Advances in Orthopedics最新文献

{"title":"Primary Repair versus Reconstruction in Patients with Bilateral Anterior Cruciate Ligament Injuries: What Do Patients Prefer?","authors":"Harmen D Vermeijden,&nbsp;Edoardo Monaco,&nbsp;Fabio Marzilli,&nbsp;Xiuyi A Yang,&nbsp;Jelle P van der List,&nbsp;Andrea Ferretti,&nbsp;Gregory S DiFelice","doi":"10.1155/2022/3558311","DOIUrl":"https://doi.org/10.1155/2022/3558311","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose is to evaluate knee preference and functional outcomes of patients with primary anterior cruciate ligament (ACL) repair in one knee and ACL reconstruction in the contralateral side.</p><p><strong>Methods: </strong>All patients who underwent both procedures were retrospectively reviewed at minimum two-year follow-up. Patients were asked to complete questionnaires regarding their operated knees' preferences during rehabilitation, daily activities, sports activities, and overall function. Furthermore, the Subjective International Knee Documentation Committee, Forgotten Joint Score-12, and Anterior Cruciate Ligament-Return to Sport after Injury were completed.</p><p><strong>Results: </strong>Twenty-one patients were included. All patients underwent ACL reconstruction first, which was displayed at younger age at surgery (24 vs. 33 years, <i>p</i> = 0.010) and longer follow-up (10.2 vs. 2.3 years, <i>p</i> < 0.001), respectively. Thirty-three percent preferred the repaired knee, 11% the reconstructed knee, and 56% had no preference; however, 78% indicated that their repaired knee was less painful during rehabilitation and 83% reported earlier range of motion (ROM) return following repair, which was similar for both knees in 17%. Eighty-three percent of patients indicated better function and progression during rehabilitation with their repaired knee and 11% with their reconstructed knees. No statistical differences were found in patient-reported outcomes between both procedures (all <i>p</i> > 0.4). Objective laxity assessment showed mean side-to-side difference of 0.6 mm between both sides in favor of the reconstructed knee.</p><p><strong>Conclusion: </strong>This study showed that ACL repair and ACL reconstruction lead to similar functional outcomes. However, patients undergoing both procedures may have less pain, earlier ROM return, and faster rehabilitation progression following primary repair.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"3558311"},"PeriodicalIF":1.3,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33476721","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":"Knowledge and Attitude of Sciatica Pain and Treatment Methods among Adults in Saudi Arabia.","authors":"Majdi Hashem,&nbsp;Reem Abdulrahman AlMohaini,&nbsp;Norah Ibrahim AlMedemgh,&nbsp;Sara Abdulmajed AlHarbi,&nbsp;Lena Saleh Alsaleem","doi":"10.1155/2022/7122643","DOIUrl":"https://doi.org/10.1155/2022/7122643","url":null,"abstract":"<p><strong>Background: </strong>Sciatica is a relatively common condition, with a lifetime incidence varying from 13% to 40%. The corresponding annual incidence of an episode of sciatica ranges from 1% to 5%. The exact cause of sciatica is unknown to this day; treatment methods and practices differ between individuals based on their cultural background, socioeconomic status, and religious beliefs. This study aimed to assess the knowledge and attitude toward sciatica pain among adults in Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among the adult population in Saudi Arabia. A self-administered questionnaire was distributed among the study population using an online survey. Questions were divided into four groups, each containing multiple questions covering the following aspects: demographic data, past medical history, and the assessment of knowledge and attitudes regarding sciatica.</p><p><strong>Results: </strong>A total of 3,764 respondents were involved in this study, with an age range of 18-65 years old (females 59.8%). The mean knowledge score was 3.8 (SD 2.1), with the majority having poor knowledge (60.1%). The most common source of sciatica information was an orthopedic or a neurosurgeon, while the most common self-treatment used was painkiller medications (30.8%). The mean attitude score was 35.8 (SD 5.3), with most respondents having a neutral attitude (80.3%). The factors correlated with an increase in knowledge and attitude were having a bachelor's or higher degree and living in an urban area.