SICOT-J最新文献

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Does robotic arm-assisted total knee arthroplasty have a role to play in large deformities? 机器人手臂辅助全膝关节置换术对大面积畸形有帮助吗?
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-11-21 DOI: 10.1051/sicotj/2024046
Pierre-Henri Vermorel, Carlo Ciccullo, Luca De Berardinis, Antonio Pompilo Gigante, Thomas Neri, Rémi Philippot
{"title":"Does robotic arm-assisted total knee arthroplasty have a role to play in large deformities?","authors":"Pierre-Henri Vermorel, Carlo Ciccullo, Luca De Berardinis, Antonio Pompilo Gigante, Thomas Neri, Rémi Philippot","doi":"10.1051/sicotj/2024046","DOIUrl":"10.1051/sicotj/2024046","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) for patients with a large preoperative deformity (more than 10° varus or valgus) remains a challenge leading to a high rate of outliers, unsatisfactory functional results, or early prosthetic loosening. Robotic arm-assisted TKA (RATKA) has shown improvements in implant positioning accuracy. This study aimed to assess RATKA implant positioning accuracy and functional results at one year postoperative for patients with a large preoperative deformity.</p><p><strong>Methods: </strong>From November 2019 to July 2022, 500 RATKA were performed. About 74 patients with more than 10° of varus or valgus global deformity were included. Each patient received a semi-constrained implant. The difference between the valgus or varus value planned intra-operatively and the varus or valgus measured on one-year postoperative X-rays has been assessed. Functional outcomes (VAS, range of motion, KOOS) have also been evaluated.</p><p><strong>Results: </strong>For varus, the mean difference was 0.54 ± 1.21°, all patients (100%) had a difference of less than 3° at one-year post-operative. For valgus, the mean difference was 0.63 ± 1.29°, most patients (92%) had a difference of less than 3° at one year postoperative. Overall, 98.6% (n = 73) of cases had a difference of less than 3° at one-year postoperative. The mean VAS was 1.6 ± 1.4 [1;4]. Mean flexion was 132 ± 7.6° [100;145]. A total of 69 patients (93%) had a good or excellent KOOS score (KOOS total > 70) at one year post-operative.</p><p><strong>Conclusion: </strong>For large preoperative deformities, RATKA provides a high degree of accuracy in implant positioning, permitting it to fit the desired alignment without compromising knee stability, and giving the possibility of using semi-constrained implants. At one year postoperative, functional results are encouraging and most patients have recovered an optimal range of motions.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"50"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683029","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 clinical and functional outcomes of closed reduction and arthroscopic McLaughlin procedure in patients with neglected locked posterior shoulder dislocation. 闭锁复位和关节镜下McLaughlin手术治疗被忽视的锁闭后肩脱位的临床和功能结果。
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-12-03 DOI: 10.1051/sicotj/2024050
Wessam Fakhery Ebied, Ahmed Saeed Younis, Mohamed Amr Hemida, Ahmed H Khater, Yahia Haroun
{"title":"The clinical and functional outcomes of closed reduction and arthroscopic McLaughlin procedure in patients with neglected locked posterior shoulder dislocation.","authors":"Wessam Fakhery Ebied, Ahmed Saeed Younis, Mohamed Amr Hemida, Ahmed H Khater, Yahia Haroun","doi":"10.1051/sicotj/2024050","DOIUrl":"10.1051/sicotj/2024050","url":null,"abstract":"<p><strong>Introduction: </strong>Posterior shoulder dislocation with a reverse Hill-Sachs lesion is a rare and complex injury, requiring specialized treatment due to the difficulty in diagnosis, reduction, and addressing both sides of the pathology to reduce the potential for recurrent dislocation.</p><p><strong>Purpose: </strong>To evaluate the clinical and functional outcomes of closed reduction and arthroscopic McLaughlin procedure with posterior labral repair in patients with neglected locked posterior shoulder dislocation for less than 12 weeks.</p><p><strong>Methods: </strong>A prospective study was conducted at university hospitals, managing 15 patients with neglected locked posterior shoulder dislocation for less than 12 weeks and concomitant engaging reverse Hill-Sachs lesions of less than 40% of the humeral articular surface. They were treated with closed reduction and arthroscopic McLaughlin procedure with posterior labral repair. Patients' assessments included shoulder range of motion, pain levels using the visual analog scale (VAS) score, and functional outcome using the Oxford instability score and the University of California Los Angeles Shoulder Scale (UCLA) with at least 2 years of postoperative follow-up.