Malaysian Orthopaedic Journal最新文献

{"title":"Different Repair Techniques with Excellent Outcomes in Simultaneous Bilateral Patellar Tendon Rupture Following Trampoline Injury: A Case Report.","authors":"T Jegathesan, Htm Neo","doi":"10.5704/MOJ.2511.017","DOIUrl":"10.5704/MOJ.2511.017","url":null,"abstract":"<p><p>Bilateral patella tendon (BPT) rupture is a rare cause of extensor mechanism failure. It is extremely rare when a young patient without any systemic disease or risk factors, presents with bilateral patella tendon rupture simultaneously. We describe a case of a young lady without predisposing risk factors who sustained a BPT rupture following trauma from jumping on a trampoline. She was admitted inpatient and evaluated with imaging, before eventually undergoing surgical repair of bilateral knee extensor mechanism. Different surgical techniques were employed in both knees with equally excellent outcomes.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"130-134"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971245","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}

{"title":"Triple Arthrodesis with Concomitant Tendo-Achilles Lengthening in Stage III Adult Acquired Flatfoot - A Retrospective Study of Prospectively Collected Clinical and Radiological Outcomes at Two Years.","authors":"J Y Lee, S J Wong, I S Rikhraj","doi":"10.5704/MOJ.2511.009","DOIUrl":"10.5704/MOJ.2511.009","url":null,"abstract":"<p><strong>Introduction: </strong>Triple Arthrodesis is the preferred surgical treatment of stage III Adult Acquired Flatfoot Deformity. However, studies have reported subsequent midfoot degenerative arthrosis, with medial column instability.</p><p><strong>Material and methods: </strong>This is a retrospective study using prospectively collected registry data from a single tertiary institution. Between 2007 to 2014, all patients who had undergone Triple Arthrodesis with concomitant percutaneous Tendo-Achilles lengthening were included. Patients with previous foot surgery, revision surgeries, and concomitant surgical procedures were excluded. We aim to report on our two years outcomes using the hindfoot and midfoot AOFAS and VAS scores, as well as radiographic parameters such as first-metatarsal declination angle, medial cuneiform calcaneal angle, navicular height, medial cuneiform - first metatarsal cuneiform angle, calcaneal pitch and medial longitudinal arch.</p><p><strong>Results: </strong>There were 22 feet from 21 patients that met the criteria of having undergone Triple Arthrodesis with concomitant percutaneous Tendo-Achilles lengthening. Hindfoot and midfoot American Orthopaedic Foot and Ankle Society (AOFAS) scores improved by an average of 34.6 and 36.7 points at 24-months post-surgery (p<0.001). Between six months to two years post-operatively, there was evidence of mid-foot sagging as shown with an increase in Calcaneal-First metatarsal angle by a mean of 5.1° (p=0.001). Additionally, a decrease in the Calcaneal Pitch Angle by 2.9° (p=0.003) and Cuneiform-Calcaneal angle by 5.5° (p=0.000). Navicular Height also decreased significantly by 2.8mm (p=0.001) over this period. A total of 18 (85.6%) reported overall satisfaction being met at the time of a phone survey, at an average of 8.3 years (range 5.8 to 12.4) post-surgery. One patient required an ankle replacement, and another had removal of hardware done.</p><p><strong>Conclusion: </strong>Triple arthrodesis with concomitant Tendo-Achilles lengthening results in significant improvement in AOFAS mid-foot and hindfoot scores at two years. At two years mark, there was features of mid-foot sagging postoperatively, despite continued improvement in AOFAS scores. Eighteen of the 21 patients were satisfied with the outcomes, on a phone survey, at an average of 8.3 years post-surgery.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"64-71"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971368","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}

{"title":"Early Results of Acellular Dermal Matrix as an Interpositional Allograft Following Excision Arthroplasty of a Rheumatoid Forefoot: A Case Report.","authors":"D Huang, A Bhardwaj, W X Png, Ewl Cher, I S Rikhraj","doi":"10.5704/MOJ.2511.019","DOIUrl":"10.5704/MOJ.2511.019","url":null,"abstract":"<p><p>This case report describes the use of a human acellular dermal matrix (ADM) as an interpositional allograft to stabilise and maintain the lesser metatarsophalangeal joint (MTPJ) pseudoarthrosis, and to prevent recurrent deformities, following arthrodesis of the first MTPJ and excision arthroplasty of the lesser metatarsals (MTs) for an elderly lady with severe rheumatoid forefoot deformities (RFDs). At six-month follow-up, the patient was recovering well with a clinically stable and radiographically well aligned foot, with no pain at the resection sites. She was also able to wear commercially available footwear.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"139-142"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971235","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}

