World Journal of Orthopedics最新文献

{"title":"Simple and effective method for treating severe adult skeletal class II malocclusion: A case report.","authors":"Li-Li Xie, Dan-Yang Chu, Xiao-Feng Wu","doi":"10.5312/wjo.v15.i10.965","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.965","url":null,"abstract":"<p><strong>Background: </strong>Severe skeletal class II malocclusion is the indication for combined orthodontic and orthognathic treatment.</p><p><strong>Case summary: </strong>A woman with a chief complaint of a protruding chin and an inability to close her lips requested orthodontic camouflage. The treatment plan consisted of extracting the right upper third molar, right lower third molar, left lower second molar, and left upper third molar and moving the maxillary dentition distally using a convenient method involving microimplant nail anchors, push springs, long arm traction hooks, and elastic traction chains. After 52 months of treatment, her overbite and overjet were normal, and her facial profile was favorable.</p><p><strong>Conclusion: </strong>This method can be used for distal movement of the maxillary dentition and to correct severe skeletal class II malocclusion in adults.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"965-972"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548301","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":"Treatment of a femoral neck fracture combined with ipsilateral femoral head and intertrochanteric fractures: A case report.","authors":"Xiang Yu, Yu-Zhi Li, Hai-Jian Lu, Bing-Li Liu","doi":"10.5312/wjo.v15.i10.973","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.973","url":null,"abstract":"<p><strong>Background: </strong>This article presents a rare case of a complex hip fracture involving the ipsilateral femoral neck, trochanter, and femoral head, that was accompanied by hip dislocation. Currently, there is no established standard treatment method for this specific type of fracture. Therefore, it is crucial to comprehensively consider factors such as patient age, fracture type, and degree of displacement to achieve a successful outcome.</p><p><strong>Case summary: </strong>A 38-year-old man sustained a comminuted fracture of his right hip as a result of a car accident. The injuries included a fracture of the femoral head, a fracture of the femoral neck, an intertrochanteric fracture of the femur, and a posterior dislocation of the hip on the same side. We opted for a treatment approach combining the use of a proximal femoral locking plate, cannulated screws, and Kirschner wires. Following the surgery, we developed an individualized rehabilitation program to restore patient limb function.</p><p><strong>Conclusion: </strong>For this complex fracture, we selected appropriate internal fixation and formulated individualized rehabilitation, which ultimately achieved good results.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"973-980"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548302","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":"Conversion hip arthroplasty for failed nailing of intertrochanteric fracture: Reflections on some important aspects.","authors":"Fu-Chun Yang","doi":"10.5312/wjo.v15.i10.997","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.997","url":null,"abstract":"<p><p>In this editorial, I present my comments on the article by Solarino <i>et al</i>. Conversion hip arthroplasty, which is an optional salvage procedure performed following unsuccessful fixation of intertrochanteric femur fractures in elderly patients, entails more complex processes and higher rates of operative complications than primary arthroplasty. Hence, it is important to consider the appropriateness of the primary treatment choice, as well as the adequacy of nailing fixation for intertrochanteric fractures. This article briefly analyzes the possible factors contributing to the nailing failure of intertrochanteric fractures and attempts to find corresponding countermeasures to prevent fixation failures. It also analyzes the choice of treatment between nailing fixation and primary arthroplasty for intertrochanteric fractures.