</p><p><strong>Conclusion: </strong>While the attitude of the adult population toward sciatica pain seems adequate, their knowledge was shown to be deficient. Furthermore, when comparing diagnosed individuals living in cities with those in rural areas, both knowledge and attitudes were shown to be better in individuals living in cities. Awareness programs by health institutions and healthcare professionals are needed to enhance patients knowledge. Various media can be utilized to enhance patients knowledge including social media platforms.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"7122643"},"PeriodicalIF":1.3,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33447990","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":"Simultaneous Bilateral Total Knee Arthroplasty in Elderly: Are There Factors that Can Influence Safety and Clinical Outcome?","authors":"G Piovan,&nbsp;D Screpis,&nbsp;S Natali,&nbsp;V Iacono,&nbsp;M Baldini,&nbsp;L Farinelli,&nbsp;M Guerriero,&nbsp;C Zorzi","doi":"10.1155/2022/1989822","DOIUrl":"https://doi.org/10.1155/2022/1989822","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to look for preoperative patients' related factors correlating with worse clinical outcomes in a cohort of elderly patients undergoing simultaneous bilateral total knee arthroplasty (SiBTKA) to search for risk factors, which may influence clinical outcomes and safety. <i>Subjects and Methods</i>. The hospital database was mined searching for patients older than 70 years that underwent SiBTKA for severe bilateral knee osteoarthritis (OA) between 2012 and 2016. Preoperative clinical information, Oxford Knee Score (OKS), and Knee Injury and Osteoarthritis Outcome Score (KOOS) prior to surgery were recorded. The OKS and the KOOS were submitted again after a minimum of 5 years of follow-up (FU).</p><p><strong>Results: </strong>An improvement was observed in all clinical scores at last FU. The major complication rate was 5.4%. No patients' clinical data showed correlation with perioperative complications or need for transfusions. Functional scores at the last FU were negatively affected by age at surgery and positively affected by preoperative clinical scores. <i>Discussion</i>. In the setting of severe symptomatic bilateral knee OA, SiBTKA seems to be effective in improving symptoms at midterm follow-up, with acceptable rates of perioperative complications in patients older than 70. Higher age at surgery and lower preoperative functional scores are associated with worse clinical outcomes at FU. This could assist surgeons in advising patients that delay of surgical treatment could worsen outcomes.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"1989822"},"PeriodicalIF":1.3,"publicationDate":"2022-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336318","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":"Femoral Valgus Correction Angle for the Intramedullary Alignment Rod Is Strongly Associated with Femoral Lateral Bowing in Japanese Patients with Varus Knee Osteoarthritis Undergoing Total Knee Arthroplasty.","authors":"Yosuke Hattori,&nbsp;Nobuyuki Asai,&nbsp;Shotaro Mori,&nbsp;Ken Ikuta,&nbsp;Yusuke Kazama,&nbsp;Yusuke Iesaki,&nbsp;Shimpei Takahashi,&nbsp;Atsushi Kaneko,&nbsp;Tomotaro Sato","doi":"10.1155/2022/7223534","DOIUrl":"https://doi.org/10.1155/2022/7223534","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate factors, such as differences in femoral shape, that could affect the femoral valgus correction angle (VCA) for the intramedullary alignment rod (IM rod) by using a three-dimensional (3D) measurement system in patients with varus knee osteoarthritis undergoing total knee arthroplasty (TKA).</p><p><strong>Methods: </strong>A total of 305 knees in 233 Japanese patients with varus knee osteoarthritis who underwent primary TKA by using Jig Engaged 3D Pre-Operative Planning Software for the TKA operation support system was examined. We retrospectively analysed factors, such as the shape of the proximal, middle, and distal femur in the coronal plane, all of which could affect the VCA for the IM rod, by multiple linear regression analyses.</p><p><strong>Results: </strong>The VCA for the IM rod was 5.9° ± 1.6° (range: 1.7° to 10.7°), and the femoral lateral bowing angle (FBA) was 3.5° ± 3.2°. Major factors independently associated with the VCA for the IM rod were the FBA (<i>β</i>: 0.75), femoral offset (<i>β</i>: 0.38), and the medial angle between the mechanical femoral axis and the line that connects the distal margins of the medial and lateral femoral condyles (<i>β</i>: -0.16). The model was created by stepwise multiple linear regression (<i>F</i> = 266.6, <i>p</i> < 0.001, and estimated effect size = 4.4) explained 85% of the variance in the VCA for the IM rod (<i>R</i> ² = 0.85).