Malaysian Orthopaedic Journal最新文献_第3页

Is Quadriceps-Strengthening Exercises (QSE) in Medial-Compartment Knee Osteoarthritis with Neutral and Varus Malalignment a Paradox? - A Risk-Appraisal of Strength-Training on Disease Progression. 股四头肌强化训练（QSE）在膝关节内侧髁骨关节炎伴中轴和外翻错位中是否是一个悖论？- 力量训练对疾病进展的风险评估。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.010

R Garg, A Krishna, R Daga, S Arora, S Puri, M Kumar

{"title":"Is Quadriceps-Strengthening Exercises (QSE) in Medial-Compartment Knee Osteoarthritis with Neutral and Varus Malalignment a Paradox? - A Risk-Appraisal of Strength-Training on Disease Progression.","authors":"R Garg, A Krishna, R Daga, S Arora, S Puri, M Kumar","doi":"10.5704/MOJ.2403.010","DOIUrl":"https://doi.org/10.5704/MOJ.2403.010","url":null,"abstract":"Introduction: The present inquiry seeks to investigate whether the current regimens of QSEs (Quadriceps-Strengthening Exercises) aggravate the disease while mitigating symptoms.Materials and methods: A comparative study was conducted on 32 patients with medial compartment osteoarthritis of knees. While the neutral group of 16 patients was constituted of those with an anatomical-lateral-femoro-tibial-angle (aFTA) 176-180º, varus group comprised an equal number of patients with an aFTA >180º. A home-based 12-week strength-training program involving weekly visits to hospital for supervised sessions was administered. The outcome measures were visual-analog-scale (VAS), medial patello-femoral joint tenderness (MPFJT), time-up-and-go-test (TUGT), stair-climb test, step test, WOMAC, IKDC scores, aFTA, hip-knee-ankle (HKA) angle, lateral-tibio-femoral-joint-separation (LTFJS), and horizontal-distance-from-centre-of-knee-to-Mikulicz-line.Results: There was a significant increase in quadriceps strength (p<0.01) in both groups. Values for neutral group with VAS score (p=0.01), MPFJT (p=0.01), TUGT (p=0.01), timing of the stair climb test (p=0.01), WOMAC (p<0.01), and IKDC (p=0.03) were better compared to varus group with VAS score (p=0.13), MPFJT (p=0.03), TUGT (p=0.90), timing of stair climb test (p=0.68), WOMAC (p<0.02), and IKDC (p=0.05). Varus group also showed an increase in aFTA and LTFJS in 12 patients, increase in HKA in 11, and increase in horizontal distance from the centre of knee to the Mikulicz line in 7 patients.Conclusion: The present study brings to the fore the paradoxical role played by QSEs in management of medial knee OA. While there is a radiological progression of the disease in both neutral and varus mal-aligned knees more so in the latter than the former.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstruction of Coracoclavicular Ligaments with Semitendinosus Autograft and Temporary Kirschner Wires is a good option for Chronic Acromioclavicular Joint Instability. 用半腱肌自体移植物和临时 Kirschner 线重建锁骨韧带是治疗慢性肩锁关节不稳的一个不错选择。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.013