{"title":"Knee Joint Distraction for Bicompartmental Knee Osteoarthritis in Asian Patients.","authors":"Wsr Lim, J Soong, Dts Koh, H R Bin-Abd-Razak, K H Lee","doi":"10.5704/MOJ.2511.005","DOIUrl":"10.5704/MOJ.2511.005","url":null,"abstract":"<p><strong>Introduction: </strong>Young active patients with significant pain from knee osteoarthritis are a challenging group of patients to treat. For patients with symptomatic osteoarthritis involving both medial and lateral compartments, total knee arthroplasty (TKA) would traditionally be their only surgical option. Knee joint distraction (KJD) is a novel procedure in Asia that offers a joint preserving alternative for this cohort of patients. This study aims to evaluate patients with knee osteoarthritis treated with knee joint distraction (KJD).</p><p><strong>Material and methods: </strong>Patients were included in this study if they had medial and lateral knee pain refractory to conservative treatment for more than 6 months, aged less than 50 and radiographs confirmed osteoarthritic changes in both the medial and lateral tibio-femoral compartments. An external fixator was placed in the distal femur and proximal tibia, and the knee joint was progressively distracted over a period of 3 days, to a total distance of 5mm. After six weeks, the external fixator is removed. Manipulation under anaesthesia was performed for patients who experienced stiffness post external fixator removal to achieved desired range of motion.</p><p><strong>Results: </strong>A total of three patients underwent KJD from 2020 to 2021. The patients' age ranged from 44 to 49 years. The mean pre-operative Oxford Knee Score (OKS) was 37.6. At final follow-up at 2 years, the mean post-operative OKS was 17.6. All patients managed to attain the minimal clinically important difference in the OKS.</p><p><strong>Conclusion: </strong>In young patients with symptomatic bicompartmental knee osteoarthritis, KJD can be considered before doing a total knee replacement.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"35-41"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971297","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}

{"title":"Outcome at Skeletal Maturity of Femoral Varus Osteotomy on Late Onset Legg-Calvé-Perthes Disease.","authors":"M A Ibrahim, M Phandu, M H Zahri, I Munajat, E F Mohd, A R Sulaiman","doi":"10.5704/MOJ.2511.014","DOIUrl":"10.5704/MOJ.2511.014","url":null,"abstract":"<p><strong>Introduction: </strong>Late-onset Legg-Calvé-Perthes disease, which is diagnosed in children older than 8 years old, is considered to have a poorer outcome. The outcome depends on the severity of the disease, the age at presentation, and the method of treatment. This study aims to evaluate the effectiveness of containment using femoral varus osteotomy (FVO) in late-onset Legg-Calvé-Perthes disease patients.</p><p><strong>Material and methods: </strong>We reviewed seven patients with Legg-Calvé-Perthes disease aged nine and older (four Herring B and three Herring C) who had containable hip included two cases of pseudo hinged abduction. All patients went through FVO at the subtrochanteric level, with the varus adjustment guided by an image intensifier to ensure hip containment in a neutral position, and the site was then fixed with a plate. The outcomes were assessed based on Stulberg classification of radiograph at skeletal maturity with a mean follow-up of 9.99 years.</p><p><strong>Results: </strong>All seven patients that went through FVO were between nine to eleven years old. Among the four Herring B patients, one had Stulberg I, one had Stulberg II, and two had Stulberg III. All three Herring C patients had Stulberg III.</p><p><strong>Conclusion: </strong>Femoral varus osteotomy produces a reasonable outcome in patients of nine years and older, including those with pseudo-hinge abduction.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"107-113"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971318","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}

