Journal of Orthopaedics & Bone Disorders最新文献

{"title":"Relation between vitamin D deficiency and osteoarthritis","authors":"A. Gharaibeh","doi":"10.23880/jobd-16000194","DOIUrl":"https://doi.org/10.23880/jobd-16000194","url":null,"abstract":"Purpose of the Work: The main objective of our work is to determine the relationship between osteoarthritis and deficiency of vitamin D in our region in central Europe and to make a database for further researches, to be effective in investigating, controlling, and preventing OA and vitamin D deficiency in our population. Methodology: We perform a retrospective study in adult patients≥25years with osteoarthritis big joints from their health records, which were seen at the osteology clinic of University Hospital Louise Pasteur during the year 2018. The authors analyse the blood tests of Vitamin D level, calcium level, phosphorus level, B ALP, glomerular filtration rate (GFR) levels in the serum of these patients. Results: There were 47 patients with osteoarthritis. All of these patients had Vitamin D deficiency. The mean age of our group is 71 years. 12.8% (7) are male and 87.2% (41)are female. The mean of vitamin D is 24mmol/l (normal range 75-200 nmol/l), Calcium level with in normal range, Phosphorus level mean was within normal range and B ALP level within normal. Conclusion: Osteoarthritis increased by deficiency of vitamin D level in blood serum and increasing with age. Vitamin D is a fat-soluble vitamin that regulates calcium and phosphorus metabolism, maintenance of the normal skeletal and muscular systems. Most of the patients show OA in hip and knee and in advanced age 71 years. Vitamin D supplementation may be a safe method to treat and prevent OA.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121881089","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 Computer Assisted Rehabilitation Environment ( CAREN ): A Commentary","authors":"A. M","doi":"10.23880/jobd-16000176","DOIUrl":"https://doi.org/10.23880/jobd-16000176","url":null,"abstract":"","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124649293","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":"A Rare Case of a Transphyseal Distal Humerus Fracture in a Pediatric Patient","authors":"R. Willacy","doi":"10.23880/jobd-16000207","DOIUrl":"https://doi.org/10.23880/jobd-16000207","url":null,"abstract":"Birth injuries are uncommon and occur in less than 1% of the population. Transphyseal fractures of the distal humerus typically occur in children younger than three years old and may result from birth trauma in cases where excessive traction or obstetrical maneuvers are required. Early and accurate diagnosis is necessary for successful management. Differential diagnosis includes non-accidental trauma, brachial plexus injury, elbow dislocation, septic arthritis and osteomyelitis. This case report describes a rare case of a transphyseal distal humerus fracture in a pediatric patient.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120856866","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":"Current Status of Nerve Transfers: “Supercharge End-to-Side Transfer in Severe Cubital Syndrome”","authors":"Salmeron Martinez Ej","doi":"10.23880/jobd-16000200","DOIUrl":"https://doi.org/10.23880/jobd-16000200","url":null,"abstract":"Supercharge end-to-side (SETS) technique has been increasingly implemented in the treatment of nerve pathologies. It was known for its use in ulnar injury, and although it seemed that its usefulness was more directed to injuries due to ulnar nerve section, with this work and based on all the literature available to date, the aim is to assess the possibilities of implementation based on the results of the articles published in compression-type injuries, especially those classified as severe that have little treatment available to improve their evolutionary course, and where their use to date was doubtful. A compilation is made of all the evidence to date of cubital tunnel syndrome, focused on treatments, and on the emergence of the SETS technique as a therapeutic option. The purpose of the study was to collect and review the indications, results, and complications of end-to-side axonal super feeding transfer of the interosseous nerve anterior to the ulnar nerve. Twenty-one articles that met the inclusion and exclusion criteria were finally reviewed, most of them retrospective (level of evidence IV) and some review or case series (level of evidence II/ III). The data has been pooled and analyzed focusing on the primary outcomes: intrinsic muscle recovery and complications. SETS is a successful procedure with low morbidity, which can restore the function of the intrinsic musculature in patients with severe proximal ulnar nerve compression injuries thanks to the anterior interosseous nerve (median branch) that serves as a donor. Although the technique has already begun to be introduced in the sketch of the treatment of the lesion, to implement it with assured success, prospective studies should be carried