A Ulusoy, N Turgut, F Cilli, A M Unal

{"title":"Reconstruction of Coracoclavicular Ligaments with Semitendinosus Autograft and Temporary Kirschner Wires is a good option for Chronic Acromioclavicular Joint Instability.","authors":"A Ulusoy, N Turgut, F Cilli, A M Unal","doi":"10.5704/MOJ.2403.013","DOIUrl":"https://doi.org/10.5704/MOJ.2403.013","url":null,"abstract":"Introduction: This study reports the results of surgical anatomic reconstruction of torn coracoclavicular ligaments with an autogenous semitendinosus graft and temporary Kirschner wires (K-wires) in chronic acromioclavicular (AC) joint dislocations.Materials and methods: Nineteen shoulders underwent surgical anatomic reconstruction of torn coracoclavicular (CC) ligaments with an autogenous semitendinosus tendon graft and temporary K-wires for Rockwood grade III, IV and V chronic AC joint dislocations. Pre-operative data included patients' demographic characteristics, injury characteristics and surgical histories. The primary outcome measures were the University of California Los Angeles (UCLA) shoulder rating scale and visual analogue pain scoring (VAS), and the complications were noted for each patient.Results: Surgical anatomic reconstruction of torn CC ligaments was performed in 19 patients with a mean age of 41.6±16 years (range 21-72 years). All of the patients were satisfied and felt better after CC ligament reconstruction. The average UCLA shoulder rating scale score was good/excellent: 29.4 (range 23-34) out of 35 points. The average pre-operative VAS score was 7.7 points out of 10 and improved to 1.1 points post-operatively (p<0.05). None of the patients experienced failure during the follow-up. One patient had a mild subluxation, but the patient was satisfied with the result.Conclusions: This technique is simple, reliable, and biologic without major complications. It is also a cost-effective procedure since it can be performed with Kirschner wires and autogenous grafts. It has a major advantage of leaving no implants inside the joint, which can lead to hardware complications, and it can be performed in basic operating room settings.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrospective Comparative Analysis of Clinical and Functional Outcome After Arthroscopic Bankart Repair using All-Suture Anchor and Metal Anchor. 使用全缝合锚和金属锚进行关节镜下 Bankart 修复术后临床和功能效果的回顾性比较分析。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.002

V Jain, H Gupta, N Mehta, D Joshi, H Kataria

{"title":"Retrospective Comparative Analysis of Clinical and Functional Outcome After Arthroscopic Bankart Repair using All-Suture Anchor and Metal Anchor.","authors":"V Jain, H Gupta, N Mehta, D Joshi, H Kataria","doi":"10.5704/MOJ.2403.002","DOIUrl":"https://doi.org/10.5704/MOJ.2403.002","url":null,"abstract":"Introduction: Both knotted all suture anchors and metal anchors are used for arthroscopic Bankart repair. We retrospectively evaluated and compared clinical and functional outcomes after arthroscopic Bankart repair using the knotted all-suture anchors and knotted metal anchors.Materials and methods: In a retrospective cohort analysis, patients who underwent arthroscopic Bankart repair without any concomitant additional lesion repair using either all-suture anchors or metal anchors, between January 2015 and May 2018 were identified. Their pre- and post-operative functional and clinical outcomes were compared using Rowe and WOSI scores. The recurrence rate in the two groups was also compared.Results: A total of 41 patients in all suture anchors group and 47 in the metal anchors group were identified as per inclusion and exclusion criteria. The demographic profile of both groups was comparable. There was no significant difference in clinical and functional outcome between the two suture anchor groups as per Rowe (pre-operative 40.13+6.51 vs 38.09+6.24 and post-operative 2 years 93.28+7.09 vs 92.55+9.2) and WOSI (pre-operative 943.05+216.64 vs 977.55+165.46 and post-operative 2 years 278.21+227.56 vs 270.94+186.25) scores. There was a significant improvement in both the groups between preoperative and post-operative ROWE and WOSI scores at 6 months and 2 years follow-up as compared to pre-operative scores (p<0.001). Re-dislocation rates were also comparable (4.8% vs 6.3%).Conclusion: All-suture anchors showed comparable clinical and functional results as the metal anchors for arthroscopic Bankart repair at two-year follow-up.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcome of Endoprosthesis used in Limb Salvage Surgery in a Malaysian Orthopaedic Oncology Centre. 马来西亚一家骨科肿瘤中心在肢体救治手术中使用内假体的结果。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.008

