Markus Walther, Oliver Gottschalk, Matthias Aurich
{"title":"Operative management of osteochondral lesions of the talus: 2024 recommendations of the working group 'clinical tissue regeneration' of the German Society of Orthopedics and Traumatology (DGOU).","authors":"Markus Walther, Oliver Gottschalk, Matthias Aurich","doi":"10.1530/EOR-23-0075","DOIUrl":"10.1530/EOR-23-0075","url":null,"abstract":"<p><p>The working group 'Clinical Tissue Regeneration' of the German Society of Orthopedics and Traumatology (DGOU) issues this paper with updating its guidelines. Literature was analyzed regarding different topics relevant to osteochondral lesions of the talus (OLT) treatment. This process concluded with a statement for each topic reflecting the best scientific evidence available with a grade of recommendation. All group members rated the statements to identify possible gaps between literature and current clinical practice. Fixation of a vital bony fragment should be considered in large fragments. In children with open physis, retrograde drilling seems to work better than in adults, but even there, the revision rate reaches 50%. The literature supports debridement with bone marrow stimulation (BMS) in lesions smaller than 1.0 cm² without bony defect. The additional use of a scaffold can be recommended in lesions larger than 1.0 cm². For other scaffolds besides AMIC®/Chondro-Gide®, there is only limited evidence. Systematic reviews report good to excellent clinical results in 87% of the patients after osteochondral transplantation (OCT), but donor site morbidity is of concern, reaching 16.9%. There is no evidence of any additional benefit from autologous chondrocyte implantation (ACI). Minced cartilage lacks any supporting data. Metallic resurfacing of OLT can only be recommended as a second-line treatment. A medial malleolar osteotomy has a minor effect on the clinical outcome compared to the many other factors influencing the clinical result.</p>","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 3","pages":"217-234"},"PeriodicalIF":3.4,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10958247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Ignacio Cirillo, Guillermo A Ricciardi, Facundo Lisandro Alvarez Lemos, Alfredo Guiroy, Ratko Yurac, Klaus Schnake
{"title":"Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation: a narrative review and proposed treatment algorithm.","authors":"Juan Ignacio Cirillo, Guillermo A Ricciardi, Facundo Lisandro Alvarez Lemos, Alfredo Guiroy, Ratko Yurac, Klaus Schnake","doi":"10.1530/EOR-23-0161","DOIUrl":"10.1530/EOR-23-0161","url":null,"abstract":"<p><p>Isolated cervical spine facet fractures are often overlooked. The primary imaging modality for diagnosing these injuries is a computed tomography scan. Treatment of unilateral cervical facet fractures without evidence of dislocation or subluxation remains controversial. The available evidence regarding treatment options for these fractures is of low quality. Risk factors associated with the failure of nonoperative treatment are: comminution of the articular mass or facet joint, acute radiculopathy, high body mass index, listhesis exceeding 2 mm, fragmental diastasis, acute disc injury, and bilateral fractures or fractures that adversely affect 40% of the intact lateral mass height or have an absolute height of 1 cm.</p>","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 3","pages":"202-209"},"PeriodicalIF":3.4,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10958245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serkan Bayram, Ahmet Salduz, Ahmet Müçteba Yıldırım, Korhan Özkan, Levent Eralp, Harzem Özger
{"title":"What factors are associated with osteoarthritis after cementation for benign aggressive bone tumor of the knee joint: a systematic review and meta-analysis.","authors":"Serkan Bayram, Ahmet Salduz, Ahmet Müçteba Yıldırım, Korhan Özkan, Levent Eralp, Harzem Özger","doi":"10.1530/EOR-23-0189","DOIUrl":"10.1530/EOR-23-0189","url":null,"abstract":"<p><strong>Background: </strong>The current systematic review aimed to answer the following questions: (i) Does extended curettage combined with the PMMA technique for the treatment of aggressive bone tumors around the knee led to the development of knee osteoarthritis? (ii) What factors are associated with osteoarthritis after bone cementation around the knee joint?</p><p><strong>Methods: </strong>This study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All electronic searches were performed on November 20, 2022, by a single researcher who evaluated the full texts of potentially eligible studies to determine inclusion. In these patients, the presence of osteoarthritis secondary to the surgical procedure was investigated. Data extracted included study type, characteristics of participants, sample size, gender, tumor site (femur or tibia), secondary osteoarthritis, tumor volume, distance from the joint cartilage, reoperation, follow-up time, Campanacci grade, and pathological fracture.