Journal of Clinical Orthopaedics and Trauma最新文献

{"title":"Trends of publications on primary sarcomas of bone: A bibliometric analysis","authors":"Vibhu Krishnan Viswanathan ,&nbsp;Mohit Kumar Patralekh ,&nbsp;Vijay Kumar Jain ,&nbsp;Madhan Jeyaraman ,&nbsp;Abdus Sami ,&nbsp;Karthikeyan. P. Iyengar ,&nbsp;Rajesh Botchu","doi":"10.1016/j.jcot.2025.102917","DOIUrl":"10.1016/j.jcot.2025.102917","url":null,"abstract":"<div><h3>Introduction</h3><div>Sarcomas are a large group of malignant mesenchymal tumors. Despite being rare diseases, the disease burden of these malignant tumors on the existing healthcare infrastructure is substantial. Although previous bibliometric studies have analyzed the trends of publications on osteosarcoma and Ewing's sarcoma, no such major analyses encompassing all primary bone sarcomas have been reported hitherto.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional, bibliometric study of the published literature on bone sarcoma was performed on the Web of Science (WoS) database (Clarivate analytics) on the March 25, 2024. Only the manuscripts with a focus on primary sarcoma of bone published between 1945 and 2024 and articles in the English language were included. Diverse details regarding the publication trends (such as top authors, journals, countries, etc.) and citation profiles (mean annual citations, H-index, etc.) of the included studies were tabulated. Based on the bibliographic data, keyword, and co-authorship mappings were performed using the VOSviewer.</div></div><div><h3>Results</h3><div>A total of 3541 articles were included in the bibliometric analysis. The top three most-published authors were Hornicek FJ (n = 58), Henery Mankin (n = 53), and Unni K Krishnan (n = 43). The top three institutions publishing research on primary bone sarcoma were Mayo Clinic Hospital, USA (n = 162), Harvard University, USA (n = 146), and Massachusetts General Hospital, USA(n = 116)<strong><em>.</em></strong> The top three countries contributing to research on primary bone sarcoma were the USA (n = 1129), China (n = 402), and Japan (n = 385). CORR (n = 578), Skeletal Radiology (n = 430), and JBJS-Am (n = 228) were the most common journals publishing research on this subject. Overall, there has been a progressive upsurge in global publication rates, especially since 2009 (with a mean publication rate of 100–120). The rate of citations of publications on bone sarcomas has also followed a similar pattern of consistent growth during the past years, with a mean annual citation rate ranging between 4000 and 5000.</div></div><div><h3>Conclusion</h3><div>Based on our bibliometric study, there has been substantial growth in the published research on bone sarcomas over the past 2 decades. Concomitantly, the impact of these publications has also significantly increased across the globe over the past years. A majority of the contributions have originated from the USA, China, and Japan; with a high number of institutions and authors from these nations dominating in terms of the overall quantity of publications and citations on this subject. Our observations highlight the critical need for improved academic communications as well as a robust, international cooperative strategy to meliorate the research outputs on bone sarcoma.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"63 ","pages":"Article 102917"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137411","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":"Characterizing acetabular defects and need of major reconstruction during total hip arthroplasty in patients with acetabular protrusion- a retrospective study","authors":"Rajesh Malhotra ,&nbsp;Deepak Gautam ,&nbsp;Jaiben George","doi":"10.1016/j.jcot.2024.102847","DOIUrl":"10.1016/j.jcot.2024.102847","url":null,"abstract":"<div><h3>Purpose</h3><div>Total hip arthroplasty (THA) in patients with acetabular protrusion can be challenging due to the lack of acetabular bone support. Some patients may require a major reconstructive procedure to aid in the fixation of the acetabular components. The purpose of the study was to characterize the type of acetabular defects in patients with protrusion and to assess the need for major reconstruction.</div></div><div><h3>Methods</h3><div>This was a retrospective study of 125 THAs performed at a single tertiary center from 2010 to 2020 by a single surgeon in patients with acetabular protrusion. Demographics, operative details and radiographic details were recorded. THAs in which a structural graft, cage or augment were used for acetabular reconstruction were considered to have undergone a major reconstructive procedure and a classification system was proposed to identify patients requiring major reconstruction.