Acta orthopaedica et traumatologica turcica最新文献_第8页

The effect of onlay cortical fibula strut grafts on biomechanical features of Vancouver type B1 periprosthetic femoral fractures 骨皮质支架对温哥华B1型股骨假体周围骨折生物力学特征的影响

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-05-01 DOI: 10.5152/j.aott.2022.21287

Orkhan Aliyev, T. Erden, Kerim Sarıyılmaz, E. Bozdag, E. Sünbüloğlu, I. Tuncay, F. Yıldız

{"title":"The effect of onlay cortical fibula strut grafts on biomechanical features of Vancouver type B1 periprosthetic femoral fractures","authors":"Orkhan Aliyev, T. Erden, Kerim Sarıyılmaz, E. Bozdag, E. Sünbüloğlu, I. Tuncay, F. Yıldız","doi":"10.5152/j.aott.2022.21287","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21287","url":null,"abstract":"Objective: This study aimed to investigate biomechanically the effects of onlay fibula grafts on Vancouver Type B1 Periprosthetic Femoral Fractures (PPFs). Methods: Vancouver Type B1 PFF models were created in 25 fourth-generation synthetic femurs and fixed with locking plates using bicortical, unicortical screws, and cables. While no graft was used in group 1, onlay fibula grafts were placed anteriorly in group 2 and medially in group 3. In group 4, the cortical strut allograft was placed on the medial femoral cortex, and a locking compression plate (LCP) was applied to the lateral femoral cortex. In group 5, the strut allograft was placed over the anterior cortex of the femur and fixed with the same technique as in group 4. All models were then subjected to rotational and axial cyclical stiffness tests and load to failure to measure and compare the mechanical strengths of the constructs. Results: The mean stiffness values of group 4 with medial allograft, before and after cyclical loading, were higher than all other groups, under both rotational and axial forces. The mean stiffness values of fibula autografts (groups 2 and 3) were similar to that of anterior allografts (group 5) in each test except that the mean initial axial stiffness of group 5 was higher than group 2. Failure loads were also not different between the groups. Conclusion: Although the rigidity of Vancouver type B1 periprosthetic femur fractures is highest if allografts are placed medially, fibula autografts can also provide similar fixation strengths to allografts if locking plates with unicortical and bicortical screws and cables are used.","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"166 - 172"},"PeriodicalIF":1.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48689800","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 self-assessment of newly graduated orthopedic surgeons on essential surgical procedures 新毕业骨科医生对基本外科手术的自我评估

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-05-01 DOI: 10.5152/j.aott.2022.22023

Utku Gürhan, Yakup Kahve, Multehan Evran, Olgun Bingöl, N. Erdem Yaşar, K. Erler

{"title":"The self-assessment of newly graduated orthopedic surgeons on essential surgical procedures","authors":"Utku Gürhan, Yakup Kahve, Multehan Evran, Olgun Bingöl, N. Erdem Yaşar, K. Erler","doi":"10.5152/j.aott.2022.22023","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22023","url":null,"abstract":"Objective: The aim of this study was to assess the self-confidence of newly graduated orthopedic surgeons on performing essential surgical procedures. Methods: The study included 151 orthopedics and traumatology surgeons who had completed their (orthopedics and traumatology) training within the last year. They were asked to complete an online questionnaire which was available from February 2020 to May 2021. In the questionnaire, newly graduated orthopedic surgeons were asked whether they could do the 18 listed essential adult and 8 listed essential pediatric cases independently. They were asked about patient follow-up systems and who these were supervised by, the demographic data of the city and about the institution they were trained in, and how many times they performed the listed surgeries during their training. Results: 74 (49%) of the participants received their training in training and research hospitals, 69 (45.7%) in state university hospitals, and 8 (5.3%) in foundation university hospitals. More than 80% of the participants answered, “I can do it independently” for 13 (81.6%) out of 16 adult cases and 7 (87.5%) out of 8 paediatric cases. The average self-efficacy score of the participants was 32.22 out of 36 for adult cases and 15.3 out of 16 for paediatric cases. The total average self-efficacy score was 47.52 out of 52. Conclusion: This study has shown us that newly graduated orthopedic surgeons have the self-confidence to handle many of the essential types of cases independently.","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"217 - 221"},"PeriodicalIF":1.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49429312","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

Risk factors for proximal junctional kyphosis in adult spinal deformity after correction surgery: A systematic review and meta-analysis 成人脊柱畸形矫形术后近端关节后凸的危险因素:一项系统回顾和荟萃分析

