Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Investigation of the History of Distal Radius Fractures in Patients Over 55 Years Old Suffering from Hip Fractures.","authors":"Hossein Ghafoori, Morteza Kazemi, Saleh Ghorbani","doi":"10.22038/ABJS.2023.75188.3477","DOIUrl":"10.22038/ABJS.2023.75188.3477","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the incidence of distal radius fractures in patients aged 55 and above who had also experienced hip fractures. Osteoporosis-associated fractures, particularly hip fractures, are common and serious in older individuals with reduced bone density. Previous research has suggested a relationship between hip fractures and distal radius fractures.</p><p><strong>Methods: </strong>The study included patients over 55 years old who had presented with hip fractures at Akhtar Hospital in the past five years. Patients with a history of hip fractures more than five years before experiencing the distal radius fracture were excluded. Personal information was extracted from medical records, and the collected data were analyzed in SPSS software using statistical methods, such as t-tests and paired t-tests.</p><p><strong>Results: </strong>This study involved 1,745 patients with hip fractures and 183 individuals without fractures. The average age of the patients was 75.8±10.4 years old, with the majority being female (59.6%). Among the hip fractures, 59.6%, 34.5%, and 5.9% were intertrochanteric fractures, neck of femur fractures, and subtrochanteric fractures, respectively. Overall, 15.8% of individuals with hip fractures also had distal radius fractures. The average age and gender distribution of the patients were similar in both groups, with no significant difference. However, the prevalence of distal radius fractures was significantly higher in the hip fracture group, compared to the control group.</p><p><strong>Conclusion: </strong>It was found that individuals over the age of 55 with distal radius fractures, especially females, are more susceptible to hip fractures. Distal radius fractures have a significant impact on the occurrence of hip fractures in patients. Therefore, older individuals with osteoporosis should be cautious and avoid high-risk activities that could lead to falls and fractures.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 6","pages":"418-422"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451922","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":"Unveiling Syndesmotic Malreduction: A Proof-of-Concept towards Portable Ultrasound Detection.","authors":"Samir Ghandour, Atta Taseh, Siddhartha Sharma, Matthias Peiffer, Bedri Karaismailoglu, Soheil Ashkani Esfahani, Gregory Waryasz, Daniel Guss","doi":"10.22038/ABJS.2023.75672.3503","DOIUrl":"https://doi.org/10.22038/ABJS.2023.75672.3503","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the utility and diagnostic performance of portable handheld ultrasound for evaluating fibular rotation at the distal tibiofibular articulation after syndesmotic disruption.</p><p><strong>Methods: </strong>Four above-the-knee cadaveric specimens were included. Syndesmotic disruption was precipitated by transecting the Anterior Inferior Tibiofibular Ligament, Interosseous Ligament, and Posterior Inferior Tibiofibular Ligament. Thereafter, a proximal fibular osteotomy was performed, and three conditions were modeled at the distal syndesmosis: 1) reduced, 2) 5 degree internal rotation malreduction, and 3) 5 degree external rotation malreduction. Two blinded observers performed separate ultrasonographic examinations for each condition at the level of both the anterior and posterior distal tibiofibular articular surfaces. Syndesmotic gap penetrance, defined as the ability of the P-US to generate signal between the distal fibula and tibia at the level of the incisura, was graded positive if the sonographic waves penetrated between the distal tibiofibular joint and negative if no penetrating waves were detected. The accuracy measures of the anterior and posterior gap penetrance were evaluated individually.</p><p><strong>Results: </strong>Our preliminary results showed that posterior gap penetrance showed good performance when detecting either internal or external rotational malreduction of the fibula with very good specificity (87.5%) and PPV (90.0%). On the other hand, the anterior gap penetrance showed limited performance when detecting either form of rotational malreduction.</p><p><strong>Conclusion: </strong>We introduced a novel sign, the \"gap penetrance sign\", best measured from the posterior ankle, which can accurately detect syndesmotic malreduction using P-US in a manner that does not require specific quantitative measurements and is readily accessible to early P-US users.