Joint diseases and related surgery最新文献

{"title":"Effect of posterior-stabilized and cruciate-retaining implants on three-dimensional kinematic characteristics after total knee arthroplasty.","authors":"Cheng Gu, Xuming Luo, Hailong Liu, Baoxi Yu, Ming Fu, Weiliang Luo","doi":"10.52312/jdrs.2024.1836","DOIUrl":"10.52312/jdrs.2024.1836","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze the effects of posteriorstabilized (PS) and cruciate-retaining (CR) total knee arthroplasty (TKA) on early postoperative three-dimensional (3D) dynamic and kinematic characteristics in patients with unilateral knee osteoarthritis (OA).</p><p><strong>Patients and methods: </strong>A retrospective analysis of prospectively collected data from 90 patients with unilateral TKA between February 2021 and September 2021 was conducted using a 3D kinematic analysis system before and six months after TKA. This patient group included 57 patients (10 males, 47 females; mean age: 69.5±7.5 years; range, 53 to 85 years) who underwent PS TKA and 33 patients (11 males, 22 females; mean age: 67.9±8.8 years; range, 45 to 86 years) who underwent CR TKA. The kinematic characteristics and clinical results of the two groups were compared. Clinical evaluation included the Hospital for Special Surgery knee score and range of motion (ROM). Twenty-eight healthy controls (9 males, 19 females; mean age: 64.5±2.9 years; range, 61 to 75 years) without knee OA matched for age, weight, height, and body mass index were recruited. The kinematic characteristics of the healthy control group were also evaluated.</p><p><strong>Results: </strong>The PS group exhibited significant changes in basic gait parameters after TKA, including cadence (p=0.046), stride time (p=0.011), opposite foot off (p<0.001), opposite foot contact (p=0.038), step time (p=0.005), double support period (p<0.001), and foot off (p=0.004). No significant differences were observed in the kinematic parameters before and after TKA between the PS and CR groups, such as knee angle, moment, and force. The dynamic ROM of the CR group was greater than that of the PS group (p<0.001). Both the PS and CR groups showed significant deficiencies in flexion and extension function, including knee flexion moment, extension force, maximum flexion angle, and dynamic ROM, compared to healthy individuals. Throughout the gait cycle, both the PS and CR groups showed better knee joint stability compared to healthy individuals.</p><p><strong>Conclusion: </strong>At six months postoperatively, both the PS and CR groups' gait patterns did not recover to a healthy state, and the CR group's gait pattern was more similar to OA. Compared to PS TKA, CR TKA allowed for greater dynamic ROM during gait. Despite exhibiting superior knee stability during gait, both implants' knee kinematics function remained inferior compared to healthy individuals.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"3-14"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of nailfold capillaroscopy for the assessment of patients undergoing digit replantation and revascularization.","authors":"Muhammed Köroğlu, Mustafa Karakaplan, Sezgin Zontul, Ömer Acet, Hüseyin Utku Özdeş, Emre Ergen, Okan Aslantürk, Kadir Ertem, Şeyma Yaşar","doi":"10.52312/jdrs.2025.1900","DOIUrl":"10.52312/jdrs.2025.1900","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to evaluate microvascular changes using nailfold capillaroscopy in patients who underwent digit replantation and revascularization.</p><p><strong>Patients and methods: </strong>A total of 46 patients (34 males, 12 females; mean age: 45.8±17.6 years; range, 18 to 75 years) who underwent replantation or revascularization procedures between February 2012 and May 2023 were retrospectively analyzed. Nailfold capillaroscopy images were assessed for various parameters including capillary count, diameter, dilatation, presence of giant capillaries, capillary disarrangement, microhemorrhages, neoangiogenesis, subpapillary plexus appearance, crossing capillaries, tortuosity, and microaneurysm. We investigated the association between microvascular alterations and clinical outcomes.