SICOT-JPub Date : 2024-01-01Epub Date: 2024-10-25DOI: 10.1051/sicotj/2024035
Soline Bonneau, Samuel Georges, Bernard Fraisse, Edouard Haumont, Yan Lefèvre, Nicolas Bremond, Zagorka Pejin, Philippe Violas
{"title":"Therapeutic effect of intramedullary reaming and nailing for long bones lengthening in children with Ollier disease and Maffucci syndrome on enchondromas: multicentric retrospective case series.","authors":"Soline Bonneau, Samuel Georges, Bernard Fraisse, Edouard Haumont, Yan Lefèvre, Nicolas Bremond, Zagorka Pejin, Philippe Violas","doi":"10.1051/sicotj/2024035","DOIUrl":"https://doi.org/10.1051/sicotj/2024035","url":null,"abstract":"<p><strong>Introduction: </strong>Leg length discrepancy (LLD) and malalignment of long bones are frequent orthopedic problems encountered in Maffucci syndrome and Ollier disease (OD). Orthopedic surgeons used historically external fixators to address the deformities. In this multicentric case series, we propose the use of motorized intramedullary nails.</p><p><strong>Methods: </strong>We retrospectively reviewed for 9 years, in four different centers, patients with OD and Maffucci's syndrome that had lengthening nails for LLD with or without associated deformities. The minimum follow-up period was 24 months. We reported complications, clinical tolerance of lengthening, lengthening rate and target, bone healing index, and EQ-5D-Y functional and visual analog scores (VAS). We also saw on X-rays the whole lengthened bone and its regenerate zone to assess the evolution of the enchondromas.</p><p><strong>Results: </strong>we used the nailing technique in 8 femurs and 2 tibias in 8 patients (mean age: 13.3 years, range: 11-16, mean follow-up time: 53.8 months, range: 26-108). The mean correction amount was 6.44 cm for the femur over 76.8 days and 3.75 cm over 44 days for the tibia with a mean VAS score of 6.63/15 and mean EQ-5D-Y of 81/100. The lengthening goal was achieved in all patients. No mechanical complications were noted. The medullary canal of the operated bones showed improvement and healing in 8 out of 10 segments.</p><p><strong>Discussion: </strong>Besides achieving the goals of surgery with good functional outcomes, lengthening nails has a therapeutic effect on enchondromas with fewer complications than traditional correction methods.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"43"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510165","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-10-07DOI: 10.1051/sicotj/2024038
Yahia Haroun, Mohamed H Sobhy, Hany A Khater, Ahmad H Khater
{"title":"Comparison between four different suture configurations for rotator cuff repair: a biomechanical animal study.","authors":"Yahia Haroun, Mohamed H Sobhy, Hany A Khater, Ahmad H Khater","doi":"10.1051/sicotj/2024038","DOIUrl":"https://doi.org/10.1051/sicotj/2024038","url":null,"abstract":"<p><strong>Introduction: </strong>The arthroscopic repair of a massive rotator cuff tear could be surgically challenging. There is a continuous argument regarding the best surgical technique and suture configuration used to treat massive rotator cuff tears. The purpose of this study was to assess the in vitro strength of the new double Mason-Allen suture and compare it to the commonly used other suture configurations.</p><p><strong>Methods: </strong>Twenty-five fresh sheep shoulders were randomly divided into five equal groups. Each group had their infraspinatus tendons cut and repaired with one of five suture configurations (simple, horizontal mattress, Mason-Allen, modified Mason-Allen, and double Mason-Allen) using Arthrex<sup>®</sup> 1.3 mm suture tape. The specimens were fixed to the test apparatus through their scapulae and hung with the repair tape to Sartorius<sup>®</sup> precision balance with sequential load increments till failure. The load to failure was measured for each of the five suture configurations.</p><p><strong>Results: </strong>Study data found the double Mason-Allen configuration to have the highest mean load to failure 423.30 ± 23.05 (Newtons), followed by modified Mason-Allen, Mason-Allen, horizontal mattress, and simple suture respectively.</p><p><strong>Conclusion: </strong>The double Mason-Allen repair configuration has the highest load to failure compared to the other known suture configuration to repair rotator cuff tears.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"39"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394164","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-11-08DOI: 10.1051/sicotj/2024041
