World Journal of Orthopedics最新文献_第3页

Periprosthetic fractures of the tibial shaft following long-stemmed total knee arthroplasty: A case report. 长柄全膝关节置换术后胫骨干假体周围骨折1例报告。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.98674

Maciej Kocon, Dariusz Grzelecki

{"title":"Periprosthetic fractures of the tibial shaft following long-stemmed total knee arthroplasty: A case report.","authors":"Maciej Kocon, Dariusz Grzelecki","doi":"10.5312/wjo.v16.i2.98674","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.98674","url":null,"abstract":"Background: Periprosthetic fractures of the tibia are uncommon complications after total knee arthroplasty (TKA). Therefore, there is still clinical debate regarding the appropriate treatment method. This study presents the case of a patient with two successive periprosthetic fractures of the tibial shaft treated with revision TKA (rTKA) and intramedullary fixation.Case summary: A 65-year-old woman was treated for tibial shaft pseudarthrosis after a periprosthetic fracture. The patient underwent rTKA with a tibial component exchange to a long-stemmed implant. At her 1.5-year follow-up visit, partial asymptomatic bone union was noted with no prosthesis loosening. The patient achieved 0° to 120° range of motion and a stable knee, and reported high satisfaction. Improvements were observed in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) from 74 to 17, and in the knee society scores (KSS) from 56 to 91 (clinical) and 10 to 80 (functional). After 2.5 years, the patient sustained a second fracture below the original site due to low-energy trauma. The rTKA with intramedullary stabilization was performed. One year later, WOMAC and clinical and functional KSS were 15, 81, and 80, respectively. Despite tibial shortening and lower limb inequality, the patient remains very satisfied and does not experience any issues with daily activities nor weight-bearing.Conclusion: There is little consensus in the literature on the management of tibial shaft periprosthetic fractures. Intramedullary stabilization may yield excellent outcomes, but individual case discussion is necessary for rTKA indications.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"98674"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544065","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}

引用次数: 0

Effectiveness of sub-acromial injections in rotator cuff injuries: A systematic review and meta-analysis. 肩峰下注射治疗肩袖损伤的有效性：系统回顾和荟萃分析。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.102856

Luana Tossolini Goulart, Fabio Teruo Matsunaga, Joao Carlos Belloti, Nicola Archetti Netto, Thays Sellan Paim, Marcel Jun Sugawara Tamaoki

{"title":"Effectiveness of sub-acromial injections in rotator cuff injuries: A systematic review and meta-analysis.","authors":"Luana Tossolini Goulart, Fabio Teruo Matsunaga, Joao Carlos Belloti, Nicola Archetti Netto, Thays Sellan Paim, Marcel Jun Sugawara Tamaoki","doi":"10.5312/wjo.v16.i2.102856","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.102856","url":null,"abstract":"Background: Sub-acromial injections are a therapeutic option for rotator cuff injuries; however, evidence regarding the most effective drug in this context is unclear, which needs to be investigated.Aim: To evaluate the effectiveness of various sub-acromial injections for rotator cuff injuries.Methods: We conducted a systematic review and pair-wise and network meta-analyses of randomized clinical trials (RCTs) comparing sub-acromial injections for rotator cuff injuries. The interventions evaluated were hyaluronic acid (HA), platelet-rich plasma (PRP), prolotherapy, and corticosteroids. The outcomes of interest were pain and functional improvement, which were evaluated with standardized scores. The Risk of Bias 2 tool and the Grading of Recommendations, Assessment, Development and Evaluation methodology were used to assess data quality.Results: Twenty RCTs, comprising 1479 participants, were included. In the short term, HA achieved the best outcomes [pain mean difference (MD) = -1.48, 95% confidence interval (CI) -2.37 to -0.59; function MD = 10.18, 95%CI: 4.96-15.41]. In the medium term, HA, PRP, HA + PRP, and corticosteroids were not superior to placebo in improving pain. Based on function, HA + PRP was superior to placebo, corticosteroids, and PRP (MD = 26.72; 95%CI: 8.02-45.41). In the long term, HA, PRP, and corticosteroids were not superior to placebo in reducing pain. However, based on function, HA + PRP, PRP, and HA were superior to placebo, and HA + PRP had the best result (MD = 36.64; 95%CI: 31.66-33.62).Conclusion: HA provides satisfactory short-term results, while HA with PRP demonstrates functional improvement in the medium and long terms. However, no intervention maintained the pain-relief effect on > 3-month follow-up.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"102856"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544028","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}