</div></div><div><h3>Results</h3><div>10 (8 %) THAs required a major reconstruction in our cohort (2- augment, 8- structural allograft. There was significant difference in acetabular defects based on the etiology. Major reconstruction was more common when the diagnosis was sequalae of tuberculosis or post-traumatic arthritis. Simple cavitatory defects seldom required a major reconstruction while combined defects and medial wall deficiency increased the risk of requiring a major reconstruction.</div></div><div><h3>Conclusion</h3><div>The severity of defects varied considerably with majority of patients having cavitatory type of defect which can be successfully managed without the need of any major reconstructive measures. A simple classification based on the type of defect and medial wall competency appeared to be useful in identifying patients who may need a major reconstructive procedure during THA.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"63 ","pages":"Article 102847"},"PeriodicalIF":0.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137408","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":"“Bankart Repair and Beyond. Anticipating difficulties and managing complications. Current concepts”","authors":"Guillermo Arce,&nbsp;Marcos Deimundo,&nbsp;Juan Pablo Previgliano","doi":"10.1016/j.jcot.2025.102919","DOIUrl":"10.1016/j.jcot.2025.102919","url":null,"abstract":"<div><div>Anterior shoulder instability is a frequent complaint among young athletes. The Arthroscopic Bankart Repair (ABR) is a highly successful technique for restoring the native anatomy after a capsular and labrum avulsion lesion from the glenoid. The procedure has a low complication rate, and a large proportion of patients return to sports at the same pre-injury level.</div><div>As a reliable surgical technique, ABR is rarely associated with intraoperative complications, but surgical details are critical to avoid struggling during the procedure. Postoperative complications, such as neurovascular injuries, infections, and stiffness, are significant concerns. In the long term, ABR's most common complications are the recurrence of instability and shoulder arthritis after the procedure.</div><div>This article focuses on 1) the complications of ABR and the critical measures to prevent them, 2) additional techniques that can enhance primary ABR outcomes or address recurrences and failures, and 3) best practices to prevent shoulder arthritis after ABR.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"62 ","pages":"Article 102919"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082187","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":"Are Virtual Fracture Clinics really “safe”? - An evaluation of the capability of a District General Hospital Virtual Fracture Clinic pathway to detect safeguarding issues","authors":"Matthew Smitheman,&nbsp;Joseph Heylen,&nbsp;Kathryn Duke,&nbsp;Katy Western,&nbsp;Andrew Keightley,&nbsp;Alexander Dinneen","doi":"10.1016/j.jcot.2025.102907","DOIUrl":"10.1016/j.jcot.2025.102907","url":null,"abstract":"<div><h3>Background</h3><div>Virtual Fracture Clinics (VFCs) have been widely reported as “safe” in the literature. This is due to exceptionally low rates of missed or incorrect diagnoses and safe management of conditions. However, there has been minimal discussion about the ability of VFCs to identify safeguarding issues.</div></div><div><h3>Methods</h3><div>All referrals to the Unit's VFC in December 2022 were reviewed. n = 397. Each referral was reviewed to identify diagnosis, outcome, suspicion of safeguarding, type of healthcare professional referring and whether the specific safeguarding “check box” had been completed.</div><div>Allied healthcare professionals (AHPs) involved in the VFC were invited to complete a questionnaire to determine their level of training and confidence in managing safeguarding issues.</div></div><div><h3>Results</h3><div>Review of the VFC referrals showed most were from advanced nurse practitioners. 55 % of referrers did not engage with the specific safeguarding section on the referral. Of these 13 cases were suspicious for a safeguarding issue, of which 3 were subsequently not seen in a fracture clinic: 2 triaged to physiotherapy, 1 discharged. These could represent missed safeguarding opportunities.</div><div>Review of questionnaire response showed that 86 % of respondents were up to date with mandatory safeguarding training. On average respondents felt “confident” managing safeguarding. However, the majority felt they wanted more teaching on safeguarding.</div></div><div><h3>Conclusion</h3><div>Whilst VFCs have been deemed “safe” with regards to fracture management, they may not be “safe” with regards to identification of safeguarding issues. This project demonstrates the main issues are poor quality referrals and the missed opportunity for a healthcare professional, appropriately trained in safeguarding, to assess the patient face to face.