Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Secondary Ulnar Nerve Reconstruction of High Ulnar Nerve Injuries: A Comparative Study of Sural Grafting and Anterior Interosseous Nerve Transfer.","authors":"Ali Dehghan Marvast, Mohsen Aliakbari, Amir Mohammad Monzavi, Ashkan Salehi, Mohammad Shahsavan","doi":"10.22038/ABJS.2024.83645.3806","DOIUrl":"10.22038/ABJS.2024.83645.3806","url":null,"abstract":"<p><strong>Objectives: </strong>High ulnar nerve injuries often cause severe functional impairment, and the best secondary repair method remains debated. This study compared the effectiveness of sural nerve grafting and anterior interosseous nerve (AIN) transfer following failed primary ulnar nerve repairs.</p><p><strong>Methods: </strong>This retrospective cohort study included 42 patients with isolated high ulnar nerve injuries who required secondary surgical intervention. Patients were allocated to either the sural nerve grafting (n = 23) or AIN transfer (n = 19) group based on predefined clinical criteria. Motor and sensory functions were assessed using the British Medical Research Council (BMRC) grading system and a two-point discrimination (2PD) test. Grip and pinch strength were measured, and functional recovery was evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.</p><p><strong>Results: </strong>The AIN transfer group exhibited significantly superior motor recovery, with 68.5% of patients achieving BMRC grades M4-M5, compared to only 17.4% in the sural grafting group (P = 0.03). Sensory recovery was also markedly better in the AIN group, with a higher proportion of patients reaching BMRC sensory grades S3-S4 (P = 0.04). Additionally, the AIN transfer group demonstrated significantly greater grip strength (30.1 ± 6.1 kg vs. 24.3 ± 5.2 kg; P = 0.03) and pinch strength (7.2 ± 1.5 kg vs. 5.8 ± 1.3 kg; P = 0.04). Improvement in DASH scores was more substantial in the AIN group (-26.6 ± 5.7 vs. -14.6 ± 4.3; P = 0.02), indicating better functional recovery. Although the AIN group showed a trend toward improved 2PD, the difference was not statistically significant (P = 0.18).</p><p><strong>Conclusion: </strong>AIN transfer provides superior outcomes compared to sural nerve grafting for the secondary repair of high ulnar nerve injuries, demonstrating significantly enhanced motor and sensory recovery, grip and pinch strength, and overall functional improvement.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"349-358"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609931","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":"Carpal Tunnel Syndrome in Surgically Treated Wrists with Kienböck Disease.","authors":"Ahmadreza Afshar, Farnaz Narimanian, Ali Tabrizi","doi":"10.22038/ABJS.2024.83843.3814","DOIUrl":"10.22038/ABJS.2024.83843.3814","url":null,"abstract":"<p><strong>Objectives: </strong>We hypothesized that the prevalence of carpal tunnel syndrome (CTS) in wrists with surgically treated Kienböck disease does not differ from its prevalence in the general population.</p><p><strong>Methods: </strong>This cross sectional study investigated 53 patients (25 males and 28 females) with surgically treated Kienböck disease for clinical and electrophysiological CTS. The mean age of the patients was 37±11 years (SD), and the mean interval between treatment and this study was 64±9 months (SE). Among these cases, 29 involved the right wrist and 24 involved the left wrist. Based on the Lichtman staging system, there were 17 stage II cases, 18 stage IIIA cases, 15 stage IIIB cases, and 3 stage IV cases. Surgical interventions included radial shortening osteotomy with plate and screw fixation in 38 patients, capitate shortening osteotomy in 12 patients, vascularized bone graft in 2 patients, and wrist arthrodesis in one patient.</p><p><strong>Results: </strong>Five patients (9.4 %) had clinically and electrophysiologically confirmed CTS; all of whom were housewives, aged between 24 and 60 years. Two of these patients were explicitly treated for CTS in the Kienböck disease affected wrist.</p><p><strong>Conclusion: </strong>The prevalence of CTS in the wrists Kienböck disease was higher than 3-4% prevalence reported in the general population. These findings suggest a potential relationship between the two conditions rather than a coincidental occurrence within a similar population.