Acta Orthopaedica最新文献_第9页

Prognostic model development for risk of curve progression in adolescent idiopathic scoliosis: a prospective cohort study of 127 patients. 青少年特发性脊柱侧弯症曲线恶化风险预后模型的开发：一项对 127 名患者进行的前瞻性队列研究。

IF 3.7 2区医学

Acta Orthopaedica Pub Date : 2024-09-13 DOI: 10.2340/17453674.2024.41911

Marlene Dufvenberg,Anastasios Charalampidis,Elias Diarbakerli,Birgitta Öberg,Hans Tropp,Anna Aspberg Ahl,Daphne Wezenberg,Henrik Hedevik,Hans Möller,Paul Gerdhem,Allan Abbott,

{"title":"Prognostic model development for risk of curve progression in adolescent idiopathic scoliosis: a prospective cohort study of 127 patients.","authors":"Marlene Dufvenberg,Anastasios Charalampidis,Elias Diarbakerli,Birgitta Öberg,Hans Tropp,Anna Aspberg Ahl,Daphne Wezenberg,Henrik Hedevik,Hans Möller,Paul Gerdhem,Allan Abbott,","doi":"10.2340/17453674.2024.41911","DOIUrl":"https://doi.org/10.2340/17453674.2024.41911","url":null,"abstract":"BACKGROUND AND PURPOSEThe study's purpose was to develop and internally validate a prognostic survival model exploring baseline variables for adolescent idiopathic scoliosis curve progression.METHODSA longitudinal prognostic cohort analysis was performed on trial data (n = 135) including girls and boys, Cobb angle 25-40°, aged 9-17 years, remaining growth > 1 year, and previously untreated. Prognostic outcome was defined as curve progression of Cobb angle of > 6° prior to skeletal maturity. 34 candidate prognostic variables were tested. Time-to-event was measured with 6-month intervals. Cox proportional hazards regression survival model (CoxPH) was used for model development and validation in comparison with machine learning models (66.6/33.3 train/test data set). The models were adjusted for treatment exposure.RESULTSThe final primary prognostic model included 127 patients, predicting progress with acceptable discriminative ability (concordance = 0.79, 95% confidence interval [CI] 0.72-0.86). Significant prognostic risk factors were Risser stage of 0 (HR 4.6, CI 2.1-10.1, P < 0.001), larger major curve Cobb angle (HRstandardized 1.5, CI 1.1-2.0, P = 0.005), and higher score on patient-reported pictorial Spinal Appearance Questionnaire (pSAQ) (HRstandardized 1.4, CI 1.0-1.9, P = 0.04). Treatment exposure, entered as a covariate adjustment, contributed significantly to the final model (HR 3.1, CI 1.5-6.0, P = 0.001). Sensitivity analysis displayed that CoxPH maintained acceptable discriminative ability (AUC 0.79, CI 0.65-0.93) in comparison with machine learning algorithms.CONCLUSIONThe prognostic model (Risser stage, Cobb angle, pSAQ, and menarche) predicted curve progression of > 6° Cobb angle with acceptable discriminative ability. Adding patient report of the pSAQ may be of clinical importance for the prognosis of curve progression.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"33 1","pages":"536-544"},"PeriodicalIF":3.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142250490","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

Association of surgeon volume with complications following direct anterior approach (DAA) total hip arthroplasty: a population-based study. 外科医生数量与直接前路（DAA）全髋关节置换术后并发症的关系：一项基于人群的研究。

IF 3.7 2区医学

Acta Orthopaedica Pub Date : 2024-09-10 DOI: 10.2340/17453674.2024.41506

Pakpoom Ruangsomboon,Elmunzar Bagouri,Daniel Pincus,J Michael Paterson,Bheeshma Ravi

