Acta orthopaedica Belgica最新文献_第10页

Alkaptonuric Ochronosis: A case-based review. 碱通尿症：病例回顾

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12403

K H Salem, A D Elmoghazy

引用次数: 0

Clinical Significance of Arthroscopic Debridement, Trapeziectomy, and Joint Replacement for Basilar Thumb Joint Arthritis: A Meta-analysis of Pain Score Improvements. 关节镜下拇指基底关节炎清创术、梯形切除术和关节置换术的临床意义：疼痛评分改善的 Meta 分析。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12744

K Ghayyad, N Sarli, N Golovachev, A Bachoura, D Hirsch, A R Kachooei

{"title":"Clinical Significance of Arthroscopic Debridement, Trapeziectomy, and Joint Replacement for Basilar Thumb Joint Arthritis: A Meta-analysis of Pain Score Improvements.","authors":"K Ghayyad, N Sarli, N Golovachev, A Bachoura, D Hirsch, A R Kachooei","doi":"10.52628/90.2.12744","DOIUrl":"https://doi.org/10.52628/90.2.12744","url":null,"abstract":"Introduction: A meta-analysis was conducted comparing the impact of Arthroscopic debridement (AD), trapeziectomy (TRAP), and joint replacement (JR) on the change in pain scores on patients with Basilar thumb joint arthritis (BTJA).Methods: Four databases were searched for studies presenting pain outcomes following surgical intervention for BTJA. Pain scores were reported using the Visual Analog Scale (VAS) and compared against the pre-established threshold for Minimal Clinically Important Difference (MCID) of 1.65.Results: Eighteen studies with 763 patients treated with AD(n=102, 13%), TRAP(n=428, 56%), and JR(n=233, 31%) between 2010 and 2023 with a mean follow-up period of 38 ± 28 months were included. There were 25 groups including 4 AD, 14 TRAP, and 7 JR. The mean difference between pre- and post-operative VAS pain was 4.9 ± 2 for all groups. Meta-analysis demonstrated a mean delta VAS of 3.6 (95%CI 1.79-5.38, for AD, 5.1(95%CI, 4.20-6.02) for TRAP and 6.8(95%CI, 5.93-7.97) for JR. ANOVA showed a significant difference between groups (P=0.016). Post-Hoc testing showed a significant difference between AD and JR (P=0.014). A significant improvement in pain scores, surpassing the MCID threshold, was obtained in all surgical interventions. Change in pain score was 2.6 times MCID for AD, 2.9 times for TRAP, and 3.6 times for JR.Conclusions: All interventions showed significant improvement in pain. Variability in treatment options and improvement depends on patient selection and surgeon's preference. This data can be used to counsel patients regarding the expected pain relief. However, longevity, and long-term outcomes warrant further study.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"253-260"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Four-screw compression plate fixation for diaphyseal humerus fractures. 肱骨二骺骨折的四螺钉加压钢板固定术

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12459

N Kanneganti, A Gao, R Gupta, H C Sagi

{"title":"Four-screw compression plate fixation for diaphyseal humerus fractures.","authors":"N Kanneganti, A Gao, R Gupta, H C Sagi","doi":"10.52628/90.2.12459","DOIUrl":"https://doi.org/10.52628/90.2.12459","url":null,"abstract":"While many humeral shaft fractures can be successfully treated with nonoperative management, compression plating techniques using at least three or four screws on either side of the fracture are the current gold standard. We hypothesized that a less rigid construct using compression with only two screws on either side of the fracture can provide adequate strength for uneventful fracture union. This is a retrospective review of all the patients who underwent open reduction and compression plate fixation for acute diaphyseal humerus fractures (ADHFs) at an academic Level-1 urban trauma center between 2018 and 2023. Patients treated with compression plating using only two screws and three or four plate-holes on either side of the fracture (Group 1) were matched one-to-one with patients treated using the conventional number of screws (three or more on either side of the fracture - Group 2). The incidence of nonunion/malunion, infection, and implant failure was compared among the two groups. There were eleven matched patients in both groups. The nonunion, infection complications, and hardware failure rates were 0% and 9.1% for the control group (Group 2) and four-screw group (Group 1) respectively. This difference was not statistically significant (p = 1.00). Although convention dictates the use of six or more bicortical screws (at least three bicortical screws on each side of the fracture), four-screw bicortical fixation may be a feasible option for ADHFs treated with large fragment compression plating techniques.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"229-232"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Mesenchymal Stem Cell Injections for the Treatment of Osteoarthritis: A Systematic Review of Clinical Trials. 间充质干细胞注射治疗骨关节炎：临床试验系统综述》。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12364