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"997-1000"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548295","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":"Orthopedic revolution: The emerging role of nanotechnology.","authors":"Wen-Jie Ruan, Si-Si Xu, Dong-Hui Xu, Zhi-Peng Li","doi":"10.5312/wjo.v15.i10.932","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.932","url":null,"abstract":"<p><p>This review summarizes the latest progress in orthopedic nanotechnology, explores innovative applications of nanofibers in tendon repair, and evaluates the potential of selenium and cerium oxide nanoparticles in osteoarthritis and osteoblast differentiation. This review also describes the emerging applications of injectable hydrogels in cartilage engineering, emphasizing the critical role of interdisciplinary research and highlighting the challenges and future prospects of integrating nanotechnology into orthopedic clinical practice. This comprehensive approach provides a holistic perspective on the transformative impact of nanotechnology in orthopedics, offering valuable insights for future research and clinical applications.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"932-938"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548299","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":"Research trends in exercise therapy for the treatment of pain in postmenopausal osteoporosis over the past decade: A bibliometric analysis.","authors":"Zhao-Qiu Dai, Xiao-Yan Gong, Rong Zhang, Mei-Qin Jin, Wei Lu, Wen Wen, Jie Chen, Fang-Jie Lu, Yi-Fan Yang, Lei Wang, Xiao-Jin He","doi":"10.5312/wjo.v15.i10.950","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.950","url":null,"abstract":"<p><strong>Background: </strong>Postmenopausal osteoporosis (PMOP) is the most common form of primary osteoporosis among women, and the associated pain often drives patients to seek clinical intervention. Numerous studies have highlighted the unique clinical benefits of exercise therapy (ET) in alleviating PMOP-related pain. However, bibliometric analyses examining collaboration, development trends, and research frontiers in the field of ET for PMOP pain remain scarce.</p><p><strong>Aim: </strong>To explore the research trends in ET for pain treatment in PMOP patients over the past decade.</p><p><strong>Methods: </strong>All scholarly works were meticulously sourced from the Science Citation Index-Expanded within the prominent Web of Science Core Collection. Utilizing the capabilities of CiteSpace 6.2.R5, we conducted a thorough analysis of publications, authors, frequently cited scholars, contributing nations, institutions, journals of significant citation, comprehensive references, and pivotal keywords. Additionally, our examination explored keyword cooccurrences, detailed timelines, and periods of heightened citation activity. This comprehensive search, from 2014 through 2023, was completed within a single day, on October 11, 2023.</p><p><strong>Results: </strong>In total, 2914 articles were ultimately included in the analysis. There was a rapid increase in annual publication output in 2015, followed by stable growth in subsequent years. Boninger, Michael L, is the most prolific author, whereas Ware JE has the most citations. The United States' global influence is significant, surpassing all other nations. The University of California System and Harvard University are the most influential academic institutions. <i>J Bone Joint Surg Am</i> is the most influential journal in this field. \"Spinal cord injury\" is the keyword that has garnered the most attention from researchers. The developmental pattern in this field is characterized by interdisciplinary fusion, with different disciplines converging to drive progress.</p><p><strong>Conclusion: </strong>The academic development of the field of ET for pain in PMOP has matured and stabilized. Clinical management and rehabilitation strategies, along with the mechanisms underlying the relationship between ET and bone resorption analgesia, continue to be the current and future focal points of research in this field.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"950-964"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548300","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":"Application prospects of urine-derived stem cells in neurological and musculoskeletal diseases.","authors":"Hui-Si Yang, Yue-Xiang Zheng, Xue Bai, Xiu-Ying He, Ting-Hua Wang","doi":"10.5312/wjo.v15.i10.918","DOIUrl":"https://doi.org/10.5312/wjo.v15.i10.918","url":null,"abstract":"<p><p>Urine-derived stem cells (USCs) are derived from urine and harbor the potential of proliferation and multidirectional differentiation. Moreover, USCs could be reprogrammed into pluripotent stem cells [namely urine-derived induced pluripotent stem cells (UiPSCs)] through transcription factors, such as octamer binding transcription factor 4, sex determining region Y-box 2, kruppel-like factor 4, myelocytomatosis oncogene, and Nanog homeobox and protein lin-28, in which the first four are known as Yamanaka factors. Mounting evidence supports that USCs and UiPSCs possess high potential of neurogenic, myogenic, and osteogenic differentiation, indicating that they may play a crucial role in the treatment of neurological and musculoskeletal diseases. Therefore, we summarized the origin and physiological characteristics of USCs and UiPSCs and their therapeutic application in neurological and musculoskeletal disorders in this review, which not only contributes to deepen our understanding of hallmarks of USCs and UiPSCs but also provides the theoretical basis for the treatment of neurological and musculoskeletal disorders with USCs and UiPSCs.