Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Comparison of Temporary External Fixation and Open Reduction with Internal Fixation for the Management of Pilon Fractures: A Short-Term Outcome Prospective Clinical Trial.","authors":"Mohamed Salama Hamdy, Ahmed O Sabry, Youhanna Alqess Gawrgios, Sherif Nabeel Amin, Ehab Salah Gado, Mohamed A Ghanem","doi":"10.22038/ABJS.2024.82445.3755","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82445.3755","url":null,"abstract":"<p><strong>Objectives: </strong>Pilon fractures are among the difficult injuries to treat in orthopedic surgery. We aim to evaluate the feasibility, advantages, and disadvantages of temporary external fixation for pilon fractures and compare its outcomes with cases managed with internal fixation and primary open reduction.</p><p><strong>Methods: </strong>In a prospective trial, 30 patients were divided into two cohorts: a two-stage cohort with external fixation and secondary ORIF (15 patients) and a one-stage primary ORIF cohort (15 patients). We compared the two cohorts' rates of infection (deep or superficial infection), non-union, malunion, length of hospital stay, patient satisfaction with the American Orthopaedic Foot and Ankle Society (AOFAS) score, and pain level.</p><p><strong>Results: </strong>All assessed variables showed no significant variations between the two cohorts, except for hospital stay duration, which was substantially more prolonged in the two-stage cohort.</p><p><strong>Conclusion: </strong>This study demonstrates that both temporary external fixation with secondary ORIF and primary ORIF are viable options for managing pilon fractures. While there were no significant differences in complications between the two treatment modalities, the two-stage approach was associated with a longer hospital stay. These findings suggest that primary ORIF may be preferable when aiming to reduce the duration of hospitalization without compromising clinical outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"204-211"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024432","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":"Lumbosacral Vertebral Angles can Predict Lumbosacral Transitional Vertebrae on Routine Sagittal MRI.","authors":"Farrokh Seilanian Toosi, Bahare Mahdianfar, Ahmadreza Zarifian, Ehsan Keykhosravi, Amir Mahmoud Ahmadzadeh, Maryam Ghandhari, Farzaneh Khoroushi, Maryam Emadzadeh, Hormoz Abedi, Behzad Aminzadeh","doi":"10.22038/ABJS.2025.83244.3790","DOIUrl":"10.22038/ABJS.2025.83244.3790","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to measure lumbosacral vertebral angles in routine lumbar sagittal MRIs and assess their association with lumbosacral transitional vertebrae (LSTV).</p><p><strong>Methods: </strong>We recruited 220 patients referring to our hospital for routine lumbar MRI during 2020-2021. All the participants were subject to routine sagittal lumbar MRI, whole spine localizer scan, and coronal MRI to numerate lumbar vertebrae. Five vertebral angles (A, B, C, D, and delta) and dehydration in L4-L5 and L5-S1 discs were assessed in sagittal MRI scans. Data were analyzed using SPSS 26.</p><p><strong>Results: </strong>Out of 220 participants (mean age: 44.29 ± 14.14 years), 36 (16.36%) were diagnosed with LSTV. Among those diagnosed with LSTV, L5-S1 dehydration was less frequently observed compared to other participants (P < 0.001). Multivariate regression showed that dehydrated L4-L5 disc, non-dehydrated L5-S1 disc, increased A-angle, and decreased D-angle can independently predict LSTV. The median A-angle was significantly larger in LSTV patients than in non-LSTV participants (P = 0.038), while the medians of C-angle, D-angle, and delta-angle were significantly smaller in the LSTV group (P < 0.05). A C-angle ≤ 35.5˚ could diagnose LSTV with sensitivity and specificity of 72.2% and 57.6%, respectively. A delta angle ≤ 8.5˚ could diagnose type 2 LSTV with 92.3% sensitivity and 87.9% specificity.</p><p><strong>Conclusion: </strong>Measuring lumbosacral vertebral angles, especially delta-angle, in routine sagittal MRI can potentially alert physicians of a likely LSTV diagnosis.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"271-280"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592600","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":"Correlation between Adult Height and Metacarpal Length Using Advanced Imaging Modalities.","authors":"Pedro K Beredjiklian, Gregory G Gallant, Rick Tosti, Moody Kwok, Jeremiah A Adams, Daniel Fletcher","doi":"10.22038/ABJS.2024.80233.3672","DOIUrl":"10.22038/ABJS.2024.80233.3672","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study was to evaluate the correlation between height and metacarpal length in normal adults using computed tomographic (CT) scans. A secondary aim was to determine if differences exist between various finger metacarpals. We hypothesized a direct correlation between height and metacarpal length, with consistent proportions across different finger metacarpals.