Efort Open Reviews最新文献_第7页

How to manage a native stiff knee. 如何处理原发性膝关节僵硬

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-05-10 DOI: 10.1530/EOR-24-0034

Francesco Pirato, Federica Rosso, Federico Dettoni, Davide Edoardo Bonasia, Matteo Bruzzone, Roberto Rossi

{"title":"How to manage a native stiff knee.","authors":"Francesco Pirato, Federica Rosso, Federico Dettoni, Davide Edoardo Bonasia, Matteo Bruzzone, Roberto Rossi","doi":"10.1530/EOR-24-0034","DOIUrl":"10.1530/EOR-24-0034","url":null,"abstract":"Knee stiffness is a widely known and worrying condition in several postoperative knees. Less is known about native stiff knee. The aim of this manuscript is to summarize the available literature on native stiff knee epidemiology, classification and treatment. In 1989 stiff knee was defined as a knee with less than 50° of total range of motion. If range of motion is <30°, it is defined as an ankylosed knee. Knee stiffness can be divided into three main types: flexion contractures, extension contractures, and combined contractures. Different risk factors have been associated to native stiff knee and grouped into modifiable or not modifiable. Furthermore, risk factors can be divided into patients' related no patients'-related. Different treatment modalities can be indicated to treat knee stiffness, including manipulation under anesthesia (MUA), arthroscopic and open surgical release. When stiffness is associated with articular disruption TKA represent an option. TKA in native stiff knee can be challenging for the surgeon. Implant's choice and knee exposure are the first steps. In some cases, additional release and extensive can be considered. A stepwise approach and careful preoperative planning are mandatory to obtain long-term satisfactory outcomes. Native stiff knee is a rare but invalidating condition. Different treatment modalities have been proposed as treatment. However, considering that it is frequently associated to sever arthritis, TKA can be an option in painful stiff knees. Nature of knee stiffness necessitates a customized approach to ensure successful management and achieve satisfying outcomes.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11099574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899896","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}

引用次数: 0

Diagnosis and treatment of posterior shoulder instability based on the ABC classification. 根据 ABC 分类法诊断和治疗肩关节后方不稳。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-05-10 DOI: 10.1530/EOR-24-0025

Alp Paksoy, Doruk Akgün, Sebastian Lappen, Philipp Moroder

引用次数: 0

Immediate management of a stable patient with unstable pelvis. 立即处理骨盆不稳定的稳定型患者。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-05-10 DOI: 10.1530/EOR-24-0055

Juan Ramón Cano, José Manuel Bogallo, Alicia Ramirez, Enrique Guerado

{"title":"Immediate management of a stable patient with unstable pelvis.","authors":"Juan Ramón Cano, José Manuel Bogallo, Alicia Ramirez, Enrique Guerado","doi":"10.1530/EOR-24-0055","DOIUrl":"10.1530/EOR-24-0055","url":null,"abstract":"The diagnosis of a traumatic unstable pelvis in a stable patient is a temporary concept depending on when we see the patient, as all patients presenting with hemorrhagic shock have hemodynamic stability until they become unstable. As a rule, the more unstable the pelvic fracture is, the higher the risk of bleeding and hemodynamic instability it has. Therefore, in unstable pelvic fractures, hemodynamic stability should be a diagnosis by exclusion. For bleeding detection in stable patients, an immediate one-stage contrast-enhanced CT scan is the appropriate diagnosis test; however, since CT scan radiation is always an issue, X-rays should be considered in those cases of hemodynamically stable patients in whom there is a reasonable suspicion that no unsafe bleeding is going on. Pelvic fracture classification is essential as usually there is an association between the injury mechanism, the fracture displacement, and the hemodynamic stability. Anteroposterior and, particularly, vertical traumatisms have much more proclivity to provoke major pelvic displacement and bleeding. The use of a pelvic binder, as early as possible including pre-hospital management, should be standard in high-impact blunt trauma patients independently of the trauma mechanisms. External fixation is the preferred method of stabilization in case of open fractures, and, in closed ones, when the schedule for definite osteosynthesis prolongs because of the patient's general condition. If possible, immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures produce excellent results even in open fractures.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11099580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899899","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}

引用次数: 0

Outcomes of total hip arthroplasty using collared versus collarless uncemented HA-coated stems: a meta-analysis. 使用有髋环与无髋环非骨水泥 HA 涂层髋关节柄进行全髋关节置换术的结果：一项荟萃分析。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-22-0091

Tarik Ait-Si-Selmi, Jean-Pierre Vidalain, Sonia Ramos-Pascual, Thomas Kuratle, Mo Saffarini, Edouard Dejour, Michel P Bonnin

引用次数: 0

The role of kyphoplasty and expandable intravertebral implants in the acute treatment of traumatic thoracolumbar vertebral compression fractures: a systematic review. 椎体成形术和可膨胀椎体内植入物在创伤性胸腰椎压缩性骨折急性期治疗中的作用：系统性综述。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0190

Diogo Lino Moura

引用次数: 0

Brachymetatarsia. Brachymetatarsia.

