International journal of orthopaedics research最新文献

{"title":"Consequences of Proximal Femoral Focal Deficiency Case Report and Literature Review","authors":"","doi":"10.33140/ijor.06.03.04","DOIUrl":"https://doi.org/10.33140/ijor.06.03.04","url":null,"abstract":"Introduction: Proximal femoral focal deficit it is believe a congenital condition with phenomena known as dysplastic hip with shortening or absent femur. Proximal femoral focal deficit is relatively uncommon. Estimate of this infrequent anomaly on radiographs can aid treat these cases better as early treatment could help in achieving satisfactory growth of the femur. Importance: We report one of the rarest cases of patient underwent five different surgeries for correction of proximal femoral focal deficit starting from age of 11 years to 25 years of age and dealing with proximal femoral focal deficit complication. Case Presentation: 11 years with left lower limb shortening. The Patient was not following up with any clinic before. He was born via vaginal normal delivery as full-term baby with no postnatal complication. Upon examination, the patient had a shortening of the left lower limb of almost 6cm in comparison to the right side. x ray showed left hip proximal femur focal deficit. Our patient underwent 5 different surgical correction of proximal femoral focal deficit. Clinical Discussion: Proximal femoral focal deficit is an extremely rare congenital anomaly with few case reports in the literature. Therefore, for us to have one case with a long follow-up that includes five surgeries done to the same patient, which is not described in the existing literature, is exceptional. No literature describe how to deal with complication of Proximal femoral focal deficit. Conclusion: The discovery of one cases of proximal femoral focal deficiency, a rare entity. Moreover, dealing with such rare case with it is compilation consider a very rare entity","PeriodicalId":482848,"journal":{"name":"International journal of orthopaedics research","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136026098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinematic Comparison Between Walking and Jogging in The Lower Limbs Joints","authors":"","doi":"10.33140/ijor.06.03.03","DOIUrl":"https://doi.org/10.33140/ijor.06.03.03","url":null,"abstract":"Background Walking and jogging are considered two of the most important movements in human daily life. However, no previous studies have been conducted comparing the kinematics between these two movements. Research questions Are there any differences in joint kinematics of the lower limbs when walking and jogging? Methods Thirteen healthy males participated in this study with a mean age of 31.6 years. A motion capture system was used to collect walking and jogging movements in the lower limbs. The joint angles in hip, knee and ankle were compared between two movements. Statistical method was the repeated measurement of general linear model. Results The main finding was a significant difference between walking and jogging in the hip and ankle in sagittal plane in the knee in the transverse plane. During the entire gait cycle, the hip max extension in walking were roughly 9 deg larger than in jogging, but hip max flexion in walking were roughly 4 deg smaller than in jogging; as whole in the sagittal plane, the range of motion in the hip was larger in walking than in jogging by roughly 12%. Knee angles in the transverse plane were significantly greater in jogging than in walking by roughly 6 deg or 26% while similar in the sagittal plane. The ankle had larger range of motion in jogging than in walking by roughly 10 deg or 22% in the sagittal plane. Significance The study results demonstrate that jogging has not increased hip range of motion in the sagittal plane, but increased knee rotation in transverse plane largely in compared with walking. Moreover, jogging required greater flexibility at the ankle. The findings indicate that the protection of injury needs to pay more attention to the knee and ankle.","PeriodicalId":482848,"journal":{"name":"International journal of orthopaedics research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135946026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Cohort Study of a Modified Open-Door Laminoplasty With Reconstruction of The Cervical Posterior Ligamental Complex to Decrease Axial Pain in Cervical Spondylotic Myelopathy","authors":"","doi":"10.33140/ijor.06.02.03","DOIUrl":"https://doi.org/10.33140/ijor.06.02.03","url":null,"abstract":"Background: Cervical spondylotic myelopathy patients with multiple segments are usually treated with surgery via the posterior approach, but expansive open laminoplasty (ELAP) often results in heavy, rigid, and acid bilge feelings in the neck, shoulder, and back, collectively known as axial symptoms. To evaluate the effect of modified posterior cervical ligament complex reconstruction and single-door laminoplasty with titanium plate fixation on postoperative axial symptoms in patients. Methods: We conducted a retrospective study including 132 cases of cervical spondylotic myelopathy at our institute from June 2016 to March 2018. The patients who conformed to the inclusion criteria were randomly divided into two different surgical groups by by the surgeons. Gender, age, operation time, intraoperative blood loss, post-operative drainage volume, and follow-up time, Visual analogue scoring (VAS), cervical curvature index (CCI) and the cross-sectional area of the posterior cervical muscles of the two groups were recorded. Results: There was statistical significance in the incidence of axial