M Y Fares, T H Shehade, M Daher, P Boufadel, J Koa, J A Abboud

{"title":"Mesenchymal Stem Cell Injections for the Treatment of Osteoarthritis: A Systematic Review of Clinical Trials.","authors":"M Y Fares, T H Shehade, M Daher, P Boufadel, J Koa, J A Abboud","doi":"10.52628/90.2.12364","DOIUrl":"https://doi.org/10.52628/90.2.12364","url":null,"abstract":"Objectives: Osteoarthritis is a prevalent degenerative disease that affects many people worldwide. The use of mesenchymal stem cells (MSCs) in the setting of osteoarthritis has been explored by many clinical trials in the literature. Exploring these clinical trials is important for assessing the benefit of this modality in the setting of osteoarthritis.Methods: On November 9, 2022, a search was conducted on PubMed/MEDLINE databases to explore clinical trials involving MSC injections for osteoarthritis. Only articles that were clinical trials, explored the use of MSC injections in osteoarthritis, involved human subjects, and written in English language, were included. Relevant data was extracted from the included trials.Results: A total of 43 trials were included (N=43). The knee was most the commonly explored joint (95.4%), and adipose tissue was the most commonly utilized MSC source (49%). All but one trial (97.7%) reported clinical improvement in the MSC group on follow up, and 33 trials (76.7%) reported better clinical outcomes in the MSC groups when compared to control groups. Twenty-three trials (53.5%) used imaging to evaluate outcomes following MSC injections, out of which twenty (46.5%) reported improvements in the affected joint. Similarly, four trials (9.3%) used second look arthroscopy, out of which three (7%) reported better outcomes on follow up.Conclusion: While published trials show good therapeutic potential for MSC injections in the setting of osteoarthritis, several discrepancies render the efficiency and reliability of this modality equivocal. The adoption of standardized protocols, employment of comprehensive evaluation tools, and reporting negative results is essential in order to appropriately assess the utility of MSC injections for the treatment of osteoarthritis.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"319-333"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The history of skeletal trauma care: 5000 years of traumatology. 骨骼创伤护理的历史：创伤学五千年。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.H1

W DE Groote

引用次数: 0

The Relationship Between Patient-Reported Outcome Measures (PROMs) in Patients Undergoing Hip and Knee Joint Replacement Surgery and Social Deprivation on the Wirral. 威勒尔地区髋关节和膝关节置换手术患者的患者报告结果指标 (PROM) 与社会贫困程度之间的关系。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12211

B Gompels, N Donnachie

{"title":"The Relationship Between Patient-Reported Outcome Measures (PROMs) in Patients Undergoing Hip and Knee Joint Replacement Surgery and Social Deprivation on the Wirral.","authors":"B Gompels, N Donnachie","doi":"10.52628/90.2.12211","DOIUrl":"https://doi.org/10.52628/90.2.12211","url":null,"abstract":"Objective: This study aimed to investigate the associa-tion between patient-reported outcome measures (PROMs), both pre- and post-operatively, and socio-economic deprivation among patients undergoing hip and knee replacement surgeries in the diverse socioeconomic region of Wirral.Methods: A retrospective cohort study was conducted, involving 1666 adult patients who underwent hip or knee replacement procedures between 2012 and 2019. Socioeconomic deprivation was assessed using the Index of Multiple Deprivation (IMD). Pre- and post-operative outcomes were measured using the Oxford Hip and Knee scores.Results: The mean scores for both pre-and post-operative assessments (Q1 and Q2) exhibited a strong positive correlation with PROM scores, regardless of gender, across both hip and knee replacements. However, the mean difference in scores between Q1 and Q2 showed no significant correlation with the IMD decile. Notably, patients residing in areas of higher socioeconomic deprivation demonstrated lower PROMs both before and after the surgery.Conclusion: The Oxford Hip and Knee scores are widely employed for evaluating health status in patients. In our study, these scores were influenced by IMD decile, supporting the holistic assessment approach employed by the treating unit, which does not rely solely on PROM scores as a trigger for arthroplasty discussions. Furthermore, our findings align with the practice of NHS Digital, which publishes PROM scores based on changes in PROM scores pre- and post-operation rather than absolute PROM scores. This approach appears to be less influenced by deprivation in the catchment area, as the improvement or change in scores was poorly correlated with socioeconomic factors.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"179-185"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Fat embolism syndrome and massive middle cerebral artery occlusion: a case report. 脂肪栓塞综合征和大面积大脑中动脉闭塞：病例报告。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12425

B Wattiaux, M Carlier, P Vanacker, V Remiche, G Vanderweerden

引用次数: 0

Epidemiology of bone tumors in children and adolescents: a retrospective study of 266 patients in the south of Tunisia. 儿童和青少年骨肿瘤流行病学：对突尼斯南部 266 名患者的回顾性研究。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.10173

M Zghal, R Kallel, M Bouhamed, O Boudawara, C Chaari, S Charfi, M Trigui, T Boudawara

