World Journal of Orthopedics最新文献

{"title":"Comparative study of a rabbit model of spinal tuberculosis using different concentrations of <i>Mycobacterium tuberculosis</i>.","authors":"Yong-Jie Qiao, Xiao-Yang Song, Lv-Dan Zhang, Feng Li, Hao-Qiang Zhang, Sheng-Hu Zhou","doi":"10.5312/wjo.v16.i1.101424","DOIUrl":"10.5312/wjo.v16.i1.101424","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis is among the most devastating infectious diseases worldwide. Spinal tuberculosis is not easy to detect at an early stage, which without effective treatment often leads to spinal deformity and spinal cord damage which in turn cause complications such as paraplegia and quadriplegia. In this study, we established a model using three concentrations of bacteria and carried out a comprehensive evaluation of the model by imaging, general observations, and histopathological and bacteriological studies.</p><p><strong>Aim: </strong>To establish a rabbit model of spinal tuberculosis and examine the effect on the model's efficacy using different concentrations of <i>Mycobacterium tuberculosis</i> (<i>M. tuberculosis</i>) inoculum.</p><p><strong>Methods: </strong>New Zealand rabbits were randomly divided into experimental, control and blank groups. The experimental and control animals were sensitized with complete Freund's adjuvant, a hole was drilled beneath the upper endplate of the L6 vertebral body and filled with gelfoam sponge. The experimental group was divided into three subgroups (experimental 1, experimental 2, experimental 3) and infused with <i>M. tuberculosis</i> suspension at various concentrations. The control group was inoculated with saline and the blank group received no treatment. The 12-week post-operative survival rates were 100%, 80% and 30% in the experimental groups inoculated with concentrations of 10⁶, 10⁷ and 10⁸ CFU/mL bacteria, respectively.</p><p><strong>Results: </strong>The survival rate of the control and blank groups was 100%. Vertebral body destruction at 8 weeks in the three experimental groups as determined by X-ray analysis was 33.3%, 62.5% and 66.7%, and by computed tomography (CT) and 3-dimensional CT 44.4%, 75% and 100%, respectively. At 12 weeks, the figures were 44.4%, 75% and 100% by X-ray analysis and 44.4%, 100% and 100% by CT and 3-dimensional CT, respectively. All surviving rabbits of the experimental groups had vertebral destruction. The positive bacterial culture rates were 22.2%, 75% and 66.7%, respectively, in the experimental groups. After being sensitized with complete Freund's adjuvant, large differences were observed in the extent of spinal tuberculosis after inoculation of the rabbit<b>s</b> with different concentrations of H37RV standard <i>M. tuberculosis</i>.</p><p><strong>Conclusion: </strong>The experimental 1 had a low success rate at establishing an infection. The experimental 3 resulted in high mortality and complication rates. The experimental 2 was optimum for establishing a spinal tuberculosis model based on the high level of symptoms observed and the low rabbit mortality.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"101424"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030046","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":"Fundamentals of intervertebral disc degeneration and related discogenic pain.","authors":"Bao-Gan Peng","doi":"10.5312/wjo.v16.i1.102119","DOIUrl":"10.5312/wjo.v16.i1.102119","url":null,"abstract":"<p><p>Lumbar intervertebral disc degeneration is thought to be the main cause of low back pain, although the mechanisms by which it occurs and leads to pain remain unclear. In healthy adult discs, vessels and nerves are present only in the outer layer of the annulus fibrosus and in the bony endplate. Animal models, and histological and biomechanical studies have shown that annulus tear or endplate injury is the initiating factor for painful disc degeneration. Injury to the disc triggers a local inflammatory repair response that activates nociceptors and promotes the synthesis of neuropeptides such as substance P and calcitonin gene-related peptide, by dorsal root ganglion neurons. These neuropeptides are transported to injured discs and act as pro-inflammatory molecules, promoting the production of an \"inflammatory soup\" by inducing vasodilatation and plasma extravasation as well as by promoting the release of chemical mediators from disc cells and infiltrating immune cells, causing neurogenic inflammation that leads to progressive disc degeneration and discogenic pain.