pain 3 months after surgery (P = 0.001), 6 months after surgery (P = 0.006), and 1 year after surgery (P = 0.015). Compared to group b, the VAS score in group A was decreased one month (P <0.0001), 3 months (P=0.0001), 6 months(P=0.0076), and 1 year(P=0.0085) after surgery. The CCI and the posterior cervical muscle area also differed significantly between the two groups (P < 0.0001). Conclusions: Modified single open-door laminoplasty could relieve cervical axial pain in patients with cervical spondylotic myelopathy","PeriodicalId":482848,"journal":{"name":"International journal of orthopaedics research","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135503035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Cohort Study of a Modified Open-Door Laminoplasty With Reconstruction of The Cervical Posterior Ligamental Complex to Decrease Axial Pain in Cervical Spondylotic Myelopathy","authors":"","doi":"10.33140/ijor.06.02.023","DOIUrl":"https://doi.org/10.33140/ijor.06.02.023","url":null,"abstract":"Background: Cervical spondylotic myelopathy patients with multiple segments are usually treated with surgery via the posterior approach, but expansive open laminoplasty (ELAP) often results in heavy, rigid, and acid bilge feelings in the neck, shoulder, and back, collectively known as axial symptoms. To evaluate the effect of modified posterior cervi- cal ligament complex reconstruction and single-door laminoplasty with titanium plate fixation on postoperative axial symptoms in patients. Methods: We conducted a retrospective study including 132 cases of cervical spondylotic myelopathy at our institute from June 2016 to March 2018. The patients who conformed to the inclusion criteria were randomly divided into two different surgical groups by by the surgeons. Gender, age, operation time, intraoperative blood loss, post-operative drainage volume, and follow-up time, Visual analogue scoring (VAS), cervical curvature index (CCI) and the cross-sec- tional area of the posterior cervical muscles of the two groups were recorded. Results: There was statistical significance in the incidence of axial pain 3 months after surgery (P = 0.001), 6 months after surgery (P = 0.006), and 1 year after surgery (P = 0.015). Compared to group b, the VAS score in group A was decreased one month (P <0.0001), 3 months (P=0.0001), 6 months(P=0.0076), and 1 year(P=0.0085) after surgery. The CCI and the posterior cervical muscle area also differed significantly between the two groups (P < 0.0001). Conclusions: Modified single open-door laminoplasty could relieve cervical axial pain in patients with cervical spon- dylotic myelopathy","PeriodicalId":482848,"journal":{"name":"International journal of orthopaedics research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135449248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-Peritoneal Pelvic Pack with External Fixator Versus Pelvic Pack Alone for Hemodynamically Unstable Patients with Pelvic Fracture; A Historical Cohort Study","authors":"","doi":"10.33140/ijor.06.01.04","DOIUrl":"https://doi.org/10.33140/ijor.06.01.04","url":null,"abstract":"Purpose: Pelvic fracture is one of the most common cause of death in traumatic patients. It is due to high-energy trauma and approximately 80% of patients who develop severe hemorrhagic shock after a high-energy trauma die in the early stages. Unstable hemodynamic state due to pelvic fracture needs early fixation which supposed as a part of the resuscitation. This study was designed to compare the outcome, morbidity and complications of treatment with pre-peritoneal pelvic pack with external fixator against pelvic pack alone in traumatic pelvic fracture and unstable hemodynamic patients. Methods: In a retrospective case control study, patients with pelvic fracture and unstable hemodynamic state who referred to emergency and surgery department of Shahid Rajaei Hospital, Shiraz, Iran from august 2018 to august 2019 were enrolled by census manner. In the control group, 25 patients treated just by a pre-peritoneal pack (PPP group), while in the case group, pre-peritoneal pack and external fixator was done as the procedure to control bleeding (PPP Plus fixator group) in 22 individuals. All study procedures and data gathering was approved by the committee of ethics in Baghiatollah University of medical sciences. Two groups were compared for presence of thromboembolism, hospital stay, infection, BUN, creatinine, rate of blood transfusion and mortality. Results: Mean age of participants were 34.48±13.79 in pelvic pack group, while it was reported 32.36±16.29 in PPP plus external fixator ones. Mean of Injury Severity Score (ISS) (13) was measured 23.12±9.85 in Pelvic Pack group, while it was calculated 19.22±8.09 in PPP plus external fixator group. Acute kidney injury was reported in 6 (24%) individuals of PPP group, while its rate in PPP plus fixator group was 40.9%. Mortality rate was reported 32% and 4.5 % in control and case groups, respectively. There was a significant difference between groups (P-Value = 0.017, LR=6.42). VTE was reported 12% and 4.5 % in PPP group and PPP plus fixator ones, respectively. Conclusion: It was concluded that using external fixation with PPP can be a useful method for treatment of pelvic fractures with unstable hemodynamic situations. It is recommended to use biomarkers like lactate or others to determine the situation of patients as precise as possible.","PeriodicalId":482848,"journal":{"name":"International journal of orthopaedics research","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135339240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}