</p><p><strong>Results: </strong>All 15 patients reported no recurrent dislocation and restored shoulder motion at the final follow-up. External rotation significantly improved from 0° to a mean of 65° in adduction, at 90° of abduction, the respective measurement was 85° (p < 0.01). Active forward flexion increased from 35° to 145° (p < 0.01). UCLA and Oxford instability scores Showed marked improvement (p < 0.01).</p><p><strong>Conclusion: </strong>Closed reduction and arthroscopic McLaughlin procedure with posterior labral repair is a safe and effective way for managing patients with locked neglected posterior shoulder dislocations that have been neglected for less than 12 weeks with engaging reverse Hill-Sachs lesion defect, less than 40% of the humeral head.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"53"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773579","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
How would you like your proximal femoral nail - with a monocortical recon plate, with cable, or neat? A functional and radiological study of reverse oblique (AO/OTA 31-A3) intertrochanteric femur fractures. 你想要怎样的股骨近端钉-用单皮质侦查板,用电缆,还是用整齐的?反向斜向(AO/OTA 31-A3)股骨粗隆间骨折的功能和影像学研究。
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-12-03 DOI: 10.1051/sicotj/2024047
Mehmet Süleyman Abul, Aytunç Metin, Ömer Faruk Sevim, Ömer Hekim, Engin Eceviz
{"title":"How would you like your proximal femoral nail - with a monocortical recon plate, with cable, or neat? A functional and radiological study of reverse oblique (AO/OTA 31-A3) intertrochanteric femur fractures.","authors":"Mehmet Süleyman Abul, Aytunç Metin, Ömer Faruk Sevim, Ömer Hekim, Engin Eceviz","doi":"10.1051/sicotj/2024047","DOIUrl":"10.1051/sicotj/2024047","url":null,"abstract":"<p><strong>Objective: </strong>Intertrochanteric femur fractures (ITFF), more so reverse oblique fractures (AO/OTA 31-A3), are the most challenging clinically, with significant morbidity and mortality. Early stable fixation should be achieved to allow early mobilization and reduce complications. This study evaluates the functional and radiological outcomes of three Proximal Femoral Nail (PFN) techniques - PFN alone, Cable + PFN, and Monocortical reconstruction plate (MRP) + PFN- in managing reverse oblique ITFF, to determine the most ideal of them.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 106 patients treated from 2015 to 2022. The patients were classified by the surgical intervention: Cable + PFN (n = 37), MRP + PFN (n = 29), and PFN (n = 40). The critical parameters analyzed included healing time, quality of reduction, rates of complications, and functional outcomes of Trendelenburg gait.</p><p><strong>Results: </strong>The bone healing time was significantly faster in the Cable + PFN group and MRP + PFN group as compared to the PFN group, 4.43 ± 0.92 and 4.44 ± 0.90 months versus 6.40 ± 2.41 months, respectively (p < 0.001). Compared with the PFN group, the number of cases with Trendelenburg gait in the Cable + PFN group was significantly lower, 10.8%. The number of patients showing the Trendelenburg gait trended lower in the MRP + PFN group but was insignificant (p = 0.075). Radiological outcomes did not differ significantly among the groups.</p><p><strong>Conclusion: </strong>The use of Cable + PFN and MRP + PFN techniques has superior outcomes with earlier bone union and far less incidence of Trendelenburg gait than PFN alone. These findings can help hint that perhaps the usage of cables and recon plates enhances the stability and functional restoration in patients who have sustained reverse oblique ITFF.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"54"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773577","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
Survivorship and complications of cementless compared to cemented posterior-stabilized total knee arthroplasties: A systematic review and meta-analysis. 无骨水泥与有骨水泥后稳定型全膝关节置换术的存活率和并发症比较:系统回顾和荟萃分析。
IF 1.6
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-05-30 DOI: 10.1051/sicotj/2024017
Esfandiar Chahidi, Sagi Martinov, Filip Simion, Camille Mercier, Liam Sabot, Theofylaktos Kyriakydis, Antoine Callewier, Jacques Hernigou