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"102119"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030048","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":"Limited evidence to support demineralized bone matrix in foot and ankle surgical procedures: A systematic review.","authors":"Hayden Hartman, James J Butler, Megan Calton, Charles C Lin, Samantha Rettig, Jared C Tishelman, Sebastian Krebsbach, Grace W Randall, John G Kennedy","doi":"10.5312/wjo.v16.i1.97848","DOIUrl":"10.5312/wjo.v16.i1.97848","url":null,"abstract":"<p><strong>Background: </strong>Demineralized bone matrix (DBM) is a commonly utilized allogenic bone graft substitute to promote osseous union. However, little is known regarding outcomes following DBM utilization in foot and ankle surgical procedures.</p><p><strong>Aim: </strong>To evaluate the clinical and radiographic outcomes following DBM as a biological adjunct in foot and ankle surgical procedures.</p><p><strong>Methods: </strong>During May 2023, the PubMed, EMBASE and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following DBM for the management of various foot and ankle pathologies. Data regarding study characteristics, patient demographics, subjective clinical outcomes, radiological outcomes, complications, and failure rates were extracted and analyzed. In addition, the level of evidence (LOE) and quality of evidence (QOE) for each individual study was also assessed. Thirteen studies were included in this review.</p><p><strong>Results: </strong>In total, 363 patients (397 ankles and feet) received DBM as part of their surgical procedure at a weighted mean follow-up time of 20.8 ± 9.2 months. The most common procedure performed was ankle arthrodesis in 94 patients (25.9%). Other procedures performed included hindfoot fusion, 1st metatarsophalangeal joint arthrodesis, 5th metatarsal intramedullary screw fixation, hallux valgus correction, osteochondral lesion of the talus repair and unicameral talar cyst resection. The osseous union rate in the ankle and hindfoot arthrodesis cohort, base of the 5^th metatarsal cohort, and calcaneal fracture cohort was 85.6%, 100%, and 100%, respectively. The weighted mean visual analog scale in the osteochondral lesions of the talus cohort improved from a pre-operative score of 7.6 ± 0.1 to a post-operative score of 0.4 ± 0.1. The overall complication rate was 27.2%, the most common of which was non-union (8.8%). There were 43 failures (10.8%) all of which warranted a further surgical procedure.</p><p><strong>Conclusion: </strong>This current systematic review demonstrated that the utilization of DBM in foot and ankle surgical procedures led to satisfactory osseous union rates with favorable wound complication rates. Excellent outcomes were observed in patients undergoing fracture fixation augmented with DBM, with mixed evidence supporting the routine use of DBM in fusion procedures of the ankle and hindfoot. However, the low LOE together with the low QOE and significant heterogeneity between the included studies reinforces the need for randomized control trials to be conducted to identify the optimal role of DBM in the setting of foot and ankle surgical procedures.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"97848"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030050","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":"Long-term follow-up result of short metaphyseal femoral stem in primary total hip arthroplasty: A retrospective study.","authors":"Manoj Kumar, Ayush Sharma, Vivek P Ksheerasagar, Akash K Ghosh, Mukund Lal","doi":"10.5312/wjo.v16.i1.100173","DOIUrl":"10.5312/wjo.v16.i1.100173","url":null,"abstract":"<p><strong>Background: </strong>Total hip arthroplasty (THA) has increased along with an increasing demand for improved quality of life. Combined with prolonged life expectancy, the number of revision surgeries is expected to increase. Stress shielding is a significant issue with traditional femoral stems used in THA, making revision surgeries particularly challenging in younger patients. This has sparked renewed interest in studying safety and functional outcomes of short metaphyseal femoral stems, which have the potential to alleviate these challenges and simplify revision surgeries.</p><p><strong>Aim: </strong>To evaluate the long-term outcomes of short-stem THA.</p><p><strong>Methods: </strong>A total of 124 hips that underwent THA using the short femoral stem (TRILOCK^® Depuy) between May 2006 and November 2008 were included in this study. Patients were followed for a period of 15 years. Outcomes were assessed in terms of pain relief, hip joint range of motion, improvement in mobility, and functional outcomes using the modified Harris Hip Score, Oxford hip score, and Western Ontario and McMaster Universities Osteoarthritis index score.