Orthopaedics & Traumatology-Surgery & Research最新文献

{"title":"Effect of preoperative medial meniscus status on the outcomes of high tibial osteotomy with human umbilical cord-derived mesenchymal stem cells cartilage regeneration.","authors":"Dhong-Won Lee, Sung-Wook Hong, Seung-Ik Cho, Sung-Gyu Moon, Ji-Hee Kang","doi":"10.1016/j.otsr.2025.104179","DOIUrl":"10.1016/j.otsr.2025.104179","url":null,"abstract":"<p><strong>Background: </strong>The effect of medial meniscus (MM) status on outcomes following high tibial osteotomy (HTO) combined with cartilage regeneration using human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) remains unclear.</p><p><strong>Purpose: </strong>This study aimed to evaluate the effect of preoperative MM status on the outcomes of HTO combined with cartilage regeneration using hUCB-MSCs. Specifically, clinical and radiological outcomes were compared between two groups of patients, which were divided according to their preoperative MM status. We hypothesized that patients with preserved meniscal integrity or those who underwent meniscal root repair would show better clinical and radiological outcomes compared to those with significant meniscal loss or untreated root tears.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 47 patients who underwent HTO with hUCB-MSC implantation. Patients were divided into group P (preserved MM integrity or medial meniscal root repair) and group L (loss of MM integrity, defined as a peripheral rim width <3 mm, unable to maintain hoop function). Clinical outcomes were assessed using the International Knee Documentation Committee (IKDC) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores after a minimum follow-up of 2 years. Cartilage regeneration was evaluated with Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) 2.0 score and International Cartilage Repair Society (ICRS) Cartilage Repair Assessment (CRA) score from second-look arthroscopy. Correlation analyses were conducted to examine the relationship between preoperative MM extrusion and cartilage repair.</p><p><strong>Results: </strong>Both groups demonstrated significant improvements in IKDC and WOMAC scores (p < 0.01). No significant differences were observed between groups in IKDC and WOMAC scores at final follow-up (p = 0.21, p = 0.42, respectively). MOCART 2.0 and ICRS CRA scores showed no significant differences between groups (p = 0.35, p = 0.08, respectively). Group P showed higher proportions of favorable outcomes compared to group L, including no major subchondral changes or only minor marrow edema (56% vs. 31.8%) and ICRS CRA grades I or II (84% vs. 72.7%). While these findings suggest potential differences in outcomes, neither comparison reached statistical significance (p = 0.09 and p = 0.48, respectively). Preoperative MM extrusion negatively correlated with MOCART 2.0 and subchondral bone changes (r = -0.24, p = 0.03; r = -0.29, p = 0.02, respectively).</p><p><strong>Conclusion: </strong>HTO with hUCB-MSC implantation provided significant clinical improvements and effective cartilage regeneration regardless of preoperative MM status. However, preoperative MM extrusion may influence subchondral bone changes, emphasizing the need to consider MM status for long-term outcomes.</p><p><strong>Level of evidence: </strong>III; retrospective compar","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104179"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of combat-related extremity injuries in modern armed conflicts","authors":"Laurent Mathieu ,&nbsp;Camille Choufani ,&nbsp;Christophe Andro ,&nbsp;Nicolas de l’Escalopier","doi":"10.1016/j.otsr.2024.104055","DOIUrl":"10.1016/j.otsr.2024.104055","url":null,"abstract":"<div><div>While the first conflicts of the 21st century involved asymmetric warfare in the fight against terrorism, recent geopolitical events require us to prepare for the possibility of high-intensity conflicts. Modern wounding agents mainly consist of explosive devices and high-velocity bullets. Every trauma surgeon must be familiar with the mechanisms of injury specific to armed conflicts. The initial care of these injuries is based on applying damage control surgery to save the patient’s life, save their limb if possible and preserve their function. Blast injuries are the most common in modern armed conflicts; the resulting combination of severe injuries can be challenging to treat. Limb reconstruction involves a sequential strategy based on simple, reliable and reproducible techniques which can be used by non-specialized surgeons working in sometimes austere situations.</div></div><div><h3>Level of evidence</h3><div>Expert opinion.