Journal of Orthopaedics, Trauma and Rehabilitation最新文献

{"title":"Three-in-one protocol for the management of hemodynamically unstable paediatric pelvic fracture – a level one trauma centre 15 year review","authors":"Adam Yang Zhen Wei, Tim Chui King Him, Lee Kin Bong","doi":"10.1177/22104917231208210","DOIUrl":"https://doi.org/10.1177/22104917231208210","url":null,"abstract":"A three-in-one protocol comprised of pelvic external fixation, retroperitoneal pelvic packing, and angiography with or without embolization has been developed and used in our centre to improve survival outcomes of hemodynamically unstable pelvic fractures since 2008. Fourteen paediatric patients over a period of 15 years are reviewed in this case series. The mean age is 11.6 and standard deviation is 4.6. The mean injury severity score is 31.6. Sixty four percent underwent three-in-one protocol management. The overall survival rate at index hospital admission and at one year is 85.7% which is higher than the adult group (81%) from a study conducted at our centre and comparable to the rate in paediatric group. One patient had pelvic external fixator pin tract infection and two had lower limb ischemia post embolization. At 6 months follow up, one patient had pelvic pain and one had hip protrusio. We conclude that improvement in survival outcome also applies to the paediatric population. Technical differences in the paediatric group is highlighted to minimize potential complications.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"616 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140472307","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":"Kinesiotaping versus counterforce brace in the management of lateral elbow tendinopathy","authors":"A. Abdelmonem, Mariam A. Ameer, Ammar M. AlAbbad, A. Abdelmohsen","doi":"10.1177/22104917231208211","DOIUrl":"https://doi.org/10.1177/22104917231208211","url":null,"abstract":"Purpose: The main purpose of the current study was to assess whether counter force brace (CFB) offers any additional value over Kinesiotaping (KT) in the management of tennis elbow. Materials and Methods: Forty-five females with clinically diagnosed tennis elbow participated in the current study. They were equally assigned into three groups of equal numbers. 12 sessions over 4 weeks of treatment interventions; experimental group A received the traditional physiotherapy program in addition to KT. Group B received the physiotherapy program in addition to the CFB. Group C (Control Group) received the physiotherapy program only. The degree of tennis elbow pain and myoelectrical activities of forearm muscles were measured. Results: There was a statistically significant reduction of pain in the experimental group A (KT) in comparison with the control group (p = 0.000), while a statistically significant reduction of pain (p = 0.000) and improvement of the myoelectrical activities of the forearm muscles (p = 0.000) were detected in the experimental group B (CFB) in comparison with the control group. In addition, the statistically significant reduction of pain (p = 0.000) and improvements in wrist flexors and extensors (p = 0.001 and p = 0.000, respectively) were detected in CFB compared with KT. Conclusion: Compared to KT or a physical therapy program alone, the use of CFB in the treatment of lateral elbow tendinopathy may be beneficial, especially in reducing pain and enhancing the muscle activities of the elbow flexors and extensors.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"61 10-11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140491830","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":"Isolated greater trochanter fractures of the native hip: Is magnetic resonance imaging needed?","authors":"Kevin Heo, Jason A Shah, Nick Cantu, John M. Kopriva, Henry M Gass, Alexander R. Webb, Amoolya Vayalapalli, Thomas J Moore","doi":"10.1177/22104917231208209","DOIUrl":"https://doi.org/10.1177/22104917231208209","url":null,"abstract":"Background: Isolated greater trochanter fractures represent a subset of hip fractures for which diagnostic work-up and treatment algorithms can vary. Magnetic resonance imaging has been described as the definitive method of evaluating fracture extension into the intertrochanteric region. While prophylactic fixation for those with fracture extension may prevent the propagation of the injury, treatment debates remain. This study aimed to assess adherence to protocols at our institution and evaluate outcomes in those whose care deviated from protocol. Methods: In a retrospective analysis, adult patients (≥18 years old) presenting with a greater trochanter fracture over a 7-year period (2015–2021) were identified. Patients were excluded if the injury was periprosthetic, had a ballistic mechanism, or had any concomitant fractures of the femoral head, neck, or shaft identified on plain radiographs. Patient demographics, comorbidities, treatment, and outcomes