</p><p><strong>Results: </strong>A total of 124 hips in 98 patients were evaluated. Significant improvements in functional outcomes were observed over the 15-year follow-up period, with no cases of subsidence, implant loosening, or complications necessitating revision surgery. The only complication reported was heterotopic ossification in 1 patient.</p><p><strong>Conclusion: </strong>Short metaphyseal stems provide better functional outcomes with early mobilization, and its long-term follow-up without subsidence, implant loosening, or proximal femoral bone loss simplifies revision surgery in younger patients.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"100173"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029402","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":"Current status of nanofat in the management of knee osteoarthritis: A systematic review.","authors":"Naveen Jeyaraman, Sandeep Shrivastava, V R Ravi, Arulkumar Nallakumarasamy, Madhan Jeyaraman","doi":"10.5312/wjo.v16.i1.99690","DOIUrl":"10.5312/wjo.v16.i1.99690","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA) is a prevalent joint disorder requiring innovative treatment approaches.</p><p><strong>Aim: </strong>To evaluate the use of nanofat, a specialized form of adipose tissue-derived cells, in the treatment of OA, by examining its efficacy, safety profile, mechanisms of action, comparative effectiveness, and long-term outcomes.</p><p><strong>Methods: </strong>A comprehensive review of preclinical studies, clinical trials, and <i>in vitro</i> investigations was conducted. The included studies provided insights into the potential role of nanofat in OA treatment, addressing its efficacy, safety profile, mechanisms of action, comparative effectiveness, and long-term outcomes.</p><p><strong>Results: </strong>Clinical studies consistently reported the efficacy of nanofat in providing pain relief and functional improvement in patients with OA. Local adverse events were limited to the injection site, such as localized pain and inflammation, and resolved within a few days to weeks. Systemic adverse events were rare, and no significant long-term complications were observed. Mechanistically, nanofat was found to enhance chondrocyte proliferation, reduce inflammation, and promote angiogenesis, thereby contributing to its therapeutic effects.</p><p><strong>Conclusion: </strong>Nanofat therapy holds promise as a therapeutic option for managing OA, providing pain relief, functional improvement, and potential tissue regeneration. The safety profile of nanofat treatment appears favorable, but long-term data are still limited. Standardized protocols, larger randomized controlled trials, longer follow-up periods, and cost-effectiveness evaluations are warranted to establish optimal protocols, comparative effectiveness, and long-term outcomes. Despite current limitations, nanofat therapy demonstrates translational potential and should be considered in clinical practice for OA treatment, with careful patient selection and monitoring.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"99690"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030047","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":"Integrating finite element analysis in total hip arthroplasty for childhood hip disorders: Enhancing precision and outcomes.","authors":"Muhammad Imam Ammarullah","doi":"10.5312/wjo.v16.i1.98871","DOIUrl":"10.5312/wjo.v16.i1.98871","url":null,"abstract":"<p><p>Total hip arthroplasty for adults with sequelae from childhood hip disorders poses significant challenges due to altered anatomy. The paper published by Oommen <i>et al</i> reviews the essential management strategies for these complex cases. This article explores the integration of finite element analysis (FEA) to enhance surgical precision and outcomes. FEA provides detailed biomechanical insights, aiding in preoperative planning, implant design, and surgical technique optimization. By simulating implant configurations and assessing bone quality, FEA helps in customizing implants and evaluating surgical techniques like subtrochanteric shortening osteotomy. Advanced imaging techniques, such as 3D printing, virtual reality, and augmented reality, further enhance total hip arthroplasty precision. Future research should focus on validating FEA models, developing patient-specific simulations, and promoting multidisciplinary collaboration. Integrating FEA and advanced technologies in total hip arthroplasty can improve functional outcomes, reduce complications, and enhance quality of life for patients with childhood hip disorder sequelae.