Malaysian Orthopaedic Journal最新文献_第6页

Clubfoot Deformity Treatment with Ilizarov Apparatus in the Paediatric Population without Corrective Osteotomies and Soft Tissue Release: A Cross-Sectional Study. 在儿童群体中使用 Ilizarov 器械治疗马蹄内翻足畸形而不进行矫正性截骨术和软组织松解术：一项横断面研究。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.007

H S Aslani, M B Athari, R Tavakoli-Darestani, A Pourmojarab, M Baroutkoub, M Zamani

{"title":"Clubfoot Deformity Treatment with Ilizarov Apparatus in the Paediatric Population without Corrective Osteotomies and Soft Tissue Release: A Cross-Sectional Study.","authors":"H S Aslani, M B Athari, R Tavakoli-Darestani, A Pourmojarab, M Baroutkoub, M Zamani","doi":"10.5704/MOJ.2311.007","DOIUrl":"https://doi.org/10.5704/MOJ.2311.007","url":null,"abstract":"Introduction: Neglected Club Foot deformity is not an uncommon limb anomaly encountered by orthopaedic surgeons. Many treatment methods have been proposed. Ilizarov apparatus is one of the techniques used to correct this deformity.Materials and methods: In this cross-sectional study 47 patients (56 feet) between the ages of 5 and 10 years with clubfoot deformity were treated using the Ilizarov external fixator. Age, sex, type of deformity, and radiographic parameters were measured on foot radiographs. Also, the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Dimeglio classification were recorded for each patient before and after treatment.Results: The treatment was unilateral in 38 patients and bilateral in 9 patients. 39 patients (69.6%) were male, and 17 patients (30.4%) were female with a mean age of 7.86 ± 1.4 years. Plantar angles of ankle flexion and ankle flexion curve increased from 20.12±6.52 and -16.51±8.36 to 25.89±6.44 and 6.19±6.42, respectively. There was also an improvement in the talocalcaneal and tibiocalcaneal angles. Also, the angle between the first metatarsus and the talus in the front and side views improved (P<0.00). Additionally, the mean AOFAS score and Dimeglio classification significantly improved. Three cases were complicated with distal tibial physeal separation that were treated with additional open surgeries.Conclusion: Ilizarov technique without osteotomies and soft tissue release could be considered a less invasive and successful method of treatment for neglected clubfoot deformity in patient five to ten years old that are not good candidate for Ponseti method.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"42-47"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811810","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

Surgical Treatments for Femoral Shaft Fractures: A Narrative Review. 股骨柄骨折的手术治疗：叙述性综述。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.002

B S Fu, Z H Zheng

引用次数: 0

Artificial Intelligence: Impact and Challenges to Authors, Journals and Medical Publishing. 人工智能：对作者、期刊和医学出版的影响与挑战。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.001

Wcg Peh, A Saw

{"title":"Artificial Intelligence: Impact and Challenges to Authors, Journals and Medical Publishing.","authors":"Wcg Peh, A Saw","doi":"10.5704/MOJ.2311.001","DOIUrl":"https://doi.org/10.5704/MOJ.2311.001","url":null,"abstract":"Artificial intelligence (AI)-assisted technologies are here to stay and cannot be ignored. These tools are able to generate highly-realistic human-like text and perform a wide range of useful language tasks with a wide range of applications. They have the potential to expedite innovation in health care and can aid in promoting equity and diversity in research by overcoming language barriers. When using these AI tools, authors must take responsibility for the output and originality of their work, as publishers expect all content to be generated by human authors unless there is a declaration to the contrary. Authors must disclose how AI tools have been used, and ensure appropriate attribution of all the text, images, and audio-visual material. The responsible use of AI language models and transparent reporting of how these tools were used in the creation of information and publication are vital to promote and protect the credibility and integrity of medical research, and trust in medical knowledge. Educating postgraduate and undergraduate students, researchers and authors on the applications and best usage of AI-assisted technologies, together with the importance of critical thinking, integrity and strict adherence to ethical principles, are key steps that need to be undertaken.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"1-4"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811808","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

Flexor Hallucis Longus Transfer And V-Y Plasty: An Effective Treatment Modality for Chronic Achilles Rupture - A Case Series. 跟腱长屈肌转移和V-Y成形术：慢性跟腱断裂的有效治疗方法--一个病例系列。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.009