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 10","pages":"918-931"},"PeriodicalIF":2.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548292","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":"Pediatric flexible flatfoot: Does obesity influence the outcomes of arthroereisis?","authors":"Luca Monestier, Giacomo Riva, Mahfuz Latiff, Luca Marciandi, Elisa Bozzi, Alessandra Pelozzi, Andrea Pautasso, Giorgio Pilato, Michele Francesco Surace, Fabio D'Angelo","doi":"10.5312/wjo.v15.i9.850","DOIUrl":"https://doi.org/10.5312/wjo.v15.i9.850","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity has emerged in the last decades as an important public health problem worldwide. Although relationships between obesity and flatfoot have been shown, no studies have investigated the influence of obesity on arthroereisis outcomes.</p><p><strong>Aim: </strong>To evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking implants.</p><p><strong>Methods: </strong>This retrospective study included one hundred and sixty-nine pediatric patients (10-14 years old) who underwent subtalar arthroereisis (PEEK PitStop^® device) for severe flexible flatfoot. Exclusion criteria were additional procedures, revision of previous corrective surgeries, rigid flatfoot with severe deformity, and neurological or post-traumatic flatfoot. Preoperative/postoperative European Foot and Ankle Society (EFAS) and visual analogue scale (VAS) scores were determined; radiographic assessment was conducted on weight-bearing foot X-rays: Kite angle, first metatarsal-talus angle, Meary angle, calcaneal pitch angle and lateral talo-calcaneal angle were analyzed.</p><p><strong>Results: </strong>EFAS and VAS scores improved post-operatively in the whole population. Only seven cases with complications were reported. Radiographic assessment revealed an improvement in all angles. Statistical analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes: Relationships were reported between BMI and postoperative EFAS/VAS scores, postoperative calcaneal pitch angle, Kite angle, Meary angle and talo-first metatarsal angle.</p><p><strong>Conclusion: </strong>Although arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children, obesity significantly influences clinical and radiographic outcomes of arthroereisis, and obese children tend to perceive more pain and discomfort.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 9","pages":"850-857"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337043","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":"Platelet-rich plasma for de Quervain's tenosynovitis: A systematic review and meta-analysis.","authors":"Nucki Nursjamsi Hidajat, Raden Moechammad Satrio Nugroho Magetsari, Gregorius Steven, Jethro Budiman, Gregorius Thomas Prasetiyo","doi":"10.5312/wjo.v15.i9.858","DOIUrl":"https://doi.org/10.5312/wjo.v15.i9.858","url":null,"abstract":"<p><strong>Background: </strong>Platelet-rich plasma (PRP) injection is used as an alternative non-operative management for de Quervain's tenosynovitis (DQT) to regenerate tendon healing.</p><p><strong>Aim: </strong>To assess and conclude the research-based study systematically to analyse the efficacy of PRP on DQT.</p><p><strong>Methods: </strong>This systematic review used the Cochrane Handbook for Systematic Reviews and the guideline of preferred reporting items for systematic review and meta-analysis. A systematic literature search was applied to 11 databases. The authors assessed the study quality and risk of bias of each included study. Results of the meta-analysis were presented using mean difference (MD)/standardized mean difference (SMD) and 95% confidence interval (CI).</p><p><strong>Results: </strong>The authors evaluated 275 studies found in the literature search; 12 studies met the criteria for this review, and then the study quality and risk of bias were assessed. Pooled analysis of data from two studies involving 194 subjects with DQT showed that, compared with conservative treatment, PRP injection was associated with a greater reduction in visual analog scale pain in one month and six months after treatment (MD: -0.67, <i>P</i> value < 0.00001; MD: -1.16, <i>P</i> value < 0.00001) and the increase of Mayo's wrist score in one month and six months after treatment (SMD: 3.72, <i>P</i> value < 0.00001; SMD: 4.44, <i>P</i> value < 0.00001).