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-05-01 DOI: 10.5152/j.aott.2022.21255

Xuexin Han, Jiabin Ren

{"title":"Risk factors for proximal junctional kyphosis in adult spinal deformity after correction surgery: A systematic review and meta-analysis","authors":"Xuexin Han, Jiabin Ren","doi":"10.5152/j.aott.2022.21255","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21255","url":null,"abstract":"Objective: This study aimed to conduct a systematic review and meta-analysis to assess the risk factors for proximal junctional kyphosis after the correction surgery of adult spinal deformity. Methods: Relevant studies were systematically retrieved from databases including Cochrane Library, PubMed, and Embase. Based on inclusion and exclusion criteria, literature screening, quality evaluation, and data extraction were conducted. Analysis was performed with Revman 5.3 software. Results: Sixteen studies with 2388 patients, covering 905 cases with proximal junctional kyphosis and 1483 cases without proximal junctional kyphosis, were included in the study. The high-risk factors for the development of proximal junctional kyphosis were found to be high body mass index, osteoporosis, severe fatty infiltration of paravertebral muscles, small functional area of paravertebral muscles, lumbar lordosis over-correction, lack of ligament reinforcement device at the proximal vertebrae and upper instrumented vertebra at the thoracolumbar segment, and pelvic fixation. The results were statistically significant. Conclusion: Evidence from this study has revealed that the independent risk factors for proximal junctional kyphosis complications after correction surgery of adult spinal deformity are high body mass index, osteoporosis, severe degeneration of paravertebral muscles, lumbar lordosis overcorrection, fixed fusion to the pelvis, and lack of ligament reinforcement device at the proximal vertebrae and upper instrumented vertebra at the thoracolumbar segment. Level of Evidence: Level IV, Therapeutic Study","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"158 - 165"},"PeriodicalIF":1.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47275985","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: 3

Neuroma as an unusual complication of transarticular lateral release and distal chevron metatarsal osteotomy for hallux valgus: A case report 神经瘤是经关节外侧松解和远端跖骨截骨治疗拇外翻的罕见并发症:1例报告

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-04-25 DOI: 10.5152/j.aott.2022.21344

Yoon-Chung Kim, C. Kim, B. Kim, Jae-Jung Jeong

引用次数: 0

Application of mesh plate for the treatment of an osteochondral fracture of the medial femoral condyle with medial wall fracture: A case report 网状钢板治疗股骨内侧髁骨软骨骨折伴内侧壁骨折1例

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-04-25 DOI: 10.5152/j.aott.2022.21325

Y. Mochizuki, N. Yamamoto, T. Noda, Toshifumi Ozaki

{"title":"Application of mesh plate for the treatment of an osteochondral fracture of the medial femoral condyle with medial wall fracture: A case report","authors":"Y. Mochizuki, N. Yamamoto, T. Noda, Toshifumi Ozaki","doi":"10.5152/j.aott.2022.21325","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21325","url":null,"abstract":"Osteochondral fractures of the medial femoral condyle accompanied by medial wall fracture are rare. Surgeons often have difficulty in selecting the most appropriate treatment, especially the plating technique for internal fixation since the available femoral locking plates are made to fit the femoral lateral condyle and there is no anatomical plate for the medial condyle. We, herein, report a case of a 44-year-old female patient who suffered from an osteochondral fracture of the medial femoral condyle accompanied by medial wall fracture treated by a low-profile mesh plate contoured to fit around the fracture site. Bone union was achieved at postoperative week 12 and the patient was able to return to her normal activities. At the 16-month follow-up exam, the patient’s functional and clinical outcomes were satisfactory. Her Oxford knee score was 47 points, and the Western Ontario and McMaster Universities Arthritis Index scores were 2 points for pain and 5 points for physical function. We believe that the mesh plate has several advantages. This is the first report of using a mesh plate for the femur, and we were able to achieve good results. We conclude that treatment with a mesh plate can be applied in well-selected patients with medial femoral condyle osteochondral fracture and has the potential to be applied to the treatment of fractures in various regions in the future.","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"228 - 231"},"PeriodicalIF":1.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47080670","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: 2

An unconventional presentation of Hip Joint Trevor disease with the involvement of the whole capital femoral epiphysis: A case report and literature review. 髋关节Trevor病累及整个股骨头骨骺的非常规表现：一例病例报告和文献复习。