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"63 ","pages":"Article 102907"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137416","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 crucial role and challenges of medical journal editors in the modern era","authors":"Raju Vaishya ,&nbsp;Abhishek Vaish ,&nbsp;Marius M. Scarlat ,&nbsp;Vijay Kumar Jain","doi":"10.1016/j.jcot.2025.102918","DOIUrl":"10.1016/j.jcot.2025.102918","url":null,"abstract":"<div><div>There is an evolving role of medical journal editors in the 21st century, highlighting the challenges they face in ensuring the quality, accuracy, and relevance of published research. As gatekeepers of medical information, editors are inundated with a high volume of submissions, necessitating efficient triage and a keen understanding of diverse scientific fields. The peer review process presents its hurdles, particularly in securing timely assessments from busy experts, while ethical considerations around bias and misconduct demand rigorous scrutiny. Additionally, the emergence of artificial intelligence in research poses both opportunities and complications, calling for clear guidelines to maintain the value of human authorship. Overall, the findings emphasize the critical role of editors in sustaining the integrity of medical publishing amidst an increasingly complex landscape.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"63 ","pages":"Article 102918"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123995","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":"Total HIP Arthroplasty in a dysplastic HIP with proximal femoral focal deficiency","authors":"Mrinal Sharma,&nbsp;Siddharth Kothari,&nbsp;Alokik Gupta","doi":"10.1016/j.jcot.2025.102908","DOIUrl":"10.1016/j.jcot.2025.102908","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"62 ","pages":"Article 102908"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082228","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":"Approach to junctional fractures in spine: A systematic review and meta-analysis","authors":"Bikram Kesari Kar,&nbsp;Roshan Lal Goyal,&nbsp;Punit Gaurav,&nbsp;Priyanshu Pandey,&nbsp;Aakash Mishra,&nbsp;Dushyant Chouhan","doi":"10.1016/j.jcot.2024.102900","DOIUrl":"10.1016/j.jcot.2024.102900","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The management of thoracolumbar burst fractures presents a challenge due to the absence of consensus on the most effective surgical approach. Surgeons commonly employ anterior, posterior, or combined anterior-posterior instrumentation methods to achieve fracture reduction, stabilization, and neural canal decompression. Despite the availability of these techniques, there is a lack of comparative studies evaluating their efficacy. This gap in the literature underscores the necessity for research to thoroughly assess and compare the various surgical approaches for thoracolumbar spine fractures. The present study aims to compare and critically evaluate the different approaches to surgical management of thoracolumbar spine fractures in order to identify the best treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and method&lt;/h3&gt;&lt;div&gt;A literature search was performed in 13 electronic databases for articles published between 2000 and August 31, 2023. Two separate reviews were conducted to ensure thoroughness and reliability in article selection. Ultimately, thirteen articles meeting the inclusion criteria were chosen, comprising nine non-randomized control trials (NRCTs) and four randomized control trials (RCTs). To assess the risk of bias in the NRCTs, the Newcastle-Ottawa scale was utilized, while the ROB-b tool was applied to evaluate the RCTs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Thirteen studies meeting the predefined inclusion and exclusion criteria were selected, comprising nine non-randomized control trials and four randomized control trials. A meta-analysis was conducted, revealing that patients undergoing the posterior approach tended to experience longer surgery durations (anterior vs posterior = 5.38) and higher blood loss (anterior vs posterior = 26.21) compared to those undergoing the anterior or combined anterior-posterior approaches. Additionally, immediate postoperative improvement in kyphotic correction (anterior vs posterior = 2.15 and anterior – posterior vs posterior-2.97) was observed in the posterior approach group. However, follow-up assessments indicated a subsequent loss of kyphotic angle in this group (anterior vs posterior = 1.41 and anterior – posterior vs posterior-2.00).The systematic review comprises only seven studies comparing anterior and posterior approaches and three studies evaluating posterior and combined approaches. Furthermore, the utilization of different clinical scales across the studies complicates drawing definitive conclusions. Also, heterogeneity of the population, including variations in