</p><p><strong>Results: </strong>In total, 11 studies comprising 204 patients were evaluated, and it was found that 61 (30%) patients developed knee osteoarthritis due to extensive curettage and bone cement application for benign aggressive tumor treatment. According to the results obtained based the random effects model with the 11 studies included in the meta-analysis, the mean odds ratio of development knee OA with the 95% CI was calculated as -2.77 (-3.711, -1.83), which was statistically significant (z = -5.79; P < 0.000).</p><p><strong>Conclusion: </strong>The association of distance between the tumor and joint cartilage and development of osteoarthritis was not shown in this meta-analysis.</p><p><strong>Level of evidence: </strong>Level IV prognostic study.</p>","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 3","pages":"181-189"},"PeriodicalIF":3.4,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10958246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yvet Mooiweer, Lina Roling, Margaret Vugrin, Lena Ansmann, Martin Stevens, Gesine H Seeber
{"title":"Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.","authors":"Yvet Mooiweer, Lina Roling, Margaret Vugrin, Lena Ansmann, Martin Stevens, Gesine H Seeber","doi":"10.1530/EOR-23-0087","DOIUrl":"10.1530/EOR-23-0087","url":null,"abstract":"<p><strong>Purpose: </strong>The association between preoperative expectations and treatment outcomes in total hip arthroplasty (THA) or total knee arthroplasty (TKA) is still unclear. Therefore the aim is to examine the association between preoperative outcome expectations, process expectations, and self-efficacy, and the postoperative outcomes overall outcome, pain, function, stiffness, satisfaction, and quality of life following THA/TKA.</p><p><strong>Methods: </strong>A systematic review with narrative synthesis was conducted. PubMed, EMBASE, PsycINFO, CINAHL and Cochrane Library were searched from inception to October 17, 2022. Included were prospective longitudinal cohort studies published in English, German, or Dutch, with an adult population undergoing THA/TKA, and including at least one measure of preoperative expectations and the postoperative outcomes mentioned earlier. Two independent reviewers screened the retrieved articles for eligibility, a third solved disagreements. Risk of bias (RoB) was assessed using the QUIPS tool.</p><p><strong>Results: </strong>Of the 50 included studies, 38 had high RoB and 12 moderate RoB. Unadjusted results suggest a positive association between preoperative outcome expectations and overall outcome in the medium and long term, and between self-efficacy and change in 'overall outcome' in the long term. Adjusted results suggest positive associations between outcome expectations and function and between self-efficacy and overall outcome in the medium term, and for outcome expectations with pain and change in pain, respectively, and self-efficacy and stiffness in the long term.</p><p><strong>Conclusions: </strong>Preoperative expectations show a possible positive association with specific outcome measures, such as pain or function. For future research, it is advised to link matching specific expectations with specific outcomes.</p>","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 2","pages":"107-118"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10873246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Han Ling Tan, Tunku Sara Ahmad, C Sankara Kumar, Yohan Khirusman Adnan, Lai Meng Looi, Jayaletchumi Gunasagaran
{"title":"Superficial acral fibromyxoma: insights from case management and comprehensive literature review.","authors":"Han Ling Tan, Tunku Sara Ahmad, C Sankara Kumar, Yohan Khirusman Adnan, Lai Meng Looi, Jayaletchumi Gunasagaran","doi":"10.1530/eor-23-0151","DOIUrl":"https://doi.org/10.1530/eor-23-0151","url":null,"abstract":"Superficial acral fibromyxoma, also known as digital fibromyxoma, is a slow-growing, benign, solitary soft tissue tumor. First described in 2001 by Fetsch et al., it is a condition that often occurs in middle-aged individuals. However, it has also been reported across a wide range of ages, ranging from 4 to 86 years, with males more commonly reported. The condition often presents as solitary soft tissue swelling over the periungual or subungual. We present the management experience of the rare presentation of this rare tumor and a detailed review of the past literature on this condition. Detailed management of the condition has been described, along with the outcome after 2 years of follow-up and treatment experience. Our detailed analysis shows that 2 years is the shortest duration of follow-up to rule out recurrence. Hence, most of the cases reported earlier had given the false sense of the recurrence rate of the tumor, which could lead to undertreatment of the condition. The purpose of this article is to allow the readers to understand better the tumor's characteristics with bone involvement and the tumor's diagnostic strategies and treatment options.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"35 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139663444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guido Grappiolo, Edoardo Guazzoni, Francesco Manlio Gambaro, Mattia Loppini