{"title":"Epidemiology of bone tumors in children and adolescents: a retrospective study of 266 patients in the south of Tunisia.","authors":"M Zghal, R Kallel, M Bouhamed, O Boudawara, C Chaari, S Charfi, M Trigui, T Boudawara","doi":"10.52628/90.2.10173","DOIUrl":"https://doi.org/10.52628/90.2.10173","url":null,"abstract":"Although bone tumors (BT) are relatively uncommon among the human neoplasm, they constitute the most frequent tumors in children and adolescents (CAA). Little information is available about the epidemiologic features of BT in CAA. We aimed to present and discuss epidemiological characteristics of BT in CAA in southern Tunisia, regarding the different histological types. This is a retrospective study including cases of BT in CAA collected in the pathology department at the Habib Bourguiba university hospital over a period of 15 years (2006- 2020). A total of 266 BT was diagnosed in our institution (42,7% among all BT in Southern Tunisia) divided into 200 benign bone tumors (BBT) (75,2%) and 66 malignant bone tumors (MBT) (24,8%). The mean age for all BT was 14,2 years (3-20 years) with male predominance (sex ratio: 1,48). The most common tumor was osteochondroma (42.2%) followed by osteosarcoma (14.6%) and Ewing sarcoma (6.4%). For BBT, the most affected age group was the 16 to 20 year - old - group (50,7%) with a male predominance (59.8%) and a predilection for lower limb (66.8%) then the upper limb (16,8%). Osteochondroma was the most common histological type (56.5%) followed by aneuvrysmal cyst (8,5%) and osteoid osteoma (6,5%). For MBT, the mean age was 12,5 years (5-20 years) and the most affected age group was the 11 to 15 year -old -group (59%). Boys were more affected (60.6%), with a preference for the lower limb (57%) followed by the pelvis (15,6%). Osteosarcoma was the most common MBT (60%) followed by Ewing sarcoma (24%). Given their rarity and heterogeneity, the diagnosis of BT is particular in CAA and requires a multidisciplinary approach. The reporting of epidemiological studies remains essential in order to expand our knowledge regarding these uncommon tumors.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"303-309"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Gracilis muscle flap for reconstruction of extensive soft tissue damage to the palm. 用于重建手掌大面积软组织损伤的腕骨肌皮瓣。

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.12601

M Gérin, S Bogaert, N Chahidi

{"title":"Gracilis muscle flap for reconstruction of extensive soft tissue damage to the palm.","authors":"M Gérin, S Bogaert, N Chahidi","doi":"10.52628/90.2.12601","DOIUrl":"https://doi.org/10.52628/90.2.12601","url":null,"abstract":"Objective: The reconstruction of a large palmar soft tissue defect is a challenge to restore both aesthetics and functionality. Reconstruction with fascio-cutaneous and fascial flaps are the most widely used in the literature, few cases are reported using muscular free flap. We report our experience with the use of the free gracilis muscle flap for palmar soft tissue reconstruction in patients with complex hand traumas.Methods: We review nine cases of complex soft tissue reconstruction to the palm of the hand using the free gracilis muscle flap performed over a period of 20 years. Eight cases involved acute trauma with damage to underlying structures, necessitating multiple surgical procedures.Results: With an average follow-up of 36 months, the free gracilis muscle flap reconstruction enabled patients to achieve good grip, with skin quality resistant to chronic mechanical stress. All patients recovered a protective sensation to deep pressure. The hand's aesthetic appearance was restored in all cases. Flap harvesting altered neither the function nor silhouette of the donor site.Conclusion: The optimal palmar reconstruction technique depends on patient characteristics, associated trauma, and defect size. In our opinion, the gracilis muscle flap technique is both straightforward and effective in restoring mechanical function of the hand, particularly when a large area of the palm has been impacted.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"233-238"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Chronic regional pain syndrome following calcaneal fractures: what causes it and how may Vitamin C aid? 小腿骨骨折后的慢性区域疼痛综合征：原因何在，维生素 C 有何功效？

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI: 10.52628/90.2.11928

M Kazez, M Yalin, A Agar

{"title":"Chronic regional pain syndrome following calcaneal fractures: what causes it and how may Vitamin C aid?","authors":"M Kazez, M Yalin, A Agar","doi":"10.52628/90.2.11928","DOIUrl":"https://doi.org/10.52628/90.2.11928","url":null,"abstract":"The purpose of the current study is to determine which variables influence the onset of chronic regional pain syndrome (CRPS) following Sanders type 1 calcaneal fractures, which are treated conservatively, and to discover how Vitamin C (VC) supplementation, which is often mentioned in the literature, affects the outcomes of these fractures. The study incorporated individuals who had a Sanders type 1 fracture that was both closed and non-displaced and were treated with conventional plaster. The current study retrospectively reviewed medical records to gather demographic data, duration of immobilization, smoking habits, administration of VC supplementation, and presence of diabetes mellitus (DM). The Budapest criteria were employed to make the clinical diagnosis of CRPS. The study cohort comprised 258 (75.9%) males and 82 (24.1%) females aged between 18 and 90 years who had sustained Sanders type 1 calcaneal fractures and were managed non-operatively. CRPS was detected in 42 (12.4%) of the 340 subjects. CRPS patients had a statistically higher immobilization duration than those without CRPS (p<0.05). Smoking and DM were more common among patients with CRPS (p<0.05) and CRPS patients had a much lower rate of VC consumption (4.8%) (p<0.05). The current study is the first to examine risk variables for CRPS after calcaneal fractures. Long periods of immobility, female gender, and lack of VC supplementation increase the risk of CRPS. CRPS also increases with diabetes and smoking.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 2","pages":"271-277"},"PeriodicalIF":0.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142492716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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