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104055"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In proximal tibial anterior closing wedge (slope changing) osteotomy lower starting points imply larger bone resection","authors":"Youngji Kim ,&nbsp;Shintaro Onishi ,&nbsp;Mitsuaki Kubota ,&nbsp;Raghbir Khakha ,&nbsp;Muneaki Ishijima ,&nbsp;Matthieu Ollivier","doi":"10.1016/j.otsr.2024.103979","DOIUrl":"10.1016/j.otsr.2024.103979","url":null,"abstract":"<div><h3>Background</h3><div>Anterior closing wedge osteotomy (ACWO) for tibial slope correction is a validated procedure in revision anterior cruciate ligament reconstruction (ACLR). This study aims to determine how different starting points of the osteotomy affect the amount of bone resection in ACWO.</div></div><div><h3>Hypothesis</h3><div>We hypothesized that the lower osteotomy starting points in ACWO imply larger bone resection.</div></div><div><h3>Patients and methods</h3><div>A total 52 patients who underwent ACWO using infra-tuberosity technique in our institution were included in this study. Each of patients was simulated using additional two separate methods (based on osteotomy level: supra- and trans-tuberosity) based on lateral calibrated pre-operative X-rays of the whole tibia according to the post-operative correction angle. The resection height of the closing wedge, which corresponded to the base of the osteotomy, was measured and compared among the three groups.</div></div><div><h3>Results</h3><div>The mean actual pre-operative proximal posterior tibial angle (PPTA) was 75.8 ± 2.0°. Post-operatively, PPTA was 84.0 ± 0.6°, and correction angle was 8.2 ± 2.2°. The mean resection height in the supra-tuberosity group was 7.5 ± 0.2 mm, 8.0 ± 2.1 mm in the trans-tuberosity group, and 9.2 ± 2.1 mm in the infra-tuberosity group. There were significant differences between each approach (p ≦ 0.0001). Resection height was moderate positively correlated with the starting point of osteotomy (r = 0.33, 95%CI: 0.18–0.46, p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>This study suggests that selecting a distal starting point for the osteotomy in ACWO is directly proportional to the observed increase in bone resection, providing valuable insights for pre-operative planning. These findings are clinically relevant and will aid in preoperatively deciding approach in ACWO.</div></div><div><h3>Level of evidence</h3><div>IV; retrospective case-control study.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 103979"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic criteria of forearm Chronic Exertional Compartment Syndrome: A systematic review","authors":"Thomas Hirardot ,&nbsp;Germain Pomares ,&nbsp;Pierre Menu ,&nbsp;Jérôme Grondin ,&nbsp;Marc Dauty ,&nbsp;Alban Fouasson-Chailloux","doi":"10.1016/j.otsr.2024.104001","DOIUrl":"10.1016/j.otsr.2024.104001","url":null,"abstract":"<div><h3>Background</h3><div>Chronic Exertional Compartment Syndrome (CECS) of the forearm is characterized by an increase of the pressure in the forearm compartments during repeated activities. Its diagnosis is challenging because of the lack of clearly established diagnostic criteria.</div></div><div><h3>Purpose</h3><div>We aimed to provide a comprehensive description of the diagnostic methods used for CECS of the forearm, to assess if a more effective diagnosis strategy could be identified.</div></div><div><h3>Methods</h3><div>We used PubMed, Google Scholar, Cochrane Library and Science Direct databases to search articles. We carried out multiple searches using the mesh terms (“Chronic Exertional Compartment Syndrome” OR “Chronic compartment syndrome” OR “Exertional compartment”) AND (“forearm” OR “upper limb”). Inclusion criteria were prospective or retrospective studies on CECS of the forearm including case reports. We used PRISMA guidelines. The included studies were critically appraised using GRADE approach.</div></div><div><h3>Results</h3><div>A total of 625 articles were screened and 33 studies were included. It represented 590 patients (505 men and 85 women), with a mean age of 26.6 years old. Among them, 282 competed at an elite level. Motorcycling and motocross were the most frequent sports (66%). Six diagnostic methods were employed. Intra-compartmental pressure (ICP) measurement was the most frequently used method in 26 studies. Magnetic resonance imaging was performed in 9 studies, while electromyography was employed in only 2 studies. One study reported the measurement of grip strength using a manual dynamometer, one study compared forearm circumference before and after effort, and one used myotonometry. Various exercise protocols were observed. Stress-testing using a hand-grip was the most common protocol in 14 studies. Exercise duration varied from 2 min to 60 min.</div></div><div><h3>Conclusion</h3><div>Existing data do not provide sufficient evidence to favor an alternative diagnostic method over ICP measurements that should be used cautiously given the absence of formal validation. Non-invasive methods might be easier to use, but should be subjected to further research.