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 3","pages":"198-203"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10989729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866491","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 Utility of Kapandji Technique in Closed Reduction and Percutaneous Pinning Of Completely Displaced Pediatric Supracondylar Fracture of Humerus: Technical Note.","authors":"Bhava Rj Satishkumar, Mallesh Mahadevappa, Frank Lester","doi":"10.22038/ABJS.2024.80084.3664","DOIUrl":"10.22038/ABJS.2024.80084.3664","url":null,"abstract":"<p><p>The standard treatment for displaced pediatric supracondylar fracture of humer us (PSCFH) is closed reduction and percutaneous pinning under image intensifier guidance. This technical note describes Kapandji intrafocal pinning technique (KIPT) for achieving optimal fracture reduction and stable fixation in Gartland Type III or IV extension type PSCFH. In KIPT, a K wire was introduced into the fracture site from the posterior aspect, fracture manipulation was done by levering with wire reducing the posterior displacement of the distal fragment and the wire was fixed to the anterior cortex of the proximal fragment. After this sagittal plane reduction and stabilization with intrafocal wire , coronal plane reduction could be carried out easily. This was followed by pinning of columns: all lateral or crossed (medial and lateral). In completely displaced extension type PSCFH, KIPT achieves ideal fracture reduction without vigorous manipulation in short surgical time and enables easy column pinning.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 12","pages":"869-873"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886247","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":"Elbow Injuries in Baseball Players: An Orthopedic Perspective.","authors":"Kassem Ghayyad, Daryl C Osbahr","doi":"10.22038/ABJS.2024.82871.3772","DOIUrl":"10.22038/ABJS.2024.82871.3772","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 11","pages":"742-745"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030029","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":"Mortality Rates and Forensic Causes after Hip Fracture: A Retrospective Observational Study.","authors":"Serdar Menekse, Fatih Arslanoglu, Hakan Zora","doi":"10.22038/ABJS.2024.77489.3580","DOIUrl":"10.22038/ABJS.2024.77489.3580","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the widely recognised high mortality rate among patients with hip fracture, the variation in death rates by gender and cause has been less explored. This study aimed to investigate mortality rates and causes of death in patients who underwent hip fracture surgery, and to compare them with those of the general population. A secondary objective was to compare the results of Internal Fixation versus Arthroplasty in these patients.</p><p><strong>Methods: </strong>A population-based study collected records of 356 consecutive cases of hip fracture. For comparison purposes, data from the general population were also collected, which included residents of Adana city of 65 years and older. Causes of mortality were classified as cancer, dementia, heart disease, lung disease, and digestive disorders, among others. The average follow-up period was 4.2 years, ranging from 0 to 5 years.</p><p><strong>Results: </strong>105 (29.49%) of the surgical patients perished in one year. At the end of the follow-up, n = 308 (86.52%) of the hip fracture patients had died. Age-adjusted mortality rates after hip fracture surgery were higher for men than for women, with a risk ratio (HR) of 1.48 and a 95% confidence interval (CI) between 1.07 and 2.15. Complications from heart, lung, or blood vessel diseases were the leading causes of death after hip replacement surgery, followed by Alzheimer's disease and dementia. Men were more susceptible to respiratory diseases, cancer, and heart and blood vessel diseases than women. After hip fracture, both the overall mortality rate and the gender-standardised death rate were three times that of the general population for each cause of death.</p><p><strong>Conclusion: </strong>During the study period, the mortality risk for hip fracture patients was three times that of the general population for the primary causes of death.