Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Plantaris Tendon Autograft Can Restore Patellar Stability in Adolescent Medial Patellofemoral Ligament Reconstruction: A Technical Note.","authors":"Josip Vlaic, Mario Josipovic, Dinko Nizic, Marko Simunovic, Zdravko Schauperl, Mislav Jelic","doi":"10.22038/ABJS.2024.75154.3476","DOIUrl":"10.22038/ABJS.2024.75154.3476","url":null,"abstract":"<p><p>Medial patellofemoral ligament reconstruction is a standard treatment option for patients with patellar instability. The main purpose of this study was to determine whether isolated anatomic medial patellofemoral ligament reconstruction using double folded, four-strand plantaris tendon autograft restores patellar stability in adolescent patients. Plantaris tendon autografts were harvested through proximal approach and used in four adolescent patients. A four-strand autograft was prepared in a double-limbed configuration and fixed on the patella and the femur with suture anchors and interference screws, respectively. The mean Kujala score improved significantly from 44 ± 24 SD (range, 19 to 69) points preoperatively to 94 ± 10 SD (range, 78 to 100) points postoperatively (P< 0.001). All patients reported excellent subjective outcomes and returned to their pre-injury level of sporting activities. The use of a four-strand plantaris tendon autograft in isolated anatomic medial patellofemoral ligament reconstruction can restore patellar stability in adolescents.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 4","pages":"283-288"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877637","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":"Modular Well-Fixed Hip Revision Stem Fracture: A Case Report and Literature Review.","authors":"Fabio Pessina, Carlo Cazzaniga, Beatrice Manzini, Carlo Cardile","doi":"10.22038/ABJS.2024.80313.3666","DOIUrl":"10.22038/ABJS.2024.80313.3666","url":null,"abstract":"<p><p>This study presents a case of repeated prosthetic fractures in a modular hip prosthesis in a 56-year-old male patient. After the initial implantation of a modular total hip prosthesis in 2006, the patient experienced two instances of prosthetic implant fractures over seventeen years. In this study, we analyze the clinical case, explore potential underlying causes of this complication, and delve into current indications and strategies for the revision of fractured prosthesis stems. The discussion is informed by a literature review and underscores the significance of selecting appropriate revision techniques to address this challenge.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 10","pages":"735-741"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550100","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":"Anesthesia Type and Short-Term Outcomes in Open Treatment of Hand Fractures.","authors":"Robert L Dalcortivo, Benjamin A Yarbrough, Dominick V Congiusta, Irfan H Ahmed, Michael M Vosbikian","doi":"10.22038/ABJS.2024.67440.3200","DOIUrl":"10.22038/ABJS.2024.67440.3200","url":null,"abstract":"<p><strong>Objectives: </strong>The hand is one of the most commonly fractured parts of the body. Many of these injuries are treated operatively. This study compares short-term outcomes between general anesthesia and other forms of anesthesia in the open treatment of hand fractures.</p><p><strong>Methods: </strong>Procedures related to the open treatment of carpal, metacarpal, and phalangeal fractures from the years 2005-2017 were queried from the National Surgical Quality Improvement Program (NSQIP) database. Outcome measures included 30-day reoperation rate, length of stay (LOS), minor complications, and major complications. Chi-squared tests were used to identify significant demographics and comorbidities. Significant variables were included in a logistic regression model.</p><p><strong>Results: </strong>A total of 5,907 patients were included, of which 4,547 (77%) received general anesthesia, and 1,360 (23%) received local anesthesia, regional anesthesia, sedation, or monitored anesthesia care. Patients treated with general anesthesia were younger and more likely to be male. Operative time was longer with general anesthesia (65.0 vs. 59.8minutes, P<0.01). Anesthesia technique had no statistically significant association with thirty-day rate of reoperation, minor complications, or major complications (P=0.32, 0.91, and 0.07, respectively). General anesthesia had greater odds for LOS exceeding the 75th percentile (OR 2.05, P<0.01).</p><p><strong>Conclusion: </strong>In the open treatment of hand fractures, short-term complication rates are similar between general anesthesia and other forms of anesthesia, but extended LOS is more likely with general anesthesia. When practical, surgeons can consider local anesthesia, regional anesthesia, sedation, and monitored anesthesia as reasonably safe alternatives to general anesthesia.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 10","pages":"721-727"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548240","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":"Anterior Versus Posterior Surgical Approaches to Pediatric Supracondylar Humerus Fracture.","authors":"Mehdi Teimouri, Mohammad Ali Tahririan, Hasan Rezaei, Mahdi Shahsavan, Mansour Moradi, Mohammad Alaei, Mohammad Shahsavan","doi":"10.22038/ABJS.2024.77301.3572","DOIUrl":"10.22038/ABJS.2024.77301.3572","url":null,"abstract":"<p><strong>Objectives: </strong>Gartland type III supracondylar humerus fractures frequently occur as traumatic injuries in children and often require surgical intervention. This study aimed to compare the efficacy of anterior and posterior surgical approaches to treating these fractures.