comorbidities, types of fractures, follow-up duration, timing of intervention, surgeon expertise, and surgical techniques were noted across the included studies. Additionally, there is variability in sample sizes, ages, genders, and follow-up periods. Most of the included studies in the present study were performed on ventral cord compression and kyphosis correction cases rather than simple junctional fr","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"62 ","pages":"Article 102900"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123967","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":"Future advances in shoulder arthroplasty surgery","authors":"Leanne Dupley,&nbsp;Sarah Briggs,&nbsp;Ian A. Trail","doi":"10.1016/j.jcot.2024.102880","DOIUrl":"10.1016/j.jcot.2024.102880","url":null,"abstract":"<div><div>Shoulder arthroplasty has evolved significantly since the in 1950s when Charles Neer designed and implanted the first shoulder hemiarthroplasty. Various alterations in design and material properties over the decades have led us to the implants used today, with ever-improving longevity and patient outcomes. This narrative review aims to provide an overview of shoulder arthroplasty surgery, looking at the past, present and future advances in this rapidly evolving field of orthopaedics.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"63 ","pages":"Article 102880"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137415","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":"Biologic Augmented Scaffold-based cartilage repair: Addressing Complications and Enhancing Outcomes","authors":"Zachariah Gene Wing Ow ,&nbsp;Marcus Wei Ping Tan ,&nbsp;Dhivakaran Gengatharan ,&nbsp;Edmund Jia Xi Zhang ,&nbsp;Eric Wei Liang Cher ,&nbsp;Pedro Debieux ,&nbsp;Keng Lin Wong","doi":"10.1016/j.jcot.2025.102905","DOIUrl":"10.1016/j.jcot.2025.102905","url":null,"abstract":"<div><div>Cartilage repair remains a significant challenge due to the tissue's limited innate regenerative capacity. Despite advances in techniques such as microfracture, autologous chondrocyte implantation (ACI), and osteochondral grafting, long-term outcomes are often compromised by complications, including suboptimal tissue integration, graft resorption, and mechanical instability. Recently, biologically augmented scaffold-based cartilage repair has emerged as a promising approach for full-thickness osteochondral lesions. These techniques combine acellular scaffolds with biologic agents, such as bone marrow aspirate concentrates (BMAC), to enhance tissue regeneration, reduce inflammation, and promote healing. However, postoperative complications—such as graft hypertrophy, arthrofibrosis, graft hypotrophy, and graft dislodgement—continue to pose challenges to successful outcomes. This paper presents case studies illustrating the clinical presentation, diagnosis, and management of these complications. Early recognition through clinical evaluation and imaging, followed by timely intervention, proved essential in mitigating the long-term effects of these complications. Although biologically augmented scaffolds offer potential advantages, variability in outcomes remains due to differences in biologic composition, scaffold design, and patient factors. The findings highlight the importance of individualized treatment strategies and adherence to postoperative rehabilitation protocols to reduce the risk of complications. Further research is needed to optimize biologic augmentation protocols and scaffold designs to improve long-term cartilage repair outcomes.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"62 ","pages":"Article 102905"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069487","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":"Managing the arthritic wrist: Complication prevention and management","authors":"Camelia Qian Ying Tang ,&nbsp;Margaret Woon Man Fok ,&nbsp;Sze-Ryn Chung ,&nbsp;Muntasir Mannan Choudhury ,&nbsp;Andrew Yuan Hui Chin","doi":"10.1016/j.jcot.2024.102877","DOIUrl":"10.1016/j.jcot.2024.102877","url":null,"abstract":"<div><div>Wrist arthroscopy presents a significant learning curve, necessitating various precautions to avoid complications like tendon laceration or nerve injury. Arthroscopic procedures become even more challenging in arthritic wrists due to altered anatomy and reduced joint space, which in turn increase the risk of complications. In this review article, we offer tips and tricks to minimize these risks. Despite the challenges, wrist arthroscopy remains a valuable diagnostic and therapeutic tool when performed by an experienced surgeon with thorough preoperative planning and careful patient selection.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"62 ","pages":"Article 102877"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054268","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}