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"98871"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030049","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":"Role of neurogenic inflammation in intervertebral disc degeneration.","authors":"Bao-Gan Peng, Yong-Chao Li, Liang Yang","doi":"10.5312/wjo.v16.i1.102120","DOIUrl":"10.5312/wjo.v16.i1.102120","url":null,"abstract":"<p><p>In healthy intervertebral discs (IVDs), nerves and blood vessels are present only in the outer annulus fibrosus, while in degenerative IVDs, a large amount of nerve and blood vessel tissue grows inward. Evidence supports that neurogenic inflammation produced by neuropeptides such as substance P and calcitonin gene related peptide released by the nociceptive nerve fibers innervating the IVDs plays a crucial role in the process of IVD degeneration. Recently, non-neuronal cells, including IVD cells and infiltrating immune cells, have emerged as important players in neurogenic inflammation. IVD cells and infiltrating immune cells express functional receptors for neuropeptides through which they receive signals from the nervous system. In return, IVD cells and immune cells produce neuropeptides and nerve growth factor, which stimulate nerve fibers. This communication generates a positive bidirectional feedback loop that can enhance the inflammatory response of the IVD. Recently emerging transient receptor potential channels have been recognized as contributors to neurogenic inflammation in the degenerative IVDs. These findings suggest that neurogenic inflammation involves complex pathophysiological interactions between sensory nerves and multiple cell types in the degenerative IVDs. Clarifying the mechanism of neurogenic inflammation in IVD degeneration may provide in-depth understanding of the pathology of discogenic low back pain.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"16 1","pages":"102120"},"PeriodicalIF":2.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029357","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":"Enhanced recovery after surgery protocols for minimally invasive treatment of Achilles tendon rupture: Prospective single-center randomized study.","authors":"Xiu-Jie Yan, Wei-Hong Zhang","doi":"10.5312/wjo.v15.i12.1191","DOIUrl":"10.5312/wjo.v15.i12.1191","url":null,"abstract":"<p><strong>Background: </strong>Achilles tendon rupture is a common orthopedic injury, with an annual incidence of 11-37 per 100000 people, significantly impacting daily life. Minimally invasive surgery, increasingly favored for its reduced risks and comparable fixation strength to open surgery, addresses these challenges. Despite advantages like accelerated recovery, perioperative care poses emotional support, pain management, and rehabilitation challenges, impacting treatment efficacy and patient experience. To address these gaps, this study investigated the efficacy of a rapid rehabilitation protocol in enhancing recovery outcomes for minimally invasive Achilles tendon surgery, aiming to develop personalized, standardized care guidelines for broader implementation.</p><p><strong>Aim: </strong>To evaluate a nursing-led rapid rehabilitation program for minimally invasive Achilles tendon repair surgery, providing evidence-based early recovery indicators.</p><p><strong>Methods: </strong>This study enrolled 160 patients undergoing channel-assisted minimally invasive Achilles tendon repair randomized into experimental and control groups. The experimental group received perioperative rapid rehabilitation nursing care, while the control group received standard care. The primary outcome measure was the Oswestry disability index score, with secondary outcomes including quality of life, Barthel index, patient satisfaction with nursing, incidence of complications, and rehabilitation adherence. Statistical analysis included appropriate methods to compare outcomes between groups. The study was conducted in a specific setting, utilizing a randomized controlled trial design.</p><p><strong>Results: </strong>All 160 patients completed the follow-up. The experimental group showed significantly greater improvements in key efficacy indicators: Postoperative Oswestry disability index score (8.688 <i>vs</i> 18.88, <i>P</i> < 0.0001), quality of life score (53.25 <i>vs</i> 38.99, <i>P</i> < 0.0001), and Barthel index (70.44 <i>vs</i> 51.63, <i>P</i> < 0.0001). The experimental group had a lower incidence of deep vein thrombosis (1.25% <i>vs</i> 10.00%, <i>P</i> = 0.0339) with a relative risk of 0.1250 (95% confidence interval: 0.02050-0.7421). Infection rates were lower in the experimental group (2.50% <i>vs</i> 11.25%, <i>P</i> = 0.0564). Hospital stay (5.40 days <i>vs</i> 7.26 days, <i>P</i> < 0.0001) and postoperative bed rest (3.34 days <i>vs</i> 5.42 days, <i>P</i> < 0.0001) were significantly shorter. Patient satisfaction was 100% in the experimental group <i>vs</i> 87.50% in the control group (<i>P</i> = 0.0031).