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"266-270"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592598","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 Role of Intraarticular Injections of Hyaluronic Acid and Platelet Rich Plasma for the Treatment of Articular Pain in Knee Osteoarthritis.","authors":"E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez","doi":"10.22038/ABJS.2024.78852.3621","DOIUrl":"10.22038/ABJS.2024.78852.3621","url":null,"abstract":"<p><p>The purpose of this in brief article was to determine the current role of intraarticular injections of hyaluronic acid (HA) and platelet-rich plasma (PRP) for the treatment of painful KOA. It has been reported that the average duration of effectiveness (pain relief) of one injection of extended-release HA is around one year. Kellgren-Lawrence grade (I-II versus III-IV), male gender, and older age are associated with a longer duration of effectiveness. Cartilage degeneration might be improved with a higher number of injections of HA. Intraarticular injections of HA alleviate pain, function, and diminish non-steroidal anti-inflammatory drugs (NSAIDs) consumption. In addition, several studies have indicated that the combination of HA and PRP is more effective than HA alone. Finally, other studies seemed to demonstrate that PRP was more effective than HA.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"54-61"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068824","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":"Bibliometric Analysis of Outpatient Hip and Knee Arthroplasty Research Evolution.","authors":"Marc Boutros, Fong H Nham, Matthew P Corsi, Maroun Aoun, Jhonny Lopez, Eliana Kassis, Mohammad Daher, Mouhanad M El-Othmani","doi":"10.22038/ABJS.2024.80590.3681","DOIUrl":"10.22038/ABJS.2024.80590.3681","url":null,"abstract":"<p><strong>Objectives: </strong>Total joint arthroplasty is an effective treatment for end stage osteoarthritis. As perioperative protocols are developed, outpatient arthroplasty has been gaining traction to facilitate earlier recovery and same day discharge. The aim of this manuscript is to analyze the trends in outpatient arthroplasty over a 17-year duration. This analysis seeks to predict emerging themes in the literature on patient optimization and outcomes in outpatient arthroplasty.</p><p><strong>Methods: </strong>This study conducted a literature review on outpatient arthroplasty with the Web of Science Core Collection over a 17-year period between 2005 and 2022. Bibliometric data was imported and analyzed with Bibliometrix and VOSviewer.</p><p><strong>Results: </strong>198 articles were identified demonstrating an annual growth of 19.61% with notable bursts in 2017 and 2021. United States was the top global contributor followed by Canada and European nations. There were significant contributions across 219 institutions and 758 authors, with the Journal of Arthroplasty being the most productive and influential journals. Key themes identified include the feasibility of outpatient surgery, pain management, and perioperative complications and costs.</p><p><strong>Conclusion: </strong>This bibliometric analysis highlights the ongoing growth and development within outpatient arthroplasty since 2005. The United States remain the global leader within outpatient related arthroplasty research. Previous, current, and ongoing trends are highlighted within this field for further development as hotspots.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"87-99"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469501","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":"Dorsal Interosseous Muscle Weakness from Mid-palm Ganglion Cyst.","authors":"Lilah Fones, Mitchell K Freedman, Pedro K Beredjiklian, Gregory G Gallant","doi":"10.22038/ABJS.2024.80728.3684","DOIUrl":"10.22038/ABJS.2024.80728.3684","url":null,"abstract":"<p><p>Ulnar nerve compression is commonly seen at the elbow at the cubital tunnel and the wrist at the Guyon canal but is rarely seen in the hand. This case report describes an 18-year-old male presenting with seven months of atraumatic hand weakness and atrophy associated with heavy weightlifting. Exam demonstrated isolated interosseous muscle atrophy mostly sparing the abductor digiti minimi with intact sensation and negative nerve compression tests including Tinel at carpal and ulnar tunnels, Froment sign, Wartenberg test, cross finger test, and Spurling test. Electromyography and nerve conduction studies demonstrated prolonged distal latency, low amplitude potential, and large amplitude fibrillations with severely reduced motor unit firing in the first dorsal interosseous muscle consistent with ulnar nerve deep motor branch compromise. Magnetic resonance imaging revealed a ganglion