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI: 10.5152/j.aott.2022.21102

Anil Kc, W. Tian, Liao Shi Jie, D. Fei

引用次数: 1

The mid-term clinical outcomes of total knee arthroplasty in the management of end-stage hemophilic arthropathy 全膝关节置换术治疗终末期亲血性关节病的中期临床结果

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI: 10.5152/j.aott.2022.21131

Muhammet Kalkışım, A. Okutan, Ünal Saraç, S. Kerimoglu

{"title":"The mid-term clinical outcomes of total knee arthroplasty in the management of end-stage hemophilic arthropathy","authors":"Muhammet Kalkışım, A. Okutan, Ünal Saraç, S. Kerimoglu","doi":"10.5152/j.aott.2022.21131","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21131","url":null,"abstract":"Objective: This study aimed to evaluate the mid-term clinical outcomes of total knee arthroplasty (TKA) in the management of end-stage hemophilic arthropathy. Methods: Eleven patients (15 knees) undergoing TKA with stiff knees were retrospectively evaluated. TKA was performed in all patients without additional surgical interventions such as posterior capsular release, hamstring release, synovectomy, VY quadricepsplasty, or tibial tubercle osteotomy. All patients were evaluated for clinical and radiological results at follow-ups. Functional evaluation and pain status were assessed using the Knee Society Score and Visual Analogue Scale. Results: The mean age at the time of operation was 40.8 ± 11.8 years (range = 30–64 years). The mean follow-up was 51.2 ± 20.6 months (range = 24–95). The mean flexion contracture significantly decreased from 17.6 ± 11.3 to 1.7 ± 2.8 degrees, and the mean maximum flexion increased dramatically from 55.6 ± 20.5 to 109.2 ± 16.2 degrees (P < 0.001). Statistical significant improvement in flexion and flexion contracture degrees continued up to the postoperatively 18 months. The mean Knee Society Score increased from 22.7 ± 2.4 points preoperatively to 87.8 ± 3.8 points at the last follow-up (P < 0.001). The mean cost of coagulation factor consumption and blood transfusion accounted for 78% of the total cost. Conclusion: This study has shown that TKA is an effective treatment for relieving pain and improving both ranges of motion and quality of life in managing end-stage hemophilic arthropathy of the knee joint. Level of Evidence: Level IV, Therapeutic Study","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"94 - 99"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44437325","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: 1

The effect of disruption of the repaired nuchal ligament on clinical outcomes after posterior cervical spine surgery: A retrospective comparative study 颈关节韧带断裂对颈椎后路手术后临床疗效的影响：一项回顾性比较研究

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI: 10.5152/j.aott.2022.21217

Taku Fujita, Kazunari Takeuchi, T. Yokoyama, Kanichiro Wada, Gentaro Kumagai, Y. Ishibashi

{"title":"The effect of disruption of the repaired nuchal ligament on clinical outcomes after posterior cervical spine surgery: A retrospective comparative study","authors":"Taku Fujita, Kazunari Takeuchi, T. Yokoyama, Kanichiro Wada, Gentaro Kumagai, Y. Ishibashi","doi":"10.5152/j.aott.2022.21217","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21217","url":null,"abstract":"Objective: This study aimed to investigate whether disruption of the repaired nuchal ligament (NL) affects clinical outcomes following posterior cervical spine surgery. Methods: This retrospective study included 101 patients (65 males, 36 females) who underwent posterior cervical spine surgery, 69 of whom received laminoplasty (LP), and 32 posterior decompression and fusion (PDF). The NL was split during the surgical approach and repaired at the time of wound closure. The frequency and spinal levels of NL disruption at one month, six months, and one year postoperatively were evaluated on mid-sagittal and axial magnetic resonance images. Postoperative axial symptoms, Neck Disability Index, T1 slope, flexion and extension angle, C2-C7 lordotic angle, and decrease rate of C2-C7 range of motion (ROM) were examined at six months and/or one year postoperatively. Based on the NL disruption levels, the patients were divided into the upper group (C2-C5), lower group (C6-T1), and non-disruption group. Results: Although the lower group contained patients with NL disruption (10%) after LP at final follow-up, all PDF patients belonged to the non-disruption group. For the LP patients, the postoperative axial symptoms, Neck Disability Index, T1 slope, flexion and extension angle, and C2-C7 lordotic angle did not significantly differ between the lower and non-disruption groups; however, the rate of C2-C7 ROM decrease in the lower group (48%) was considerably larger than that in the non-disruption group (33%) after LP. Conclusion: Evidence from this study has shown that postoperative disruption of the repaired NL has no significant effect on postoperative axial symptoms and C2-C7 alignment, but it can affect the rate of decrease in C2-C7 ROM after LP. Level of Evidence: Level III, Therapeutic Study","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"131 - 137"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43429939","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: 1

Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: A retrospective comparative study. Salter和Pemberton截骨术治疗髋关节发育不良的临床和影像学结果:一项回顾性比较研究。

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI: 10.5152/j.aott.2022.20401

Akif Mirioğlu, Ö. Biçer, Mustafa Tekin, M. Deveci, Cenk Özkan, M. Bağır

{"title":"Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: A retrospective comparative study.","authors":"Akif Mirioğlu, Ö. Biçer, Mustafa Tekin, M. Deveci, Cenk Özkan, M. Bağır","doi":"10.5152/j.aott.2022.20401","DOIUrl":"https://doi.org/10.5152/j.aott.2022.20401","url":null,"abstract":"OBJECTIVE\u0000The aim of this study was to investigate whether there is a relationship between Salter and Pemberton pelvic osteotomies and avascular necrosis of femoral head in the management of developmental dysplasia of the hip (DDH).\u0000\u0000\u0000METHODS\u0000This retrospective study included 69 hips of 52 patients aged between 12-36 months, diagnosed as DDH who had undergone either Salter or Pemberton pelvic osteotomy with Smith Petersen approach. There were 35 patients in Salter Pelvic Osteotomy and 34 patients in Pemberton Pelvic Osteotomy groups. Before the treatment of DDH, Tönnis classification was used, preoperative and 24th month postoperative Acetabular Index (AI) angles were measured. Kalamchi-MacEwen grades of avascular necrosis were determined in terms of presence of avascular necrosis of the femoral head.\u0000\u0000\u0000RESULTS\u0000There were no significant differences between two osteotomy groups at the end of mid-term follow up in terms of the radiological parameters and avascular necrosis of femoral head. However it was found that the increased avascular necrosis incidence was significantly associated with Tönnis grade 4 hips.\u0000\u0000\u0000CONCLUSION\u0000Salter and Pemberton osteotomies can be both used safely in the treatment of DDH regarding their effect on the femoral head.\u0000\u0000\u0000LEVEL OF EVIDENCE\u0000Level III, Therapeutic Study.","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 2 1","pages":"120-124"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46649610","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

Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements 估计股骨顺行钉入的最佳切入点:以前和新的形态计量测量

IF 1 4区医学

Acta orthopaedica et traumatologica turcica Pub Date : 2022-03-01 DOI: 10.5152/j.aott.2022.21107

Burcu Erçakmak Güneş, Hasan Barış Ilgaz, N. Ciledag, Hakan Özsoy, M. Hayran, D. Demiryürek

{"title":"Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements","authors":"Burcu Erçakmak Güneş, Hasan Barış Ilgaz, N. Ciledag, Hakan Özsoy, M. Hayran, D. Demiryürek","doi":"10.5152/j.aott.2022.21107","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21107","url":null,"abstract":"Objective: This anatomical study aimed to investigate the possible relationships between the proximal femur parameters and verify the optimal entry point in line with the medullary canal. Methods: Both in single image series and 3D-MPR views, 63 femur bones were evaluated. One-millimeter multidetector computed tomography scans were collected and assessed by OsiriX-Lite version 8 and Horos v3.3.5. Entry point locations, projected and true femoral neck-shaft, anteversion, and newly defined nail entrance angles were measured. Results: The entry points of 16 femurs were placed at the tip of the greater trochanter, and the remaining 47 femurs were in the trochanteric fossa (i.e., piriformis fossa). Thirty-three of the entry points found in the trochanteric fossa were overlapped by the greater trochanter. When the parameters of the right and left sides were compared, it was found that; projected neck angle, nail entrance angle, and the differences between true neck angle and nail entrance angle were found significantly different. The relationship between nail entrance angle and entry point localization was assessed, and the probability of the entry point being at the tip of the greater trochanter is 63 times greater when the NEA is below 90. Conclusion: This study has demonstrated that the ideal entry point for straight nails, which is based on the anatomic axis of the femur, is found mainly at the trochanteric fossa, and the greater trochanter overlapped 70.21% of them. Level of Evidence: Level IV, Diagnostic Study","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 1","pages":"81 - 87"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43450963","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: 2