Journal of Research in Orthopedic Science最新文献

Return to Sports Activity in Anterior Cruciate Ligament Reconstruction: 4-Strand Hamstring vs Quadriceps Tendon 前交叉韧带重建后恢复运动:4股腘绳肌vs股四头肌肌腱

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.824.1

M. Mardani-Kivi, Ehsan Kazemnejad Leili, Fatemeh Sharifi, Zoleikha Azari

{"title":"Return to Sports Activity in Anterior Cruciate Ligament Reconstruction: 4-Strand Hamstring vs Quadriceps Tendon","authors":"M. Mardani-Kivi, Ehsan Kazemnejad Leili, Fatemeh Sharifi, Zoleikha Azari","doi":"10.32598/jrosj.9.1.824.1","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.824.1","url":null,"abstract":"Background: Graft type selection is still a controversial issue in anterior cruciate ligament (ACL) reconstruction. The type of graft is a determinant of return to sport and its quality. Objectives: This study aims to evaluate results and rate of return to sport using quadriceps autograft compared to hamstring autograft. Methods: The present prospective cohort study investigated the results of using quadriceps and hamstring autografts in athletes with an ACL tear. Our variables included age, sex, and body mass index, type of sports activity, infection, meniscus tear and chondral lesion, time and quality of return to sport, range of motion, KT-1000, Lachman and knee injury and osteoarthritis outcome score, international knee documentation committee grade, and Lysholm score. Results: A total of 71 out of 139 studied patients were operated on hamstring autografts and 68 patients by quadriceps autografts. The patients showed no significant differences (P>0.05) in terms of age, sex, body mass index, sports group, and meniscus tear. In the final follow-up, the chondral lesion was 26.47 vs 16.90, anterior knee pain was 5.8 vs 2.81, and the return to sport was 71.64 vs 78.87 in the quadriceps group vs the hamstring group. The extension loss involved 2 patients per group. The scores of the international knee documentation committee and knee injury and osteoarthritis outcome, the Lysholm test, KT-1000, and the Lachman test had no significant differences in the two groups. Conclusion: The results of the present study indicated that the use of both quadriceps and hamstring autografts was appropriate for the ACL tear. Also, the orthopedic surgeon should be responsible for deciding to select one of the two grafts.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114815719","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

nterlimb Asymmetry of Vertical Ground Reaction Force as a Risk Factor for Re-injury and Knee Osteoarthritis Following Anterior Cruciate Ligament Reconstruction: A Systematic Review 垂直地面反作用力的肢体间不对称是前交叉韧带重建后再次损伤和膝关节骨关节炎的危险因素:一项系统综述

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.857.1

Mohamadreza Ahmadi, A. Yalfani

{"title":"nterlimb Asymmetry of Vertical Ground Reaction Force as a Risk Factor for Re-injury and Knee Osteoarthritis Following Anterior Cruciate Ligament Reconstruction: A Systematic Review","authors":"Mohamadreza Ahmadi, A. Yalfani","doi":"10.32598/jrosj.9.1.857.1","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.857.1","url":null,"abstract":"Background: Anterior cruciate ligament (ACL) reconstruction is performed as the gold standard of care for patients with ACL rupture. ACL reconstruction provides successful clinical outcomes, however, it cannot repair faulty lower limb mechanics. The loading asymmetry between right and left limbs during movement is often used to measure the effectiveness of surgical interventions and the potential risks of re-injury. Objectives: This study aims to evaluate the interlimb asymmetry of vertical ground reaction in patients with ACL reconstruction. Methods: An online search was done in the following databases: Science Direct, Scopus, PubMed, and Google Scholar. Then, studies from 2000 to 2022 were extracted. Selected articles were screened in a 4-step process according to the inclusion and exclusion criteria. Two researchers evaluated the methodological quality of the articles with the modified Downs and Black checklist. Finally, studies were classified into 3 categories: low (< 40%), medium (40% - 69%), and high quality (≥ 70%). Results: Finally, 9 studies were selected for the systematic review. The average methodological quality was 68.33% (range 54% - 80%), which shows the medium quality of the studies. A total of 4 articles had high methodological quality and 5 articles had medium quality. The results of 8 studies reported asymmetric vertical ground reaction force after ACL reconstruction. Only 1 study reported no significant difference in the asymmetrical vertical ground reaction force. Conclusion: Patients undergoing ACL reconstruction have knee flexion limitation and decreased quadriceps muscle strength. Eventually, this mechanism of energy absorption by the active tissue decreases, and mainly the shock absorption by the passive tissue increases. As a result, this mechanism leads to ACL re-injury and tibiofemoral joint cartilage damage.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134528581","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