R H Rashid, R Ali, M Zahid, M Ali, T Ahmad

{"title":"Flexor Hallucis Longus Transfer And V-Y Plasty: An Effective Treatment Modality for Chronic Achilles Rupture - A Case Series.","authors":"R H Rashid, R Ali, M Zahid, M Ali, T Ahmad","doi":"10.5704/MOJ.2311.009","DOIUrl":"https://doi.org/10.5704/MOJ.2311.009","url":null,"abstract":"Introduction: To assess outcomes of FHL transfer and V-Y plasty for chronic Achilles rupture due to insertional Achilles tendinopathy.Materials and methods: A case series of 12 patients was conducted between 1st January 2017 and 31st December 2018. The patients had short flexor hallucis longus tendon transfer with gastrocnemius lengthening by V-Y plasty for Achilles tendon rupture. Patients were allowed full weight bearing at six weeks post-operatively, and were followed up at three months and six months post-operatively, when the range of motion of the ankle was examined, and the outcome was assessed using the EFAS score.Results: Of the 12 patients in the study, the majority were males; the mean age was 50.6±8.96 years. A significant improvement in dorsiflexion and plantarflexion was noted at the six-month follow-up compared to the three-month follow-up (P=<0.001 for both). When compared to the normal side, dorsiflexion and plantarflexion of the affected ankle were significantly less at three months but were comparable at six months post-operatively. A significant improvement was noted in the mean EFAS score at the six-month follow-up (25.5±5.71) compared to three months (18.6±0.90) post-surgery (P=0.001). Males were also noted to have significantly higher EFAS scores at their six-month follow-up than females (P=0.022). In contrast, a negative correlation was noted between the European Foot and Ankle Society (EFAS) score at the final follow-up and age (P=0.011).Conclusion: FHL tendon transfer with V-Y plasty in chronic Achilles rupture due to insertional Achilles tendinopathy is an effective procedure resulting in the restoration of the ankle range of motion and improvement in functional scores.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"59-65"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10722995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811814","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

Open Access: Pay or Go Away. 开放存取：要么付费，要么滚蛋。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.016

K Moustafa

引用次数: 0

Outcomes of Management of Severe Clubfoot among Children by Ilizarov External Fixator. 使用 Ilizarov 外固定器治疗儿童重度马蹄内翻足的疗效

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.003

M Nwet, R Vignesh, W Khaing, S San, Z W Ko

{"title":"Outcomes of Management of Severe Clubfoot among Children by Ilizarov External Fixator.","authors":"M Nwet, R Vignesh, W Khaing, S San, Z W Ko","doi":"10.5704/MOJ.2311.003","DOIUrl":"https://doi.org/10.5704/MOJ.2311.003","url":null,"abstract":"Introduction: Clubfoot remains the most common birth defect involving the musculoskeletal system. There are various surgical and non-surgical treatment options available for the management of clubfoot. Using the minimally invasive Ilizarov external fixator method has been reported to have good success rates and fewer complications.Materials and methods: This study aimed at analysing the morphological and functional outcomes of treating severe clubfoot by Ilizarov external fixator among children from July 2017 to March 2020. Thirty-two children who had either failed Ponseti / surgery or neglected with 44 clubfeet of Dieglio type III and type IV were included in the study. A short-leg walking cast was applied for an additional six weeks after removing of Ilizarov frame and additionally followed by an orthosis for another six weeks. Outcomes were measured by the functional rating system by Laaveg and Ponseti and interpretation done at 1 month and 12 months after the ankle-foot arthrosis.Results: About 86.4% of the patients had good or excellent outcome scores. Pre and post-Demeglio scores and functional rating scores were statistically significant (p<0.001) by using Paired t-test. Complications included superficial pin site infections in 13 feet (29.54%), 5 feet (11.36%) had claw toes, 3 feet (6.81%) had linear skin necrosis and 2 feet (4.54%) had calcaneal fractures which were manageable with minor interventions.Conclusion: The study findings highlighted that the Ilizarov external fixator method can correct complex foot deformities of severe clubfoot with minimum morbidity. Further larger and long-term studies are needed to investigate the effects of the stiff hindfoot and possible degenerative changes on the function and symptoms of these patients as adults.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"9-16"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811818","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

