Malaysian Orthopaedic Journal最新文献_第5页

How Effective is Fibula Pro Tibia Plating in Treatment of Distal Tibial Fractures: A Pilot Study. 胫骨远端骨折的胫骨腓骨钢板置换术治疗效果如何？一项试点研究

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.004

S Jain, H Khare, K Verma, U Kumar, A Ajmera

{"title":"How Effective is Fibula Pro Tibia Plating in Treatment of Distal Tibial Fractures: A Pilot Study.","authors":"S Jain, H Khare, K Verma, U Kumar, A Ajmera","doi":"10.5704/MOJ.2407.004","DOIUrl":"10.5704/MOJ.2407.004","url":null,"abstract":"Introduction: Despite recent advances, management of distal tibial fractures is challenging, with high rate of complications. Fibula pro tibia plating technique fixes fibula and tibia together, via laterally placed fibular plate without disturbing the tibial soft tissue sleeve. We contemplated this pilot study to assess effectiveness of fibula pro tibia plating in management of distal tibia fibula fractures.Materials and methods: A total of 30 patients with distal tibia fibula fractures with fracture line extending within 5cm from tibial plafond were managed with fibula pro tibia plating, with or without minimal articular fixation. Outcome evaluation was done by union, union time, alignment and functional outcome as assessed by AOFAS score.Results: Mean age in the series was 39.4 years with male to female ratio of 3:2. Mean duration of surgery, blood loss and C arm exposure were 79 minutes (range 52 to 98min), 80ml (range 62 to 102ml) and 48 shoots (range 36 to 81 shoots), respectively. All fractures united in mean union time of 10.2 weeks (range 9 to 14 weeks) with acceptable alignment in all the patients except one. Mean AOFAS score was 86.3 (range 70 to 93) with 29 patients having good to excellent outcome. One patient had varus malunion and in one case infection was seen.Conclusion: Fibula pro tibia plating can be successfully used to manage complex distal tibia fractures which leaves the soft tissue and periosteal sleeve undisturbed, thus avoiding wound related problems and leading to early union.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"27-33"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917682","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

Tissue Adhesive versus Skin Suture plus Waterproof Wound Dressings for Carpal Tunnel Wound Closure: A Prospective Randomized Controlled Trial. 组织粘合剂与皮肤缝合加防水伤口敷料用于腕管伤口闭合：前瞻性随机对照试验。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.009

T Maneesrisajja, K Srikulawong

{"title":"Tissue Adhesive versus Skin Suture plus Waterproof Wound Dressings for Carpal Tunnel Wound Closure: A Prospective Randomized Controlled Trial.","authors":"T Maneesrisajja, K Srikulawong","doi":"10.5704/MOJ.2407.009","DOIUrl":"10.5704/MOJ.2407.009","url":null,"abstract":"Introduction: The popular wound closure methods for carpal tunnel decompression (CTD) include non-absorbable and absorbable sutures which have comparable results in clinical outcomes. However, these wound closure methods are recommended to keep a wound dry which may limit some ADLs. We conducted a prospective randomized controlled trial that compares clinical outcomes and cost-effectiveness in a skin closure following CTD between absorbable sutures plus a 2-octyl cyanoacrylate tissue adhesive (2OCA) versus non-absorbable skin sutures plus a waterproof dressing (NSPWD).Materials and methods: We enrolled 120 patients undergoing CTD into two groups: 2OCA and NSPWD, with 60 patients in each group. Number of dressing changes, Quick DASH, pain VAS, cosmetic VAS, patient satisfaction VAS, and Hollander wound evaluation score, cost-effectiveness, and post-operative complications were collected at pre-operative period and two and six weeks post-operatively.Results: Slightly better patient satisfaction VAS (7.9 vs 7.2, p=0.018) and cosmetic VAS (8.0 vs 7.2, p=0.025) were observed in 2OCA at 2 weeks. Meanwhile, NSPWD revealed lesser times of dressing change (Median, mode, IQR: 0/0/0 vs 2/3/2, p<0.001). The total wound-related costs include dressing change and suture removal cost ($15.9 for 2OCA vs $19.2 for NSPWD, p=0.002) although an initial wound-related cost in 2OCA was higher ($15.7/case vs $7.9/case, p<0.001).Conclusion: Our study revealed that the supplementary tissue adhesive to absorbable sutures following CTD could reduce total wound-related costs while clinical outcomes might not be considered clinically significant.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"63-70"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917704","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