引用次数: 0

Atlantoaxial dislocation with vertebral artery anomaly: A case report. 寰枢关节脱位伴椎动脉异常1例。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.104095

Ruo-Hui Tang, Jin Yin, Zhao-Wen Zhou

{"title":"Atlantoaxial dislocation with vertebral artery anomaly: A case report.","authors":"Ruo-Hui Tang, Jin Yin, Zhao-Wen Zhou","doi":"10.5312/wjo.v16.i2.104095","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.104095","url":null,"abstract":"Background: Surgical intervention is a critical treatment approach for symptomatic atlantoaxial dislocation. However, vertebral artery injury remains a significant challenge during such procedures. We present a case of successful treatment of atlantoaxial dislocation with concurrent vertebral artery injury using interlaminar screw technology, and review the relevant literature.Case summary: A 69-year-old female patient, with no history of trauma, was diagnosed with atlantoaxial dislocation based on X-ray, computed tomography (CT), and magnetic resonance imaging. Preoperative CT angiography (CTA) revealed vertebral artery developmental anomalies, and she underwent posterior cervical surgery. Postoperative follow-up showed improvement in the patient's clinical symptoms such as unstable walking and dizziness, as well as functional scores compared to pre-surgery. Intraoperative vertebral artery injury was successfully managed, and postoperative CTA review revealed no complications related to vascular damage.Conclusion: Thorough preoperative evaluation, such as CTA imaging, and the surgeon's expertise in various spinal screw placement techniques are crucial for improving the success rate of atlantoaxial dislocation surgeries.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"104095"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543846","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}

引用次数: 0

Percutaneous transforaminal endoscopic treatment of gas-containing pseudocyst compressing the L5 nerve root: A case report. 经皮经椎间孔内窥镜治疗压迫L5神经根的含气假性囊肿1例。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.103416

Zhen-Xian Jiang, Ji-Bin Ren, Yu-Cai Li, Lei Chen

{"title":"Percutaneous transforaminal endoscopic treatment of gas-containing pseudocyst compressing the L5 nerve root: A case report.","authors":"Zhen-Xian Jiang, Ji-Bin Ren, Yu-Cai Li, Lei Chen","doi":"10.5312/wjo.v16.i2.103416","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.103416","url":null,"abstract":"Background: Gas-containing pseudocysts rarely cause of lumbar radiculopathy. This report describes successful treatment of a gas-containing pseudocyst using percutaneous transforaminal endoscopy.Case summary: A 48-year-old man presented with severe pain and numbness in his right leg, which worsened upon walking or weight bearing. Computed tomography and magnetic resonance imaging revealed a gas-containing cyst compressing the left L5 nerve root at the L4-5 level. The pseudocyst was successfully removed using a percutaneous transforaminal endoscopic discectomy. Vivid and clear endoscopic imaging of the pseudocysts was performed intraoperatively. The patient experienced immediate pain relief and was discharged one day after the operation. The patient returned to work. Moreover, numbness in the right leg returned to normal within 6 months. At the one-year follow-up, there was no symptoms recurrence.Conclusion: Transforaminal endoscopy offers excellent surgical visualization and facilitates meticulous operative manipulation, making it a minimally invasive approach for treating gas-containing pseudocysts in the intervertebral foramen.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"103416"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544049","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}

引用次数: 0

Discussion of the public interest in arthroscopy based on the Baidu index and its implications for nursing care. 基于百度指数讨论公众对关节镜检查的兴趣及其对护理的影响。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.101895