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104001"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal femoral osteotomy for degenerative knee pathology","authors":"Guillaume Demey","doi":"10.1016/j.otsr.2024.104069","DOIUrl":"10.1016/j.otsr.2024.104069","url":null,"abstract":"<div><div>Normal lower limb alignment is with the tibia in varus and the femur in valgus, forming an oblique joint line in bipedal stance and a horizontal line in unipedal stance. Alignment may be valgus or varus in case of femoral metaphyseal or tibial-femoral deformity, respectively.</div><div>Bone correction must be performed at the site of the deformity. If a femoral deformity is corrected at the tibia, this results in an oblique joint line and malunion, with poor functional outcome.</div><div>In genu valgum, distal femoral osteotomy (either medial closing or lateral opening wedge) may be indicated in case of lateral femorotibial osteoarthritis secondary to extra-articular femoral deformity. Likewise, in genu varum of femoral origin, lateral closing or medial opening wedge osteotomy is indicated.</div><div>Preoperative planning is essential to achieve the ideal correction target, which is a key to success. Surgery should adhere strictly to the plan, with ideally biplanar oblique osteotomy, precise correction and stable fixation by locking plate.</div><div>Complications are due to technical errors. The most frequent error is in correction, with malunion. Hinge fracture is also common, aggravating correction error.</div><div>Patient-specific cutting guides are the state-of-the-art means of improving preoperative planning, surgical precision and hinge protection.</div></div><div><h3>Level of evidence</h3><div>expert opinion</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104069"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to: Comments on: “Lateral knee laxity increases the risk of excessive joint line obliquity after medial opening-wedge high tibial osteotomy” by BA Matache, PO Jean, S Pelet, AM Roger, J Dartus, E Belzile published in Orthop Traumatol Surg Res 2023: doi.10.1016/j.otsr.2023.103717 [Orthop Traumatol Surg Res (2024) 103862]","authors":"Matthieu Ehlinger ,&nbsp;Grégoire Micicoi ,&nbsp;Mekki Tamir ,&nbsp;Henri Favreau ,&nbsp;Matthieu Ollivier","doi":"10.1016/j.otsr.2024.104070","DOIUrl":"10.1016/j.otsr.2024.104070","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104070"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of septic arthritis of the hip in children","authors":"Cindy Mallet,&nbsp;Brice Ilharreborde,&nbsp;Marion Caseris,&nbsp;Anne-Laure Simon","doi":"10.1016/j.otsr.2024.104064","DOIUrl":"10.1016/j.otsr.2024.104064","url":null,"abstract":"<div><div>Septic arthritis of the hip (SAH) in children is a common pediatric ailment that must be diagnosed immediately as proper treatment is needed to ensure good outcomes. It mostly affects children less than 2 years of age. The causative bacteria depend on age. The most widespread pathogen found at all ages is <em>Staphylococcus aureus</em> (<em>S. aureus</em>), while <em>Kingella kingae</em> (Kk) is most common in children 6 months to 4 years of age. SAH is suspected based on a wide set of clinical, laboratory and radiological (sonography) criteria. MRI is especially useful for diagnosing complications when the child’s condition worsens. The diagnosis is only confirmed when joint aspiration finds evidence of bacteria being present. Targeted PCR techniques have largely improved the microbiological diagnosis of Kk. The clinical presentation varies greatly from a limp to prevent weightbearing on the affected leg in a small child with or without fever and very mild to non-existent systemic inflammation, suggestive of SAH due to Kk, to septic shock with quasi-paralysis of the lower limb. Treatment mainly consists of joint drainage and surgical lavage, open or arthroscopic, combined with empirical antibiotic therapy against the likely cause of the infection. A short course of antibiotics is widely used in uncomplicated cases of SAH. The functional prognosis depends highly on the time elapsed before the diagnosis and the start of treatment. Functional sequelae can be severe (growth disturbances, long-term joint damage).</div></div><div><h3>Level of evidence</h3><div>Expert opinion.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104064"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal radius fractures after 75 years of age: are six-month functional and radiological outcomes better with plate fixation than with conservative treatment?","authors":"Safire Ballet ,&nbsp;Inès Guerzider-Regas ,&nbsp;Zouhair Aouzal ,&nbsp;Astrid Pozet ,&nbsp;Alexandre Quemener-Tanguy ,&nbsp;Axel Koehly ,&nbsp;Laurent Obert ,&nbsp;François Loisel","doi":"10.1016/j.otsr.2024.103959","DOIUrl":"10.1016/j.otsr.2024.103959","url":null,"abstract":"<div><h3>Background</h3><div>Surgery and non-operative treatment produce similar 1-year functional outcomes in patients older than 65 years. Data are lacking for patients older than 75 years. The main objective of this study was to compare surgical vs. non-operative treatment regarding short-term outcomes in patients older than 75 years. In addition to an overall analysis, sub-group analyses were done in patients with displacement and severe displacement (&gt;20 ° posterior tilt).