{"title":"Survivorship and complications of cementless compared to cemented posterior-stabilized total knee arthroplasties: A systematic review and meta-analysis.","authors":"Esfandiar Chahidi, Sagi Martinov, Filip Simion, Camille Mercier, Liam Sabot, Theofylaktos Kyriakydis, Antoine Callewier, Jacques Hernigou","doi":"10.1051/sicotj/2024017","DOIUrl":"10.1051/sicotj/2024017","url":null,"abstract":"<p><strong>Purpose: </strong>Controversy exists on the best fixation for total knee arthroplasty (TKA). Non-cemented fixation has been theorized to improve patient outcomes and longevity of implantation but no study has focused on comparison between cemented or cementless posterior-stabilized implants despite being the most commonly or second most frequently utilized implant in most total knee replacement registries.</p><p><strong>Methods: </strong>Inclusion criteria with observational and interventional papers, and review articles that focused on patients with cementless and cemented PS TKAs were used to analyze outcomes such as implant survivorship, complication, or revision rates. Using a combination of keywords, a systematic search was performed on Medline (PubMed), Embase, and Cochrane Library for Meta-Analysis.</p><p><strong>Results: </strong>When using the specified criteria, only 8 studies were selected for full-text analysis and meta-analysis after eliminating screening duplicates, titles, and abstracts without full-text access. These eight studies contain 1652 patients, 693 in the non-cemented Group, and 959 in the cemented total knee prosthesis Group. The meta-analysis revealed the advantage of cementless fixation over cemented fixation in implant survivorship, with 0.6% and 2.6% of aseptic loosening in each Group. The cumulative survival at 12 years was 97.4% for the cementless Group and 89.2% for the cemented Group. The subgroup with a stem showed a positive outcome for cementless fixation over cemented fixation regarding implant survivorship. No differences between the cemented and cementless TKAs were observed in patient-reported outcomes, revision rates, or radiolucent line development.</p><p><strong>Conclusion: </strong>We observed comparable rates for cemented and cementless posterior-stabilized TKAs over a medium-term follow-up period.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"22"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180111","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
Collared versus collarless hydroxyapatite-coated stems for primary cementless total hip arthroplasty; a systematic review of comparative studies. Is there any difference in survival, functional, and radiographic outcomes? 初级无骨水泥全髋关节置换术中有领与无领羟基磷灰石涂层柄;对比研究的系统性综述。在存活率、功能和放射学结果方面是否存在差异?
IF 1.6
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI: 10.1051/sicotj/2024003
Vasileios Giovanoulis, Eustathios Kenanidis, Florence Aïm, Zakareya Gamie, Simon Marmor, Michael Potoupnis, Sébastien Lustig, Eleftherios Tsiridis
{"title":"Collared versus collarless hydroxyapatite-coated stems for primary cementless total hip arthroplasty; a systematic review of comparative studies. Is there any difference in survival, functional, and radiographic outcomes?","authors":"Vasileios Giovanoulis, Eustathios Kenanidis, Florence Aïm, Zakareya Gamie, Simon Marmor, Michael Potoupnis, Sébastien Lustig, Eleftherios Tsiridis","doi":"10.1051/sicotj/2024003","DOIUrl":"10.1051/sicotj/2024003","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review aims to critically assess the literature comparative studies investigating collared and collarless Corail stem in primary total hip arthroplasty (THA) to find differences in revision rates, radiographic and clinical outcomes, and postoperative complications between these two types of the same stem.</p><p><strong>Methods: </strong>Eligible studies were found by searching PubMed, Science Direct/Scopus, and the Cochrane Database of Systematic Reviews from conception till May 2023. The PRISMA guidelines were followed. The investigation encompassed randomized controlled trials, case series, comparative, cohort, and observational studies that assessed at least one comparative outcome or complication between collared and collarless Corail stems.