Acta orthopaedica Belgica最新文献_第2页

Distal tibial fractures fixation using retrograde tibial intramedullary nail in high-risk patients: a retrospective study.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12760

H Liu, W Xu, Y Xiong, J Zhang, D Luo, J Wu

{"title":"Distal tibial fractures fixation using retrograde tibial intramedullary nail in high-risk patients: a retrospective study.","authors":"H Liu, W Xu, Y Xiong, J Zhang, D Luo, J Wu","doi":"10.52628/90.3.12760","DOIUrl":"https://doi.org/10.52628/90.3.12760","url":null,"abstract":"Distal tibial fractures are common lower-limb injuries and are generally associated with a high risk of postoperative complications, especially in patients with multiple medical comorbidities. This study sought to ascertain the efficacy of retrograde intramedullary tibial nails (RTN) for treating extra-articular distal tibial fractures in high-risk patients. Between January 2019 and December 2021, 13 patients considered at high risk for postoperative complications underwent RTN fixation. Comorbidities in the patient sample included diabetes, renal disease, hypertension, severe osteoporosis, hemorrhagic blisters, long-term smoking, alcoholism and so on. Medical records were retrospectively reviewed to assess treatment data, wound complications, infections, hardware failure, time to bone union, and functional outcomes. The mean preoperative waiting time and operation duration was 7.1 ± 1.7 days and 61.1 ± 7.1 minutes, respectively. The hospital stay time ranged from 10 to 16 days, with a mean of 12.6 ± 1.9 days. All patients were monitored for a mean follow-up time of 17.5 ± 3.3 months. All patients achieved fracture union with an average healing time of 5.0 ± 0.7 months. No implant failure or persistent pain was observed in the surgical site. Two patients had superficial infection, but no further complications resulted from the incision. At the final follow-up, the average AOFAS score was 84.0 ± 7.3 points, with an excellent and good rate of 76.9%. RTN appears to be a reliable treatment option for extra-articular distal tibial fractures in high-risk patients.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"559-565"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027438","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

Are the outcomes of bone transport in the treatment of bone defects in the upper- middle and lower-middle tibia similar?

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12619

W Xuming, W Changbao, D Yanping, Y Qudong, S Sheng

{"title":"Are the outcomes of bone transport in the treatment of bone defects in the upper- middle and lower-middle tibia similar?","authors":"W Xuming, W Changbao, D Yanping, Y Qudong, S Sheng","doi":"10.52628/90.3.12619","DOIUrl":"https://doi.org/10.52628/90.3.12619","url":null,"abstract":"The aim of the study was to compare the outcomes of bone transport in treating upper- middle vs. lower- middle tibial bone defects. Sixty-two patients with tibial infected large segmental defects treated by bone transport were analyzed retrospectively and divided into distal group (lower- middle tibial bone defects and proximal transport, n=38) and proximal group (upper- middle tibial bone defects and distal transport, n=24). The demographic data were not significant different (P > 0.05). External fixation index (ETI), bone defect union time (BDUT), regenerate consolidation time (RCT), bone healing and functional outcomes evaluated by Association for the Study and Application of the Methods of Ilizarov score, postoperative complications evaluated by Paley classification, and the American Orthopaedic Foot and Ankle Society (AOFAS) score were recorded and compared at a minimum follow-up of 20 months. There were no significant differences in flap repair, follow-up time, ETI, RCT, bone healing, functional outcomes and complications between the two groups (P > 0.05). However, in the distal group, the BDUT was significantly longer, and the AOFAS score was significantly lower than those in the proximal group (17.5±2.5 vs 15.9±3.1 months, 70.0±5.5 vs 72.8±4.8, respectively) (P < 0.05). The overall outcomes of bone transport in treating upper- middle vs. lower- middle tibial bone defects are similar. However, the upper- middle tibia bone defects heal faster than the lower- middle tibial bone defects, and distal transport has a greater adverse effect on the ankle and foot joints than proximal transport. Therefore, traditional distal tibial transport near the ankle joint should be taken with caution.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"513-521"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027513","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

Low-cost negative pressure wound therapy for gunshot traumatism in developing countries.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.11266

A Namugusha Kabakuli, P Munguakonkwa Budema, G Kuyigwa Toha, H Wilonja Tawimbi, C Sudi Musilimu, P L Docquier

引用次数: 0

Tribute to Professor André Vincent (1931-2023).