</p><p><strong>Results: </strong>Of 46 patients, 25 patients underwent replantation and 21 patients underwent revascularization. Significant microvascular changes, including subpapillary venous plexus, microvascular enlargement, microhemorrhages, neoangiogenesis, and tortuosity were observed in replantation patients (p=0.000^b, p=0.020, p=0.021^b, p=0.001, and p=0.004, respectively). However, these changes were not significant in revascularization patients. Revascularization patients exhibited an increase in capillary diameter and disarrangement (p=0.019 and p=0.016^b, respectively). A significant negative correlation existed between digital nerve repairs and microvascular enlargement in replantation patients. Hyperesthesia was significantly correlated with neoangiogenesis and capillary disarrangement, while a statistically significant positive relationship was found between subpapillary venous plexus and patient satisfaction in replantation patients.</p><p><strong>Conclusion: </strong>Our study showed that replantation patients who underwent two nerve repairs exhibited a well-regulated microvascular tone. However, we did not observe a statistically significant relationship between the number of nerve repairs and cold intolerance. Based on these findings, we highlight the potential of nailfold capillaroscopy in detecting microvascular changes following replantation and revascularization, which may contribute to a better understanding of the etiology of neurovascular complications.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"65-77"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the use of robotic technology in knee arthroplasty provide superior clinical outcomes?","authors":"O Şahap Atik, Mustafa Y Hatipoğlu","doi":"10.52312/jdrs.2025.57927","DOIUrl":"10.52312/jdrs.2025.57927","url":null,"abstract":"","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"214-215"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sepsis predictors in earthquake survivors: A comparative analysis of amputation and fasciotomy patients.","authors":"Mustafa Comoglu, Güzelali Özdemir, Baran Sarıkaya, Fatih Acehan, Olgun Bingöl, Enver Kilic, Batuhan Bahadır, Mustafa Oruc, Burak Furkan Demir, Yusufcan Yılmaz, Enes Seyda Sahiner","doi":"10.52312/jdrs.2025.1971","DOIUrl":"10.52312/jdrs.2025.1971","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify predictors of sepsis in earthquake survivors who underwent either amputation or fasciotomy and to compare these two patient groups across many clinical outcomes, including sepsis.</p><p><strong>Patients and methods: </strong>In this retrospective study, a total of 1,608 patients who presented to our hospital following the February 6, 2023, Kahramanmaraş earthquakes were evaluated between February 2023 and March 2023. Of these, 138 patients (65 males, 73 females; median age: 35 years; range, 18 to 74 years) who underwent either fasciotomy or amputation were included in the study. Patients managed solely with fasciotomy were included in the fasciotomy group, while those who underwent amputation in at least one area were included in the amputation group. Sepsis predictors were investigated in this population. Additionally, the two groups were compared in terms of clinical outcomes, including bacteremia, sepsis, septic shock and mortality.</p><p><strong>Results: </strong>Of the 138 earthquake survivors, 59 (42.8%) were in the amputation group, and 79 (57.2%) were in the fasciotomy group. There were no significant differences between the groups in terms of the development of crush syndrome or the need for renal replacement therapy (p=0.781 and p=0.411, respectively). The duration of entrapment under rubble was higher in the amputation group (p=0.030). While bacteremia was more common in the amputation group, there was no significant difference in relation to sepsis (p=0.002 and p=0.106, respectively). Septic shock and mortality rates were higher in the amputation group (p=0.001 and p=0.009, respectively). Multivariate analysis revealed that the number of traumatized sites (odds ratio [OR]=3.68, 95% confidence interval [CI]: 2.13-6.33, p<0.001), amputation at more than two sites (OR=4.27, 95% CI: 1.15-15.9, p=0.022), and fasciotomy at more than two sites (OR=2.71, 95% CI: 1.10-6.69, p=0.021) were significant predictors of sepsis.</p><p><strong>Conclusion: </strong>Patients undergoing fasciotomy and amputation should be comprehensively evaluated for potential benefits and risks. Close monitoring for sepsis is particularly recommended for patients who have amputation or fasciotomy procedures at more than two sites.