Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"The Efficacy and Safety of Orthobiologic Treatments for Greater Trochanteric Pain Syndrome: A Comprehensive Scoping Review.","authors":"Ali Parsa, Saeid Esmaeilian, Adam W Anz, Farimah Naghibian, Morteza Behjat, Neda Mirzaei, Elham Rahmanipour, Mohammad Ghorbani","doi":"10.22038/ABJS.2024.82620.3762","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82620.3762","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aims to evaluate the safety and efficacy of orthobiologics in the treatment of Greater Trochanteric Pain Syndrome (GTPS), with a focus on pain relief, functional improvement, and quality of life.</p><p><strong>Methods: </strong>We conducted a comprehensive search of PubMed, Embase, Cochrane Library, Web of Science, Scopus, Google Scholar, and CINAHL for studies published from January 1, 2000, to March 20, 2024. Eligible studies included case series, cohort studies, case-control studies, and randomized controlled trials (RCTs) that investigated the use of orthobiologics for GTPS. The primary outcomes assessed were pain, function, and quality of life. The quality of the studies was evaluated using the JADAD scale, the Cochrane Risk of Bias Tool, and the MINORS score.</p><p><strong>Results: </strong>The review included 19 studies involving a total of 811 participants. Platelet-rich plasma (PRP) was found to significantly reduce pain, as measured by the VAS scores, and to improve functional outcomes including the modified Harris Hip Score (mHHS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. These findings suggest that PRP may be an effective treatment for GTPS. The studies reported minimal side effects that were generally mild and transient.</p><p><strong>Conclusion: </strong>PRP and other orthobiologic treatments show promise in managing GTPS, showing good safety profiles and potential benefits. However, further high-quality RCTs are necessary to confirm long-term efficacy and to establish standardized treatment protocols.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"176-187"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051040","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 Selective Soft Tissue Pollicization for Thumb and First Web Reconstruction - A Case Report.","authors":"Babak Shojaie, Hossein Saremi, Amirreza Rostami, C Can Cedidi","doi":"10.22038/ABJS.2024.81591.3718","DOIUrl":"https://doi.org/10.22038/ABJS.2024.81591.3718","url":null,"abstract":"<p><p>Hand injuries from firecrackers require precise repair, especially when the thumb is involved due to its crucial role in grasping, pinching, and daily activities. In this study, we evaluate the outcomes of selective soft tissue pollicization in a patient who sustained fireworks injuries, including multiple wounds, amputations with bone exposure, digital nerve transections, and extensive soft tissue damage across several fingers. Numerous methods exist to achieve optimal results, each with benefits and downsides. Through comprehensive assessment and meticulous surgical technique, we present the therapeutic management of a case that necessitated a selective approach to reconstruction, with focusing on preserving neurovascular bundles and tendons. Post-surgery, the patient regained full sensation and functional movement in the first metacarpophalangeal and interphalangeal joints, closely mirroring a normal thumb, enabling effective grasping, pinching, and opposition movements for daily tasks.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"233-236"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064994","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":"Optimizing Outcomes after Operative Treatment Bicondylar Tibial Plateau Fractures - Time for Innovation?","authors":"Mihir S Dekhne, Derek Stenquist, Nishant Suneja, Michael J Weaver, Michael Moerk Petersen, Upender Martin Singh, Arvind Von Keudell","doi":"10.22038/ABJS.2023.72836.3378","DOIUrl":"10.22038/ABJS.2023.72836.3378","url":null,"abstract":"<p><p>Bicondylar tibial plateau fractures are technically demanding fractures that have a high complication rate. We sought to review the recent literature with the aim to summarize the development of new classification systems that may enhance the surgeon's understanding of the fracture pattern and injury. We highlight the best methods for infection control and touch on new innovative solutions using 3D printer models and augmented mixed reality to provide potentially personalized solutions for each specific fracture configuration.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 2","pages":"80-91"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992288","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":"Risk Factors for Lateral Trochanteric Pain Following Anterior Approach Total Hip Arthroplasty.","authors":"Rex W Lutz, Danielle Y Ponzio, Hope S Thalody, Qudratullah S Qadiri, Alvin C Ong, Zachary D Post","doi":"10.22038/ABJS.2024.74576.3456","DOIUrl":"10.22038/ABJS.2024.74576.3456","url":null,"abstract":"<p><strong>Objectives: </strong>The principal aim of our study is to investigate risk factors for lateral trochanteric pain (LTP) after direct anterior approach (DAA) primary total hip arthroplasty (THA).</p><p><strong>Methods: </strong>A retrospective case control study was developed from 542 patients who underwent primary THA over a 9-year period to form two patient cohorts. Two hundred and seventy-one patients diagnosed with LTP were matched with 271 controls. Chart review revealed patient demographics, surgical approach, and femoral components utilized. Change in limb length and offset were assessed through preoperative and postoperative radiographic measurements.