Jia-Li Deng, Kai Yang, Shuai Zhang, Bin Wang, Li Zhang, Xia Zhao

{"title":"Discussion of the public interest in arthroscopy based on the Baidu index and its implications for nursing care.","authors":"Jia-Li Deng, Kai Yang, Shuai Zhang, Bin Wang, Li Zhang, Xia Zhao","doi":"10.5312/wjo.v16.i2.101895","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.101895","url":null,"abstract":"Background: Despite the widespread application of big data in topic analysis, the public's attention and nursing requirements for arthroscopy remain inadequate.Aim: To understand netizens' concerns and spatial distributions regarding arthroscopy and to provide customized nursing strategies.Methods: The Baidu index was employed to gather and analyze the search index, demand graph, keyword popularity, and regional distribution data for the keywords \"arthroscopy,\" \"knee arthroscopy,\" and \"arthroscopy surgery\" from 2018 to 2023.Results: A total of 254692 items of information were searched for these keywords, with 59.86% from mobile terminals. Netizens' interest in arthroscopy showed a fluctuating pattern, which was consistent with fluctuations in the elasticity coefficient, and was primarily concentrated in the provinces of Guangdong, Jiangsu, and Shandong.Conclusion: The Baidu index provides new avenues for exploring public demand for arthroscopy. Nursing personnel can utilize these data to develop more precise health education plans and guidance, enhancing the quality and satisfaction of patient care.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"101895"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544021","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}

引用次数: 0

Pre-injection local anesthesia does not affect experienced pain in intra-articular hip injections. 注射前局部麻醉对髋关节关节内注射的疼痛无影响。

IF 2

World Journal of Orthopedics Pub Date : 2025-02-18 DOI: 10.5312/wjo.v16.i2.101197

Assaf Albagli, Ehud Rath, Ido Druckmann, Ben Efrima, Efi Kazum, Nata Parnes, Alexis B Sandler, John Tyler, Eyal Amar

{"title":"Pre-injection local anesthesia does not affect experienced pain in intra-articular hip injections.","authors":"Assaf Albagli, Ehud Rath, Ido Druckmann, Ben Efrima, Efi Kazum, Nata Parnes, Alexis B Sandler, John Tyler, Eyal Amar","doi":"10.5312/wjo.v16.i2.101197","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.101197","url":null,"abstract":"Background: Intra-articular hip injections (IAHIs) are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear. The disparity between anticipated and experienced pain during IAHIs and the role of pre-injection local anesthesia in pain modulation remains unclear.Aim: To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.Methods: This prospective study enrolled 60 patients undergoing IAHI, 30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia. Pain levels were assessed using numeric rating scales.Results: Patients significantly overestimated anticipated pain compared to experienced pain (6.43 ± 2.48 vs 3.68 ± 2.37, P < 0.001). Pre-injection local anesthesia did not significantly reduce experienced pain (3.19 ± 2.38 vs 4.20 ± 2.29, P = 0.130).Conclusion: Patients overestimate anticipated pain during IAHIs. Pre-injection local anesthesia does not reduce experienced pain.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"101197"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544089","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}

引用次数: 0

Advances in 3D correction of adolescent scoliosis: The superiority of scoliocorrector fatma-UI in rotational realignment. 青少年脊柱侧凸三维矫正的进展：脊柱侧凸矫正器fatma-UI在旋转矫正中的优势。

IF 2

World Journal of Orthopedics Pub Date : 2025-01-18 DOI: 10.5312/wjo.v16.i1.102972

Jin-Ke Zhu, Zhi-Peng Li, Peng-He Zhou

引用次数: 0

Platelet rich plasma and anterior cruciate ligament repair: A new frontier, or a short term adjunct. 富血小板血浆和前交叉韧带修复：一个新的前沿，或短期辅助。

IF 2

World Journal of Orthopedics Pub Date : 2025-01-18 DOI: 10.5312/wjo.v16.i1.100693

Saran Singh Gill, Giulia Cenci, Susanna Falcinelli, Fabrizio Marzano, Bruno Carriero, Nicola Filippi, Valerio Pace