Effects of Core Decompression and Local Deferoxamine Injection on Clinical Outcomes and Revascularization of Lunate Carpal Bone in Kienböck‎ Disease: A Pilot Study 核心减压和局部去铁胺注射对Kienböck疾病患者月骨腕骨血运重建的临床结果的影响:一项初步研究

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.94.3

Farid Najd Mazhar, Mojtaba Moztarzadeh, A. Sharifi, Alireza Mirzaei

{"title":"Effects of Core Decompression and Local Deferoxamine Injection on Clinical Outcomes and Revascularization of Lunate Carpal Bone in Kienböck‎ Disease: A Pilot Study","authors":"Farid Najd Mazhar, Mojtaba Moztarzadeh, A. Sharifi, Alireza Mirzaei","doi":"10.32598/jrosj.9.1.94.3","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.94.3","url":null,"abstract":"Background: Avascular necrosis of the lunate or Kienböck‎ disease is a rare disorder with unknown etiology and challenging treatment. Objectives: In this study, we evaluated the effects of local deferoxamine injection as an angiogenic molecule and core decompression to treat Kienböck‎ disease. Methods: In a pilot clinical trial, 8 patients with stage I to IIIA of Kienböck‎ disease were treated with core decompression and local deferoxamine injection (0.5 mL 500 mg/mL). The outcome measures included wrist range of motions, pinch and grip strength, patient-rated ‎wrist/hand evaluation (PRWE), a short form of disabilities of the arm, shoulder, and hand (Quick-DASH), and visual analog scale (VAS) for pain. The assessment of lunate revascularization was also done by T1- and T2-weighted magnetic resonance imaging. All measurements were done before the intervention and 3, 6, and 12 months after the intervention. Results: Wrist flexion, extension, ulnar and ‎radial deviation, and pinch and grip strength were continuously improved over the postoperative periods. These improvements were statistically significant. The mean final pinch and grip strength averaged 87.4% and 72.8% of the non-involved hand, respectively. PRWE, Quick-DASH, and VAS scores were also continuously and significantly improved over the study period. The lunate vascularization revealed a continuous improvement in 6(75%) patients. Conclusion: Local deferoxamine injection in addition to core decompression could improve the radiologic and clinical outcomes of patients suffering from Kienböck‎ disease.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114742182","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

Post COVID-19 Anterior Cruciate Ligament (ACL) Tear in Twin Sisters After Re-starting Professional Futsal Exercises: A ‎Case Report 双胞胎姐妹在重新开始职业五人制足球训练后发生COVID-19后前交叉韧带(ACL)撕裂:一例报告