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12751

O Cornu, T Schubert, X Libouton, K Tribak, D Putineanu, M VAN Cauter, L Kaminski, E Thienpont, P-L Docquier, X Banse, J-E Dubuc, O Barbier

引用次数: 0

Good clinical outcomes following total hip arthroplasty using large-diameter ceramic-on-ceramic bearings.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12451

E Jansegers, M Dendale, D VAN Leemput

{"title":"Good clinical outcomes following total hip arthroplasty using large-diameter ceramic-on-ceramic bearings.","authors":"E Jansegers, M Dendale, D VAN Leemput","doi":"10.52628/90.3.12451","DOIUrl":"https://doi.org/10.52628/90.3.12451","url":null,"abstract":"Large-diameter heads (LDHs) in total hip arthroplasty (THA) enhance range of motion but require thinner liners. Monoblock acetabular components with ceramic liners could reduce liner fracture risks during modular acetabular component assembly. This study aims to confirm the safety and clinical performance of the monoblock Maxera Cup in THA. The study included 198 consecutive patients who received 214 primary monoblock acetabular components with an LDH ceramic-on-ceramic (CoC) bearing between March 2012 and December 2013. We collected Harris hip scores (HHS), Oxford hip scores (OHS), EuroQoL-5D scores (EQ-5D), and conducted radiographic evaluations. Seven patients (3.5%) died for reasons unrelated to the intervention. A single patient (0.3%) underwent cup revision due to recurrent dislocation from trauma. Another patient needed cup revision six years post-surgery due to squeaking. Mean follow-up time was 36.2 ± 27.9 months. Kaplan-Meier survivorship rate at 96 months for any component loosening was 100%, and the cup revision survivorship rate for any reason was 96.8% (95% CI, 87.8-99.5%). At final follow-up, mean HHS was 93.6 ± 9.9, OHS was 16.2 ± 5.9, and EQ-5D was 0.94 ± 0.09. LDH CoC THA using a monoblock cup yielded excellent medium-term functional outcomes. This approach eliminates liner fracture risk during insertion and reduces implant impingement risk.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"383-387"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027448","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

Outcome, severity of injury and length of sick leave after an ankle fracture: an observational register study.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12839

H Juto, M Hultin, M Möller, P Morberg

{"title":"Outcome, severity of injury and length of sick leave after an ankle fracture: an observational register study.","authors":"H Juto, M Hultin, M Möller, P Morberg","doi":"10.52628/90.3.12839","DOIUrl":"https://doi.org/10.52628/90.3.12839","url":null,"abstract":"There is a lack in understanding the reasons for different lengths of sick leave in patients who sustain ankle fractures. The aim of this study is to examine variations in the length of sick leave in ankle fracture patients and how treatment, type of ankle fracture and the patient-reported outcome are associated with the length of sick leave. In this study were data from the Swedish Social Insurance Agency (SSIA) and the Swedish Fracture Register (SFR), combined. Patients who sustained an ankle fracture were identified and the length of the sick leave calculated. Variables associated to the length of the sick leave were analysed. Fifty-three percent of the patients were on sick leave for an average of 88 days. Factors that were associated with the length of sick leave were an open fracture, operative treatment, multiple treatments, AO/OTA classification, and previous sick leave. Patients on sick leave for 22 weeks or more scored 15 points (CI 95% 12-18) worse on the dysfunction index of the Short Musculoskeletal Function Assessment in the 1-year follow-up compared to the pre- injury survey. This can be compared to 3 points (CI 95% 2-5) lower in patients with the shortest sick leave. There is an association between the severity of the injury and the length of sick leave following an ankle fracture, as well as between the patient-reported outcome after one year and the length of the sick leave.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"475-483"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027572","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

Preoperative dose of intravenous tranexamic acid safely reduces blood loss and transfusion in patients undergoing hip hemiarthroplasty for femoral neck fracture. A randomized controlled trial.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.11635

F A Miralles-Muñoz, R Martin-Grandes, M Pineda-Salazar, L L Bello-Tejeda, C DE LA Pinta-Zazo, P Farrer-Muñoz

{"title":"Preoperative dose of intravenous tranexamic acid safely reduces blood loss and transfusion in patients undergoing hip hemiarthroplasty for femoral neck fracture. A randomized controlled trial.","authors":"F A Miralles-Muñoz, R Martin-Grandes, M Pineda-Salazar, L L Bello-Tejeda, C DE LA Pinta-Zazo, P Farrer-Muñoz","doi":"10.52628/90.3.11635","DOIUrl":"https://doi.org/10.52628/90.3.11635","url":null,"abstract":"The objectives were to evaluate the effectiveness and safety of a single preoperative dose of intravenous tranexamic acid (TXA) in reducing perioperative blood loss and requirement for transfusion in patients undergoing hip hemiarthroplasty for femoral neck fracture. A double-blind randomized controlled trial was conducted in 140 patients with hip fracture. After randomization, 68 patients received a single dose of 1 gr of intravenous TXA at the start of the surgery (TXA group), and 72 received a placebo treatment (placebo group). TXA group had a significant decrease in blood loss (p < 0.001) and requirement for transfusion (p < 0.001) compared with the placebo group. There were seven thromboembolic events, all in the placebo group (p = 0.014). Mortality within 1-year postoperatively was not significantly different between groups (p = 0.297).The use of a single dose of intravenous TXA at the start of the surgery significantly reduces blood loss and requirement for transfusion without increasing the risk of thromboembolic events in patients with femoral neck fracture undergoing hip hemiarthroplasty.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"403-408"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027575","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

Impact of avascular necrosis on outcomes in the management of developmental dysplasia of hip: a systematic review.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12274