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 11","pages":"789-797"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030033","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":"Breaking Barriers: Addressing Gender Disparities in Hip Resurfacing Surgery Access in the United States.","authors":"Ali Parsa, Mohammad Ghorbani, Neda Mirzaei, Mohammad H Ebrahimzadeh","doi":"10.22038/ABJS.2024.80526.3679","DOIUrl":"10.22038/ABJS.2024.80526.3679","url":null,"abstract":"<p><p>Second-generation large-diameter head hip resurfacing (HR) arthroplasty has gained popularity in terms of its potential for minimal wear and the preservation of proximal femoral bone stock. HR faces challenges, such as increased hip fracture rates and adverse reactions to metal detritus, despite the fact that over one million metal-on-metal (MoM) arthroplasties have been performed globally. FDA issued warnings in 2011 and 2016 regarding higher failure rates in women and categorized MoM implants as high-risk, influencing U.S. surgeons to limit HR in women. Conversely, European and Australian registries report 6.4% to 54.4% of HR procedures are performed on women. Addressing concerns via targeted follow-ups and age-specific recommendations can help provide equitable access to advanced medical treatments.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 11","pages":"810-812"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030027","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":"Tenodesis in Flail Foot: A New Surgical Technique.","authors":"Omid Salkhori, Sm Javad Mortazavi, Mohammad Ayati Firoozabadi","doi":"10.22038/ABJS.2024.80330.3671","DOIUrl":"10.22038/ABJS.2024.80330.3671","url":null,"abstract":"<p><p>Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited or no active mobility in the ankle. To address this issue, we described a novel approach called tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's tendons to minimize potential complications. The primary focus of this method is to preserve ankle passive dorsiflexion, thereby maintaining the foot in a neutral position, helping prevent foot drop, reducing the risk of neuropathic ulcers, and keeping joint proprioception. Furthermore, maintaining passive ankle dorsiflexion is particularly important in societies where activities such as squatting are integral to daily life. The study aims to introduce a new surgical technique for flail foot.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 11","pages":"805-809"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030036","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":"An In Vivo Radiologic Description of Periacetabular Vascularization in a Healthy Subject and a Literature Review of its Clinical Implications.","authors":"Giorgio Cacciola, Gian Luca Desi, Alessandro Masse","doi":"10.22038/ABJS.2024.75243.3480","DOIUrl":"10.22038/ABJS.2024.75243.3480","url":null,"abstract":"<p><p>The aim of this study is to provide a radiologic description of periacetabular vascularization. A computed tomography angiography was used to analyze the vascularization patterns of the periacetabular region, describing for the first time \"in vivo\" the periacetabular branches of the superior and inferior gluteal artery, obturator artery, and of the medial circumflex femoral artery. The analysis revealed the possibility of visualizing clearly all the previously described vessels of the aforementioned arteries. Both acetabular and supra-acetabular arteries, the rami of the OA directed to the lamina quadrilateral, and the rami of the IGA directed to the posterior wall were identified. In conclusion, understanding the periacetabular vascularization patterns is pivotal for effective clinical decision-making in pelvic trauma, and conservative and reconstructive surgery of the hip. The radiologic description provided in this study, along with the associated literature review, offers valuable insights into the clinical implications of periacetabular vascularization.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 6","pages":"423-427"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451919","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":"Comparing the Effect of Bone-loading Exercises and Pulsed Electromagnetic Fields on Bone Turnover Markers in Women with Osteoporosis: A Randomized Clinical Trial Study Protocol.","authors":"Fatemeh Sangtarash, Azadeh Shadmehr, Alireza Sadeghi, Sara Fereydounnia","doi":"10.22038/ABJS.2024.76983.3557","DOIUrl":"10.22038/ABJS.2024.76983.3557","url":null,"abstract":"<p><strong>Objective: </strong>Given the bone sensitivity to mechanical stimulus, bone-loading exercises and applying the Pulsed Electromagnetic Fields (PEMF(s)) are recommended for promoting bone strength. In this context, these two interventions 's effect on bone turnover markers (BTMs) in osteoporosis patients is yet to be clarified; consequently, an attempt is made in this study to compare the effect of these two interventions on bone turnover markers in women with Postmenopausal Osteoporosis (PMOP).