{"title":"Association of surgeon volume with complications following direct anterior approach (DAA) total hip arthroplasty: a population-based study.","authors":"Pakpoom Ruangsomboon,Elmunzar Bagouri,Daniel Pincus,J Michael Paterson,Bheeshma Ravi","doi":"10.2340/17453674.2024.41506","DOIUrl":"https://doi.org/10.2340/17453674.2024.41506","url":null,"abstract":"BACKGROUND AND PURPOSETotal hip arthroplasty (THA) can be performed through various surgical approaches, including direct anterior (DAA). DAA-THA may offer faster recovery but carries a higher risk of complications, which may be mitigated by surgeon volume and experience. We examined the association of surgeons' annual surgical volume with major complications after DAA-THA in a population-based sample.METHODSA population-based retrospective cohort study was carried out on primary DAA-THA patients in Ontario between April 2016 and March 2021. We used restricted cubic splines to visually define the association between annual DAA surgeon volume and the risk of major surgical complications (fractures, dislocations, infections, and revisions) within 1 year of surgery. We further compared the complication rates amongst different DAA volume categories (< 30, 30-60, and > 60 cases/year).RESULTSThe study encompassed 9,672 DAA-THA patients (52% female, median age 67 years). We showed a sharp decline in the probability of complications as the surgical volume of DAA-THA increased within the lower range of 0-30 cases/year; the probability slightly increased after the surgical volume exceeded 60 cases/year. The overall complication rates were 3.09%, 2.24%, and 2.18% for the surgical experience group of < 30 cases/year, 30-60 cases/year, and > 60 cases/year, respectively.CONCLUSIONThere was an inverse relationship between surgical volume and complication rates in DAA-THA within the lower volume ranges. Maintaining a surgical volume of at least 30 DAA-THA cases/year can minimize complications, emphasizing the importance of surgical volume in this approach.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"12 1","pages":"505-511"},"PeriodicalIF":3.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206165","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

Increased risk of intraoperative and early postoperative periprosthetic femoral fracture with compaction compared with broaching in cementless THA: a single-center study of 6,788 hips. 在无骨水泥全髋关节置换术中，压实法与拉削法相比较，术中和术后早期股骨假体周围骨折的风险增加：一项对6788个髋关节进行的单中心研究。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-09-06 DOI: 10.2340/17453674.2024.41341

Øystein Høvik, Arild Aamodt, Einar Amlie, Einar Andreas Sivertsen

{"title":"Increased risk of intraoperative and early postoperative periprosthetic femoral fracture with compaction compared with broaching in cementless THA: a single-center study of 6,788 hips.","authors":"Øystein Høvik, Arild Aamodt, Einar Amlie, Einar Andreas Sivertsen","doi":"10.2340/17453674.2024.41341","DOIUrl":"10.2340/17453674.2024.41341","url":null,"abstract":"Background and purpose: Periprosthetic femoral fracture (PFF) is a significant complication of total hip arthroplasty (THA). Although biomechanical studies have indicated that the technique by which the femoral canal is prepared plays a role, few clinical studies have reported on how this might affect the fracture risk. This study compares the fracture risk between compaction and broaching with toothed instruments in cementless THA.Methods: Prospectively collected data from the quality register of a high-volume hospital was used. All primary arthroplasties using the Corail stem (DePuy Synthes) were included. All femoral fractures occurring within the first 90 days after the operation were included in the analysis. We determined the relative risk of sustaining PFF with compaction compared with broaching and adjusted for confounders (sex, age group, BMI, and use of a collared stem) using multivariable Poisson regression.Results: 6,788 primary THAs performed between November 2009 and May 2023 were available for analysis. 66% were women and the mean age was 65.0 years. 129 (1.9%) fractures occurred during the first 90 days after the operation, 92 (2.3%) in the compaction group and 37 (1.3%) in the broaching group. The unadjusted relative risk of fracture in the compaction group compared with the broaching group was 1.82 (95% confidence interval [CI] 1.25-2.66), whereas the adjusted relative risk was 1.70 (CI 1.10-2.70).Conclusion: Compaction was associated with more periprosthetic fractures than broaching (2.3% versus 1.3%) within 90 days after surgery.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"492-497"},"PeriodicalIF":2.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138961","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

Local cefuroxime tissue concentrations in the hand after single and repeated administration to 16 patients undergoing trapeziectomy: a randomized controlled trial. 对 16 名接受梯形切除术的患者进行单次和重复给药后手部局部头孢呋辛组织浓度：随机对照试验。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-09-06 DOI: 10.2340/17453674.2024.41343

Andrea René Jørgensen, Pelle Hanberg, Mats Bue, Charlotte Hartig-Andreasen, Nis Pedersen Jørgensen, Maiken Stilling

