Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Periprosthetic Joint Infection (PJI).","authors":"Naeemeh Kalali, Mohammad H Ebrahimzadeh, Ali Moradi, Nafiseh Jirofti","doi":"10.22038/ABJS.2025.81816.3726","DOIUrl":"10.22038/ABJS.2025.81816.3726","url":null,"abstract":"<p><p>Periprosthetic joint infection (PJI) is a serious complication that can occur after joint arthroplasty, significantly affecting both the healthcare system and patients due to high costs and mortality rates. Managing PJI is complex and presents significant challenges in orthopedic surgery because there is no standardized definition for PJI and no universally accepted diagnostic gold standard. Despite various preventive measures taken before and during surgery, PJIs still occur. Many treatment options are available, but the best management is still highly debated, and the best treatment choice depends on several factors. Notably, all of these treatments are taken after the occurrence of PJI, while modern strategies, such as coating methods with various materials, must be relied upon to control and prevent the occurrence of PJI. This review focuses on the precise concept of PJIs, treatment options, and novel strategies to prevent PJIs.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"406-413"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Knee Arthroplasty in End-Stage Knee Osteoarthritis with Tibia Stress Fractures- A Propensity Score Matched Comparative Study.","authors":"Abhay Elhence, Saurabh Gupta, Sanchit Roy, Sumit Banerjee, Nitesh Gahlot, Sandeep Yadav, Prabodh Kantiwal, Rajesh Kumar Rajnish","doi":"10.22038/ABJS.2024.78268.3601","DOIUrl":"10.22038/ABJS.2024.78268.3601","url":null,"abstract":"<p><strong>Objectives: </strong>Knee osteoarthritis (KO) is a leading contributor to disability years, with a prevalence ranging from 22% to 39%. Tibia stress fractures (TSFs) are well-described for end-stage arthritis patients undergoing TKA. Literature is ambiguous, with a wide range of management options. This study primarily aims to compare and determine the clinical, functional, and radiological outcomes of TSFs in end-stage KO treated with TKA by propensity score-based matching.</p><p><strong>Methods: </strong>It is a retrospective, single-center, comparative study conducted at University Teaching Hospital. The institutional medical records (IMRs) database was inquired. The TSF group included all patients of end-stage KO who underwent primary TKA with TSFs, and the TKA group included matched patients without TSF. Cases were 3:1 (TKA: TSF) propensity score-matched (PSM). The primary outcome was a PSM comparison of patient-reported outcome measures (PROMs) and 1-year Postoperative Complications and Adverse Events (POCAE). PROMs included the knee society score (KSS), patient satisfaction (PS), and KSS functional activities (FA) score.</p><p><strong>Results: </strong>Study includes thirty-seven patients. Both groups showed no statistically significant difference in KSS FA and KSS PS scores. At the final follow-up, MCID for KSS FA was achieved by 31 patients (96.9%) in the TSF group compared to 92 patients (95.83%) in the TKA group. MCID for KSS PS was achieved by 29 patients (90.63%) in the TSF group compared to 91 patients (94.79%) in the TKA group.</p><p><strong>Conclusion: </strong>End-stage KO patients with coexisting TSFs who undergo primary TKA with stem/ plate fixation as per fracture location may expect favorable PROMs, POAECs, radiological outcomes, and rates of achieving the MCID at a minimum 2-year follow-up. Accurate management of such cases results in excellent outcomes and minimized revision rates. All patients achieved complete bone union. These results were comparable to the PSM control group.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"281-290"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Selection of Orthopedic Residency Among Medical Students in Saudi Arabia.","authors":"Abdulrahman Saud Alhammad, Abdulmajeed Mazi Alanazi, Ammar Saud Alharbi, Maryam Abdulhadi Abdullah Alomari, Turki Alhumaidi Alshammari, Saadeldin Ahmed Idris","doi":"10.22038/abjs.2025.85556.3900","DOIUrl":"10.22038/abjs.2025.85556.3900","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the factors influencing medical students' specialty choices for orthopedics at the University of Hail, Saudi Arabia.