</p><p><strong>Results: </strong>There was a higher proportion of current or former smokers in the LTP group (34.5% vs 21.74%, p=0.003). There was no significant difference in use of high offset stems vs. standard offset stems between groups (15.9% vs. 18.5%, p=0.494). However, the LTP group had significantly higher increase in both femoral offset (+3.55mm vs +1.79mm, p<0.001) and total offset (+0.16mm vs -1.16mm, p=0.031) in comparison to controls.</p><p><strong>Conclusion: </strong>An increase in total offset, femoral offset, and smoking history are factors associated with LTP after DAA primary THA.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 9","pages":"631-636"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577447","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":"Strategies to Reduce Missed Fracture Diagnoses: Insights from Medical Malpractice Cases in China.","authors":"Xue-Dong Tian","doi":"10.22038/ABJS.2023.76051.3513","DOIUrl":"10.22038/ABJS.2023.76051.3513","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 1","pages":"78-79"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10838573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693226","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":"Biofilm Related Total Knee Arthroplasty Infection: Prevention, Diagnosis and Treatment.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.77560.3583","DOIUrl":"10.22038/ABJS.2024.77560.3583","url":null,"abstract":"<p><p>Biofilm related implant infection is undoubtedly a relevant challenge in total knee arthroplasty (TKA) with our comprehension steadily progressing and novel management approaches being developed. The aim of this article was to review the most important advances in approaches to combat infections due to biofilm-forming bacteria in TKA. The main conclusions were the following: 1) Fundamental management techniques for infected TKA include open DAIR (debridement, antibiotics, and implant retention), and one and two-stage revision TKA; 2) Continuous local antibiotic perfusion (CLAP) appears to diminish the risk of periprosthetic joint infection (PJI); 3) Restraint of quorum sensing seems to avert PJI after TKA; 4) A recent in vitro study showed promising results in the prevention and management of PJI after TKA using PMMA [poly(methyl methacrylate)] loaded with up to 100 mg of rifampin.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 7","pages":"531-534"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789366","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":"Outcomes of Megaprosthesis ‎Reconstruction for the Salvage of ‎Failed Osteoarticular Allograft ‎‎Around the Knee implanted before ‎Skeletal Maturity in Primary Bone ‎Sarcoma: A Case-Series.","authors":"Khodamorad Jamshidi, Wael Ammar, Khalil Kargar Shooroki, Alireza Mirzaei","doi":"10.22038/ABJS.2023.74212.3434","DOIUrl":"https://doi.org/10.22038/ABJS.2023.74212.3434","url":null,"abstract":"<p><strong>Objectives: </strong>Functional expectations following the salvage of a failed osteoarticular allograft are poorly described. In this study, we aim to evaluate functional outcomes, implant survival, and complications of the megaprosthesis in salvaging a failed osteoarticular allograft around the knee.</p><p><strong>Methods: </strong>We retrospectively reviewed the medical profiles of 21 skeletally mature patients who underwent megaprosthesis reconstruction to salvage a failed osteoarticular allograft around the knee implanted before skeletal maturity. The location of reconstruction was the proximal tibia in 13 patients and the distal femur in eight patients. Knee function was evaluated by the Musculoskeletal Tumor Society (MSTS) ‎score and the Toronto Extremity Salvage Score (TESS).</p><p><strong>Results: </strong>The mean age of patients was 16±1.7 years. The mean interval between the primary (allograft) and secondary (megaprosthesis) reconstructions was 59.4±23.6 months. At an average follow-up of 51.2 months, the mean knee range of motion was 101.2±15.6°. The mean MSTS score and TESS were 83.6±7 and 86.6±7.9, respectively. The mean limb length discrepancy was 2.5±1 cm before and 0.36±0.74 cm after the operation (P<0.001). Six postoperative complications (28.6%) occurred in this series, including one wound dehiscence, one periprosthetic fracture, two acute infections, one aseptic loosening, and one delayed periprosthetic infection. Only the last two complications required revision. Accordingly, the two- and five-year implant survivals were 95.7% and 90%, respectively.</p><p><strong>Conclusion: </strong>Megaprosthesis is a viable option for salvaging failed osteoarticular allografts around the knee. It also provides the opportunity to correct the limb length discrepancy.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 3","pages":"211-218"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10989722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869395","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":"Cantilever Failure of Modular Uncemented Femoral Revision Stem in Patients with Poor Proximal Femoral Support; How to avoid it?","authors":"Rahul Mohan, Nithin Unnikrishnan, Ravindra Gudena","doi":"10.22038/ABJS.2023.75373.3485","DOIUrl":"10.22038/ABJS.2023.75373.3485","url":null,"abstract":"<p><strong>Objectives: </strong>Revision hip arthroplasty is a major surgical challenge and is even more difficult in cases with a deficient proximal femur. Modular uncemented cone body revision femoral stems were introduced as a solution. They have the advantage of optimising joint kinematics by allowing the variable degrees of version, offset and leg length. However, we noticed cantilever failure of such stems, particularly in patients with deficient proximal femoral support. Fatigue fracture of the revision femoral stems should raise questions about its use in patients with insufficient proximal femoral bone support.