{"title":"Local cefuroxime tissue concentrations in the hand after single and repeated administration to 16 patients undergoing trapeziectomy: a randomized controlled trial.","authors":"Andrea René Jørgensen, Pelle Hanberg, Mats Bue, Charlotte Hartig-Andreasen, Nis Pedersen Jørgensen, Maiken Stilling","doi":"10.2340/17453674.2024.41343","DOIUrl":"10.2340/17453674.2024.41343","url":null,"abstract":"Background and purpose: The duration of antibiotic coverage in hand tissues during surgery is unknown. We investigated the time the free concentration of cefuroxime was above the minimal inhibitory concentration (fT>MIC) of 4 μg/mL in hand tissues after single and repeated administration.Methods: In a prospective, unblinded randomized study 16 patients (13 female, age range 51-80 years) underwent trapeziectomy. Microdialysis catheters were placed in the metacarpal bone (primary effect parameter), synovial sheath, and subcutaneous tissue. Patients were randomized to postoperative administration of either intravenous single administration of cefuroxime (1,500 mg) (Group 1, n = 8) or repeated dosing (2 x 1,500 mg) with a 4 h interval (Group 2, n = 8). Samples were taken over 8 h.Results: The fT>MIC of 4 μg/mL was found to be significantly longer in the metacarpal bone in Group 2 compared with Group 1 with a mean difference of 199 min (95% confidence interval 158-239). The same trend was evident in the remaining compartments. A concentration of 4 μg/mL was reached in all compartments in both groups within a mean time of 6 min (range 0-27 min). In Group 1, the mean concentrations decreased below 4 μg/mL between 3 h 59 min and 5 h 38 min.Conclusion: The fT>MIC was longer after repeated administration compared with single administration in all compartments. A single administration of cefuroxime 1,500 mg provided antimicrobial hand tissue coverage for a minimum of 3 h 59 min. Cefuroxime administration in hand surgeries should be done minimum 27 min prior to incision to achieve sufficient coverage in all individuals. Cefuroxime readministration should be considered in hand surgeries lasting longer than 4 h from time of administration.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"498-504"},"PeriodicalIF":2.5,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142138962","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

Intraoperative fluoroscopy skills in distal radius fracture surgery: valid and reliable assessment on a novel immersive virtual reality simulator. 桡骨远端骨折手术中的术中透视技能：在新型沉浸式虚拟现实模拟器上进行有效可靠的评估。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-28 DOI: 10.2340/17453674.2024.41345

Marie Sønderup, Amandus Gustafsson, Lars Konge, Mads Emil Jacobsen

{"title":"Intraoperative fluoroscopy skills in distal radius fracture surgery: valid and reliable assessment on a novel immersive virtual reality simulator.","authors":"Marie Sønderup, Amandus Gustafsson, Lars Konge, Mads Emil Jacobsen","doi":"10.2340/17453674.2024.41345","DOIUrl":"10.2340/17453674.2024.41345","url":null,"abstract":"Background and purpose: Orthopedic trainees must be able to perform intraoperative fluoroscopy imaging to assess the surgical result after volar locking plate surgeries of distal radius fractures. Guided by Messick's contemporary validity framework, the aim of our study was to gather evidence of validity for a test of proficiency for intraoperative imaging of a distal radius fracture using a novel immersive virtual reality simulator.Methods: 11 novices and 9 experienced surgeons employed at orthopedic departments completed 2 individual simulator sessions. At each session the participants performed 3 repetitions of an intraoperative fluoroscopic control of a distal radius fracture, consisting of 5 different fluoroscopic views. Several performance metrics were automatically recorded by the simulator and compared between the 2 groups.Results: Simulator metrics for 3 of the 5 fluoroscopic views could discriminate between novices and experienced surgeons. An estimated composite score based on these 3 views showed good test-retest reliability, ICC = 0.82 (confidence interval 0.65-0.92; P < 0.001). A discriminatory standard was set at a composite score of 6.15 points resulting in 1 false positive (i.e., novice scoring better than the standard), and 1 false negative (i.e., experienced surgeon scoring worse than the standard).Conclusion: This study provided validity evidence from all 5 sources of Messick's contemporary validity framework (content, response process, internal structure, relationship with other variables, and consequences) for a simulation-based test of proficiency in intraoperative fluoroscopic control of a distal radius fracture fixated by a volar locking plate.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"477-484"},"PeriodicalIF":2.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078773","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