</p><p><strong>Conclusion: </strong>The rapid rehabilitation intervention significantly reduced pain, shortened hospital stays, and lowered complication rates, improving joint function and patient satisfaction.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 12","pages":"1191-1199"},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915603","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":"Regulatory gaps in India's medical device framework: The case of Johnson and Johnson's faulty hip implants.","authors":"Vidya Menon","doi":"10.5312/wjo.v15.i12.1124","DOIUrl":"10.5312/wjo.v15.i12.1124","url":null,"abstract":"<p><p>The Johnson and Johnson faulty hip implant case represents one of the most significant crises in medical device history, impacting nearly 93000 patients worldwide. In response to alarming failure rates and a global recall in August 2010, countries such as Australia, the United States, and the United Kingdom quickly implemented revision surgeries and reimbursement programs to protect patient safety. In stark contrast, India's response was alarmingly delayed; defective implants continued to be sold even after the global recall. By the time the import license was revoked, and the Central Drugs Standard Control Organization issued a recall notice, these implants had already been involved in 4700 surgeries across India. This paper explores the systemic weaknesses in India's medical device regulatory framework that contributed to this delayed action, resulting in many patients suffering from serious health complications. It highlights deficiencies in monitoring and reporting mechanisms, inadequate regulatory oversight, and insufficient approval processes. Furthermore, the inability to trace affected patients and provide necessary compensation underscores significant gaps in regulation. Although subsequent legislative reforms were introduced, this paper argues that substantial loopholes remain, posing risks for future incidents. Thus, urgent, comprehensive, and enforceable regulatory measures are needed to increase patient safety.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 12","pages":"1124-1134"},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915963","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":"Assessing clinical and patient reported outcomes of Sironix suture anchors in rotator cuff and Bankart repair surgeries.","authors":"Puthumanapully Vinod Kumar, Subin Sugath, Vijay Mohan, Ashok Kumar Moharana, Sachin Angrish, Deepak Ts","doi":"10.5312/wjo.v15.i12.1183","DOIUrl":"10.5312/wjo.v15.i12.1183","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears and Bankart lesions significantly affect shoulder function and quality of life. Arthroscopic rotator cuff repair and Bankart repair has become the standard treatment for restoring function and reducing pain. Recent advancements include new suture anchor technologies, such as the Sironix suture anchor known for its biomechanical strength and promising outcomes. However, there are limited real-world data on its effectiveness and safety, particularly in the Indian population.</p><p><strong>Aim: </strong>To evaluate the effectiveness and safety of Sironix suture anchors in rotator cuff and Bankart repair surgeries.</p><p><strong>Methods: </strong>Sixty participants underwent surgery between January 2021 and December 2022, and demographic data and postoperative outcomes were collected through retrospective reviews and telephonic interviews. Validated scales, including the PENN Shoulder Score (PSS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Single Assessment Numeric Evaluation (SANE), were utilized for assessment.</p><p><strong>Results: </strong>Treatment with Sironix suture anchor devices, including Ceptre Knotted UHMWPE Suture Titanium Anchor, Spyke Knotted UHMWPE Suture Peek Anchor, Stativ Knotted UHMWPE Suture Anchor, and Viplok Knotless Peek Screw Anchor with Titanium Tip, revealed no repair failures. Participants demonstrated high satisfaction and functional improvement, as evidenced by the mean Quick DASH score (32.01) and PSS (71.65) and the satisfactory SANE scores for both injured joints (74.33) and non-injured (83.67) shoulder joints.</p><p><strong>Conclusion: </strong>The study yielded favorable outcomes for rotator cuff tear repair and Bankart repair. No repair failures were observed, supporting the safety and efficacy of these devices in shoulder injury management.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":"15 12","pages":"1183-1190"},"PeriodicalIF":2.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915980","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}