</p><p><strong>Methods: </strong>This study is design as a randomized, single-center, three-arms, controlled trial. A total of 51 women with PMOP will be randomly assigned to three groups of 17, using opaque, sealed envelopes containing labels for A, B, and C groups. Group A) will receive bone-loading exercises, B) will follow the PEMF(s) and C) will be exposed to the combination of A and B. These three groups will require intervention for 24 sessions (2 sessions/week) next to their routine medical treatment (Alendronate+ Calcium+ Vitamin D). The primary outcome of this study is the serum biomarker of bone formation (bone-specific alkaline phosphatase, BSALP) and resorption (N-terminal telopeptide, NTX). The secondary outcomes consist of thoracic kyphosis angle, fear of falling, and quality of life. The outcomes are measured three times: at baseline, after 24 sessions of intervention, and at 12 weeks follow-up. A primary outcome will be measured and reported by a laboratory expert who is blinded to the participant grouping.</p><p><strong>Result: </strong>The trial has the code of ethics for research (IR.TUMS.FNM.REC.1401.126) and the code of Iranian Registry of Clinical Trials (IRCT) (IRCT20221202056687N1). Study results are expected to be available by mid-2024.</p><p><strong>Conclusion: </strong>This trial will provide new practical knowledge on the bone-loading exercises and PEMFS(s)'s effect on PMOP women. This knowledge is of the essence for physiotherapists, clinicians, other healthcare professionals, and policymakers in the healthcare system.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 7","pages":"522-530"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789367","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":"Single Bone Intramedullary Fixation of the Radius in Pediatric Both Bone Forearm Fractures Using Straight Stainless Steel Kirschner Wire: A Cross-sectional Study on Radiological and Clinical Feature.","authors":"Saeed Kokly, Alessandro Castagna, Mehdi Aarabi","doi":"10.22038/ABJS.2023.71219.3335","DOIUrl":"https://doi.org/10.22038/ABJS.2023.71219.3335","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to report radiological and clinical features of single bone intramedullary fixation of the radius in pediatric both bone forearm fractures using straight stainless steel Kirschner (K) wire.</p><p><strong>Methods: </strong>Fifty-eight children (42 boys and 16 girls) referred to our hospital with both bone diaphyseal forearm fractures were operated on by using the single bone rigid K-wire intramedullary fixation and mini-open technique. The mean follow-up time was 8.9 months (6-12).</p><p><strong>Results: </strong>The mean age of the patients was 7.4 years (4-12). More than 2/3 of the fractures were in the right hand. Around 63% of the fractures were in the middle third, 28% in the distal third, and 9% in the proximal third. Moreover, 12% were open type I Gustilo-Anderson fractures. The mean time from injury to surgery was two days (1-4), and the mean length of hospital stay was 2.8 days (2-5). The mean duration of surgery was 24.7 minutes (18-38), and the mean follow-up time was 8.9 months (6-12). All fractures united within 4-16 weeks (mean: 7.62). The cast and implant were removed simultaneously as the radiographic fracture union. There was no serious complication. Superficial infection of the pin track and loosening of the pin occurred in three cases (5%), all controlled by antibiotics and timely removal of the pins. Mild restriction of elbow extension (less than 20 degrees) was observed in three cases, which returned to normal at the last follow-up. Limitation of dorsiflexion of the wrist by more than 20° occurred in two patients (35° and 45°), which reverted to 25° and 25°, respectively, at the last follow-up.</p><p><strong>Conclusion: </strong>In both bone forearm fractures in children, open reduction and internal fixation of only the radius with a stainless steel straight Kirschner wire could be a promising method with good results. This retrograde technique of intramedullary fixation is a simple and cost-effective method with minimal complications and acceptable outcomes in children aged 4-12 years.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 3","pages":"167-175"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10989728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867157","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}