Complete Suprapatellar Plica in a Handball Player: A Case Report. 一名手球运动员的完全性髌骨上囊炎：病例报告。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.012

P M Santos, A Moreira, Q J Costa, J Machado, N C Barbosa

引用次数: 0

Creating Novel Standards for Datapoints on an Elective Orthopaedic Theatre List Document. 为骨科选修手术室清单文件中的数据点创建新标准。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.002

M Raad, S Virani, S Vinay, P Housden

{"title":"Creating Novel Standards for Datapoints on an Elective Orthopaedic Theatre List Document.","authors":"M Raad, S Virani, S Vinay, P Housden","doi":"10.5704/MOJ.2407.002","DOIUrl":"10.5704/MOJ.2407.002","url":null,"abstract":"Introduction: Orthopaedic theatre lists are an important tool which must convey essential information to all staff to run an effective and safe theatre list. However, there are no set standards or guidelines on the components of an Orthopaedic theatre list. The objective of this study is to formulate guidelines for elective Orthopaedic theatre lists which improve efficiency and reduce errors.Materials and methods: We looked at 326 elective Orthopaedic theatre lists from October to November 2018. Various factors such as: theatre and patient demographics, surgical team, type of anaesthesia, Surgery, acronyms and finally extra information such as allergies. Additionally, a survey was distributed to a variety of theatre staff to understand their requirements from a theatre list. Thereafter, we created a proforma for waiting list coordinators. Subsequently, we re-audited six more weeks of theatre lists (255) from November to December 2019.Results: The orthopaedic consultant in charge was noted for 100% of patients compared to 85% previously. There was an improvement in documenting the required anaesthesia such as noting 14.5% required spinal compared to 0.3% previously. Prosthesis/equipment was mentioned for 34% of patients compared to 23%. Fluoroscopy was noted as being required for 25% of patients compared to 11%.Conclusion: We believe standards should be in place in order for us to follow to ensure we carry out safe and efficient Orthopaedic theatre lists, and these standards should entail the parameters we have audited. The 'William Harvey theatre list standard' should be used as a gold standard for all elective Orthopaedic theatre lists.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"10-17"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917679","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

Ultrasound-guided Reduction of Colle's fracture does not assist in Achieving Better Radiographic Indices - Results of a Randomised Controlled Trial. 超声引导下的科尔骨折复位术无助于获得更好的放射学指标--随机对照试验的结果。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.010

M P Bhatt, S K Nema, M Ayyan

{"title":"Ultrasound-guided Reduction of Colle's fracture does not assist in Achieving Better Radiographic Indices - Results of a Randomised Controlled Trial.","authors":"M P Bhatt, S K Nema, M Ayyan","doi":"10.5704/MOJ.2407.010","DOIUrl":"10.5704/MOJ.2407.010","url":null,"abstract":"Introduction: Ultrasound-guided manipulation and reduction (M&R) of the distal radius fractures (DRF) is believed to improve radiographic indices due to real-time feedback of fracture alignment. The objective of this trial was to compare volar tilt, radial inclination, and radial height on radiographs between Ultrasound guided and conventional (landmark-guided) M&R.Materials and methods: A total of 79 distal radius extraarticular fractures in adults were randomised to Ultrasound guided and conventional (landmark-guided) M&R. The radiograph parameters described above were compared before and after M&R in both groups.Results: Except for volar tilt (P=0.05 difference in difference), there was no difference in both the groups on radiograph parameters i.e. radial inclination and radial height. We estimated a reduction in the incidence of malreduction by 49% (Risk ratio 0.51) and an absolute risk reduction of 22% through USG-guided reduction. We evaluated a number needed to treat 4 through USG-directed M&R of DRF to prevent one unacceptable reduction. There were 9 (22%) and 18 (46%) (P=0.70) unacceptable reductions in USG-guided and landmark-guided M&R.Conclusion: Adding USG guidance to conventional landmark-based closed reduction methods is not beneficial for the accuracy of fracture reduction in Colle's fracture. However, improved volar tilt in sonographic-directed M&R needs further studies to determine the clinical significance.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"71-76"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917706","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