</p><p><strong>Methods: </strong>This retrospective study analyzed 48 patients under the age of 10 with Gartland type III fractures. These patients were treated with either the anterior (n=23) or the posterior approach (n=25). At three and six months post-surgery, elbow range of motion (ROM), complications, and functional/cosmetic outcomes were assessed using Flynn's criteria.</p><p><strong>Results: </strong>No significant differences were found between the groups regarding age or gender. At three months, the anterior group showed significantly better extension (-8.26° vs. -13.20°, P=0.032), but this difference was not significant at six months. No significant differences were observed in flexion, pronation, or supination at any time point. Both groups showed significant ROM improvements from three to six months (P<0.001); however, these improvements were slightly below the normative values (P<0.05). The overall complication rates were low and comparable between the two approaches (anterior: 8.70%; posterior: 12.00%; P=0.700), primarily comprising reversible ulnar nerve injuries and superficial infections. Furthermore, based on Flynn's criteria, there were no significant differences in functional or cosmetic outcomes, with most patients achieving excellent or good results in both groups.</p><p><strong>Conclusion: </strong>Both anterior and posterior approaches for pediatric Gartland type III supracondylar humerus fractures resulted in satisfactory outcomes. Therefore, the choice of surgical approach will depend on patient-related factors and surgeons' preferences.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 10","pages":"728-734"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548241","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":"Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients.","authors":"Mohsen Latifpoor, Mohammad Mahdi Sarzaeem, Farzad Amouzadeh Omrani, Sina Raissi Dehkordi","doi":"10.22038/ABJS.2024.75050.3469","DOIUrl":"10.22038/ABJS.2024.75050.3469","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to provide a comprehensive comparative analysis of functional outcomes between Unicompartmental Knee Arthroplasty (UKA) and Total Knee Arthroplasty (TKA) in patients diagnosed with bilateral knee osteoarthritis. Both procedures were performed simultaneously on separate knees to evaluate their respective efficacy.</p><p><strong>Methods: </strong>The study included 25 patients (18 women and 7 men) with a mean age of 59.6 years, all meeting the criteria for administering UKA on one knee and TKA on the other. Radiographic and clinical data were collected over a two-year period, with assessments conducted at 6 months, 1 year, and 2 years postoperatively. Data included age, gender, and body mass index, medical history, surgical procedures, and various scores and measurements related to knee function.</p><p><strong>Results: </strong>The UKA group exhibited significant improvements in functional scores compared to the TKA group. Specifically, the Western Ontario and McMaster Universities Osteoarthritis Index score for the UKA knee was 24.5% higher than that of the TKA knee, indicating better functional outcomes. Radiographically, the tibio-femoral angle was more than two times greater in the UKA method, while the Varus angle was significantly greater in the TKA method. No post-operative complications were reported.</p><p><strong>Conclusion: </strong>This study underscored the safety and efficacy of both UKA and TKA procedures in the treatment of bilateral knee osteoarthritis. UKA demonstrated superior functional outcomes, while TKA displayed distinct advantages in radiographic alignment. Individual patient characteristics and preferences should guide the selection of the most appropriate surgical approach.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 10","pages":"695-700"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548243","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":"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":"Clinical, Diagnostic, and Therapeutic Characteristics of Posterior Glenohumeral Instability.","authors":"Akshay Khanna, Mohamad Y Fares, Jonathan Koa, Peter Boufadel, Ryan D Lopez, Joseph A Abboud","doi":"10.22038/ABJS.2024.81046.3697","DOIUrl":"10.22038/ABJS.2024.81046.3697","url":null,"abstract":"<p><p>Posterior shoulder instability (PSI) is a shoulder pathology that is challenging to diagnose, leading to treatment delay and exacerbation of symptoms. Etiology can be both traumatic and atraumatic, and a comprehensive clinical history plays a significant role in achieving diagnosis. Imaging in the setting of PSI can reveal a reverse-Bankart lesion, a reverse Hill-Sachs lesion, posterior labral cysts, and potentially glenoid or lesser tuberosity fractures. Both conservative and surgical options exist for patients with PSI, and management often depends on case severity, extent of bone loss, and patient goals and expectations. Holistic patient education regarding the etiologies, mechanisms and possible treatment options available is pivotal for achieving high levels of patient satisfaction and optimal outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 12","pages":"820-825"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885769","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}