</p><p><strong>Methods: </strong>This radiographic study analyzed 40 CT scans of skeletally mature adult patients. Measurements of the metacarpal lengths were taken using the Sectra IDS7 diagnostic imaging platform. Patient demographics, including age, sex, height, weight, and BMI, were collected. Differences between genders and among metacarpals were assessed using independent sample t-tests, while Pearson correlation coefficients determined the relationship between height and metacarpal length. Statistical significance was defined at P<0.05.</p><p><strong>Results: </strong>The study population consisted of 28 men and 12 women, with an average age of 42.6 years. The mean heights and weights were 175.3 cm and 87.4 kg, respectively. The average lengths of the metacarpals were: index, 67.7 mm; long, 66.1 mm; ring, 58 mm; small, 52.3 mm. Pearson correlation coefficients between height and metacarpal lengths averaged 0.71, indicating a statistically significant positive correlation across all metacarpals. The index metacarpal most closely correlated with patient height.</p><p><strong>Conclusion: </strong>Our findings confirm a significant positive correlation between height and metacarpal length, supporting the hypothesis of a direct relationship. These results suggest that height can be a useful predictor for metacarpal length, potentially aiding in the selection of orthopedic implants and surgical planning for metacarpal fractures. CT scans provide precise measurements, underscoring their value in assessing bony anatomy. Future studies with larger and more diverse populations are needed to validate these findings and explore potential sex-based differences in metacarpal dimensions.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"345-348"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609924","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":"How to Perform an Accurate and Safe Medial Open Wedge High Tibial Osteotomy; A Technical Note.","authors":"Arash Sherafat Vaziri, Hossein Ahmadzadeh, Nima Hosseinzadeh","doi":"10.22038/ABJS.2025.81222.3703","DOIUrl":"10.22038/ABJS.2025.81222.3703","url":null,"abstract":"<p><p>Medial open-wedge high tibial osteotomy (MOWHTO) is increasingly recognized as the preferred treatment option for active patients with varus malalignment and medial compartment osteoarthritis of the knee. This procedure aims to delay the degenerative process while alleviating pain and dysfunction. In this technical note, we aim to describe the tips and tricks for performing a safe MOWHTO, drawing on recent literature.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"378-382"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609928","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":"Occupational and Non-Occupational Risk Factors for Neck Pain in Dentists: A Systematic Review and Meta-Analysis.","authors":"Ehsan Rafeemanesh, Farzad Omidi-Kashani, Alireza Chamani, Sarvenaz Allahdad","doi":"10.22038/ABJS.2024.78260.3604","DOIUrl":"10.22038/ABJS.2024.78260.3604","url":null,"abstract":"<p><strong>Objectives: </strong>Musculoskeletal disorders (MSDs), notably neck pain, are important occupational health issues in the field of dentistry. The aim of the present study was to systematically review the literature for significant ris k factors for neck pain in dentists.</p><p><strong>Methods: </strong>PubMed and Scopus were searched with the following search strategy: (neck AND dentist AND pain). Data regarding the prevalence of each estimated risk factor were extracted, and studies with enough quantitative data were further analyzed using meta-analysis. The last search was done on October 2023. The calculated effect size for each study was based on the odds ratio (OR). All statistical analyses were performed using Comprehensive Meta-Analysis Software (version 2).</p><p><strong>Results: </strong>In total, 42 cross-sectional studies met our inclusion criteria for the current systematic review, with 34 of them selected for inclusion in the meta-analysis. There was a significant relationship between dentists' neck pain and age (over 40 years old), female gender, working experience (more than 10 years), and height (exceeding 180 cm). Dentists with physical activity (OR=0.2, 95% CI: 0.04-0.9) and stretching (OR=0.6, 95% CI: 0.4-1.0) had a significantly lower risk of neck pain compared to dentists without physical activity and stretching during the week after the treatment session. The use of vibrating tools increased the risk of neck pain among dentists (OR=1.6, 95% CI: 1.1-2.4). The number of compromised and harmful postures was significantly associated with an increased risk of neck pain across studies; however, the data were not enough for running a meta-analysis on this subject.</p><p><strong>Conclusion: </strong>Poor cervical posture, older age, prolonged working experience, and a larger number of treated patients were identified as significant risk factors associated with neck pain. Ergonomic improvements, regular physical activity, rest breaks, stretching, and indirect vision play a crucial role in mitigating the risk of neck pain.