were tabulated via chart review. Results: In total, 57 isolated greater trochanter fracture patients were included. Of these, 52 patients (91%) had computed tomographic scans, yet only 41 patients (72%) had magnetic resonance imaging completed. In total, 10 of the 41 (24%) patients with magnetic resonance imaging showed <50% fracture line extension, and all of these patients were treated nonoperatively. In contrast, 24 of 41 magnetic resonance imaging patients (59%) showed >50% fracture line extension in both coronal and axial planes, of which 14 (58%) were treated operatively. However, the 10 nonoperative patients with significant fracture extension showed no increased hospital length-of-stay or fracture extension upon follow-up. Conclusions: Our study showed that institutional protocol for diagnostic workup and treatment evaluation for isolated greater trochanter fractures is not consistently followed. However, patients who deviated from treatment protocol showed no elevated risks of fracture propagation. Our study questions the need for magnetic resonance imaging in all isolated greater trochanter fractures, and suggests that protocols be revisited to ensure that workup is optimal for patients and costeffective for the healthcare system itself.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140498170","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":"Cross-cultural adaptation, reliability and validity analysis of the Cantonese-Chinese Manchester Oxford Foot Questionnaire for Foot and Ankle Disorder (Manchester-Oxford Foot Questionnaire HK)","authors":"Shu MC Chia, Leung P Ho, V. Ko, He Xin, Long CB Chow, P. S. Yung, Samuel Ka-Kin Ling","doi":"10.1177/22104917231208213","DOIUrl":"https://doi.org/10.1177/22104917231208213","url":null,"abstract":"The Manchester–Oxford Foot Questionnaire is a validated English 16-item patient-reported outcome measure for evaluating foot and ankle function. This study aimed to translate a Cantonese Chinese version of the questionnaire and evaluate its validity and reliability among patients with foot and ankle disorders. The translation and cross-cultural adaptation were conducted by forward translation, synthesis of translated versions, backward translation, review, and pre-testing by a panel of healthcare professionals. The test-retest reliability was conducted within 2–4 weeks. Internal consistency and construct validity were evaluated using the Visual Analogue Scale and Short-Form 36. 135 participants were recruited to complete the validation process. The overall reliability coefficient constituted 0.86 (intraclass correlation coefficient = 0.72–0.93). A strong, statistically significant correlation was found between the bodily pain subscale of Short-Form 36 and the pain subscale of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire ( r = −0.77, p < 0.001). This was similar to the pain subscale of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire and visual analogue pain score ( r = 0.77, p < 0.001). The overall score for the Cantonese Chinese Manchester-Oxford Foot Questionnaire between the healthy control group and the pathological group was statistically different ( p < 0.001). A good consistency level was found in the questionnaire with a Cronbach's alpha coefficient of 0.78, 0.86, 0.78, 0.85 for pain, walking/standing, social interaction, and the overall domain of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire, respectively. Therefore, this questionnaire can be adapted as a reliable clinical assessment and an outcome measure among the Cantonese Chinese-speaking population.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"117 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500112","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":"The relationship between body height and plantar pressure distribution in adult handball players: A cross-sectional study","authors":"A. Abdel-aziem, M. Ameer","doi":"10.1177/22104917231208214","DOIUrl":"https://doi.org/10.1177/22104917231208214","url":null,"abstract":"The relationship between a handball player's upper body posture, body weight distribution in relation to body height is poorly understood. So, this study explored the relationship between body height and sagittal spinal curvatures and plantar pressure distribution in handball players. According to handball player's body height, 63 male handball players were divided into two groups; group A (age, 23.54 ± 1.32 years) consisted of 30 handball players with body height above average, and group B (age, 23.40 ± 1.73 years) consisted of 33 handball players with body height below average. The thoracic and lumbar curvatures and trunk height were measured with the Formetric III 4D spine, and the DIERS Pedoscan device was used to assess the plantar pressure distribution for both groups. The thoracic kyphosis of group A was significantly higher than that of group B ( p = 0.001), without a significant difference in lumbar lordosis ( p = 0.086). Group A showed a significant increase in the forefeet pressure and a significant decrease in the rearfeet pressure compared to group B ( p = 0.001). There was a high positive correlation between the body height and trunk length, and body height and kyphosis angle ( r = 0.932, r = 0.665, respectively). There was a high positive correlation between the body height and forefoot plantar pressure ( r = 0.665, p < 0.01). The taller handball players have an increased thoracic kyphosis angle and forefeet pressure compared to shorter handball players.