{"title":"Patient Reported and Structural Outcomes of Knee Joint Distraction versus High Tibial Osteotomy and Total Knee Arthroplasty: A Meta-Analysis.","authors":"D Tan, B S Angeles, C L Braganza","doi":"10.5704/MOJ.2511.010","DOIUrl":"10.5704/MOJ.2511.010","url":null,"abstract":"<p><strong>Introduction: </strong>Knee osteoarthritis (OA) is a degenerative joint condition with significant global prevalence, often resulting from inflammatory joint processes, trauma, occupational stress, and obesity. While total knee arthroplasty (TKA) effectively alleviates pain and restores function, its limited lifespan and increased revision risk in younger patients necessitate alternative joint-preserving strategies. Emerging evidence highlights the potential of approaches such as Knee Joint Distraction (KJD), High Tibial Osteotomy (HTO), platelet-rich plasma therapy, and radiofrequency ablation in managing knee OA. These non-invasive and joint-preserving interventions have demonstrated efficacy in reducing OA-related pain and improving patient outcomes.</p><p><strong>Material and methods: </strong>This study evaluated four comparative studies focusing on KJD vs HTO and TKA in the treatment of severe knee OA. Patient-reported outcomes were assessed using validated tools, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee injury and Osteoarthritis Outcome Score (KOOS), Intermittent and Constant Osteoarthritis Pain (ICOAP) score, Visual Analog Scale (VAS) for pain, EuroQol-5 Dimensions (EQ-5D), and Short Form-36 (SF-36). Structural outcomes were quantified via Joint Space Width (JSW), an indicator of cartilage preservation. Data were analysed using Review Manager (RevMan) version 5, with Cochrane's Q test applied to evaluate heterogeneity. Results were summarised using Forest plots, and statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>Statistical analysis revealed significant differences between KJD vs. HTO and TKA across all measured outcomes. HTO and TKA demonstrated superior improvements in WOMAC, KOOS, ICOAP, VAS, EQ-5D, SF-36, and JSW. Despite these statistically significant differences, the mean values were comparable, suggesting KJD's non-inferiority as a joint-preserving alternative. The efficacy of non-invasive modalities in alleviating knee OA symptoms further strengthens the argument for exploring less invasive, cost-effective options for managing this condition.</p><p><strong>Conclusion: </strong>Knee Joint Distraction emerges as a promising joint-preserving intervention, offering comparable pain relief and functional improvement to HTO and TKA in the management of severe knee OA. While HTO and TKA showed marginally superior outcomes, KJD remains a viable alternative for younger patients or those seeking to delay TKA. Incorporating adjunctive treatments such as platelet-rich plasma therapy or radiofrequency ablation may further enhance outcomes, paving the way for multimodal and individualised approaches to knee OA management.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"72-82"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971275","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}

{"title":"Musculoskeletal Challenges among Malaysian Primary Oral Healthcare Personnel.","authors":"C J Jailan, M S Mohd-Aris, N A Ahmad-Shushami","doi":"10.5704/MOJ.2511.003","DOIUrl":"10.5704/MOJ.2511.003","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal disorders (MSDs) are a critical occupational health issue, particularly among dental professionals, where repetitive tasks, prolonged postures, ergonomic challenges, and psychosocial stressors contribute to their high prevalence. Existing literature highlights musculoskeletal issues, but gaps remain in understanding their prevalence and causes among primary oral healthcare personnel in Malaysia.</p><p><strong>Material and methods: </strong>A multistage sampling technique was used to recruit a representative sample of 330 respondents from Malaysian primary oral healthcare personnel in various job roles within government dentistry facilities. Nordic Musculoskeletal Questionnaires (NMQ) were distributed to investigate the prevalence of musculoskeletal issues among the participants.</p><p><strong>Results: </strong>Of the participants, 53.4% of females and 46.6% of males reported experiencing work-related musculoskeletal disorders (WR-MSD). The neck was the most affected region, with a prevalence of 65.5%. Musculoskeletal disorders were more prevalent among individuals with longer years of service, with dental officers being the most affected type of designation.</p><p><strong>Conclusion: </strong>This study highlights the high prevalence of musculoskeletal disorders (MSDs) among Malaysian primary oral healthcare personnel, emphasising the need for targeted ergonomic interventions and workplace practice improvements to enhance occupational health and well-being.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"19-27"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971287","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}

{"title":"Septic Arthritis of the Shoulder following Recent Varicella Zoster Virus Infection in an 18-month-old Child: A Case Report.","authors":"M Woodmass, L H Lee","doi":"10.5704/MOJ.2511.020","DOIUrl":"10.5704/MOJ.2511.020","url":null,"abstract":"<p><p>We present a case of an 18-month-old female child who attended the paediatric emergency department with mild dehydration, pyrexia and a healing chickenpox (varicella) rash. Her older brother recently recovered from chickenpox without complication and is believed to have been the source of her infection. Her classically self-limiting condition was initially treated supportively with oral fluids and benzydamine mouth spray, before two further presentations to the emergency department with worsening clinical deterioration, a protracted pyrexia and an exquisitely painful right shoulder prompted the search for an alternative diagnosis. This ordinarily fit and well, immunocompetent girl was subsequently diagnosed with septic arthritis of the right shoulder, complicated by concurrent varicella zoster virus infection. She was managed operatively with needle arthrocentesis, using a two-cannula technique to thoroughly wash out the infected glenohumeral joint. An intra-operative pus sample was sent for culture, subsequently growing Group A streptococcus pyogenes. Following washout, she received a course of intravenous antibiotics. There was immediate clinical recovery in the function of the right shoulder joint which continued into the post-operative period. Down-trending infection markers demonstrated a biochemical improvement, and she was discharged from hospital with a three-week course of oral antibiotics, making a full recovery. The rarity of upper limb involvement, along with the operative management technique of two needle arthrocentesis joint washout make this case an important contribution to the existing knowledge base and highlights the importance of considering this surgical emergency presenting in - what is usually - an overwhelmingly benign and self-limiting illness.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"143-146"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971331","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}