Pediatric hip disorders are not associated with an increased 10-year revision risk after total hip arthroplasty under the age of 55: results from the Dutch Arthroplasty Register. 55岁以下儿童髋关节疾病与全髋关节置换术后10年翻修风险增加无关：荷兰关节置换术登记的结果。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-28 DOI: 10.2340/17453674.2024.41342

Michaël P A Bus, Maaike G J Gademan, Marta Fiocco, Rob G H H Nelissen, Pieter Bas De Witte

{"title":"Pediatric hip disorders are not associated with an increased 10-year revision risk after total hip arthroplasty under the age of 55: results from the Dutch Arthroplasty Register.","authors":"Michaël P A Bus, Maaike G J Gademan, Marta Fiocco, Rob G H H Nelissen, Pieter Bas De Witte","doi":"10.2340/17453674.2024.41342","DOIUrl":"10.2340/17453674.2024.41342","url":null,"abstract":"Background and purpose: Developmental dysplasia (DDH) and Legg-Calvé-Perthes disease (LCPD) are common indications for total hip arthroplasty (THA) at a young age, and may be associated with increased revision risk. We aimed to investigate the 10-year cumulative aseptic cup revision and overall revision risk of THA, and investigated whether these are increased compared with THA for primary osteoarthritis (OA) in patients below 55 years.Methods: All THAs (2007-2019) in patients under the age of 55 for the indications OA, DDH, and LCPD were extracted from the Dutch Arthroplasty register. The 10-year cumulative incidences of aseptic cup failure and overall revision were assessed for the 3 groups, with death as a competing risk. Cox regression analysis was used.Results: 24,263 THAs were identified: 20,645 (85%) for OA, 3,032 (13%) for DDH, and 586 (2%) for LCPD. The 10-year cumulative revision risk for aseptic cup failure was 3.4% (95% confidence interval [CI] 3.0-3.8) for OA, 3.4% (CI 2.4-3.4) for DDH, and 1.7% (CI 0.2-3.1) for LCPD. The 10-year cumulative overall revision risk was 6.0% (CI 5.6-6.5) for OA, 6.0% (CI 4.9-7.2) for DDH, and 5.1% (2.7-7.5) for LCPD. The multivariable Cox regression analysis for aseptic cup failure yielded hazard ratios of 0.7 (0.5-1.2) for DDH, and 0.8 (0.3-2.1) for LCPD compared with OA. No statistically significant differences for overall revision were found.Conclusion: THA performed for DDH or LCDP in patients under the age of 55 was not associated with a statistically significant increased risk of aseptic cup revision or overall revision, compared with THA performed for primary OA in the same age group.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"472-476"},"PeriodicalIF":2.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078774","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

The effect of pain neuroscience education on chronic postsurgical pain after total knee arthroplasty: a randomized controlled trial. 疼痛神经科学教育对全膝关节置换术后慢性术后疼痛的影响：随机对照试验。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-28 DOI: 10.2340/17453674.2024.41346

Dominique C Baas, Johanna C Van Aalderen-Wichers, Tjeerd H Van der Goot, Ronald J Verhagen

{"title":"The effect of pain neuroscience education on chronic postsurgical pain after total knee arthroplasty: a randomized controlled trial.","authors":"Dominique C Baas, Johanna C Van Aalderen-Wichers, Tjeerd H Van der Goot, Ronald J Verhagen","doi":"10.2340/17453674.2024.41346","DOIUrl":"10.2340/17453674.2024.41346","url":null,"abstract":"Background and purpose: Chronic postsurgical pain after total knee arthroplasty (TKA) is frequent and may be reduced by pain neuroscience education (PNE), teaching people about pain from a neurobiological perspective. This study investigated primarily the effectiveness of 2 individual sessions of PNE versus usual care on pain levels 3 months postoperatively in patients undergoing TKA. Secondary outcomes were physical functioning, stiffness, health-related quality of life, pain catastrophizing, attention to pain, and levels of anxiety and depression.Methods: A prospective single-center, parallel-group randomized controlled trial was undertaken including patients aged 18 years or older scheduled for primary TKA. 68 patients were randomly assigned to PNE or usual care. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score 3 months postoperatively. Outcomes were measured preoperatively, at 2 weeks (acute phase), and at 3 and 12 months postoperatively.Results: We found no statistically significant difference (0.4 points; 95% confidence interval [CI] -1.7 to 2.4) in WOMAC pain scores 3 months after TKA between the PNE and control group. We found a statistically significant difference between the 2 groups for attention to pain at 3 months in favor of PNE (P = 0.02).Conclusion: This RCT showed that PNE was not superior to usual care in terms of reducing pain at 3 months after TKA. Attention to pain, as a secondary outcome, was significantly lower in the PNE group compared with usual care. Other secondary outcome measures showed no significant differences.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"485-491"},"PeriodicalIF":2.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078775","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