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"155-163"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of gabapentin and pregabalin on fracture healing: A histological, radiological, and biomechanical analysis.","authors":"Ahmet Emrah Açan, Mert Emre Aydın, Özgür Bulmuş, Emrah Özcan, Aslı Karakılıç, Gülay Turan, Reşit Buğra Hüsemoğlu Reşit Buğra Hüsemoğlu Reşit Buğra Hüsemoğlu","doi":"10.52312/jdrs.2025.2042","DOIUrl":"10.52312/jdrs.2025.2042","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the impact of different doses of gabapentin and pregabalin on fracture healing in a rat femoral shaft model, with histological, radiological, and biomechanical assessments.</p><p><strong>Materials and methods: </strong>Seventy male Wistar albino rats were divided into five groups: control, low-dose gabapentin (GBP-L, 300 mg/day), high-dose gabapentin (GBP-H, 3600 mg/day), low-dose pregabalin (PRG-L, 150 mg/day), and high-dose pregabalin (PRG-H, 600 mg/day), based on human equivalent doses. Bilateral femoral fractures were induced; the right femurs were prepared for radiological examination using microtomography, followed by histological analysis, whereas the left femurs were allocated for biomechanical testing. Drug administration began three weeks preoperatively and continued until sacrifice at either two or four weeks. Histological assessments included inflammation and transformation scoring and microtomography-measured callus volume. Biomechanical testing assessed maximum force and stiffness.</p><p><strong>Results: </strong>At the fourth week, inflammation levels were significantly higher in the GBP-H, PRG-L, and PRG-H groups compared to control (p<0.01, p<0.05, and p<0.01), while transformation scores were significantly lower in these groups (p<0.01, p<0.05, and p<0.001). Low-dose pregabalin showed a borderline transformation difference (p=0.051). Microtomography analysis showed that the GBP-H group had significantly reduced callus volume versus control by the second week (p<0.01), persisting at a lower significance by week four (p<0.05). By the fourth week, PRG-H also had reduced callus volume (p<0.05). Maximum force values by the fourth week were significantly lower in the GBP-L, GBP-H, and PRG-H groups compared to control (p<0.05 for GBP-L; p<0.01 for GBP-H and PRG-H).</p><p><strong>Conclusion: </strong>These findings suggest that these drugs, particularly with their high-dose applications, may lead to prolonged inflammation and hinder fracture healing by reducing callus volume and biomechanical integrity, potentially disrupting the transition from the inflammatory to reparative phases of healing.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"200-209"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is there a relationship between recurrence and obesity in the three-year mid-term follow-up of patients who underwent high tibial osteotomy due to medial gonarthrosis?","authors":"Ibrahim Bozkurt, Mustafa Bulut, Umut Öktem, Sinan Yılmaz, Özgür Selim Uysal, Izzet Bingöl, Durmuş Ali Öçgüder","doi":"10.52312/jdrs.2025.1985","DOIUrl":"10.52312/jdrs.2025.1985","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to radiologically evaluate the possible relationship between the body mass index (BMI) and recurrence of varus deformity during the mid-term follow-up of patients treated for medial gonarthrosis.</p><p><strong>Patients and methods: </strong>Fifty-six patients (11 males, 45 females; mean age: 53.8±7.2 years; range, 29 to 64 years) who underwent medial opening wedge osteotomy for the treatment of isolated medial varus gonarthrosis between January 1, 2020, and June 1, 2021, were retrospectively reviewed. Patients were categorized according to BMI values as having a healthy weight (18.5-24.9 kg/m²), being overweight (25.0-29.9 kg/m²), or being obese (≥30 kg/m²). Mechanical medial proximal tibial angle, hip-knee-ankle angle, joint line convergence angle, and knee adduction moment calculations were performed based on radiographs.</p><p><strong>Results: </strong>Among the 56 patients, the mean age of those with healthy weight was 42.5±13.2 years, that of the overweight group was 53.3±6.4 years, and that of the obese group was 54.0±5.8 years. Radiological evaluations were statistically improved postoperatively compared to preoperative scores across BMI groups (p<0.05). There were no correlations between age and radiological scores or BMI (p>0.05). Similarly, no correlation was found between BMI and radiological scores (p>0.05).</p><p><strong>Conclusion: </strong>Body mass index is not of significance in medial opening wedge osteotomy radiological scores in short- and mid-term follow-up.