{"title":"Letter to the editor: 'The history of the development of the regular straight stem in hip arthroplasty'.","authors":"Guido Grappiolo, Edoardo Guazzoni, Francesco Manlio Gambaro, Mattia Loppini","doi":"10.1530/EOR-23-0171","DOIUrl":"10.1530/EOR-23-0171","url":null,"abstract":"","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 2","pages":"146-147"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10873245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hanna Wellauer, Roman Heuberger, Emanuel Gautier, Moritz Tannast, Hubert Steinke, Peter Wahl
{"title":"Reply to the Letter to the editor from Grappiolo G et al. to the article 'The History of the development of the regular straight stem in hip arthroplasty'.","authors":"Hanna Wellauer, Roman Heuberger, Emanuel Gautier, Moritz Tannast, Hubert Steinke, Peter Wahl","doi":"10.1530/EOR-23-0177","DOIUrl":"10.1530/EOR-23-0177","url":null,"abstract":"","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 2","pages":"148-149"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10873242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmed Halloum, Søren Kold, Jan Duedal Rölfing, Ahmed A Abood, Ole Rahbek
{"title":"Correction of rotational deformities in long bones using guided growth: a scoping review.","authors":"Ahmed Halloum, Søren Kold, Jan Duedal Rölfing, Ahmed A Abood, Ole Rahbek","doi":"10.1530/eor-23-0149","DOIUrl":"https://doi.org/10.1530/eor-23-0149","url":null,"abstract":"The objective of this scoping review was to describe the extent and type of evidence of using guided growth to correct rotational deformities of long bones in children.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"16 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139679862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marc Saab, Cédric Zobrist, Nicolas Blanchemain, Bernard Martel, Feng Chai
{"title":"Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis.","authors":"Marc Saab, Cédric Zobrist, Nicolas Blanchemain, Bernard Martel, Feng Chai","doi":"10.1530/EOR-23-0055","DOIUrl":"10.1530/EOR-23-0055","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to conduct a systematic literature review analyzing the results of in vivo rat femoral defect models using biomaterials for improving the induced membrane technique (IMT).</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the PubMed, Embase, and Web of Science databases were searched. Inclusion criteria were studies reporting results of the IMT in in vivo rat femoral critical-sized defect models using a biomaterial possibly combined with molecules. Methodologic quality was assessed with the Animal Research: Reporting In Vivo Experiments guidelines.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria. Femoral stabilization with plate and screws was the most frequent. Histologic, biomechanical, and/or radiologic analyses were performed. In two-stage strategies, the PMMA spacer could be associated with bioactive molecules to enhance IM growth factor expression and improve bone formation. Modulating the roughness of spacers could increase IM thickness and accelerate its formation. In one-stage strategies, human tissue-derived membranes combined with bone grafting achieved bone formation comparable to a standard IMT. All calcium phosphate grafts seemed to require a functionalization with growth factors or bone marrow mononuclear cells to improve outcomes compared with non-functionalized grafts.</p><p><strong>Conclusion: </strong>This systematic review described the main parameters of the in vivo rat femoral defect models using biomaterials to improve the induced membrane technique. Although the studies included had several methodological limitations that may limit the scope of these conclusions, one- and two-stage strategies reported promising results with biomaterials to improve the IMT.</p>","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"9 2","pages":"138-145"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10873241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of functional or biomechanical bandages with athletic taping and kinesiotaping in subjects with chronic ankle instability: a systematic review and meta-analysis.","authors":"Gema Chamorro-Moriana, Veronica Perez-Cabezas, Marisa Benitez-Lugo","doi":"10.1530/eor-23-0129","DOIUrl":"https://doi.org/10.1530/eor-23-0129","url":null,"abstract":"The aim of the study was to analyze the effects of functional or biomechanical bandages, whether elastic or inelastic, in Chronic Ankle Instability (CAI).","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":"1 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139679996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}