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"368 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500889","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":"ChatGPT is a promising tool to increase readability of orthopedic research consents","authors":"Bissem Gill, John Bonamer, Henry A. Kuechly, Rajul Gupta, Scottie Emmert, Sarah Kurkowski, Kim Hasselfeld, Brian M. Grawe","doi":"10.1177/22104917231208212","DOIUrl":"https://doi.org/10.1177/22104917231208212","url":null,"abstract":"Background/Purpose: Informed consent is a fundamental ethical requirement in medical research, ensuring that participants have a comprehensive understanding of the risks and benefits associated with their participation. Clinical researchers must ensure effective and efficient communication of the implications of participation, but the complexity and length of traditional research consent forms can impede comprehension and create barriers to effective communication between researchers and participants. For this reason, the American Medical Association recommends a 6th grade reading level for all patient-facing medical information. Can the large language model, ChatGPT-3.5, improve readability while simultaneously preserving information necessary for adequate informed consent?. Methods: Nineteen IRB approved Orthopedic surgery research consent forms were entered into ChatGPT with instructions to make the form “readable at a 6th-grade level.” Post ChatGPT consent forms were assessed using commonly used readability metrics. Additionally, a single Orthopedic surgeon who has practiced independently for 15 years assessed the forms for accuracy and retention of imperative informed consent elements. Results: The median differences between pre-ChatGPT and post-ChatGPT were statistically significant for every readability metric (all p < 0.001) and all favored the post-ChatGPT consent as being more readable. Two language metrics, Automated Readability Index and Raygor Grade Level, indicated the post-ChatGPT consent forms could meet the AMA's recommended 6th-grade reading level. Twelve of 19 post-ChatGPT consents had at least one error. Conclusion: ChatGPT can significantly improve the readability of Orthopedic clinical research consent forms, but these edited consents are not without mistakes and cannot reach the AMA's recommended 6th grade reading level. Therefore, ChatGPT should be used as a tool to supplement the writing and editing process of human researchers.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":"222 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500332","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":"Multi-disciplinary Rehabilitation Outcome Checklist: Italian validation of an instrument for risk of discharge in patients with total hip and/or knee replacement","authors":"Silvia Viglianese, A. Servadio, Giuseppe Maggi, R. Mollica, D. Valente, G. Galeoto","doi":"10.1177/2210491720912551","DOIUrl":"https://doi.org/10.1177/2210491720912551","url":null,"abstract":"Object: This article describes the translation and cultural adaptation of the Multi-disciplinary Rehabilitation Outcome Checklist Scale in Italian and reports the procedures to test their validity and reliability. Methods: The forward and backward translation was conducted by specialized and certified translators, independently from each other. The scale was then reviewed by a group of 20 experts. The process of cultural adaptation and validation took place on a cohort of patients who performed a joint replacement of hip and/or knee surgery in two hospitals of Rome. Results: The culturally adapted scale was administered to 114 patients. It results that the interoperator reliability is equal to intraclass correlation coefficient (ICC) = 0.977 for hip and ICC = 0.97 for knee. The construct validity and the responsiveness are statistically significant. Conclusion: It is a scale capable of assessing the patient in a comprehensive and multidisciplinary manner at the time of hospital discharge, useful for dismissing the patient in the most appropriate timing and with the best clinical and functional conditions.","PeriodicalId":517288,"journal":{"name":"Journal of Orthopaedics, Trauma and Rehabilitation","volume":" 13","pages":"16 - 22"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141220142","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}