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"119-128"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arteriovenous fistula and pseudoaneurysm in a pediatric patient with persistent postoperative hemarthrosis: A rare complication following arthroscopic repair of a bucket handle medial meniscal tear.","authors":"Mehmet Akan, Mehmed Nuri Tütüncü, Oğuzhan Özyaman, Cemal Kocaaslan, Oğuz Şükrü Poyanlı","doi":"10.52312/jdrs.2025.1943","DOIUrl":"10.52312/jdrs.2025.1943","url":null,"abstract":"<p><p>This case report highlights a rare complication of arthroscopic meniscal tear which is an arteriovenous fistula and pseudoaneurysm of the superior medial geniculate artery. A 14-year-old male patient presented with persistent hemarthrosis following arthroscopic repair of a bucket handle medial meniscal tear. The patient was investigated due to suspicion of vascular damage. After obtaining computed tomography arteriogram, the patient was diagnosed with an arteriovenous fistula and pseudoaneurysm of the superior medial geniculate artery. Conservative management was pursued following consultation with cardiovascular surgery. At three months, the arteriovenous fistula was observed to be in remission. In conclusion, orthopedic surgeons performing knee arthroscopy should be vigilant about potential vascular complications, although rare, and consider early diagnosis and treatment in cases of persistent postoperative hemarthrosis.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"216-220"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting prognosis in open A1 pulley release surgery for trigger finger.","authors":"Uğur Bezirgan, Hasan Bekar, Merve Dursun Savran, Yener Yoğun, Mehmet Armangil","doi":"10.52312/jdrs.2024.1885","DOIUrl":"10.52312/jdrs.2024.1885","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the frequency of recurrence and prolonged postoperative symptoms in patients undergoing open A1 pulley release for trigger finger and to identify potential associated factors.</p><p><strong>Patients and methods: </strong>Between October 2021 and December 2023, a total of 72 patients (30 males, 42 females; mean age: 58.0±11.6 years; range, 32 to 84 years) who underwent trigger finger surgery with at least six months of follow-up were retrospectively analyzed. Patients were followed prospectively and relevant data were collected from patient files retrospectively. Demographics, finger symptoms, associated pathologies, clinical grades, Quinnell scores, Disabilities of the Arm, Shoulder and Hand (DASH) scores, grip strength, and surgeon experience were evaluated. Prolonged symptoms lasting over eight weeks postoperatively were also assessed.</p><p><strong>Results: </strong>Comorbidities included carpal tunnel syndrome (13.89%), De Quervain tenosynovitis (13.89%), diabetes (8.33%), Bouchard's node (2.78%), ganglion cyst (8.33%), and calcium deposition (2.86%). Fourteen patients (19.44%) had additional trigger fingers. Loupe was used in 32 surgeries, resulting in significantly fewer prolonged symptoms (12.50% vs. 35.00%, p=0.028). The mean DASH scores significantly improved after surgery (53.07±13.43 vs. 18.41±11.26, p=0.000), with a greater improvement in the loupe group (46.52±6.50 vs. 25.18±13.96, p=0.0000). The mean grip strength did not significantly differ between the surgical and control sides in the loupe group (27.29±7.58 vs. 26.36±7.85 lb, p=0.0887); however, it was weaker on the surgical side in the nonloupe group (23.87±7.81 vs. 25.28±6.96 lb, p=0.0067). Loupe usage was the sole significant factor which was absent in 77.78% of the patients with prolonged symptoms.</p><p><strong>Conclusion: </strong>Trigger finger surgery, though typically simple and routine, may benefit from loupe-assisted procedures due to reduced postoperative symptoms and improved functional outcomes. Consideration of loupe use is warranted in such surgeries.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"78-84"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterotopic ossification following severe radial head fractures: Clinical outcome and associated factors.","authors":"Cornelius Sebastian Fischer, Johannes Porsche, Diane Leyder, Daniel Schüll, Tina Histing, Patrick Ziegler","doi":"10.52312/jdrs.2025.1992","DOIUrl":"10.52312/jdrs.2025.1992","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate clinical outcome, prevalence, severity, location, range of motion, and possible risk factors of heterotopic ossification (HO) following severe radial head fractures.