Mohamed I Abulsoud, Mohamed A A Ibrahim, Ahmed Saied Mohammed, Mohammed Elmarghany, Usama Gaber, Elsherbiny Ali Elsherbiny, Samir A Nematallah, Mohamed Amer Mohamed, Mohamed F Elhalawany, Yahia A Hasanien, Mostafa Abonnour
{"title":"Proximal femoral nailing for unstable trochanteric fractures: lateral decubitus position or traction table? A case-control study of 96 patients.","authors":"Mohamed I Abulsoud, Mohamed A A Ibrahim, Ahmed Saied Mohammed, Mohammed Elmarghany, Usama Gaber, Elsherbiny Ali Elsherbiny, Samir A Nematallah, Mohamed Amer Mohamed, Mohamed F Elhalawany, Yahia A Hasanien, Mostafa Abonnour","doi":"10.1051/sicotj/2024041","DOIUrl":"10.1051/sicotj/2024041","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the treatment of unstable intertrochanteric femoral fractures with short proximal femoral nailing in elderly patients in the lateral decubitus position versus the supine position on traction tables.</p><p><strong>Methods: </strong>From June 2020 to January 2022, a prospective case-control study was performed on 96 patients who presented with unstable trochanteric fractures treated by internal fixation via short proximal femoral nail (PFN). Patients were divided into two groups: Group A, which included patients who underwent surgery in the lateral position; and Group B, which included those in the supine position. Both groups were subjected to follow-up for 12 months.</p><p><strong>Results: </strong>The mean setup time, surgery time, and blood loss were significantly greater in Group B than in Group A, while the hospital stay and fluoroscopy duration were similar in both groups. Regarding reduction quality and fixation (TAD (tip-apex distance), CDA (collodiaphyseal angle), and Reduction CRQC (change reduction quality criterion)), there were no statistically significant differences between the two groups; moreover, there were no intraoperative or postoperative complications in either group or the Harris hip score (67.65 ± 17.06 in Group A vs. 67.15 ± 17.05 in Group B).</p><p><strong>Conclusion: </strong>The lateral decubitus and supine positions on a traction table are suitable for proximal femoral nailing with comparable outcomes, and surgeons can use either position according to their preferences and resources.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"47"},"PeriodicalIF":16.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606826","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-05-16DOI: 10.1051/sicotj/2024014
Sanjeev Sabharwal, Andrea Leung, Joel Johansen Bwemelo, Patricia Rodarte, Annelise S Taylor, Gurbinder Singh, Josephine Tan, Richard Trott
{"title":"Erratum to: \"Peer-reviewed publications in orthopaedic surgery from lower income countries: A comparative analysis\".","authors":"Sanjeev Sabharwal, Andrea Leung, Joel Johansen Bwemelo, Patricia Rodarte, Annelise S Taylor, Gurbinder Singh, Josephine Tan, Richard Trott","doi":"10.1051/sicotj/2024014","DOIUrl":"10.1051/sicotj/2024014","url":null,"abstract":"","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"17"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180096","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-06-07DOI: 10.1051/sicotj/2024019
Pavlos Altsitzioglou, Konstantinos Avgerinos, Vasileios Karampikas, Panayiotis Gavriil, Apostolos Vlachos, Fotini Soucacou, Ioannis Zafiris, Vasileios Kontogeorgakos, Panayiotis J Papagelopoulos, Andreas F Mavrogenis
{"title":"Point of care testing for the diagnosis of periprosthetic joint infections: a review.","authors":"Pavlos Altsitzioglou, Konstantinos Avgerinos, Vasileios Karampikas, Panayiotis Gavriil, Apostolos Vlachos, Fotini Soucacou, Ioannis Zafiris, Vasileios Kontogeorgakos, Panayiotis J Papagelopoulos, Andreas F Mavrogenis","doi":"10.1051/sicotj/2024019","DOIUrl":"10.1051/sicotj/2024019","url":null,"abstract":"<p><strong>Background: </strong>Periprosthetic joint infection (PJI) remains a major complication following total joint arthroplasties (TJA), significantly affecting patient outcomes and healthcare costs. Despite advances in diagnostic techniques, challenges persist in accurately diagnosing PJI, underscoring the need for effective point-of-care testing (POCT).