</p><p><strong>Conclusion: </strong>PRP can be used as an alternative non-operative treatment for DQT due to the tissue regenerative effect of PRP.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 9","pages":"858-869"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337044","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":"Conservative management of spinal pathology with autologous conditioned serum: A systematic review of the literature.","authors":"Christian J Rajkovic, Matthew L Merckling, Alyssa W Lee, Galadu Subah, Aryan Malhotra, Zachary D Thomas, Sabrina L Zeller, John V Wainwright, Merritt D Kinon","doi":"10.5312/wjo.v15.i9.870","DOIUrl":"https://doi.org/10.5312/wjo.v15.i9.870","url":null,"abstract":"<p><strong>Background: </strong>Chronic inflammatory pain is associated with increased expression of interleukin (IL)-1, an inflammatory cytokine, and activity on its receptor (IL-1R). In response, the body produces IL-1R antagonist (IL-1Ra) to reduce this signaling. Autologous conditioned serum (ACS) is the only biologic therapy for spinal pathologies that enhances the action of endogenous IL-1Ra reserves to improve symptoms. This systematic review investigates the effectiveness of ACS in treating pain and disability caused by spinal pathologies.</p><p><strong>Aim: </strong>To evaluate the use of ACS as a conservative management option for spinal pathology.</p><p><strong>Methods: </strong>A systematic review of PubMed/Medline was performed to identify studies investigating administration of ACS for treatment of any spinal pathology.</p><p><strong>Results: </strong>Six articles were included, comprising 684 patients treated with epidural (<i>n</i> = 133) or transforaminal (<i>n</i> = 551) ACS injections. Patients had an average age of 54.0 years with slight female predominance (53.2%). The lumbar spine was most commonly treated, with 567 patients (82.9%) receiving injections for lumbar radiculopathy (<i>n</i> = 67), degenerative disc disease (DDD) (<i>n</i> = 372), or spinal stenosis (<i>n</i> = 128); cervical injections were performed in 109 patients (15.9%). Mean (SD) follow-up was 21.7 (4.8) weeks from first ACS injection. All studies investigating mechanical lumbar and lumbar or cervical radicular pain reported significant pain reduction at final follow-up compared to baseline. ACS achieved comparable or superior results to lumbar epidural steroid injections. Adverse events were reported in 21 patients (3.1%), with no serious adverse events.</p><p><strong>Conclusion: </strong>ACS injection is a safe and effective intervention for pain reduction in many spinal pathologies, including cervical and lumbar radiculopathies.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 9","pages":"870-881"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337037","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":"Impacts of radiation therapy on quality of life and pain relief in patients with bone metastases.","authors":"Armin Hoveidaei, Mehdi Karimi, Vida Khalafi, Patrick Fazeli, Amir Human Hoveidaei","doi":"10.5312/wjo.v15.i9.841","DOIUrl":"https://doi.org/10.5312/wjo.v15.i9.841","url":null,"abstract":"<p><p>Bone metastases (BM) are a common complication in advanced cancer patients, significantly contributing to morbidity and mortality due to their ability to cause pain, fractures, and spinal cord compression. Radiation therapy (RT) is vital in managing these complications by targeting metastatic lesions to ease pain, improve mobility, and reduce the risk of skeletal-related events such as fractures. Evidence supports the effectiveness of RT in pain relief, showing its ability to provide significant palliation and lessen the need for opioid painkillers, thereby enhancing the overall quality of life (QoL) for patients with BM. However, optimizing RT outcomes involves considerations such as the choice of radiation technique, dose fractionation schedules, and the integration of supportive care measures to mitigate treatment-related side effects like fatigue and skin reactions. These factors highlight the importance of personalized treatment planning tailored to individual patient needs and tumor characteristics. This mini-review aims to provide comprehensive insights into the multifaceted impacts of RT on pain management and QoL enhancement in BM patients, with implications for refining clinical practices and advancing patient care through the synthesis of findings from various studies.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 9","pages":"841-849"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337039","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}