{"title":"Anatomical and Functional Outcomes of Bladder Exstrophy Patients - A Single-Centre Indonesian Experience.","authors":"A Kurniawan, H Jonathan, R Wikanjaya, L P Aryandhani","doi":"10.5704/MOJ.2511.011","DOIUrl":"10.5704/MOJ.2511.011","url":null,"abstract":"<p><strong>Introduction: </strong>Bladder exstrophy is an embryologic malformation characterised by a deficiency of the anterior midline, resulting in urogenital and skeletal complications. The aim of this article is to identify the factors influencing outcomes in patients with bladder exstrophy, a condition for which published literature remains limited.</p><p><strong>Material and methods: </strong>A retrospective cohort study analysed medical records from 2011 to 2017. Patients with bladder exstrophy who underwent anterior and posterior innominate osteotomy were evaluated for clinical outcomes in an orthopaedic outpatient clinic. Anatomical outcomes were assessed by calculating the percentage of pubic approximation, while functional outcomes were measured using the PedsQL 4.0 and compared to typical peers.</p><p><strong>Results: </strong>Nineteen children (median age 6 years) were included: 11 boys (57.9%) and 8 girls (42.1%). Among them, 17 had bladder exstrophy, 2 had cloacal exstrophy, 2 had epispadias, and 1 had hypospadias. Sixteen children (84.2%) had no other congenital anomalies. The median age at surgery was 6 months (range 1-71 months), with a median pubic approximation percentage of 78.5% (range 65- 98.1%). The mean PedsQL score post-operation was 97.2 ± 1.6. A significant correlation was found between age at operation, post-operative diastasis, pubic approximation percentage, and PedsQL score (p < 0.05).</p><p><strong>Conclusion: </strong>The clinical outcomes for bladder exstrophy patients were favourable, as indicated by pubic approximation percentage and PedsQL scores. Age at operation and post-operative diastasis significantly influenced both anatomical and functional outcomes.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"83-91"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971189","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}

{"title":"Clinical Outcome of Cannulated Screw Fixation with Suture Tape Augmentation in Geriatric Transverse Patellar Fracture - A Case Series.","authors":"M A Muhamed-Fuad, A H Ab-Halim","doi":"10.5704/MOJ.2511.007","DOIUrl":"10.5704/MOJ.2511.007","url":null,"abstract":"<p><strong>Introduction: </strong>Patellar fractures were common and often challenging to manage, particularly in the elderly population. Achieving stable anatomic reduction and maintaining it throughout the perioperative period was crucial for restoring knee function, especially in patients with osteopenic bone.</p><p><strong>Material and methods: </strong>This was a retrospective case series of geriatric patients who presented to our centre with closed transverse patellar fractures between 2022 and 2023. All fractures were classified as AO 34C1 under the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification and were considered fragility fractures, having resulted from a fall from standing height. Only patients aged over 60 years were included. All underwent open reduction and internal fixation using cannulated screws with suture tape augmentation. The Knee Society Score (KSS) was evaluated at four months post-operatively, and patients were followed for complications for up to one year.</p><p><strong>Results: </strong>Six cases met the inclusion criteria. The mean displacement was 19mm, and the average operative time was 45.17 minutes. The average time to radiographic union was 8.67 weeks. At a mean follow-up of 12.8 months, none of the patients required revision surgery or hardware removal. No patient reported issues related to implant prominence or pain during kneeling. The KSS at four months ranged from 87 to 97, with a mean score of 91.</p><p><strong>Conclusion: </strong>Cannulated screw fixation with suture tape augmentation appeared to be a safe and effective method for treating transverse patellar fractures in the elderly population, offering stable fixation and favourable functional outcomes.</p>","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 3","pages":"53-57"},"PeriodicalIF":0.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971263","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}