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.861.1

A. Torkaman, A. Azizi, Jaber Kazemi, A. Mousapour

{"title":"Post COVID-19 Anterior Cruciate Ligament (ACL) Tear in Twin Sisters After Re-starting Professional Futsal Exercises: A ‎Case Report","authors":"A. Torkaman, A. Azizi, Jaber Kazemi, A. Mousapour","doi":"10.32598/jrosj.9.1.861.1","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.861.1","url":null,"abstract":"Awareness of the long-term COVID-19 complications is of significant importance in reducing its morbidity through the implementation of timely interventional programs. In this study, we report an anterior cruciate ligament (ACL) tear in athlete identical twin sisters almost 2 months after the COVID-19 infection. The patients had 15 years of professional futsal experience and showed no obvious risk factors for an ACL tear, such as familial history, abnormal menstruation, oral contraceptive consumption, reduced intercondylar notch, or increased tibial slope. However, they experienced a non-contact complete ACL tear within 1 month of re-participation in professional exercise after the COVID-19 infection. Both patients reported a sense of muscle weakness during the COVID-19 recovery period, and ligamentous laxity was obvious according to the clinical examination and the Beighton criteria. This report shows persistent muscle weakness after the COVID-19 infection that could increase the risk of ACL injury in female athletes and suggests taking a prophylactic rehabilitating program to prevent its catastrophic consequences.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127191955","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

A Review of Bone Cements as Injectable Materials for Treatment of Bone-Related Diseases: Current Status and Future Developments 骨水泥作为治疗骨相关疾病的注射材料的研究进展:现状和未来发展

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.855.1

Saeideh Hosseini

{"title":"A Review of Bone Cements as Injectable Materials for Treatment of Bone-Related Diseases: Current Status and Future Developments","authors":"Saeideh Hosseini","doi":"10.32598/jrosj.9.1.855.1","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.855.1","url":null,"abstract":"Increasing the average age of the population as well as sports injuries, bone-related diseases, such as osteoporosis, rupture or damage to cartilage and bone tissues, and bone fractures, has dramatically increased the need for repair and joint replacement surgeries. Biocompatible materials that are used as prosthetic stabilizers and bone fillers in orthopedic surgery are known as injectable bone cement (IBCs). Available clinical IBCs, such as polymethyl methacrylate and calcium phosphate cement are the most important of these materials. This paper presents the most popular substances for medical use. Although this replacement procedure reduces the pain and restores joint function, it is associated with several drawbacks that limit its efficiency and effectiveness, and sometimes patients should undergo revision surgeries. Recently, the development of the next generation of IBCs, which are bioactive and degradable with good mechanical properties, is of great interest. For the long-term clinical performance in cement arthroplasty, the next generation of bone cement with far greater mechanical and biological properties than acrylic bone cement on the market is required. As a result, new approaches and formulas have been developed using various techniques from different disciplines. This study summarizes the challenges, developments, and recommendations for the future. For this purpose, various literature from databases, such as ScienceDirect, SpringerLink, PubMed, and so on were consulted from 2000 to 2020.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127379268","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: 1

Evaluating Distal Radius Radiological Indices as Scaphoid Fracture Risk Factors 桡骨远端放射学指标作为舟状骨骨折危险因素的评价

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.770.3

Hooman Shariatzadeh, Farid Najd Mazhar, Meysam Fathi Choghadeh, F. Soltani, Maziar Rajei, Mohammad Hassanzadeh, H. Gholampour

{"title":"Evaluating Distal Radius Radiological Indices as Scaphoid Fracture Risk Factors","authors":"Hooman Shariatzadeh, Farid Najd Mazhar, Meysam Fathi Choghadeh, F. Soltani, Maziar Rajei, Mohammad Hassanzadeh, H. Gholampour","doi":"10.32598/jrosj.9.1.770.3","DOIUrl":"https://doi.org/10.32598/jrosj.9.1.770.3","url":null,"abstract":"Background: Scaphoid fracture is the most common wrist injury with a high rate of misdiagnosis and subsequent complications. As the morphology of the distal radius affects the load transmission through the carpal bones, radiographic wrist indices may help prevent missing occult fractures. Objectives: The current retrospective case-control study compared the distal radius radiographic indices of patients with a scaphoid fracture with a control group. Methods: Wrist X-rays of 129 patients with scaphoid fractures (case group) and the contralateral uninjured side of 101 patients with distal radius fractures (control group) were assessed by two orthopedic surgeons. Anteroposterior and lateral radiographs were evaluated to measure the radial height (RH), radial inclination (RI), ulnar variance (UV), and volar tilt (VT). Results: The student t-test was used to compare the distal radius radiographic indices between the two groups. The average RI was 27.14 in the scaphoid fracture group and 24.35 in the control group (P<0.05). Mean VT, RH, and UV of the case group were, 12.32, 15.01, and - 0.73, respectively; this is while in the control group, the above measures were 10.76, 13.52, and - 0.11, respectively (P<0.05). Conclusion: High values of RH, RI, and VT, and negative amount of UV are significantly correlated with scaphoid fracture after a Fall Onto an Outstretched Hand (FOOSH) injury.","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123203975","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