Use of Fibrin Glue as a Surgical Adjunct in Bone Grafting of Fracture Non-unions. 使用纤维蛋白胶作为骨折非连接处植骨的手术辅助工具。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.007

R Kunnasegaran, J W Ng, Ebk Kwek

{"title":"Use of Fibrin Glue as a Surgical Adjunct in Bone Grafting of Fracture Non-unions.","authors":"R Kunnasegaran, J W Ng, Ebk Kwek","doi":"10.5704/MOJ.2407.007","DOIUrl":"10.5704/MOJ.2407.007","url":null,"abstract":"Introduction: Non-union of long bones is a common challenge in the treatment of fractures. Bone grafting is commonly used to treat atrophic non-union, but mechanical displacement of the graft may occur, resulting in delay or failure of treatment. Fibrin glue has demonstrated positive results in management of bone defects in neurosurgery and oromaxillary facial surgery, however, there has yet to be any study on its use in long bone fractures.Materials and methods: We conducted a prospective randomised controlled trial at a single tertiary centre involving adult patients with long bone fractures that had undergone non-union and requiring bone grafting only. Autologous iliac crest bone graft was applied to the debrided non-union site, with additional fibrin glue applied for the intervention arm. Patients were followed-up with serial radiographs until clinical and radiographical union.Results: Ten patients (3 male, 7 female), of mean age 41.7 (19 - 63) were recruited over five years, with one drop out. Eight out of nine fractures united after treatment. One patient underwent hypertrophic non-union requiring re-fixation and bone grafting. There was no difference in the time to union for patients in the fibrin glue group (19.5 weeks) versus the control group (18.75 weeks) (p=0.86). There were no complications sustained from usage of fibrin glue.Conclusion: Fibrin glue appears to be a safe adjunct for treatment of non-union of long bone fractures across varying fracture sites by holding the bone graft in place despite not demonstrating a faster time to union.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"49-54"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917707","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

Deafening Silence of Malaysian Medical and Surgical Fraternities to the Gaza Genocide. 马来西亚医学和外科联谊会对加沙种族灭绝保持沉默。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.015

Z F Zairul-Nizam, N A Ibrahim

引用次数: 0

Functional Outcomes and a Review of Management Options for Revision Shoulder Arthroplasty. 肩关节置换术翻修的功能结果和管理方案回顾。

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.003

A K Rai, K Kumar

{"title":"Functional Outcomes and a Review of Management Options for Revision Shoulder Arthroplasty.","authors":"A K Rai, K Kumar","doi":"10.5704/MOJ.2407.003","DOIUrl":"10.5704/MOJ.2407.003","url":null,"abstract":"Introduction: Increase in the number of primary shoulder arthroplasty has led to an increase in the number of revisions which presents many complex challenges and often has inferior outcomes.Materials and methods: Data was collected retrospectively, and patients were classified using Dines classification. Comprehensive case reviews were done to identify preoperative and intra-operative challenges. The primary outcome measure was Oxford shoulder score (OSS). The secondary measures were range of motion (ROM) and patient satisfaction (very satisfied, satisfied, not satisfied or worse).Results: A total of 32 patients were identified with a mean age of 67.64 years and the most common cause of revision was a combination of bone and soft tissue failure (39.3%). All patients (n=8) with hemiarthroplasty had rotator cuff deficiency while patients with resurfacing had both rotator cuff failure and bony erosion. Four patients needed a proximal humeral osteotomy and six patients needed allograft reconstruction of the glenoid for bone loss. Twenty-one shoulders were revised to reverse total shoulder arthroplasty (TSA), 2 to anatomical TSA and 5 were left with cement spacer in situ. Mean duration of follow-up was 41.6 months. Mean OSS at the last follow-up was 26.88 with statistically significant improvement in ROM. There was no statistical difference in clinical outcomes (p>0.05) based on the type of primary prosthesis or cause of revision. A total of 70% patients were pain free. Patients with infection had inferior outcomes with a mean OSS of 17.Conclusion: Management of patients with failed shoulder arthroplasty is often challenging but has good clinical outcome except in infections.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"18-26"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917681","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