</div></div><div><h3>Hypothesis</h3><div>Surgery provides better clinical and radiological outcomes than does non-operative treatment.</div></div><div><h3>Patients and methods</h3><div>Patients older than 75 years at the time of a distal radius fracture were included prospectively over a 2-year period. A follow-up duration of at least 6 months was required. Treatment choices were based on displacement, Charlson’s Co-morbidity Index, and patient autonomy. Surgery consisted in open fixation using an anterior locking plate and non-operative treatment in a short arm cast without reduction. The main assessment was based on clinical criteria: range of motion, strength, visual analogue scale (VAS) scores, the short version of the Disabilities of the Arm, Shoulder, and Hand tool (QuickDASH), the Patient Rated Wrist Evaluation (PRWE), and the 36-Item Short Form Health Survey (SF-36). The secondary assessment criteria were the radiological outcomes and the complications.</div></div><div><h3>Results</h3><div>74 patients were included, among whom 24 were treated surgically and 50 non-operatively. At 1.5 months, surgery was associated with significantly better results for flexion, ulnar inclination, and supination, with range increases of at least 7 ° vs. non-operative treatment, and with greater dorsal angle and ulnar variance values (<em>p</em> &lt; 0.05 for all comparisons). At 6 months, pronation and the radio-ulnar index were better with surgery (<em>p</em> &lt; 0.05 for both comparisons). In the patients with displacement or severe displacement, surgery was associated with 10° gains vs. conservative treatment for flexion, ulnar inclination, and supination at 1.5 months (<em>p</em> &lt; 0.05 for all comparisons).</div></div><div><h3>Discussion</h3><div>In patients older than 75 years, surgery for distal radius fracture was associated with significantly better clinical and radiological outcomes within 6 months. Surgery is recommended for displaced and severely displaced distal radius fractures to expedite the recovery of joint motion ranges. Beyond 6 months, the outcomes are similar.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 103959"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative reference points on the proximal tibia in image-free robotic-assisted total knee arthroplasty should be determined by preoperative posterior tibial slope.","authors":"Yutaka Nakamura, Hiroyasu Ogawa, Haruhiko Akiyama","doi":"10.1016/j.otsr.2025.104180","DOIUrl":"10.1016/j.otsr.2025.104180","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to investigate the accuracy of the tibial cut in sagittal plane and intraoperative optimal reference points on the proximal tibia for achieving the targeted posterior tibial slope (PTS) in image-free, robotic-assisted total knee arthroplasty (TKA).</p><p><strong>Hypothesis: </strong>A mechanical tibial axis determined by intraoperative reference points would affect the measurement of the PTS and thereby postoperative PTS in image-free robotic assist TKA.</p><p><strong>Patients and methods: </strong>Fifty-eight patients (70 knees) who underwent primary image-free robotic-assisted TKA were included. Pre- and postoperative PTS were evaluated using whole-leg computed tomography images, which were analysed with three-dimensional planning software. Change in PTS (ΔPTS) was calculated by subtracting the target PTS from postoperative PTS. The proximal tibial axis ratio was defined as the proportion of distance between the anterior border of the anterior cruciate ligament (ACL) footprint and the tibial axis on the proximal joint surface to the anteroposterior width of the ACL footprint.</p><p><strong>Results: </strong>The mean ΔPTS was -0.4 ± 2.0 °. Eight outliers (11.4%; |ΔPTS| >3°) were identified. The proximal tibial axis ratio was -13.2 ± 19.9% and showed a significant negative correlation with preoperative PTS and ΔPTS (r = -0.87 and -0.29, p < 0.001 and p = 0.01, respectively). The tibial axis passed through the anterior border of the ACL footprint when preoperative PTS was 9.6 °. These results indicated that a larger preoperative PTS was associated with a more anterior tibial axis on the proximal joint surface. Preoperative PTS significantly correlated with ΔPTS (r = 0.34 and p = 0.004).</p><p><strong>Discussion: </strong>In image-free robotic-assisted TKA, when the preoperative PTS is >9.6 °, positioning the proximal tibial reference point anterior to the anterior border of the ACL footprint is recommended.</p><p><strong>Level of evidence: </strong>III.¹.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104180"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter from Xiaohua Jiang, Yabin Liu and Guowu Chen","authors":"Xavier Flecher ,&nbsp;Matthieu Ehlinger","doi":"10.1016/j.otsr.2024.104047","DOIUrl":"10.1016/j.otsr.2024.104047","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":"111 1","pages":"Article 104047"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}