centres experienced in its management. It is, however, important that all clinicians recognize and are aware of it, with implications for resource utilization. The spine can be injured through a variety of mechanisms but importantly in major trauma it is unusual for the spine to be injured in isolation, unless a direct impact is sustained. Conversely, it is critical to be aware of the possibility of vertebral and spinal cord injury which may be masked by distracting injury. Strategies and guidelines for the management of the spine in major trauma will be discussed, and some case examples will be shown in order to demonstrate key concepts and pitfalls.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 2","pages":"Pages 95-104"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791582","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
CME questions on Major Trauma CME关于重大创伤的问题
Orthopaedics and Trauma Pub Date : 2025-04-01 DOI: 10.1016/j.mporth.2025.01.008
{"title":"CME questions on Major Trauma","authors":"","doi":"10.1016/j.mporth.2025.01.008","DOIUrl":"10.1016/j.mporth.2025.01.008","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 2","pages":"Pages 133-134"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791745","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
Special considerations for major trauma in pregnancy and childhood 妊娠期和儿童期重大创伤的特殊考虑
Orthopaedics and Trauma Pub Date : 2025-04-01 DOI: 10.1016/j.mporth.2025.01.003
Marwan Ibrahim, Marjan Raad, Alastair Robertson
{"title":"Special considerations for major trauma in pregnancy and childhood","authors":"Marwan Ibrahim,&nbsp;Marjan Raad,&nbsp;Alastair Robertson","doi":"10.1016/j.mporth.2025.01.003","DOIUrl":"10.1016/j.mporth.2025.01.003","url":null,"abstract":"<div><div>Managing trauma in pregnant women and children is challenging due to their unique anatomical and physiological features. This paper aims to explore the special considerations needed for trauma management in these vulnerable populations, emphasizing the need for patient-centred approaches. Trauma in pregnancy involves a balance between maternal and fetal well-being, requiring adjustment to resuscitation protocols, to tailor for the maternal physiological changes during pregnancy, and continuous fetal monitoring with the collaborative help of neonatologists and obstetricians. The challenges in paediatric trauma are focused on avoiding long-term developmental defects, especially after growth plate injuries that may lead to limb discrepancies, or complete growth arrests. This requires age-specific interventions and a robust rehabilitation strategy to minimize long-term complications following trauma. This paper also highlights the importance of simulation-based learning and medico-legal understanding for orthopaedic trainees. Future studies should focus on optimizing maternal and fetal health following trauma, with a focus on delivery methods, and creating innovative strategies to minimize long-term outcomes in paediatric patients. Understanding the unique nature of these vulnerable populations allows the clinician to respond effectively, optimizing the outcomes and trauma care.</div></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 2","pages":"Pages 105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791846","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
Answers to the CME questions on Knee Arthroplasty 关于膝关节置换术的CME问题解答
Orthopaedics and Trauma Pub Date : 2025-04-01 DOI: 10.1016/j.mporth.2025.01.007
{"title":"Answers to the CME questions on Knee Arthroplasty","authors":"","doi":"10.1016/j.mporth.2025.01.007","DOIUrl":"10.1016/j.mporth.2025.01.007","url":null,"abstract":"","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"39 2","pages":"Page 135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791746","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
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