</p><p><strong>Methods: </strong>This review examines the current literature and latest developments in POCT for diagnosing PJI, focusing on biomarkers such as alpha-defensin, leukocyte esterase, calprotectin, and C-reactive protein (CRP). Criteria from various societies like the Musculoskeletal Infection Society, Infectious Diseases Society of America, and the International Consensus Meeting were compared to evaluate the effectiveness of these biomarkers in a point-of-care setting.</p><p><strong>Results: </strong>POCT provides rapid results essential for the timely management of PJI, with alpha-defensin and leukocyte esterase showing high specificity and sensitivity. Recent advancements have introduced novel biomarkers like calprotectin, which demonstrate high diagnostic accuracy. However, challenges such as the variability in test performance and the need for validation under different clinical scenarios remain.</p><p><strong>Discussion: </strong>While POCT for PJI shows promising results, their integration into clinical practice requires standardized protocols and further validation. The evolution of these diagnostic tools offers a potential shift toward more personalized and immediate care, potentially improving outcomes for patients undergoing TJA.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"24"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11160401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284997","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-04-30DOI: 10.1051/sicotj/2024011
Amr Hatem, Essam Mohamed Elmorshidy, Amer Elkot, Khaled Mohamed Hassan, Mohammad El-Sharkawi
{"title":"Autofusion in growing rod surgery for early onset scoliosis; what do we know so far?","authors":"Amr Hatem, Essam Mohamed Elmorshidy, Amer Elkot, Khaled Mohamed Hassan, Mohammad El-Sharkawi","doi":"10.1051/sicotj/2024011","DOIUrl":"https://doi.org/10.1051/sicotj/2024011","url":null,"abstract":"<p><p>The evolving landscape of early onset scoliosis management has shifted from the traditional paradigm of early definitive spinal fusion towards modern growth-friendly implants, particularly Growing Rods (GR). Despite the initial classification of GR treatment as a fusionless procedure, the phenomenon of autofusion has emerged as a critical consideration in understanding its outcomes. Studies have demonstrated the presence of autofusion since the early 1980s. The consequences of autofusion are extensive, impacting curve correction, diminishing trunk growth rate, and contributing to the \"law of diminishing returns\" in growing rod surgery. The literature suggests that autofusion may complicate definitive fusion surgery, leading to prolonged and intricate procedures involving multiple osteotomies. Additionally, it poses challenges in identifying anatomical landmarks during surgery, potentially increasing the risk of complications and revisions. While autofusion poses challenges to achieving optimal outcomes in growing rod treatment, it cannot be considered a standalone replacement for definitive fusion. Recent advances aim to limit autofusion and enhance treatment outcomes. In this review, we will delve into the existing literature on autofusion, examining studies that have documented its presence, probable causes, pathophysiology, potential implications for long-term patient outcomes, and possible new implants and techniques that decrease its incidence.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"15"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852834","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-04-30DOI: 10.1051/sicotj/2024012
Ahmad S Aly, Tamer A Fayyad, Shady S El-Beshry, Karim T Elhusseiny, Ahmed K El Ghazawy
{"title":"Modified triple pelvic osteotomy for residual acetabular dysplasia through double incisions: Technical note and review of short-term results.","authors":"Ahmad S Aly, Tamer A Fayyad, Shady S El-Beshry, Karim T Elhusseiny, Ahmed K El Ghazawy","doi":"10.1051/sicotj/2024012","DOIUrl":"https://doi.org/10.1051/sicotj/2024012","url":null,"abstract":"<p><strong>Purpose: </strong>To assess validity, safety, and efficacy of the modified triple pelvic osteotomy (TPO) approach for correction of residual acetabular dysplasia.</p><p><strong>Methods: </strong>This is a retrospective case series conducted on 15 hips in 15 patients from 2019 to 2023 with residual acetabular dysplasia treated by modified TPO as described by Tonnis with two modifications. The first modification is using a single medial incision for pubic and ischial cuts (the Vladimirov modification). The second modification is having the ischial cut closer to the acetabulum (Li modification) allowing free movement of the acetabular fragment for better femoral head coverage. The mean age at the time of surgery was 11.85 years, (range 8-23). Cases presenting were 10 males (66.7%) and 5 females (33.3%). The mean follow-up period was 36.533 months (24-60 months).