Dynamic Fixation versus Static Screw Fixation for Syndesmosis Injuries in Pronation External Rotation Ankle Fractures: A Retrospective Case Control Study. 动态固定与静态螺钉固定治疗前倾外旋踝关节骨折中的巩膜损伤：一项回顾性病例对照研究。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.008

C M Lim, S W Choi, B S Kim, S J Lee, H S Kang

{"title":"Dynamic Fixation versus Static Screw Fixation for Syndesmosis Injuries in Pronation External Rotation Ankle Fractures: A Retrospective Case Control Study.","authors":"C M Lim, S W Choi, B S Kim, S J Lee, H S Kang","doi":"10.5704/MOJ.2311.008","DOIUrl":"https://doi.org/10.5704/MOJ.2311.008","url":null,"abstract":"Introduction: The current standard treatment for ankle syndesmosis injury is static screw fixation. Dynamic fixation was developed to restore the dynamic function of the syndesmosis. The purpose of this study was to determine that which of static screw fixation and dynamic fixation is better for treatment of ankle syndesmosis injury in pronation-external rotation fractures.Materials and methods: Thirty patients were treated with dynamic fixation (DF group) and 28 patients with static screw fixation (SF group). The primary outcome was Olerud-Molander Ankle Outcome Score. The secondary outcome were Visual Analogue Scale score and American Orthopedic Foot and Ankle Society score, radiographic outcomes, complications and cost effectiveness. To evaluate the radiographic outcome, the tibiofibular clear space, tibiofibular overlap, and medial clear space were compared using the pre-operative and last follow-up plain radiographs. To evaluate the cost effectiveness, the total hospital cost was compared between the two groups.Results: There was no significant difference in primary outcome. Moreover, there were no significant difference in secondary outcome including Visual Analogue Scale score and American Orthopedic Foot and Ankle Society score and radiographic outcome. Two cases of reduction loss and four cases of screw breakage were observed in the SF group. No complication in the DF group was observed. Dynamic fixation was more cost effective than static screw fixation with respect to the total hospital cost.Conclusion: Although dynamic fixation provided similar clinical and radiologic outcome, dynamic fixation is more cost effective with fewer complications than static screw fixation in ankle syndesmosis injury of pronation-external rotation fractures.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"48-58"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811812","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

Is There a Doctor on Board? We Have an Emergency! 船上有医生吗？我们有紧急情况

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.017

S Ibrahim, J Sathar

引用次数: 0

Wide-Awake Hemi-hamate Arthroplasty for Chronic PIPJ Fracture-Dislocation: A Case Report. 宽醒半髋关节置换术治疗慢性 PIPJ 骨折脱位：病例报告。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.014

I J Magtoto

引用次数: 0

The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures. 计算机断层扫描和X光片在治疗转子间骨折中的作用。

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Malaysian Orthopaedic Journal Pub Date : 2023-11-01 DOI: 10.5704/MOJ.2311.004

V J Patel, N B Patel, P M Tank, K A Upadhyay, K K Ashwin

{"title":"The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures.","authors":"V J Patel, N B Patel, P M Tank, K A Upadhyay, K K Ashwin","doi":"10.5704/MOJ.2311.004","DOIUrl":"https://doi.org/10.5704/MOJ.2311.004","url":null,"abstract":"Introduction: The Intertrochanteric fracture is a common hip trauma encountered in elderly patients. There is a lack of general agreement regarding its surgical management and choice of implant. Purpose of this study to conclude the final decision matrix regarding surgical management of intertrochanteric fractures based on parameters assessed on plain radiographs and CT scan.Materials and methods: We have retrospectively evaluated 55 patients with intertrochanteric fractures presented to our institute after informed consent with radiographs and CT scans between July 2017 to July 2018. Assessment of various parameters regarding fracture geometry and classification as well as measurement was done.Results: Mean lateral wall thickness in present study was 20.76mm. Incidence of coronal fragments was 90.9% and absence of coronal fragment in 5 patients. We noted the cases with anterior comminution had also a posterior comminution rendered the fracture unstable in almost 20 % cases.Conclusion: Better understanding of fracture geometry by combined used of radiograph and CT scan enhanced preoperative planning, choice of suitable implant, helps in reduction manoeuvre and improving quality of osteosynthesis.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"17 3","pages":"17-25"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811823","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