Y H Ng, Y C Chai, N Mazli, N F Jaafar, S Ibrahim

{"title":"Outcome of Endoprosthesis used in Limb Salvage Surgery in a Malaysian Orthopaedic Oncology Centre.","authors":"Y H Ng, Y C Chai, N Mazli, N F Jaafar, S Ibrahim","doi":"10.5704/MOJ.2403.008","DOIUrl":"https://doi.org/10.5704/MOJ.2403.008","url":null,"abstract":"Introduction: To describe the duration of survival among bone tumour patients with endoprosthesis reconstruction and to determine frequency of implant failure, revision of surgery, and amputation after endoprosthesis reconstruction.Materials and methods: A retrospective cross-sectional review of all patients with either primary bone tumour or secondary bone metastases treated with en bloc resection and endoprosthesis reconstruction from January 2008 to December 2020.Results: A total of 35 failures were recorded among the 27 (48.2%) patients with endoprostheses. Some of the patients suffered from one to three types of modes of failure on different timelines during the course of the disease. Up to eight patients suffered from more than one type of failure throughout the course of the disease. Out of all modes of failure, local recurrence (type 5 failure) was the most common, accounting for 25.0% of all failure cases. Four patients (7.1%) eventually underwent amputation, which were either due to infection (2 patients) or disease progression causing local recurrence (2 patients).Conclusion: The overall result of endoprosthesis reconstruction performed in our centre was compatible with other centres around the world. Moreover, limb salvage surgery should be performed carefully in a selected patient group to maximise the benefits of surgery.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment to: The Incidence of Fracture-Related Infection in Open Tibia Fracture with Different Time Interval of Initial Debridement. 评论不同初次清创时间间隔下开放性胫骨骨折的骨折相关感染发生率。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.020

S M Esmat, R Y Kow, C L Low

引用次数: 0

Lower Limb Malrotation following Minimally Invasive Plating in Distal Tibia Fractures. 胫骨远端骨折微创钢板术后下肢旋转不良。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.018

Wmq Yap, J W Ng, Mjjr Lee, Ebk Kwek

{"title":"Lower Limb Malrotation following Minimally Invasive Plating in Distal Tibia Fractures.","authors":"Wmq Yap, J W Ng, Mjjr Lee, Ebk Kwek","doi":"10.5704/MOJ.2403.018","DOIUrl":"https://doi.org/10.5704/MOJ.2403.018","url":null,"abstract":"Introduction: Minimally invasive percutaneousosteosynthesis (MIPO) plating techniques havedemonstrated good outcomes in the treatment of distal tibia fractures. Early arthritis and functional impairment mayoccur if length and rotation are not restored. This study aims to determine the incidence and severity of tibia malrotation following MIPO plating of isolated unilateral distal tibia fractures, defined as torsional difference of greater than 10° as compared to the contralateral limb and whether the degree of malrotation affects functional outcomes scores.Materials and methods: This was a level 2 prospective cohort study. All patients with fractures of the distal tibia who underwent surgical fixation with the exclusion ofpatients with polytrauma, neurovascular injuries or pre-existing disabilities were recruited. Patients underwent MIPO plating followed by a post-operative ComputedTomography (CT) scan of bilateral lower limbs. AOFAS ankle-hindfoot score was recorded at six months and one year follow-up.Results: A total of 24 patients (28 to 83 years old) were recruited. Nineteen patients obtained CT scans. Nine of the 19 patients (47.3%) had tibia malrotation. The mean tibia malrotation angle was 10.3° (0° - 45°). The average AOFAS scores was 82.4 and 84.3 at 6 months and 1 year follow-up. Degree of CT malrotation was not significantly associated with AOFAS scores at 6 month (spearman rho -0.386) and 1 year (spearman rho -0.343).Conclusions: Tibia malrotation following MIPO plating of distal tibia fractures is common, with an incidence of 47.3% and an average malrotation angle of 10.3°. The degree of malrotation does not appear to have significant mid-term functional impact on the patient.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accuracy of Femoral Component External Rotation with all Burr Robotic Assisted Total Knee Arthroplasty. 全 Burr 机器人辅助全膝关节置换术的股骨组件外旋精度。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.003