</p><p><strong>Methods: </strong>We present a case series of five patients with the cantilever failure of Stryker restoration modular stem conical distal femur prosthesis. These cases were identified during a retrospective review of revision hip surgeries performed at our trust.</p><p><strong>Results: </strong>The stem failed after an average of 22.6 months post-revision surgery. Primarily, poor proximal femur bone support with a well-fixed distal stem and secondarily high BMI led to this catastrophic failure in the absence of trauma. All five cases were re-revised to Stanmore proximal femoral replacement and achieved good functional outcomes after an average follow-up of seven years.</p><p><strong>Conclusion: </strong>Proximal femoral bone support should be restored to prevent early cantilever failure of distally fixed proximal modular revision femoral stems. Consider a proximal femoral replacement if we cannot ensure proximal bone support.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 4","pages":"240-244"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877633","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":"Simultaneous High Tibial Osteotomy and Anterior Cruciate Ligament Reconstruction in knees with Bony Frontal and/or Sagittal Deformities: Review of the Current Literature.","authors":"E Carlos Rodriguez-Merchan, Carlos Kalbakdij-Sanchez, Carlos A Encinas-Ullan, Ahmed Labib-Zarad","doi":"10.22038/ABJS.2024.78440.3610","DOIUrl":"https://doi.org/10.22038/ABJS.2024.78440.3610","url":null,"abstract":"<p><p>Simultaneous anterior cruciate ligament (ACL) reconstruction (ACLR) and valgus high tibial osteotomy (HTO) alleviates pain in 70% of individuals with ACL deficiency and varus femorotibial osteoarthritis, allows for sustainable stabilization of the knee at the 10-year follow-up and a return to sport (RTS) in 33%-80% of cases, but femorotibial osteoarthritis progression occurs in 39% of cases. The complication rate ranges from 0% to 23.5% (6.5% revision valgus HTO, 17.5% ACL graft failure, 7.7% venous thrombosis). Simultaneous ACLR and HTO leads to satisfactory results in patients with ACL deficiency and varus femorotibial osteoarthritis associated with a high posterior tibial slope (PTS) and appears to have a protective effect on further ruptures in the reconstructed ACL. The younger the patient and the more sporting demands he/she poses, the more we should be inclined to perform a combined intervention (ACLR and valgus HTO).</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 8","pages":"603-607"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11353143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113325","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":"Clinical Presentation of Adults with Traumatic Orthopedic Injuries Enrolled in a Multisite Psychosocial Trial.","authors":"Julia E Hooker, Kate N Jochimsen, Ryan A Mace, James D Doorley, Julie R Brewer, Ana-Maria Vranceanu","doi":"10.22038/ABJS.2024.76953.3559","DOIUrl":"10.22038/ABJS.2024.76953.3559","url":null,"abstract":"<p><strong>Objectives: </strong>Traumatic orthopedic injuries are a top cause of hospital visits in the U.S. The Toolkit for Optimal Recovery (TOR) is a brief mind-body intervention that targets catastrophic thinking and pain anxiety following orthopedic injury. This study examines the baseline presentation of adults with traumatic orthopedic injuries who were enrolled in our recent multisite feasibility RCT of TOR versus usual care at four geographically distinct Level 1 trauma centers. We also examine whether patient presentation varies by site.</p><p><strong>Methods: </strong>We recruited 181 adults (M_age=44.16, SD=16.5) from four Level I trauma centers located in the northeast (Site A; <i>N</i>=63), southwest (Site B; <i>N</i>=44), southeast (Site C; <i>N</i>=44), and southeast (Site D; <i>N</i>=30). At baseline, participants provided information about sociodemographic factors, pain and physical function, and physicians completed the Abbreviated Injury Scale (AIS). Descriptive statistics were used to characterize the sample, and one-way analysis of variance (ANOVA) and Chi-square tests were used to compare variables between sites.</p><p><strong>Results: </strong>The majority of the sample (88.4%) sustained a fracture, and the mean AIS score was 2.31 (<i>SD</i>=0.55). Age, race, sex, gender, occupation, or marital status did not differ across sites (<i>ps</i>>.05). Over half (63%) of the sample was treated surgically, and 28.7% endorsed taking narcotic pain medications. More participants at Sites B (75%) and D (96.7%) received surgery than participants at Sites A (41%) and C (61.4%). More participants at Sites D and B reported narcotic usage than participants at Sites C and A. Participants at Site D demonstrated greater functional impairment than participants at the other sites.</p><p><strong>Conclusion: </strong>Although sites were largely comparable, we did find key differences in surgical management, narcotic use, and functional disability which may have important implications for treatment response. This information will be used to iterate and refine TOR for a future multisite efficacy trial.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 12","pages":"826-834"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885602","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}