{"title":"Platelet rich plasma and anterior cruciate ligament repair: A new frontier, or a short term adjunct.","authors":"Saran Singh Gill, Giulia Cenci, Susanna Falcinelli, Fabrizio Marzano, Bruno Carriero, Nicola Filippi, Valerio Pace","doi":"10.5312/wjo.v16.i1.100693","DOIUrl":"10.5312/wjo.v16.i1.100693","url":null,"abstract":"Platelet rich plasma (PRP) is an autologous blood product rich in platelets, showing promise in reducing inflammation and accelerating healing. While extensively utilized in plastic surgery, dermatology, and osteoarthritis treatment, its application in anterior cruciate ligament (ACL) injuries is limited. This article examines PRP's potential in ACL reconstruction (ACLR), exploring its history, current usage, controversies and future directions. PRP has demonstrated significant early benefits in ligamentisation and vascularisation post-ACLR, though its long-term efficacy is inconsistent. Studies suggest that PRP may serve as both an adjunct therapy in ACLR to enhance initial healing and reduce postoperative complications, and as a non-surgical alternative for small ACL tears. Despite these promising findings, outcome variability necessitates further high-quality research to optimize PRP formulations and determine its most effective applications. The exploration of PRP as a treatment modality in ACLR offers promising but varied outcomes. PRP holds considerable promise as both an adjunct and alternative to traditional ACLR. This article underscores the need for targeted research to fully realize PRP's therapeutic potential in ACL treatment, aiming to inform future studies and clinical practices. By understanding PRP's mechanisms of efficacy and identifying the most beneficial patient populations, PRP could significantly impact orthopaedics and sports medicine, improving recovery pathways and patient outcomes.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"100693"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029351","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}

引用次数: 0

Teriparatide as a non-surgical salvage therapy for prolonged humerus fracture nonunion: A case report and literature review. 特立帕肽作为延长肱骨骨折不愈合的非手术挽救治疗：1例报告并文献复习。

IF 2

World Journal of Orthopedics Pub Date : 2025-01-18 DOI: 10.5312/wjo.v16.i1.101656

Shao-Han Guo, Chong Li, Yi-Jun Gao, Zhen Zhang, Ke Lu

{"title":"Teriparatide as a non-surgical salvage therapy for prolonged humerus fracture nonunion: A case report and literature review.","authors":"Shao-Han Guo, Chong Li, Yi-Jun Gao, Zhen Zhang, Ke Lu","doi":"10.5312/wjo.v16.i1.101656","DOIUrl":"10.5312/wjo.v16.i1.101656","url":null,"abstract":"Background: Fracture nonunion represents a challenging complication during fracture repair, often necessitating surgical intervention. Teriparatide, a recombinant human parathyroid hormone, has demonstrated promise in enhancing fracture healing, although its efficacy in treating established nonunion remains under investigation.Case summary: We report a case of a 27-year-old male who presented with a right humerus fracture following a traffic accident. Despite undergoing open reduction and internal fixation, the fracture resulted in a delayed union and subsequent nonunion. After 4 years of conservative management, teriparatide treatment was initiated due to persistent nonunion. Teriparatide injections were administered daily for 6 months, resulting in complete fracture healing and resolution of pain.Conclusion: Our case demonstrates the successful use of teriparatide in treating a prolonged nonunion of a humerus fracture. Teriparatide may provide a valuable therapeutic option for established bone nonunion, even in cases that have not responded to conservative treatments.","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"101656"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029358","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}

引用次数: 0

Assessment of the hip-spine relationship in total hip arthroplasty for childhood hip disorders sequelae. 儿童髋关节疾病后遗症全髋关节置换术中髋-脊柱关系的评估。

IF 2

World Journal of Orthopedics Pub Date : 2025-01-18 DOI: 10.5312/wjo.v16.i1.99383

Cong-Ke Shu, Hai-Song Liang, Xin-Wen Bai, Yu Deng, Qi-Long Jiang

引用次数: 0