M S Laddha, S V Gowtam, P Jain

{"title":"Accuracy of Femoral Component External Rotation with all Burr Robotic Assisted Total Knee Arthroplasty.","authors":"M S Laddha, S V Gowtam, P Jain","doi":"10.5704/MOJ.2403.003","DOIUrl":"https://doi.org/10.5704/MOJ.2403.003","url":null,"abstract":"Introduction: External rotation of femoral component is controversial in Total knee arthroplasty (TKA). The aim of our study is to assess the precision of femoral component external rotation in Robotic Assisted All Burr TKA.Materials and methods: This is a prospective study of 30 cases who underwent All Burr Robotic Assisted TKA at our institute, RNH hospital. Inclusion criteria were primary and secondary osteoarthritis of the knee and exclusion criteria were revision and partial knee replacement. On Navio robotic system femoral external rotation was planned as per medio-lateral flexion gap balancing and executed with burr. Post-operative CT scan was done in all patients to assess intra-operative planned femoral external rotation.Results: Out of 30 cases, 20 were female and 10 were male. Mean age was 66.06±7.43 years. On Navio the planned external rotation of femoral component was 2.86±1.16. Average of femoral component external rotation on postoperative CT scan was 3.11±1.16. The mean deviation of achieved femoral component external rotation from planned external rotation was -0.24 to ±0.28. Only 37% patients required 3° external rotation. Correlation between planned and achieved femoral component external rotation was significant, positive and very strong as indicated by r=0.97 and p=0.0001.Conclusion: All Burr Robotic Assisted TKA provides near accurate femoral component external rotation as planned on Navio with deviation of less than 0.3° between planned and achieved external rotation.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment to: Adhesive Capsulitis Secondary to COVID-19 Vaccination - A Case Series. 评论至继发于 COVID-19 疫苗接种的粘连性囊炎--一个病例系列。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.021

H Daungsupawong, V Wiwanitkit

引用次数: 0

Lunotriquetral Synostosis as a Cause of Ulnar Sided Wrist Pain: A Case Report 作为尺侧腕痛病因的月锁关节突：病例报告

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/moj.2403.019

Alves Mpt

引用次数: 0

Comparative Outcomes of Percutaneous and Conventional Open Pedicle Screw Fixation for Single-level Thoracolumbar Spine Injury: Randomised Controlled Trial. 经皮和传统开放式椎弓根螺钉固定治疗单层次胸腰椎损伤的疗效比较：随机对照试验。

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Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.014

K Choovongkomol, U Piyapromdee, S Thepjung, T Tanaviriyachai, S Jongkittanakul, W Sudprasert

{"title":"Comparative Outcomes of Percutaneous and Conventional Open Pedicle Screw Fixation for Single-level Thoracolumbar Spine Injury: Randomised Controlled Trial.","authors":"K Choovongkomol, U Piyapromdee, S Thepjung, T Tanaviriyachai, S Jongkittanakul, W Sudprasert","doi":"10.5704/MOJ.2403.014","DOIUrl":"https://doi.org/10.5704/MOJ.2403.014","url":null,"abstract":"Introduction: To compare post-operative outcomes of percutaneous pedicle screw fixation (PPSF) vs open pedicle screw fixation (OPSF) in patients with thoracolumbar spine fractures with no neurological deficits.Materials and methods: In a randomised controlled trial, patients received short-segment fixation with intermediate screws. We assessed post-operative back pain (Visual Analog Scale or VAS), blood loss, operative/fluoroscopy times, radiographic parameters, and oswestry disability index (ODI) scores at 1, 2, 3, 6, 9, and 12 months.Results: Between January 2018 and October 2019, 31 patients received PPSF and 30 OPSF. Mean intra-operative blood loss was 66.45 (±44.29) ml for PPSF vs 184.83 (±128.36) ml for OPSF (p<0.001). Fluoroscopy time averaged 2.36 (±0.76) minutes for PPSF vs 0.58 (±0.51) minutes for OPSF (p<0.001). No significant differences existed in operative time or post-operative VAS scores. Radiographic parameters (kyphosis angle and vertebral height ratios) didn't significantly differ post-operatively or at 12 months. However, ODI scores differed significantly at 6 months (p=0.025), with no difference at 12 months.Conclusion: In this trial, PPSF was comparable to OPSF in improving ODI scores at 12 months but showed earlier improvement at 6 months and reduced blood loss. Radiographic outcomes remained similar between groups over 12 months.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0