Water Temperature Effect on Flexural Strength of Posterior Ankle Splint: An Experimental Study. 水温对后踝夹板挠曲强度的影响：实验研究

IF 0.6

Malaysian Orthopaedic Journal Pub Date : 2024-07-01 DOI: 10.5704/MOJ.2407.011

C Pirot, N Sirimahatthanakul, A Naowanirut, T Sirithiantong

{"title":"Water Temperature Effect on Flexural Strength of Posterior Ankle Splint: An Experimental Study.","authors":"C Pirot, N Sirimahatthanakul, A Naowanirut, T Sirithiantong","doi":"10.5704/MOJ.2407.011","DOIUrl":"10.5704/MOJ.2407.011","url":null,"abstract":"Introduction: Plaster of Paris splints are commonly utilised for foot and ankle injuries. However, during follow-ups, some of these splints were found to be broken. Various methods, including splint form or augmentation changes, have been explored to enhance flexural strength. However, the impact of water temperature on the splint's flexural strength still needs to be studied. This research aimed to investigate the effect of water temperature on the flexural strength of the Plaster of Paris splint.Materials and methods: Three groups were set up based on different water temperatures: cold, hot, and room temperature. Posterior ankle splints were created and immersed in water at these varying temperatures, with five pieces tested per group. The splints were then allowed to harden fully over three days. Each splint underwent a tensile strength test using an axial pressure machine, which recorded their flexural strength data.Results: There were no statistically significant differences in the general characteristics of the splints. The flexural strengths of the three splint groups (pre-cooled, pre-heated, and room temperature) were 182.6N, 162.45N, and 228.91N, respectively. Statistical analysis revealed that room-temperature splints demonstrated a statistically significant increase in flexural strength compared to pre-heated splints (p<0.05). However, they did not differ significantly from pre-cooled splints.Conclusion: The highest flexural strength was observed in splints immersed in room-temperature water.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 2","pages":"77-82"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917708","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

The Association between "Knee Movement" Method and Traditional Radiograph Positioning Procedure with the Incidence of True Lateral Knee Radiograph Achieved. 膝关节运动 "法和传统 X 光片定位程序与获得真实膝关节外侧 X 光片的发生率之间的关系。

IF 0.7

Malaysian Orthopaedic Journal Pub Date : 2024-03-01 DOI: 10.5704/MOJ.2403.017

Cpb John, S Wendell, L Kevin, T S Earlene, A R Dio

{"title":"The Association between \"Knee Movement\" Method and Traditional Radiograph Positioning Procedure with the Incidence of True Lateral Knee Radiograph Achieved.","authors":"Cpb John, S Wendell, L Kevin, T S Earlene, A R Dio","doi":"10.5704/MOJ.2403.017","DOIUrl":"https://doi.org/10.5704/MOJ.2403.017","url":null,"abstract":"Introduction: This study aimed to find the association between the Knee Movement or KM method versus the traditional lateral knee radiograph positioning procedure and the incidence of true lateral knee radiographs achieved.Materials and methods: A cross-sectional study of patients with knee problems that underwent lateral knee radiograph using the knee movement method (KM method), starting from March 2022 until August 2022. Fifty knee radiograph results using the KM method (KM group) were compared to retrospective data from fifty knee radiograph from the patients before March 2022 using the traditional method of lateral knee radiograph as the control (TM group). The data were analysed using the Chi-Square test to see if the KM method is associated with more true lateral knee radiograph results achieved compared to the traditional procedure.Results: Fifty patients in the KM method group had 80% (n=40) true lateral knee radiographs and 20% (n=10) untrue lateral knee radiographs, while in the Traditional Procedure group from the retrospective data of 50 patients had 44% (n=22) true lateral knee radiographs and 56% (n=28) untrue lateral knee radiographs (P<0.05). There is no significant association between the type of procedure applied with the types of error (P=0.432). Nevertheless, it helps us as it gives a gross picture that most of the errors are under-rotation of the knee, either from the KM method Group 90% (n=9) or the Traditional procedure Group 79% (n=22).Conclusion: The KM method was associated with achievement of a more true and accurate lateral knee radiograph. Additional studies with a larger sample should be done to evaluate the reliability of this method.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"18 1","pages":"133-139"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854003","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