cyst between the third metacarpal shaft and the flexor profundus tendon. Given the progressive symptoms, ganglion cyst excision and ulnar motor nerve branch neurolysis were performed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"119-124"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469502","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 Use of a Novel Antiseptic Irrigant Solution in Combination with Vancomycin Powder Significantly Reduces the Risk of Surgical Site Infections in Orthopedic Trauma Patients.","authors":"Robert S Wood, Elizabeth Herrera, Meghan E Wood, Greta Brown, Madeleine Vergun, Jacqueline Krumrey","doi":"10.22038/ABJS.2024.81134.3701","DOIUrl":"https://doi.org/10.22038/ABJS.2024.81134.3701","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate whether using a novel antiseptic irrigant solution combined with vancomycin powder can effectively reduce the incidence of surgical site infections (SSIs) in orthopedic trauma patients. Specifically, we seek to determine if this combined approach significantly decreases SSI rates compared to using vancomycin powder alone. The study also aims to assess the safety and efficacy of the phosphate buffer solution, particularly its ability to reduce biofilm formation on surgical implants without causing cytotoxic effects. Ultimately, our goal is to provide insights into potential clinical practice changes that can enhance infection prevention strategies in orthopedic trauma surgeries.</p><p><strong>Methods: </strong>This retrospective study analyzed 450 orthopedic trauma surgeries for lower extremity fractures at a Level Two hospital in Oregon, USA, between January 2021 and October 2023. Patients were stratified based on intraoperative irrigation with either vancomycin alone or vancomycin combined with a phosphate buffer irrigation solution. Data analysis included demographic characteristics, operative details, and occurrences of SSIs within 90 days postoperatively.</p><p><strong>Results: </strong>Among the 450 surgeries analyzed, 18 (8.1%) SSIs occurred in the vancomycin cohort compared to 3 (1.3%) in the vancomycin and Phosphate buffer cohort. Adjusted logistic regression revealed an 89% reduction in the odds of SSIs in the vancomycin and Phosphate buffer cohort (OR: 0.11, 95% CI 0.02-0.35, P=0.001), adjusting for age, tobacco use, operative time, and procedure type.</p><p><strong>Conclusion: </strong>This study underscores the promising role of combined vancomycin and Phosphate buffer irrigation in reducing SSI rates in orthopedic trauma surgeries. Further prospective studies are warranted to validate these findings and explore optimal infection prevention strategies in diverse surgical settings.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"222-228"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054141","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":"Teriparatide-induced Sever Persistent Hypercalcemia in an Osteoporotic Patient: A Case Report and Literature Review.","authors":"Sedigheh Reisian, Shokoufeh Bonakdaran, Ali Moradi, Mohammad Ali Yaghoubi","doi":"10.22038/ABJS.2024.80907.3690","DOIUrl":"10.22038/ABJS.2024.80907.3690","url":null,"abstract":"<p><p>A rare case of severe prolonged persistent Teriparatide-induced hypercalcemia (14.3mg/dL on admission) in an osteoporotic patient after ceasing the Teriparatide is reported. This 67-year-old female was admitted with polyuria, xerostomia, constipation, progressive weakness, and a history of Triparatide use due to a previous osteoporotic fracture. Her serum calcium, PTH, and vitamin D levels had been normal before starting Teriparatide. Ninety six hours after ceasing the Teriparatide along with rehydration and Calcitonin treatment, the patient's serum calcium levels returned to normal. Severe Teriparatide-induced hypercalcemia does not follow any defined pattern and may persist for days and can usually be controlled through ceasing the Teriparatide, rehydration, and close monitoring of the serum calcium level and symptoms.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"170-175"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732365","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":"Shoulder Arthroplasty in Hemophilia.","authors":"E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez, Samuel Antuña, Primitivo Gomez-Cardero, M Teresa Alvarez-Roman, Victor Jimenez-Yuste","doi":"10.22038/ABJS.2024.80320.3667","DOIUrl":"10.22038/ABJS.2024.80320.3667","url":null,"abstract":"<p><p>The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (PWH). A search was conducted in PubMed on December 8, 2024, using the keywords \"hemophilia\" and \"shoulder arthroplasty.