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"307-322"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609929","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":"Effect of Dexamethasone as an Adjuvant to Bupivacaine for Ultrasound-guided Axillary Plexus Block: A Randomized, Double-blinded Prospective Study.","authors":"Hossein Khoshrang, Mohammad Haghighi, Zahra Atrkarroushan, Saeed Hemmati, Roxana Azizi","doi":"10.22038/ABJS.2024.72778.3389","DOIUrl":"10.22038/ABJS.2024.72778.3389","url":null,"abstract":"<p><strong>Objectives: </strong>The study evaluated sensory and motor block onset time, duration, and intensity, as well as pain intensity, sedation levels, and vital signs, showing that adding dexamethasone to bupivacaine improved sensory and motor block onset time, duration, and intensity, enhanced sedation effects. Axillary plexus block is a common type of anesthesia for surgical management of upper extremity injuries.</p><p><strong>Methods: </strong>This prospective clinical trial included 72 patients over 18 years of age who were candidates for surgical management of upper extremity injuries with the axillary plexus block approach. The patients were randomly divided into two groups: group BD [30 ml bupivacaine 0.25% with 2ml dexamethasone (n=36)] and group B [30 ml bupivacaine 0.25% with 2ml distilled water (n=36)]. The Pinprick test and Modified Bromage Scale (MBS) were used to evaluate the sensory and motor block levels. Additionally, the Visual Analogue Scale (VAS) and Ramsay Sedation Scale (RSS) were used to assess pain intensity and degree of sedation. All collected data were analyzed using IBM SPSS Statistics version 20 software.</p><p><strong>Results: </strong>The mean age of patients in the B and BD groups was 34.41±11.11 and 36.8±13.3, respectively. According to the results, there was a significant difference in the average time of sensory and motor block onset between two groups, with group BD showing shorter onset time compared to group B (P<0.001). Moreover, the mean duration and intensity of the sensory and motor block were significantly higher in group BD (P<0.05). Additionally, the degree of sedation changes after the block started were more pronounced in group BD. There was no statistically significant difference between the two groups regarding changes in pain intensity, heart rates (HR), mean arterial blood pressure (MABP), and complications (P>0.05).</p><p><strong>Conclusion: </strong>Adding dexamethasone to bupivacaine as a safe adjuvant drug effectively prolongs the axillary plexus block time duration and reduces post-surgery pain. Furthermore, it accelerates the onset time of sensory and motor block.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"138-145"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732341","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":"Repeat Revision Anterior Cruciate Ligament Reconstruction Remains a Challenge for Orthopedic Surgeons.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.76809.3549","DOIUrl":"10.22038/ABJS.2024.76809.3549","url":null,"abstract":"<p><p>The re-revision of anterior cruciate ligament reconstruction (ACLR) can be contemplated a secure and efficacious surgical technique with good results, whether it is performed in one-stage or two-stages or is performed with autograft or allograft. With regard to the surgical technique, there is no evidence that performing ACLR in one stage is superior to performing it in two stages. With respect to graft choice, allograft is the most chosen, and the allograft most frequently utilized is the Achilles tendon. However, the best graft to use for re-revision is not yet known. For revision ACLR orthopedic surgeons have to contemplate the amendment of an outrageous posterior tibial slope, especially after having failed two or more consecutive interventions. The potential benefit of combining ACLR with an anterolateral ligament reconstruction is to achieve greater rotational stability. It will diminish both the elevated failure percentages observed specifically in young individuals and increasing osteoarthritic changes encountered following sole ACLR.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"114-118"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469558","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":"The Persian Version of Constant-murley Score in Patients with Rotator Cuff Tears: Reliability and Validity.","authors":"Arash Farbood, Sanaz Jowkar, Mehrdad Askarian, Omidreza Momenzadeh, Zahra Shayan, Afshin Zare","doi":"10.22038/ABJS.2024.73893.3453","DOIUrl":"10.22038/ABJS.2024.73893.3453","url":null,"abstract":"<p><strong>Objectives: </strong>Shoulder pain is a prevalent reason in orthopedic clinic patients, with rotator cuff disorders being the most common cause. The Constant-murley Score (CMS) questionnaire is a practical and reliable tool for the assessment of shoulder joint function.</p><p><strong>Methods: </strong>The CMS questionnaire was translated into Persian and completed by 57 patients with persistent shoulder pain due to rotator cuff tears (case group) and 50 healthy controls. The case group refilled the questionnaire after 7-10 days without receiving any special treatment. The reliability and validity of the questionnaire were measured via the test-retest method and known-groups validity with the t-test, respectively. The intraclass correlation coefficient (ICC) was calculated to estimate the agreement as a measure of test-retest reliability.