</p><p><strong>Patients and methods: </strong>In this retrospective study, 73 patients (40 males, 33 females; mean age: 51.4±15 years; range, 20 to 82 years) with Mason-Johnston type 3 and 4 radial head fractures were surgically treated with osteosynthesis or radial head arthroplasty (RHA) between September 2014 and February 2021. Fifty-one were examined in person, while 22 participated via questionnaire. The clinical outcome was assessed by the range of motion, the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH), and the 36-item Short-Form Health Survey (SF-36). Operative and postoperative details and the intake of HO prophylaxis were reviewed. Heterotopic ossification severity and location was evaluated on radiographs.</p><p><strong>Results: </strong>Heterotopic ossification was present in 52.1%, while in 31.5% of all participants, RHA was needed. Overall, 46.6% received additional ligamental refixation. The mean time to surgery was 8.9±11.9 days, and the mean DASH was 13.7±16.6. In patients treated with osteosynthesis, more HO was observed for Mason-Johnston type 4 injuries compared to Mason-Johnston type 3 injuries (p=0.028). Overall, more HO was present in Mason-Johnston type 4 injuries (63.6%) compared to Mason-Johnston type 3 injuries (42.5%), without reaching significance (p=0.072). No significant association between HO and time to surgery (p=0.716), implantation of RHA (p=0.127), or ligamental refixation (p=0.121) was detected. Regardless of intake of HO prophylaxis, nearly the same amount of HO (51.7% vs. 53.8%) was present. No differences between the HO and non-HO group were detected in the DASH (p=0.553) and the SF-36 (physical component, p=0.728; mental component, p=0.275).</p><p><strong>Conclusion: </strong>Over 50% surgically treated radial head fractures classified as Mason-Johnston types 3 and 4 developed HO, while more severe injuries led to a higher prevalence of HO. No increased rates of HO were determined for delayed surgery, surgical treatment methods, and use of HO prophylaxis. Therefore, regular HO prophylaxis might not be needed. Additionally, no significant differences in functional scores and quality of life were detected between patients with and without HO.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"47-55"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hidden blood loss and risk factors in percutaneous endoscopic cervical discectomy.","authors":"Fei Wang, Yun Yang","doi":"10.52312/jdrs.2024.1872","DOIUrl":"10.52312/jdrs.2024.1872","url":null,"abstract":"<p><strong>Objectives: </strong>The study aimed to evaluate the hidden blood loss (HBL) and its possible risk factors in patients undergoing percutaneous endoscopic cervical discectomy (PECD) via posterior approach to better guide the management of perioperative anemia in patients.</p><p><strong>Patients and methods: </strong>The study retrospectively analyzed the clinical data of 60 patients (33 males, 27 females; mean age: 55.3±7.9 years; range, 40 to 69 years) treated with PECD between March 2019 and January 2023. All patients had cervical disc herniation or radiculopathy. General information (age, sex, height, weight, body mass index, Visual Analog Scale pain score, and comorbidities), surgery-related data (surgical time, number of surgical segments, American Society of Anesthesiologists score, and blood transfusions), and laboratory-related results (hemoglobin, hematocrit, albumin, and blood glucose) of the patients were collected from the hospital database. The patients' HBL was calculated based on the patients' height, weight, and hematocrit levels, and then the risk factors were analyzed by multiple linear regression.</p><p><strong>Results: </strong>Only five patients underwent two-segment PECD via a single channel. The mean surgical time and HBL were 110.3±34.0 min and 114.5±50.2 mL, respectively. Six patients who were not anemic preoperatively developed anemia postoperatively, and the difference in the incidence of anemia between preoperative and postoperative periods was statistically significant (p=0.013). Multiple linear regression analysis showed that HBL was associated with surgical time and the number of surgical segments (p<0.001).</p><p><strong>Conclusion: </strong>Hidden blood loss after PECD may represent a significant issue, with a risk of causing anemia. The number of surgical segments and surgical time are independent risk factors for HBL. Spine surgeons should emphasize the adverse effects of HBL to ensure the safety of patients in the perioperative period.</p>","PeriodicalId":73560,"journal":{"name":"Joint diseases and related surgery","volume":"36 1","pages":"24-30"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}