World Journal of Orthopedics最新文献

{"title":"Individual and population differences affect the pain management in acute musculoskeletal injury.","authors":"Yu Deng, Qi-Long Jiang","doi":"10.5312/wjo.v16.i2.100745","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.100745","url":null,"abstract":"<p><p>In this editorial, we comment on the article published in a recent issue of the <i>World Journal of Orthopedics</i>. Although substantial literature regarding pain management of acute musculoskeletal injury has been published over the last three decades, there is still a lack of evidence-based protocol for individual and population disparities. This systematic review gives us a comprehensive view of the evidence-based use of opioid <i>vs</i> opioid-free analgesia. Nevertheless, there is still a need for further investigation at a high level regarding this topic.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"100745"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544038","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":"Novel association between chronic obstructive pulmonary disease and osteoporosis: A prospective cross-sectional study.","authors":"Rong Gao, Jian-Kang Zeng, Kai Yang, Ping Wang, Sheng Zhou","doi":"10.5312/wjo.v16.i2.102101","DOIUrl":"https://doi.org/10.5312/wjo.v16.i2.102101","url":null,"abstract":"<p><strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) is a progressive respiratory condition often associated with a high incidence of osteoporosis. Studies indicate that patients with COPD present with a significant decrease in bone mineral density (BMD), potentially related to inflammation and corticosteroid use.</p><p><strong>Aim: </strong>To investigate the relationship between BMD and lung function, mainly the forced expiratory volume in the forced expiratory volume in 1 second (FEV1)/ forced vital capacity percentage (FVC%), in patients with COPD using quantitative computed tomography (QCT).</p><p><strong>Methods: </strong>This prospective cross-sectional study included 85 patients with COPD treated at Gansu Provincial People's Hospital. Exposure variables included lung function parameter (FEV1/FVC%), age, sex, body mass index, smoking status, tea-drinking habits, and physical activity. BMD was measured using QCT. Linear regression and generalized additive models were employed to analyze the relationship between exposure variables and BMD.</p><p><strong>Results: </strong>Linear regression analysis revealed a significant positive relationship between BMD and FEV1/FVC% (<i>β</i> = 0.1, 95% confidence interval [CI]: 0.1-0.1; <i>P</i> < 0.0001). Non-linear analysis identified a unique BMD breakpoint of 128.08 mg/cm³. Before the breakpoint, BMD was significantly positively correlated with FEV1/FVC% (<i>β</i> = 0.245; <i>P</i> = 0.0019); while after the breakpoint, the relationship was negative and showed no statistical significance (<i>β</i> = -0.136; <i>P</i> = 0.0753). This finding underscores the critical role of BMD in COPD management and highlights the importance of individualized clinical interventions in improvement of lung function and overall health status in patients.</p><p><strong>Conclusion: </strong>There is a complex non-linear relationship between BMD and lung function in patients with COPD, highlighting the importance of monitoring change in bone density during the management of COPD.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 2","pages":"102101"},"PeriodicalIF":2.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544042","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>Gas-containing pseudocysts rarely cause of lumbar radiculopathy. This report describes successful treatment of a gas-containing pseudocyst using percutaneous transforaminal endoscopy.</p><p><strong>Case summary: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>Despite the widespread application of big data in topic analysis, the public's attention and nursing requirements for arthroscopy remain inadequate.</p><p><strong>Aim: </strong>To understand netizens' concerns and spatial distributions regarding arthroscopy and to provide customized nursing strategies.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Patients significantly overestimated anticipated pain compared to experienced pain (6.43 ± 2.48 <i>vs</i> 3.68 ± 2.37, <i>P <</i> 0.001). Pre-injection local anesthesia did not significantly reduce experienced pain (3.19 ± 2.38 <i>vs</i> 4.20 ± 2.29, <i>P =</i> 0.130).</p><p><strong>Conclusion: </strong>Patients overestimate anticipated pain during IAHIs. Pre-injection local anesthesia does not reduce experienced pain.</p>","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}

{"title":"Advances in 3D correction of adolescent scoliosis: The superiority of scoliocorrector fatma-UI in rotational realignment.","authors":"Jin-Ke Zhu, Zhi-Peng Li, Peng-He Zhou","doi":"10.5312/wjo.v16.i1.102972","DOIUrl":"10.5312/wjo.v16.i1.102972","url":null,"abstract":"<p><p>This letter compares the clinical efficacy and economic feasibility of the scoliocorrector fatma-UI (SCFUI) with direct vertebral rotation (DVR) in treating adolescent idiopathic scoliosis (AIS). SCFUI has shown promising results in three-dimensional spinal correction, providing superior rotational alignment compared to DVR and achieving significant improvements in coronal and sagittal planes. Additionally, SCFUI's advanced design reduces risks associated with AIS surgeries and enhances overall patient outcomes. Economic analysis reveals SCFUI as a cost-effective option, potentially lowering long-term healthcare costs by minimizing complications and revisions. Our findings suggest that SCFUI is a viable, innovative approach in AIS treatment, meeting clinical and economic demands in orthopedic care.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"102972"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029960","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 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":"<p><p>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"title":"Assessment of the hip-spine relationship in total hip arthroplasty for childhood hip disorders sequelae.","authors":"Cong-Ke Shu, Hai-Song Liang, Xin-Wen Bai, Yu Deng, Qi-Long Jiang","doi":"10.5312/wjo.v16.i1.99383","DOIUrl":"10.5312/wjo.v16.i1.99383","url":null,"abstract":"<p><p>In this article, we comment on the article by Oommen <i>et al</i>. Oommen <i>et al</i> provided a comprehensive overview of the management of hip centre restoration in total hip arthroplasty (THA) for childhood hip disorder sequelae. Given the developmental disparity in this population, specific preoperative planning is an essential prerequisite for the success of THA procedures. In the review by Oommen <i>et al</i>, assessments of acetabular and femoral anatomic variations were fully described. However, spinal malalignment and stiffness are common in physical and radiological examinations and should be taken into careful consideration when planning surgical procedures. Poor outcomes of THA for patients with comorbid hip and spinopelvic pathologies have been widely reported, especially for hips with childhood disorder sequelae. Therefore, in this editorial, we would like to emphasize the need for a thorough hip-spine evaluation of patients with childhood hip disorder sequelae before THA.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"99383"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030045","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}