</p><p><strong>Methods: </strong>The cross-sectional study used a self-administered questionnaire and collected data from students who satisfied the research criteria.</p><p><strong>Results: </strong>The study included 108 participants and identified several key factors influencing medical students' choice of orthopedic specialties, such as job opportunities, lifestyle in the specialty, family responsibilities, training hours, and expected income in 94%, 83%, 83%, 80.6%, and 81%, respectively. A statistically significant association was observed between having relatives in the health professions and choosing an orthopedic specialty (P = 0.003), indicating that this factor was important in their decision-making. However, no significant association was found regarding gender or academic year concerning the selection of orthopedic specialty (P > 0.05). The study also revealed a statistically significant difference between female and male students concerning the influence of specialty reputation on their choice (P = 0.033). Despite this, no significant differences were noted between genders regarding the impact of the other factors.</p><p><strong>Conclusion: </strong>Medical students' choice of orthopedic specialty was primarily driven by job prospects, lifestyle, family responsibilities, training hours, expected income, and having a relative in health professions. In addition, more male students chose orthopedics due to its reputation associated with the specialty.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"517-523"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Prosthesis Shape and Material on the Contact Mechanics of Elbow Joints Following Radial Head Arthroplasty: An In-Silico Investigation.","authors":"Faezeh Naghdbishi, Azadeh Ghouchani, Farzaneh Safshekan, Kassem Ghayyad, Amir R Kachooei","doi":"10.22038/ABJS.2025.86429.3931","DOIUrl":"10.22038/ABJS.2025.86429.3931","url":null,"abstract":"<p><strong>Objectives: </strong>Radial head fractures often require prosthetic replacement, but post-surgical complications like radial neck osteolysis, capitellum osteopenia, and ulnohumeral osteoarthritis can arise due to altered elbow biomechanics. This study used the finite element method to evaluate how radial head prostheses (RHPs) shape and material affect elbow joint biomechanics.</p><p><strong>Methods: </strong>A 3D elbow model was developed, including bones, ligaments, and cartilage. Implants featuring two geometries (anatomical vs. axisymmetric) and three materials (polymethylmethacrylate [PMMA], polyether ether ketone [PEEK], and Cobalt) were tested. Bones were considered isotropic and heterogeneous, ligaments and implants linear elastic, and cartilages were considered hyperplastic materials. Stress distributions, contact stresses, and contact areas were assessed during elbow flexion and forearm rotation.</p><p><strong>Results: </strong>During forearm rotation, Cobalt RHPs exhibited lower stresses in the radial neck, indicating higher stress shielding, and all axisymmetric implants showed increased edge loadings. In rotation, only the PMMA anatomic RHP showed close contact stresses to the intact model, while all other models resulted in lower stress levels. In flexion, anatomical designs produced more uniform stress distributions in the radial neck that resembled intact conditions and matched intact capitellum contact stresses, in contrast to axisymmetric designs. The reduction in the contact area in the ulnohumeral cartilage was most noticeable with all axisymmetric RHPs in flexion.</p><p><strong>Conclusion: </strong>The lower contact areas, higher contact stresses, and lower stresses at the radial neck observed in the presence of most axisymmetric RHPs and anatomic Cobalt RHP can be correlated to postoperative complications. The findings suggest that polymeric anatomical RHPs may be superior to conventional metallic axisymmetric options in preserving elbow biomechanics and reducing postoperative complications. However, their long-term effects need to be further explored.