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0011

Matías Sepulveda, Gabriel Orellana, Francisco Sanchez, Estefania Birrer

引用次数: 0

Global trends and research hotspots of reverse total shoulder arthroplasty: a bibliometric analysis from 1991 to 2022. 反向全肩关节置换术的全球趋势和研究热点：1991-2022 年文献计量分析。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0106

Hongfu Jin, Shide Jiang, Volotovski Pavel, Djandan Tadum Arthur Vithran, Wenfeng Xiao, Yusheng Li

{"title":"Global trends and research hotspots of reverse total shoulder arthroplasty: a bibliometric analysis from 1991 to 2022.","authors":"Hongfu Jin, Shide Jiang, Volotovski Pavel, Djandan Tadum Arthur Vithran, Wenfeng Xiao, Yusheng Li","doi":"10.1530/eor-23-0106","DOIUrl":"https://doi.org/10.1530/eor-23-0106","url":null,"abstract":"Reverse total shoulder arthroplasty (rTSA) has been demonstrated to be an effective intervention for various shoulder disorders. The number of rTSA-related studies performed has increased annually over the past three decades. The Journal of Shoulder and Elbow Surgery had the highest number of publications and citations in the rTSA-related research domain and is therefore considered to be the most influential journal in this field. The USA published the most publications and established a high degree of cooperation with many countries worldwide. The University of Florida, the Hospital for Special Surgery, and Rush University, Mayo Clinic were representative and active institutions in this field. It is anticipated that advancements in prosthesis design, specifically with regards to lateralized design concepts, expanding indications for rTSA, a trend toward younger patient populations, and the management of postoperative complications will emerge as research hotspots in the following years. The most valuable publications, influential journals, major researchers, and leading countries were analyzed. The findings of our study will help researchers gain insights into current research hotspots and frontiers and shape their research focus in the field of rTSA.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140593656","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}

引用次数: 0

Multidirectional instability of the shoulder: a systematic review with a novel classification. 肩部多向不稳：系统性综述与新分类法。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0029

Victor Housset, Sean Wei Loong Ho, Alexandre Lädermann, Sean Kean Ann Phua, Si Jian Hui, Geoffroy Nourissat

引用次数: 0

Artificial intelligence in diagnosing upper limb musculoskeletal disorders: a systematic review and meta-analysis of diagnostic tests. 人工智能诊断上肢肌肉骨骼疾病：诊断测试的系统回顾和荟萃分析。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0174

Guillermo Droppelmann, Constanza Rodríguez, Carlos Jorquera, Felipe Feijoo

引用次数: 0

Modified Gritti-Stokes amputation: tips and tricks. 改良格里蒂-斯托克斯截肢术：技巧和窍门。

IF 3.4 2区医学

Efort Open Reviews Pub Date : 2024-04-04 DOI: 10.1530/eor-23-0118

Laura Walthert, Michael Ris, Kevin Moerenhout, Sébastien Déglise, Pietro Giovanni Di Summa, Sylvain Steinmetz

{"title":"Modified Gritti-Stokes amputation: tips and tricks.","authors":"Laura Walthert, Michael Ris, Kevin Moerenhout, Sébastien Déglise, Pietro Giovanni Di Summa, Sylvain Steinmetz","doi":"10.1530/eor-23-0118","DOIUrl":"https://doi.org/10.1530/eor-23-0118","url":null,"abstract":"Major amputations of the lower extremity may be required after trauma and a variety of underlying diseases such as peripheral vascular disease, diabetes, and malignancies. The goal of any major amputation is an optimal functional result with a maximum limb length in combination with optimal wound healing. The preservation of the knee joint is essential for successful rehabilitation, and this is best achieved by the Burgess below-knee amputation (BKA). Whenever a BKA is not possible, the Gritti-Stokes amputation is our first choice. This technique mainly consists of a through-knee amputation with the creation of a pedicled patella flap consisting of the patella, patellar ligament, and overlying soft tissue. After osteotomy of the distal femur and resection of the articular surface of the patella, the anterior flap is rotated in order to cover the femur defect while performing a patellofemoral arthrodesis. The aim of this paper is to describe our surgical technique and experience with GSA and to point out the important steps of this procedure. In conclusion, GSA is an excellent surgical option for patients requiring major lower limb amputations where BKA cannot be considered. Particular attention must be paid to careful preoperative evaluation and optimization of comorbidities. A meticulous surgical technique is warranted, including atraumatic tissue handling and an optimal patellofemoral arthrodesis technique.","PeriodicalId":48598,"journal":{"name":"Efort Open Reviews","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140593660","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}

引用次数: 0