</p><p><strong>Results: </strong>Our study revealed significant clinical and radiological improvement. The CE angle improved from a mean value of 10° (range 2-17) pre-operatively to 32.785° (range 18°-40°) post-operatively. The AI improved from a mean value of 32° pre-operatively to a mean value of 13.89° post-operatively. HHS increased from a preoperative mean value of 74.80° to a post-operative mean value of 90.67°. Also, there was a significant improvement in ROM (abduction and internal rotation). LLD improved from a mean value of 2.60 cm preoperatively to a mean value of 0.37 cm postoperatively. Delayed union was found in 3 cases. No cases of osteonecrosis or neurovascular complication were encountered in our study.</p><p><strong>Conclusion: </strong>The modified TPO technique using dual incisions can be considered safe and effective, providing adequate coverage of the femoral head in acetabular dysplasia with less surgical time, satisfactory functional outcomes, and minimal complications.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"14"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855576","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-12-12DOI: 10.1051/sicotj/2024051
Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan
{"title":"Evaluation of meniscal injury on magnetic resonance imaging and knee arthroscopy in patient with anterior cruciate ligament tear.","authors":"Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan","doi":"10.1051/sicotj/2024051","DOIUrl":"10.1051/sicotj/2024051","url":null,"abstract":"<p><strong>Introduction: </strong>Meniscal injuries often occur in association with anterior cruciate ligament (ACL) injury. Failure to detect meniscal tears in patients with ACL injuries can lead to more complex tears and make them more difficult to repair.</p><p><strong>Objective: </strong>To determine the degree of correlation between magnetic resonance imaging (MRI) and knee arthroscopy in diagnosing meniscal injuries in patients with ACL tears.</p><p><strong>Methods: </strong>A prospective descriptive study was conducted on 185 patients diagnosed with ACL tears through knee arthroscopy at Thong Nhat Hospital from April 2023 to April 2024.</p><p><strong>Results: </strong>The accuracy of MRI and its correlation with arthroscopy in detecting meniscal injuries is 69.2%, indicating a low degree of agreement between MRI and arthroscopy results. Diagnosis of meniscal injury location has an accuracy of 57.1%, indicating a minimal to low degree of agreement between MRI and arthroscopy results. Diagnosis of the injury region: Accuracy over 85%, with Kappa coefficients ranging from 0.3 to 0.59, p < 0.001. Diagnosis of the morphology of meniscal injuries: Accuracy over 89%, with Kappa coefficients ranging from 0.26 to 0.66, p < 0.001.</p><p><strong>Conclusion: </strong>There is a minimal to moderate correlation between MRI and arthroscopy in detecting, and diagnosing the location, region, and morphology of meniscal injuries in patients with ACL tears. Therefore, caution is advised when diagnosing meniscal injuries based solely on MRI findings in patients with ACL tears.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"56"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814542","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-01-18DOI: 10.1051/sicotj/2024002
Michaud Jeffrey, Philippe Marchand, Pascal Kouyoumdjian, Remy Coulomb
{"title":"Short-term functional outcomes of robotic-assisted TKA are better with functional alignment compared to adjusted mechanical alignment.","authors":"Michaud Jeffrey, Philippe Marchand, Pascal Kouyoumdjian, Remy Coulomb","doi":"10.1051/sicotj/2024002","DOIUrl":"10.1051/sicotj/2024002","url":null,"abstract":"<p><strong>Introduction: </strong>Ligament balancing is essential to the functional outcome of total knee arthroplasty (TKA). The optimal method of alignment remains a controversial issue. The primary objective was to compare the clinical outcomes of TKA between functional and adjusted mechanical alignment techniques. The secondary objectives were to compare bone resection, robotic alignment, and radiological assessment.