</p><p><strong>Results: </strong>Twelve comparative studies with 90,626 patients undergoing primary THA were included. There were 40,441 collared and 58,543 collarless stems. The follow-up ranged from 12 to 360 months. Our study demonstrated no significant difference in stem revision relative risk (RR = 0.68; 95% confidence interval (CI), 0.23, 2.02; p = 0.49), number of radiolucent lines (RR = 0.3; 95% CI, 0.06, 2.28; p = 0.29) and overall complication risk (RR = 0.62; 95% CI, 0.22, 1.76; p = 0.37) between collared and collarless stems. The collared stems demonstrated significantly lesser subsidence (mean difference: 1.01 mm; 95% CI, -1.77, -0.25; p = 0.009) and risk of periprosthetic fractures (RR = 0.52; 95% CI, 0.29, 0.92; p = 0.03).</p><p><strong>Conclusion: </strong>The comparative studies between collared and collarless stem groups showed similar survival and overall complication rates and functional outcomes. The similar revision rates between groups make the impact of higher subsidence for collarless stems uncertain. The lower risk of periprosthetic fractures in the collared stems group must be clarified further but could be related to increased rotational stability.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"8"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736342","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
Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review. 初级全膝关节置换术中固定性屈曲挛缩的处理:近期系统综述。
IF 1.6
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-03-26 DOI: 10.1051/sicotj/2024007
Elliot Sappey-Marinier, Andréa Fernandez, Jobe Shatrov, Cécile Batailler, Elvire Servien, Denis Huten, Sébastien Lustig
{"title":"Management of fixed flexion contracture in primary total knee arthroplasty: recent systematic review.","authors":"Elliot Sappey-Marinier, Andréa Fernandez, Jobe Shatrov, Cécile Batailler, Elvire Servien, Denis Huten, Sébastien Lustig","doi":"10.1051/sicotj/2024007","DOIUrl":"10.1051/sicotj/2024007","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to systematically review the literature and identify the surgical management strategy for fixed flexion contracture in primary total knee arthroplasty (TKA) surgery, pre-, intra-, and post-operatively. Secondary endpoints were etiologies and factors favoring flexion contracture.</p><p><strong>Materials and methods: </strong>Searches were carried out in November 2023 in several databases (Pubmed, Scopus, Cochrane, and Google Scholar) using the following keywords: \"flexion contracture AND TKA\", \"fixed flexion deformity AND TKA\", \"posterior capsular release AND TKA\", \"posterior capsulotomy in TKA\", \"distal femoral resection AND TKA\". Study quality was assessed using the STROBE checklist and the Downs and Black score. Data concerning factors or strategies leading to the development or prevention of flexion contracture after TKA were extracted from the text, figures, and tables of the included references. The effect of each predictive factor on flexion contracture after TKA was recorded.</p><p><strong>Results: </strong>Thirty-one studies were identified to meet the inclusion and exclusion criteria. These studies described a variety of preoperative and intraoperative factors that contribute to the development or correction of postoperative flexion contracture. The only clearly identified predictor of postoperative flexion contracture was preoperative flexion contracture. Intraoperative steps described to correct flexion contracture were: soft-tissue balancing (in posterior and medial compartments), distal femoral resection, flexion of the femoral component, and posterior condylar resection. However, no study has investigated these factors in a global model.</p><p><strong>Discussion: </strong>This review identified various pre-, intra-, and post-operative factors predictive of post-operative flexion contracture. In practice, these factors are likely to interact, and it is therefore crucial to further investigate them in a comprehensive model to develop an algorithm for the management of flexion contracture.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"11"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10964851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289203","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
Combining inertial navigation with transacetabular ligament in total hip arthroplasty via direct anterior approach results in excellent accuracy compared to standard manual technique - A retrospective cohort study. 在通过前方直接入路进行的全髋关节置换术中,将惯性导航与经髋臼韧带相结合,与标准人工技术相比具有极佳的准确性 - 一项回顾性队列研究。
IF 1.6
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1051/sicotj/2024013
Vincent Maes, David Cossetto