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"497-508"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of Diagnostic Tests for Movement System Impairment-based Categories of Mechanical Neck Pain.","authors":"Mehrnoosh Amin, Amin Behdarvandan, Maryam Saadat, Armin Jahangiri Babadi, Payam Amini, Frouzan Orak","doi":"10.22038/ABJS.2024.79331.3635","DOIUrl":"10.22038/ABJS.2024.79331.3635","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the current study was to investigate the inter-tester reliability of the MSI classification test items in patients with neck pain.</p><p><strong>Methods: </strong>sixty subjects with neck pain (18-65 years) participated in this cross-sectional study. The examination of each patient, included the evaluation of signs and symptoms during posture and movement tests and the MSI diagnosis of subjects with cervical pain, was performed simultaneously by three testers in one session. Kappa and gamma values were used to determine the measure of agreement between testers for each of the test items and classification judgment.</p><p><strong>Results: </strong>The kappa values for inter-tester reliability of the sign items ranged from 0.36 to 1. For the symptom items kappa values ranged from 0.36 to 1. The kappa values of inter-tester reliability for patients' classification judgments ranged from 0.71 to 0.73.</p><p><strong>Conclusion: </strong>The inter-tester reliability between three testers according to the MSI approach for neck pain classification, sign and symptom was generally acceptable.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"106-113"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation and Psychometric Properties of the Persian Version of Patient-Specific Functional Scale in Patients with Chronic Low Back Pain.","authors":"Afshin Aghazadeh, Soheil Mansour Sohani, Reza Salehi, Mohamad Parnianpour","doi":"10.22038/ABJS.2024.76731.3546","DOIUrl":"10.22038/ABJS.2024.76731.3546","url":null,"abstract":"<p><strong>Objectives: </strong>The major emphasis of physical therapy in patient evaluation is the assessment of physical function, and the Patient-Specific Functional Scale (PSFS) is one of the most commonly used instruments for this purpose. Therefore, the present study aims to translate and cross-culturally adapt the PSFS into Persian and test its psychometric properties in patients with chronic low back pain (CLBP).</p><p><strong>Methods: </strong>The PSFS was translated from English to Persian and cross-culturally adapted in accordance with the study by Beaton et al. Psychometric properties of 100 CLBP patients were assessed. Reliability (internal consistency and test-retest) was examined for 32 participants who completed the Persian version of the PSFS (PSFS-P) twice with one week interval. Construct validity was assessed against the Persian versions of the Oswestry Disability Index (ODI-P) and the Numerical Pain Rating Scale (NPRS-P).</p><p><strong>Results: </strong>The PSFS-P showed excellent reliability (Cronbach's alpha=0.88, intraclass correlation coefficient [ICC _{3, 1}] =0.95, 95% CI [0.87 to 0.98]). The construct validity analysis revealed a moderate negative correlation between PSFS-P and NPRS-P (r=-0.47) and a high negative correlation between PSFS-P and ODI-P (r=-0.61). The PSFS-P showed no floor and ceiling effects.</p><p><strong>Conclusion: </strong>The PSFS-P has adequate psychometric properties and is applicable in both clinical settings and research involving the Iranian population with CLBP.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"47-53"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Algorithms to Academia: An Endeavor to Benchmark AI-Generated Scientific Papers against Human Standards.","authors":"Jackson Woodrow, Nour Nassour, John Y Kwon, Soheil Ashkani-Esfahani, Mitchel Harris","doi":"10.22038/ABJS.2024.80093.3669","DOIUrl":"https://doi.org/10.22038/ABJS.2024.80093.3669","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to quantitatively investigate the accuracy of text generated by AI large language models while comparing their readability and likelihood of being accepted to a scientific compared to human-authored papers on the same topics.</p><p><strong>Methods: </strong>The study consisted of two papers written by ChatGPT, two papers written by Assistant by scite, and two papers written by humans. A total of six independent reviewers were blinded to the authorship of each paper and assigned a grade to each subsection on a scale of 1 to 4. Additionally, each reviewer was asked to guess if the paper was written by a human or AI and explain their reasoning. The study authors also graded each AI-generated paper based on factual accuracy of the claims and citations.