</p><p><strong>Materials and methods: </strong>This was a retrospective case-control series comparing TKA performed with functional alignment (FA) and adjusted mechanical alignment (aMA). Sixty-four FA subjects were matched with 64 aMA controls. These two groups were matched for age, gender, body mass index (BMI), surgeon, and type of frontal deformity. Both surgical procedures were performed using the MAKO<sup>®</sup> haptic robotic system. Functional scores (Forgotten Joint Score (FJS), Knee Society Score (KSS), and Oxford Knee Score (OKS)) were measured at the final postoperative follow-up. A radiographic evaluation was performed at the same time.</p><p><strong>Results: </strong>Mean FJS were respectively 63.4 ± 25.1 [0-100] and 51.2 ± 31.8 [0-100] in FA versus aMA group (p = 0.034). Mean OKS were respectively 40.8 ± 6.3 [21-48] and 34.9 ± 11.8 [3-48] in FA versus aMA group (p = 0.027). Mean KSS were respectively 184.9 ± 17.0 [126-200] and 175.6 ± 23.1 [102-200] in FA versus aMA group (p = 0.02). The main residual symptom was \"none\" for 73.0% versus 57.8%, \"instability\" for 6.4% versus 21.9%, \"Pain\" for 19.1% versus 12.5%, and \"effusion\" for 1.6% and 7.8% respectively for FA and aMA group (p = 0.016). There were 4 complications in the FA group versus 5 in the aMA group (p > 0.999). Mean postoperative hip-knee-ankle (HKA) robotic assessment were respectively 177.3° ± 2.0 [172-180] and 178.2° ± 2.0 [173-180] for FA and aMA group (p = 0.018). The median difference between HKA robotic and HKA radiological was -3.0° (IQR = 3.0; p < 0.001).</p><p><strong>Conclusion: </strong>With greater residual deformity and without release, functional alignment showed a statistically significantly better short-term clinical outcome than adjusted mechanical alignment. This difference may not be clinically significant.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"2"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139490934","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}
SICOT-JPub Date : 2024-01-01Epub Date: 2024-01-18DOI: 10.1051/sicotj/2023036
Laurent Nkurikiyumukiza, Alex Mathias Buteera, Mohammad Mostafa El-Sharkawi
{"title":"Delayed presentation of lower cervical facet dislocations: What to learn from past reports?","authors":"Laurent Nkurikiyumukiza, Alex Mathias Buteera, Mohammad Mostafa El-Sharkawi","doi":"10.1051/sicotj/2023036","DOIUrl":"10.1051/sicotj/2023036","url":null,"abstract":"<p><p>Delayed presentation of lower cervical facet dislocations is uncommon, and there is no standardized way to approach these neglected injuries. The literature on neglected lower cervical facet dislocations is limited to case reports and few retrospective studies. This justifies the need for a comprehensive review of this condition. Our purpose was to elaborate a review on the epidemiology, clinical and radiological presentation, and treatment techniques and approach to these neglected injuries. Middle-aged adults from 30 to 50 represent 73.8% of reported cases, and most of them are males (72.0%). The most affected level is C5-C6 (43.0%). While most delays are due to missed injuries (52.1%) and ineffective non-operative treatment (36.2%), the other reason for delay is negligence in seeking medical care (11.7%). Patients present with variable degrees of neurological deficit, persistent neck pain, and neck stiffness. Reported approaches and techniques to reduce and stabilize these injuries are highly variable and depend on the surgeon's judgment, experience, and preference. Fibrotic tissues and bony fusion around the dislocated facet joint contribute to the reduction challenge, and 77.0% of closed reduction attempts fail. Anterior and posterior approaches to the cervical spine are used selectively or in combination for surgical release, reduction, and stabilization. Despite the lack of standardized treatment guidelines and different approaches, most of the authors reported improvement in pain, balance, and neurology post-surgery. Starting with the posterior surgical approach aims to achieve reduction compared to the anterior approach which largely aims at spinal decompression. Given the existing controversies, the need for quality prospective studies to determine the best treatment approach for lower cervical facet dislocations presenting with delay is evident.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"4"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492529","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}