S K Mahapatra, A Hampannavar, S Choudhury, V Gourineni, B Sahu, J Rout

{"title":"Impact of avascular necrosis on outcomes in the management of developmental dysplasia of hip: a systematic review.","authors":"S K Mahapatra, A Hampannavar, S Choudhury, V Gourineni, B Sahu, J Rout","doi":"10.52628/90.3.12274","DOIUrl":"https://doi.org/10.52628/90.3.12274","url":null,"abstract":"Avascular necrosis (AVN) is a known complication during the management of developmental dysplasia of the hip (DDH). It has the potential to alter the growth of the head or acetabulum and prevent the best outcomes. While past literature has evaluated the risks of AVN and strategies to avoid it, studies on the impact of AVN on the outcomes are scarce. In this systematic review, we aim to study the extent of the effects of AVN on the outcomes, in the management of DDH. In this systematic review series for 1990 to 2021 were pooled. The clinical and radiological outcomes of the AVN and non-AVN groups were compared. The effects of other modifying factors were also evaluated. A total of 170 AVN and 585 non-AVN hips from 21 papers were compared. The analysis did not show any statistically significant difference between the AVN and non-AVN groups in terms of clinical or radiological parameters. Interestingly patients who had the index surgery at a younger age had a higher risk of further surgery, with acetabular osteotomy being the most common secondary procedure. The negative impact of AVN may not be as severe as previously thought. Thus, the fear of AVN should not take precedence over the primary goal of DDH management i.e. obtaining a stable concentric mobile hip.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"535-542"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027548","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

No clinical superiority of bi-cruciate retaining versus posterior stabilized total knee arthroplasty at two years follow-up.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.11905

T Kyriakidis, J Hernigou, C Pitsilos, R Verdonk, D Koulalis

{"title":"No clinical superiority of bi-cruciate retaining versus posterior stabilized total knee arthroplasty at two years follow-up.","authors":"T Kyriakidis, J Hernigou, C Pitsilos, R Verdonk, D Koulalis","doi":"10.52628/90.3.11905","DOIUrl":"https://doi.org/10.52628/90.3.11905","url":null,"abstract":"The purpose of the present study was to evaluate and compare the clinical outcomes of two groups of patients subject to bi-cruciate retaining (BCR) or posterior-stabilized (PS) implants. It was hypothesized that patients treated with BCR prostheses would present higher flexion and better clinical and functional results than those treated with PS implants. This prospective study included thirty-two patients treated for primary knee osteoarthritis and assigned to two matched groups for their demographic characteristics and comorbidities. Those with functioning cruciate ligaments received bi- cruciate retaining prostheses. In the case of ligaments' insufficiency, the posterior-stabilised design was selected. The primary outcome was knee flexion, and secondary outcomes included the patient's reported outcomes as recorded by the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire, visual analogue scale (VAS) for pain, treatment- related complications, and surgical time. Complete data were recorded for all patients with a minimum of 2 years of follow-up. This study found a statistically significant improvement in all the analysed clinical and functional assessment tools from baseline to the latest follow-up (p<0.05) for both groups. However, no statistically significant difference was found between the two groups. Furthermore, bi-cruciate retaining design is surgical time. There was no evidence of clinical superiority of bi-cruciate retaining compared to posterior stabilized knee implants. Therefore, further randomized studies with more participants and a longer follow-up on comparing bi-cruciate retaining and posterior stabilized implants in primary knee osteoarthritis could be rewarding.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"409-414"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027569","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 top 100 most-cited total knee arthroplasty publications.

IF 0.5 4区医学

Acta orthopaedica Belgica Pub Date : 2024-09-01 DOI: 10.52628/90.3.12420

B DE Geofroy, J Ernat, P Froidefond, A Ghabi, M Peras, J-F Gonzalez, G Micicoi

{"title":"The top 100 most-cited total knee arthroplasty publications.","authors":"B DE Geofroy, J Ernat, P Froidefond, A Ghabi, M Peras, J-F Gonzalez, G Micicoi","doi":"10.52628/90.3.12420","DOIUrl":"https://doi.org/10.52628/90.3.12420","url":null,"abstract":"The object is to objectively identify the 100 most influential scientific publications in total knee arthroplasty (TKA) and provide an analysis of their main characteristics. The Clarivate Analytics Web of Knowledge database was used to obtain data and metrics of TKA research. The search list was sorted by the number of citations, and articles were included or excluded based on relevance to TKA. The information extracted for each article included author name, publication year, country of origin, journal name, article type, and the level of evidence. These 100 studies generated a total of 35,399 cita- tions, with an average of 355.9 citations per article. The most-cited article was cited 1273 times. The 100 studies included in this analysis were published between 2000 and 2017. 23 different journals published these 100 publications. Majority of the publications were from United States (n = 52), followed by UK (n = 10) and Canada (n = 8). The most prevalent study designs were case series (n = 32) and cohort studies (n = 30). The 100 most influential articles in TKA were cited a total of 35,399 times. The study designs most prevalent were case series and cohort studies. This article serves as a reference to direct orthopedic surgeons to the 100 most influential studies in total knee arthroplasty. More than half of the studies are from North America, and three journals hold two-thirds of the 100 most cited publications on the topic.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 3","pages":"463-473"},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027611","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