</p><p><strong>Results: </strong>The human-written calcaneus fracture paper received the highest score of a 3.70/4, followed by Assistant-written calcaneus fracture paper (3.02/4), human-written ankle osteoarthritis paper (2.98/4), ChatGPT calcaneus fracture (2.89/4), ChatGPT Ankle Osteoarthritis (2.87/4), and Assistant Ankle Osteoarthritis (2.78/4). The human calcaneus fracture paper received a statistically significant higher rating than the ChatGPT calcaneus fracture paper (P = 0.028) and the Assistant calcaneus fracture paper (P = 0.043). The ChatGPT osteoarthritis review showed 100% factual accuracy, the ChatGPT calcaneus fracture review was 97.46% factually accurate, the Assistant calcaneus fracture was 95.56% accurate, and the Assistant ankle osteoarthritis was 94.98% accurate. Regarding citations, the ChatGPT ankle osteoarthritis paper was 90% accurate, the ChatGPT calcaneus fracture was 69.23% accurate, the Assistant ankle osteoarthritis was 35.14% accurate, and the Assistant calcaneus fracture was 39.68% accurate.</p><p><strong>Conclusion: </strong>Through this paper we emphasize that while AI holds the promise of enhancing knowledge sharing, it must be used responsibly and in conjunction with comprehensive fact-checking procedures to maintain the integrity of the scientific discourse.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"212-222"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periarticular Versus Intravenous Corticosteroids in Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Ralph Maroun, Mohammad Daher, Jonathan Liu, Alan H Daniels, Thomas J Barrett, Mouhanad M El-Othmani","doi":"10.22038/ABJS.2025.84324.3834","DOIUrl":"10.22038/ABJS.2025.84324.3834","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the extensive research revolving around total knee arthroplasty (TKA), the optimal steroid administration route remains unclear. This study aimed to compare the clinical efficacy of intravenous (IV) to periarticular (PA) steroid administration in TKA.</p><p><strong>Methods: </strong>Embase, PubMed, Cochrane, and Google Scholar were searched till April 2024 for randomized controlled trials (RCT) comparing IV to PA steroids in TKA. Each trial was assessed using the Cochrane risk-of-bias tool and classified as having a High, Low, or Unclear risk of bias. The clinical outcomes of interest were post-operative pain (reported as the Visual Analogue Scale (VAS) and Numeric Rating Scale (NRS)), vomiting, post-operative range of motion (reported as knee flexion angle), post-operative IL-6 and CRP, and glucose levels. Post-operative complications such as surgical site or deep infections, and wound dehiscence following TKA were also recorded and assessed.</p><p><strong>Results: </strong>Five RCTs with a total of 501 patients were included in this review. There were no significant differences in pain at rest on post-operative day (POD) 1 and 2 and during activity between PA and IV administration, while pain at rest on POD 3 was lower in the PA group (I2 =38% SMD=-0.27; 95% CI: -0.5, -0.04, P=0.02). Post-operative complications, knee flexion, and laboratory values such as IL-6, CPR, and glucose showed no significant difference between the groups, while vomiting rates were significantly higher in the PA group (I2= 0% OR=2.43; 95% CI: 1.36-4.35, P=0.003).</p><p><strong>Conclusion: </strong>PA and IV peri-operative administration of glucocorticoids in TKA have similar clinical outcomes in inflammation reduction, knee flexion function, adverse event rates, and post-operative pain at rest during the first 48 hours post-operatively and at activity, while the PA group is associated with lower pain at rest on POD 3 and a higher rate of post-operative vomiting.