\" To date only 4 articles (84 shoulder arthroplasties) in PWH have been published. A recent study with level 3 of evidence has found that five-year implant survival was similar in PWH (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (TSA) survivorship endures lasting and might be proposed to PWH. However, the high risks of both 90-day bleeding complication and venous thromboembolism (VTE) in PWH stressed the special dares of scrupulously weighing factor replacement and VTE prophylaxis pre-, intra-, and postoperatively on an individual patient basis with cautious hematologist coordination.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"164-169"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732360","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 Role of Periarticular Injections for Postoperative Pain after Total Knee Arthroplasty.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.82135.3736","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82135.3736","url":null,"abstract":"<p><p>Periarticular multimodal drug injection (PMDI) is better than FNB (femoral nerve block) in pain relief after total knee arthroplasty (TKA). PMDI of bupivacaine [20 mL 0.5% bupivacaine hydrochloride - HCl (100 mg) following implantation plus incisional injection of 10 mL 0.5% bupivacaine HCl (50 mg) before wound closure] is more efficacious than PMDI after implantation. PMDI leads to less postoperative pain than IAI (intraarticular injection) and IAI + PMDI. PMDI of magnesium sulfate and sodium bicarbonate added to a conventional PMDI (ropivacaine, epinephrine, and dexamethasone) prolongs analgesia. No differences exist between gonyautoxin (GTX)2/3 (40 µg GTX 2/3 diluted in 30 mL of sodium chloride 0.9%) and a combination of 300 mg of levobupivacaine, 1 mg of epinephrine, and 60 mg ketorolac diluted in 150 mL of sodium chloride 0.9%.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"229-232"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040929","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":"Practice Trends in Primary Total Knee Arthroplasty among Members of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology.","authors":"Arash Sherafatvaziri, Omid Salkhori, Mohammad Razi, Mohammad Mahdi Sarzaeem, Keyvan Ahadi, Mohammad H Ebrahimzadeh, Mahmoud Jabalameli, Mohammad Ayati Firoozabadi, Sm Javad Mortazavi","doi":"10.22038/ABJS.2025.85348.3889","DOIUrl":"10.22038/ABJS.2025.85348.3889","url":null,"abstract":"<p><strong>Objectives: </strong>The survey conducted at the 2024 biennial meeting of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST) aimed to assess practice trends among ISKAST members in primary total knee arthroplasty (TKA), thereby providing a benchmark for future studies.</p><p><strong>Methods: </strong>The session moderator presented multiple-choice questions via an audience response system to 94 registered ISKAST members. Responses were collected centrally and subsequently displayed to the audience after a brief interval.</p><p><strong>Results: </strong>The survey revealed that most ISKAST surgeons, reflecting their high level of expertise, work in diverse settings, with more than half performing over 100 TKAs annually. Regarding perioperative management, the majority of respondents utilize spinal anesthesia and tranexamic acid, with a significant number applying tourniquets during surgery. The median parapatellar approach and posterior cruciate-substituting designs are commonly preferred for routine TKA procedures. Additionally, pain management is primarily achieved through patient-controlled analgesia, while low-molecular-weight heparin, combined with mechanical measures, is the most common method for venous thromboembolism prophylaxis. Although follow-up practices vary, the majority of surgeons schedule annual postoperative visits.</p><p><strong>Conclusion: </strong>The survey results provide valuable insights into the approaches of knee surgeons in Iran toward TKA, highlighting both common practices and variations in treatment methods. While these findings reflect current practices, they may not represent the most optimal techniques. This underscores the need for further research to validate these results and explore their applicability to a broader patient population.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"359-366"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609930","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}