{"title":"Combining inertial navigation with transacetabular ligament in total hip arthroplasty via direct anterior approach results in excellent accuracy compared to standard manual technique - A retrospective cohort study.","authors":"Vincent Maes, David Cossetto","doi":"10.1051/sicotj/2024013","DOIUrl":"https://doi.org/10.1051/sicotj/2024013","url":null,"abstract":"<p><strong>Background: </strong>Correct acetabular component placement plays a critical role in reducing early revisions after dislocations in total hip arthroplasty (THA). Although the transverse acetabular ligament (TAL) guides anteversion, inclination can only be accurately guided by navigation. In order to overcome the initial disadvantages with navigation, an imageless, easy-to-use inertial navigation system has been recently introduced. This study aims to analyze the accuracy of inclination with this navigation system compared to the standard manual technique.</p><p><strong>Methods: </strong>Two cohorts, manual technique (MT) and navigation (NAV) cohorts, consisted of 83 and 95 patients, respectively, after exclusion criteria were applied. Inclination target was 38° and anteversion was guided by TAL. Demographic data were collected, and anteroposterior (AP) pelvic and cross-table lateral radiographs were obtained 6 weeks post-operatively. Inclination and anteversion were determined on the AP pelvic and cross-table lateral radiograph, respectively.</p><p><strong>Results: </strong>A mean inclination of 41.8° (±6.8°) and 38.9° (±4.4°) was found in the MT and NAV cohorts, respectively. There was no statistical difference in gender, age, and BMI. If the inclination was set within 10° of the target (i.e., 38°), 88% of the MT cohort and 97% of the NAV cohort were within the target zone. Accuracy decreased to 53% and 83%, respectively, if the target zone range was narrowed down to ± 5°.</p><p><strong>Conclusion: </strong>Combining inertial imageless navigation for inclination and TAL as a landmark for anteversion is significantly more accurate compared to the manual technique, without having the limitations and disadvantages of current standard navigational techniques.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"16"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140961486","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
Artificial intelligence in planned orthopaedic care. 人工智能在有计划的骨科护理中的应用。
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-11-21 DOI: 10.1051/sicotj/2024044
Elena Chiara Thalia Georgiakakis, Akib Majed Khan, Kartik Logishetty, Khaled Maher Sarraf
{"title":"Artificial intelligence in planned orthopaedic care.","authors":"Elena Chiara Thalia Georgiakakis, Akib Majed Khan, Kartik Logishetty, Khaled Maher Sarraf","doi":"10.1051/sicotj/2024044","DOIUrl":"10.1051/sicotj/2024044","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into orthopaedic care has gained considerable interest in recent years, evidenced by the growing body of literature boasting wide-ranging applications across the perioperative setting. This includes automated diagnostic imaging, clinical decision-making tools, optimisation of implant design, robotic surgery, and remote patient monitoring. Collectively, these advances propose to enhance patient care and improve system efficiency. Musculoskeletal pathologies represent the most significant contributor to global disability, with roughly 1.71 billion people afflicted, leading to an increasing volume of patients awaiting planned orthopaedic surgeries. This has exerted a considerable strain on healthcare systems globally, compounded by both the COVID-19 pandemic and the effects of an ageing population. Subsequently, patients face prolonged waiting times for surgery, with further deterioration and potentially poorer outcomes as a result. Furthermore, incorporating AI technologies into clinical practice could provide a means of addressing current and future service demands. This review aims to present a clear overview of AI applications across preoperative, intraoperative, and postoperative stages to elucidate its potential to transform planned orthopaedic care.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"49"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683026","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
Afternoon kick-off, evening kick-off, or night kick-off in the first German Bundesliga - A possible Injury risk factor? 德国足球甲级联赛下午开球、晚上开球还是夜间开球--可能的受伤风险因素?