Cervical Spondyloptosis in a Patient With Os Odontoideum: A Case Report 牙状突Os型颈椎病1例报告

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.167.2

Kh.K Rastegar, Hasan Ghandhari, E. Ameri, F. Mokarami

引用次数: 0

Zimmer Modular Revision Stem Failure on Total Hip Arthroplasty Due to Stem Fracture From Cone Taper Stem Junction 全髋关节置换术中Zimmer模组翻修术因椎体椎体骨折导致椎体失效

Journal of Research in Orthopedic Science Pub Date : 2022-02-01 DOI: 10.32598/jrosj.9.1.856.1

A. Taheriazam, Behzad Khanmohammadi, A. Asadollah, Mohammadamin Dindar

引用次数: 0

Open Reduction With Internal Fixation in Locked Pubic Symphysis: A Case Presentation 锁定耻骨联合切开复位内固定一例

Journal of Research in Orthopedic Science Pub Date : 2021-11-01 DOI: 10.32598/jrosj.8.4.742.3

A. Yeganeh, Ali Ghaznavi, Amer Karimpour, S. Daneshmand, Shayan Amiri

引用次数: 0

Comparing Single-locking and Double-locking Plate Fixation Methods in Patients With Proximal Tibial Fractures 胫骨近端骨折单锁定与双锁定钢板固定方法的比较

Journal of Research in Orthopedic Science Pub Date : 2021-11-01 DOI: 10.32598/jrosj.8.4.751.2

S. Ghaffari, Mehran Razavipour, Masoud Sheyesteazar, S. Talebi, Iman Sadeghian, Alireza Kazemi

{"title":"Comparing Single-locking and Double-locking Plate Fixation Methods in Patients With Proximal Tibial Fractures","authors":"S. Ghaffari, Mehran Razavipour, Masoud Sheyesteazar, S. Talebi, Iman Sadeghian, Alireza Kazemi","doi":"10.32598/jrosj.8.4.751.2","DOIUrl":"https://doi.org/10.32598/jrosj.8.4.751.2","url":null,"abstract":"Background: Proximal tibial fractures account for 1% of all fractures. Different treatments have been proposed for this fracture. Objectives: The present study aims to evaluate the clinical and radiological results of single-locking and double-locking plate fixation methods in patients with proximal tibial fractures. Methods: The present study was carried out on 40 patients with proximal tibial fractures referred to Imam Khomeini Hospital in Sari, Iran. They were divided into two groups of double-locking fixation with 3.5-mm Locking Compression Plate (LCP) and single-locking fixation with 4.5-mm LCP. They were followed up for at least 6 months after surgery. At the time of admission, they were assessed using Lysholm Knee Scoring Scale and Visual Analogue Scale. Radiographs were taken from all patients and the articular surface, and fracture healing,. Results: Of 40 patients, 17 and 23 were treated with 3.5-mm and 4.5-mm LCPs, respectively. The mean Lysholm score in the groups with 3.5-mm and 4.5-mm LCPs was 84±8.2 and 78.3±16.2, respectively. There was no statistically significant difference between the two groups (P>0.5). Conclusion: The radiological and functional outcomes were almost the same for single-locking and double-locking plate fixation methods. Both methods can be used to treat the tibial plateau fracture. The treatment can be selected according to the surgeon and the patient’s request","PeriodicalId":429963,"journal":{"name":"Journal of Research in Orthopedic Science","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133997602","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