out that corroborate it with greater certainty than the articles published on the subject to date. Even so, it has been possible to verify as previous indications for performing supercharge: a normal donor nerve electromyogram (it will be performed in a pronator square), a preoperative electromyogram of the injured nerve that must have a reduced amplitude of compound muscle action potential (demonstrating axonal loss) and an electromyogram to know if the denervated motor endplates remain receptive to reinnervation (check they have spontaneous activity and this is shown by fibrillation potentials and / or acute positive waves).","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117054482","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":"Elderly Patients with Pertrochanteric Hip Fracture: In Hospital Care","authors":"Faour Martín O","doi":"10.23880/jobd-16000190","DOIUrl":"https://doi.org/10.23880/jobd-16000190","url":null,"abstract":"Objective: To evaluate the improvement in the care of elderly patients hospitalized due to pertrochanteric hip fractures. Methods: A comparative study of two cohorts of patients admitted due to pertrochanteric hip fractu re before (2010) and after the application of in hospital management protocols (2018). The intervention consisted in the implementation of multidisciplinary measures during hospitalization based on current scientific evidence. An evaluation of the clinical results was performed, as well as the health care impact. Results: The characteristics of patients admitted for hip fracture in 2010 (216 patients) and 2018 (205 patients) were similar in age, sex, Barthel index and the Charlson abbreviated index. In 2018 patients had more comorbidity. A significant reduction of preoperative stay and overall stay in the cohort of 2018 was achieved. Detection of delirium, malnutrition and anaemia was higher in 2018, and a reduced incidence of infection and a better function al efficiency was achieved in this period. Conclusion: The introduction of measures for the improvement of the pertrochanteric hip fracture management reduces hospitalization with consequent cost reduction. Unification of criteria among professionals may b e an opportunity for better clinical results and reduction of complications.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131031500","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":"Upper Limb Non - Traumatic Affections in a Rural Tertiary Health Care Center","authors":"N. Dhaniwala","doi":"10.23880/jobd-16000175","DOIUrl":"https://doi.org/10.23880/jobd-16000175","url":null,"abstract":"Introduction : Non - traumatic upper limb disorders are not uncommon. These may range from non - specific myalgia & fibro - fasciitis to specific disorders of joints and bones of the upper limb bones. Frequent key board use is also becoming a new etiologic factor. Material & Methods : The present prospective study was done in rural tertiary health care facility on admitted cases having upper limb non - traumatic disorders. Their pre - treatment functional status was assessed using 20 items Upper Extremity Function Index (UEFI) developed by Stanford PW et al. The data was analyzed to find the frequency of various disord ers. Observations & Results: Out of total 41 cases, male female ratio was 2.7:1. The maximum patients 19 (46.34%) were in the age group 02 to 20 years and the least 02 (4.87%) > than 60 years. The maximum cases, 20 (48.78%) were of bone tumors, benign in 1 6 cases and malignant in 04 cases. Other pathologies noted were, rotator cuff injury, tuberculosis, peri - arthritis shoulder, tennis elbow, nerve involvement, avascular necrosis of Lunate, inflammatory arthritis and De Quervain’s disease. As per the Upper E xtremity Functional Index, the scores ranged from 0 to 80. The minimum scores were seen in patients having gross neurological deficit in upper limb.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130993777","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":"Management of Cauda Equina Syndrome: NHS Staff Perceptions in a DGH","authors":"G. Taylor","doi":"10.23880/jobd-16000199","DOIUrl":"https://doi.org/10.23880/jobd-16000199","url":null,"abstract":"Objective: Cauda Equina Syndrome (CES) is a challenging condition to diagnose due to such variability in clinical features and poor correlation with MRI findings. It requires surgery within hours to avoid damage to the bowel, bladder, sexual organs and lower limbs. There are empirical studies exploring patients’ perspectives of having CES, however, there is no literature to review NHS staff perceptions of managing this neurosurgical emergency. The aim is to explore perceptions of senior clinical staff who commonly manage patients with suspected CES in secondary care within the Emergency Department (ED) and Trauma and Orthopaedics (T&O) to improve the management of CES. The main objective is to identify barriers to successful management and possible solutions to improve care. Methods: A self-administered