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-11-26 DOI: 10.1051/sicotj/2024049
Erik Schiffner, Dominique Schoeps, Christos Koukos, Felix Lakomek, Joachim Windolf, David Latz
{"title":"Afternoon kick-off, evening kick-off, or night kick-off in the first German Bundesliga - A possible Injury risk factor?","authors":"Erik Schiffner, Dominique Schoeps, Christos Koukos, Felix Lakomek, Joachim Windolf, David Latz","doi":"10.1051/sicotj/2024049","DOIUrl":"10.1051/sicotj/2024049","url":null,"abstract":"<p><strong>Introduction: </strong>This retrospective cohort study aimed to evaluate the impact of kick-off time on the risk of injury for professional soccer players in the first German Bundesliga. It was hypothesized that late kick-off times would have a negative effect on muscle and ligament injuries to the ankle and knee.</p><p><strong>Methods: </strong>Kick-off times and injury data were collected over 5 consecutive seasons (1530 matches; 2014-2019) from two media-based registries (transfermarkt.de<sup>®</sup> und kicker.de<sup>®</sup>). The kick-off times were assorted into three groups: Afternoon kick-off between prior to 3:30 pm (988 matches), evening kick-off between 5:30 to 6:30 pm (303 matches), and night kick-off after 8 pm (239 matches).</p><p><strong>Results: </strong>A total of 1327 match injuries were recorded over 5 seasons in 510 different male elite soccer players. The injuries affected muscles in 32.1%, ankle ligaments in 7.8%, and knee ligaments in 5.6%. There was no significant difference in injury rates when comparing different kick-off time groups (p > 0.05), however, the mean of time attributed to muscle and ankle ligament injuries suffered in games with a late kick-off time was significantly longer (p < 0.05).</p><p><strong>Conclusion: </strong>This study shows that there is no significant (p > 0.05) association between three different kick-off time groups and injury risk in the first German Bundesliga. However, significant (p < 0.05) differences in the lay-off times attributed to muscle and ankle ligament injuries differed with different kick-off times assorted into the three groups. Reasons for this observation could be found in the circadian muscle rhythms and muscle fatigue.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"52"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717575","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
How to start with hip arthroscopy in a safe and effective manner, using an evidence-based approach. 如何采用循证方法,安全有效地开始髋关节镜检查。
IF 1.8
SICOT-J Pub Date : 2024-01-01 Epub Date: 2024-09-19 DOI: 10.1051/sicotj/2024031
L Follet, V Khanduja, G Thevendran, O Ayeni, S Shanmugasundaram, M Abd El-Radi, H Said, A Abdelazeem, P Slullitel, O Marin-Peña, E Audenaert
{"title":"How to start with hip arthroscopy in a safe and effective manner, using an evidence-based approach.","authors":"L Follet, V Khanduja, G Thevendran, O Ayeni, S Shanmugasundaram, M Abd El-Radi, H Said, A Abdelazeem, P Slullitel, O Marin-Peña, E Audenaert","doi":"10.1051/sicotj/2024031","DOIUrl":"https://doi.org/10.1051/sicotj/2024031","url":null,"abstract":"<p><p>Hip arthroscopy is a rapidly evolving field in orthopedics, offering diagnostic and therapeutic benefits for a range of hip pathologies. This review outlines a comprehensive guide to initiating hip arthroscopy safely and effectively using evidence-based practices. Optimal surgical outcomes depend on correct indications for surgery, in particular in the presence of borderline dysplasia and degenerative joint diseases. Proper patient counseling and setting realistic expectations are crucial for satisfactory outcomes and recovery. Physical examination, radiographs, MRI, and CT scans are essential for accurate diagnosis. In case of diagnostic uncertainty, the use of intra-articular injections can help confirm the diagnosis before surgery. Techniques for hip arthroscopy include central compartment first, peripheral compartment first, and outside-in approaches. Each technique has advantages, and the optimal approach depends on the specific case. Finally, Proper operating room setup, meticulous patient positioning, and precise portal placement are critical for a successful procedure. A thorough understanding of the safe zone anatomy for portal placement is essential to minimize the risk of neurovascular complications. In conclusion, this manuscript provides a detailed, evidence-based framework for starting hip arthroscopy, emphasizing the importance of technical proficiency, patient selection, and a multidisciplinary approach to ensure patient safety and procedure efficacy.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"35"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298330","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
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