Influence of design features and brand of reverse shoulder arthroplasties on survivorship and reasons for revision surgery: results of 5,494 arthroplasties with up to 15 years' follow-up reported to the Norwegian Arthroplasty Register 2007-2022. 反向肩关节置换术的设计特点和品牌对存活率和翻修手术原因的影响：2007-2022年挪威关节置换术登记册上5494例关节置换术长达15年的随访结果。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-27 DOI: 10.2340/17453674.2024.41344

Randi M Hole, Anne Marie Fenstad, Jan-Erik Gjertsen, Geir Hallan, Ove N Furnes

{"title":"Influence of design features and brand of reverse shoulder arthroplasties on survivorship and reasons for revision surgery: results of 5,494 arthroplasties with up to 15 years' follow-up reported to the Norwegian Arthroplasty Register 2007-2022.","authors":"Randi M Hole, Anne Marie Fenstad, Jan-Erik Gjertsen, Geir Hallan, Ove N Furnes","doi":"10.2340/17453674.2024.41344","DOIUrl":"10.2340/17453674.2024.41344","url":null,"abstract":"Background and purpose: We aimed to report the survival of different reverse shoulder arthroplasty (RSA) designs and brands, and factors associated with revision. The secondary aim was to evaluate the reasons for revision.Methods: We included 4,696 inlay and 798 onlay RSAs reported to the Norwegian Arthroplasty Register (NAR) 2007-2022. Kaplan-Meier estimates of survivorship and Cox models adjusted for age, sex, diagnosis, implant design, humeral fixation, and previous surgery were investigated to assess revision risks. The reasons for revision were compared using competing risk analysis.Results: Overall, the 10-year survival rate was 94% (confidence interval [CI] 93-95). At 5 years all brands exceeded 90%. Compared with Delta Xtend (n = 3,865), Aequalis Ascend Flex (HR 2.8, CI 1.7-4.6), Aequalis Reversed II (HR 2.2, CI 1.2-4.2), SMR (HR 2.5, CI 1.3-4.7), and Promos (HR 2.2, CI 1.0-4.9) had increased risk of revision. Onlay and inlay RSAs had similar risk of revision (HR 1.2, CI 0.8-1.8). Instability and deep infection were the most frequent revision causes. Male sex (HR 2.3, CI 1.7-3.1), fracture sequelae (HR 3.1, CI 2.1-5.0), and fractures operated on with uncemented humeral stems had increased risk of revision (HR 3.5, CI 1.6-7.3).Conclusion: We found similar risk of revision with inlay and onlay designs. Some prosthesis brands had a higher rate of revision than the most common implant, but numbers were low.","PeriodicalId":6916,"journal":{"name":"Acta Orthopaedica","volume":"95 ","pages":"463-471"},"PeriodicalIF":2.5,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071714","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

Identifying effective candidates for sacro-iliac joint fusion. 确定骶髂关节融合术的有效候选者。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-21 DOI: 10.2340/17453674.2024.41305

Daisuke Kurosawa, Bengt Sturesson

引用次数: 0

Reply to Letter: Identifying effective candidates for sacro-iliac joint fusion. 回信：确定骶髂关节融合术的有效候选者。

IF 2.5 2区医学

Acta Orthopaedica Pub Date : 2024-08-21 DOI: 10.2340/17453674.2024.41306

Paul Gerdhem, Thomas Kibsgård, Engelke Randers

引用次数: 0