</p><p><strong>Results: </strong>The mean ages of the case (51.8±14.2) and control groups (52.0±10.0) were similar (P=0.94). No significant difference was found between the groups regarding co-existing clinical conditions (P=0.74). The mean CMS values of the case and control groups were 46.2 (±22.3) and 87.4 (±5.7), respectively, showing a statistically significant difference (P<0.001). Moreover, the ICC was 0.95.</p><p><strong>Conclusion: </strong>The findings indicated that the Persian version of the CMS questionnaire was reliable (ICC=0.95) and valid (P<0.001) for the assessment of shoulder pain and functional status in the Southern Iranian population with rotator cuff tear disorders.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469559","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":"3D Printed Models of Periarticular Fractures of the Shoulder and Elbow Improve Surgical Decision Making in Orthopedic Trainees.","authors":"Pedro Beredjiklian, Brianna Fram, Jason Core, Joshua I Ng, Robert Pugliese, Stephanie A Kwan, Michael Rivlin","doi":"10.22038/ABJS.2024.81232.3707","DOIUrl":"10.22038/ABJS.2024.81232.3707","url":null,"abstract":"<p><strong>Objectives: </strong>Periarticular fractures of the shoulder and elbow are spatially complex injuries that may be challenging to interpret on radiographs and advanced imaging. As three-dimensional (3D) printing technology has become less expensive and more available, 3D printed fracture models have gained attention for use in surgical preparation. In this study, we evaluated the effects of 3D printed fracture models on orthopedic trainee surgical planning and injury understanding for injuries of the shoulder and elbow.</p><p><strong>Methods: </strong>Models of periarticular fractures of the shoulder and elbow were manufactured by 3D printing at the medical school design lab. Eleven Orthopedic trainees viewed X-rays and computed tomography (CT) scans for each injury, and completed a preoperative questionnaires. They were then given access to the 3D model of each injury, in addition to the previously viewed imaging. They again completed a preoperative plan and questionnaire. Preoperative plans were graded for feasibility by a preestablished template. Results were compared for each participant with and without the 3D models.</p><p><strong>Results: </strong>Within all trainees and fractures, trainees were more likely to have feasible preoperative plans when given a 3D model, compared to access to x-rays and CT scans alone (74% vs. 62%). In all cases where preoperative plans were changed after handling the 3D models (46/77 changed, 60%), they stayed static or improved in feasibility. Participants reported significantly improved understanding of injury anatomy (P<0.0001), increased confidence in choosing operative positioning and surgical approaches (P<0.0001), desired implants (P=0.011), and better conceptualization of how to perform fracture reduction (P=0.0038).</p><p><strong>Conclusion: </strong>Orthopedic trainees benefit from 3D printed fracture models when performing preoperative planning of complex periarticular shoulder and elbow injuries. Given the rarity and difficulty of these injuries, use of this technology could allow for shortened learning curves and improved surgical results in the field of orthopedic fracture care.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"337-344"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609923","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":"Helical, Spring and Curled Nano/Micro Fibrous Structures for Tissue Engineering Application.","authors":"Mohammad H Ebrahimzadeh, Afsaneh Jahani, Ali Moradi, Davod Mohebbi-Kalhori","doi":"10.22038/ABJS.2025.80254.3663","DOIUrl":"10.22038/ABJS.2025.80254.3663","url":null,"abstract":"<p><p>Over the past few decades, the engineering of helical, spring, curled, and hierarchically structured nano/microfibers has attracted considerable attention due to their unique characteristics and potential applications in tissue engineering and various industrial fields. Understanding the parameters and processes involved in the fabrication of these fibers is essential. This comprehensive review outlines recent advancements in research on helical nano/microfibers, focusing on processing techniques, fiber structure, and property characterization, and their applications in fields such as tissue engineering and regenerative medicine. The study also investigates the mechanical and hydrodynamic parameters that influence the fabrication of helical fibers using contemporary techniques. It highlights that helical structures form when electric and elastic forces are balanced due to non-uniform electric fields. The coaxial electrospinning technique, along with the use of polymers with varying elastic and conductive properties, plays a crucial role in producing these structures. The distinctive properties of helical nanofibers, such as their mechanical strength, high porosity, biocompatibility, and ability to promote cellular activities, make them promising candidates for developing scaffolds in bone tissue engineering.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"323-336"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609927","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}