non-validated questionnaire was designed to identify barriers experienced and potential solutions. In addition, a Nominal Group Technique (NGT) was used to gain a greater insight. The qualitative data obtained was analysed by thematic analysis. Results: The questionnaire generated a 73% response rate. Six senior clinicians attended the NGT with representation from the three clinical specialities; ED, T&O and Advanced Physiotherapy Practitioner (APP). The challenges and potential solutions were categorised into themes and subthemes. The barriers highlighted included; staff confidence in clinical diagnosis; fear of litigation and inter-professional relations; patient psychosocial factors, expectations and comorbidities; lack of agreed local pathway. The solutions raised include; staff training; standardising local/national pathway; access to daily Magnetic Resonance Imaging (MRI) slots. Conclusion: Patient safety and accurate diagnosis of CES is at the forefront of decision-making despite organisation barriers and limitations of existing pathways. A shift away from admission to expedite an urgent MRI requires a change to traditional clinical practice and expectations. In times of rising pressures and financial constraints, collaborative working is essential to implement and sustain the required changes highlighted in this study.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133628960","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":"Simultaneous Bilateral Total Knee Arthroplasty Outcomes Analysed for Present Day Practice","authors":"N. S","doi":"10.23880/jobd-16000192","DOIUrl":"https://doi.org/10.23880/jobd-16000192","url":null,"abstract":"","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123769494","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":"Outcomes of Medicare Outpatient Total Knee Arthroplasty at an Ambulatory Surgery Center","authors":"Daniel Lo","doi":"10.23880/jobd-16000204","DOIUrl":"https://doi.org/10.23880/jobd-16000204","url":null,"abstract":"Background: Total knee arthroplasty (TKA) was removed from the “inpatient only” list for Medicare Beneficiaries in 2018. As a result, outpatient TKA’s have been performed at ambulatory surgery centers (ASC) more frequently. This study aims to evaluate outcomes of medicare patients who underwent outpatient TKA at an ASC. Methods: We conducted a retrospective cohort review of medicare patients who underwent TKA at an ASC between January 1st, 2020 and June 30th, 2020 performed by six orthopedic surgeons. Results: Thirty-six patients were identified who underwent primary TKA. There was a mean age of 72.4 and body mass index of 30.9. The mean preoperative range of motion was -6.7 degrees of extension and 114.8 degrees of flexion, two and six week post operative extension of -3.8 degrees and flexion of 104 degrees and -2.7 degrees and 114.6 degrees respectively. Preoperative physical and mental patient reported outcomes measurement and information system scores were 43.2 and 53.4 respectively and 49.4 and 53.1 post operatively. Preoperative patient reported outcomes measure with the knee injury and osteoarthritis outcome score was 48.4 and 72.8 post operatively. There were two patients (5.5%) with complications of arthrofibrosis that required manipulation under anesthesia. Total recovery time and time within the ASC were on average 200 minutes and 398.6 minutes respectively. Conclusion: Without adverse events within the first six months, this study suggests that outpatient TKA can be safely performed in medicare patients at an ASC.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116734757","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 Effectiveness of Thermal Mode of 448 KHz Capacitive Resistive Monopolar Radiofrequency in Continuous Wave in Patients with Chronic Rotator Cuff Tendinopathy: A Clinical Trial","authors":"D. Stasinopoulos","doi":"10.23880/jobd-16000196","DOIUrl":"https://doi.org/10.23880/jobd-16000196","url":null,"abstract":"The aim of the present clinical trial was to compare the clinical results of the use of an exercise program with those of an exercise program and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in continuous wave in patients with chronic rotator cuff tendinopathy. Patients were allocated to two groups by drawing lots. Pain, function and strength were measured. An exercise programme and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in continuous wave, had reduced the pain and improved function and strength in patients with chronic rotator cuff tendinopathy at the end of the treatment and at the follow-ups. Future well-designed randomised controlled clinical trials are needed to establish the effectiveness 448 kHz Capacitive Resistive Monopolar Radiofrequency in the management of chronic rotator cuff tendinopathy.","PeriodicalId":447832,"journal":{"name":"Journal of Orthopaedics & Bone Disorders","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124188963","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}