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"237-248"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone Mineral Density Changes in Multiple Endocrine Neoplasia Type 1: A Systematic Review and Meta-Analysis of Prevalence and Parathyroidectomy Outcomes.","authors":"Vahid Mahdavizadeh, Maryam Emadzadeh, Zahra Mazloum Khorasani","doi":"10.22038/ABJS.2025.82946.3775","DOIUrl":"10.22038/ABJS.2025.82946.3775","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze the prevalence of osteopenia and osteoporosis in MEN1-related primary hyperparathyroidism (PHPT), examine the impact of parathyroidectomy (PTX) on bone metabolic outcomes, and compare bone density metrics between sporadic and MEN1-related PHPT.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with the guidelines for Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). We searched PubMed, Web of Science, and Scopus up to June 2024, subsequently screening the articles to identify relevant research. Studies focusing on bone mineral density (BMD), T and Z-scores in patients with MEN1-related conditions were included. Meta-analyses were conducted using random-effects models.</p><p><strong>Results: </strong>From the initial 2,563 articles, 15 studies were included in the meta-analysis. The pooled prevalence of osteoporosis and osteopenia in patients with MEN1-related PHPT was 45.2% (95% CI: 39.1-51.4%; I2: 16.7%) and 53.3% (95% CI: 44.4-62.0%; I2: 36.15%), respectively. PTX showed no significant impact on BMD in MEN1-related PHPT patients at the lumbar spine (mean difference: -0.054; P-value = 0.092; I2: 0.86%) or femoral neck (mean difference: -0.025; P-value = 0.219; I2: 0.47%). Comparisons of bone density metrics showed that MEN1-related PHPT patients had significantly lower Z-scores at the lumbar spine (mean difference: -0.676; P-value < 0.001; I2: 41.86%), total hip (mean difference: -0.629; P < 0.001; I2: 23.4%), and femoral neck (mean difference: -0.516; P < 0.001; I2 = 38.82%) compared to patients with sporadic PHPT.</p><p><strong>Conclusion: </strong>Patients with MEN1-related PHPT exhibited a high prevalence of osteopenia and osteoporosis, along with lower BMD metrics compared to those with sporadic PHPT. PTX was not associated with significant changes in BMD among MEN1-related PHPT patients.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"125-133"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally Invasive vs Open First Metatarsophalangeal Joint Cheilectomy: Radiographic Outcomes and Early Complications.","authors":"Noopur Ranganathan, Marium Raza, Soheil Ashkani-Esfahani, Christopher P Miller","doi":"10.22038/ABJS.2024.81570.3715","DOIUrl":"10.22038/ABJS.2024.81570.3715","url":null,"abstract":"<p><strong>Objectives: </strong>Current literature on surgical techniques has evaluated minimally invasive surgery (MIS) cheilectomy and its efficacy in comparison to the open technique. However, no study to date has evaluated MIS-Moberg in relation to open and MIS cheilectomy. This study assessed radiological outcomes and early healing and complications of patients who underwent open, MIS, and MIS-Moberg cheilectomies.</p><p><strong>Methods: </strong>We conducted a retrospective cohort review of 134 patients who underwent first metatarsophalangeal (MTP) cheilectomy at an academic medical center between 2015 and 2024. Success of cheilectomy was determined radiographically. Postoperative complications were identified through medical record review.</p><p><strong>Results: </strong>73 open and 61 MIS cheilectomies were performed on 134 patients with a primary diagnosis of hallux rigidus. The pre-operative versus post-operative differences in dorsal cortical length (3.7±1.4) and sagittal articular P1 angle (7.3±4.8) were found to be statistically significant (P<0.05) for the MIS-Moberg group. Ten patients in the open cheilectomy were found to have dorsiflexion and plantarflexion stiffness compared to zero patients in the MIS and MIS-Moberg groups (P<0.01).</p><p><strong>Conclusion: </strong>We showed a significantly greater rate of plantar- and dorsiflexion stiffness in open surgeries compared to MIS and MIS-Moberg. No other differences in healing rates or radiologic outcomes were observed. Based on preliminary results, the MIS-Moberg can successfully alter the radiographic alignment of the great toe and does not increase complications as compared to open or MIS cheilectomy alone.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"152-156"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732347","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}