</p><p><strong>Conclusions: </strong>The VCA for the IM rod was most strongly associated with femoral lateral bowing in patients with varus knee osteoarthritis undergoing TKA. Our findings suggest that preoperatively measuring the VCA for the IM rod in patients with femoral lateral bowing by using a 3D measurement system could be useful for accurate coronal alignment of the femoral component in TKA.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"7223534"},"PeriodicalIF":1.3,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438081","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":"Opioid Sparing Analgesics in Spine Surgery.","authors":"Logan A Reed,&nbsp;Mihir Patel,&nbsp;Kevin Luque,&nbsp;Steven M Theiss","doi":"10.1155/2022/1026547","DOIUrl":"https://doi.org/10.1155/2022/1026547","url":null,"abstract":"<p><p>Combinations of various nonopioid analgesics have been used to decrease pain and opioid consumption postoperatively allowing for faster recovery, improved patient satisfaction, and decreased morbidity. These opioid alternatives include acetaminophen, NSAIDs, COX-2 specific inhibitors, gabapentinoids, local anesthetics, dexamethasone, and ketamine. Each of these drugs presents its own advantages and disadvantages which can make it difficult to implement universally. In addition, ambiguous administration guidelines for these nonopioid analgesics lead to a difficult implementation of standardization protocols in spine surgery. A focus on the efficacy of different pain modalities specifically within spine surgery was implemented to assist with this standardized protocol endeavor and to educate surgeons on limiting opioid prescribing in the postoperative period. The purpose of this review article is to investigate the various opioid sparing medications that have been used to decrease morbidity in spine surgery and better assist surgeons in managing postoperative pain. <i>Methods</i>. A narrative review of published literature was conducted using the search function in Google scholar and PubMed was used to narrow down search criteria. The keywords \"analgesics,\" \"spine,\" and \"pain\" were used.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"1026547"},"PeriodicalIF":1.3,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40680688","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":"Femoral Head Coverage Assessment in Healthy Children Younger than 6 Years.","authors":"Suvorov Vasyl,&nbsp;Filipchuk Viktor,&nbsp;Zyablovskyi Evhen","doi":"10.1155/2022/6058746","DOIUrl":"https://doi.org/10.1155/2022/6058746","url":null,"abstract":"<p><strong>Introduction: </strong>Developmental dysplasia of the hip (DDH) is one of the commonest hip joint pathologies in children; to treat it properly, hip surgeons should know the normal femoral head (FH) coverage by the acetabulum. This paper aims to assess the femoral head coverage in healthy children younger than 6 years.</p><p><strong>Methods: </strong>270 hip joint CT scans were selected, and digital pelvic models were created according to these scans. FH coverage by the five acetabular regions was assessed according to patient's age and sex.</p><p><strong>Results: </strong>Normal reference values of FH coverage by different acetabular regions were obtained. It was found that the growth process of different acetabular regions occurs nonlinearly with the periods of acceleration. Anterior and superior-anterior acetabular regions grow more intensively in boys up to 3 years old and between 4 and 5 years old both in boys and girls; superior-posterior, posterior-superior, and posterior-inferior acetabular regions grow more intensively in boys and girls up to 3 years old and between 4 and 5 years old (<i>p</i> ≤ 0.005). The following sex differences in FH coverage by the acetabulum were found: more superior-anterior FH coverage was found in boys and posterior FH coverage in girls (<i>p</i> ≤ 0.005).</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"6058746"},"PeriodicalIF":1.3,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9337923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40682109","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 Feasibility of Using the Direct Anterior Approach for Total Hip Arthroplasty or Bipolar Hemiarthroplasty to Treat Femoral Neck Fractures among the Elderly.","authors":"Shigeo Ishiguro,&nbsp;Kunihiro Asanuma,&nbsp;Tomohito Hagi,&nbsp;Hidehiko Ohsumi,&nbsp;Hiroki Wakabayashi,&nbsp;Akihiro Sudo","doi":"10.1155/2022/2115586","DOIUrl":"https://doi.org/10.1155/2022/2115586","url":null,"abstract":"<p><strong>Purpose: </strong>Femoral neck fractures (FNFs) are a significant cause of mortality and disability among the elderly. Total hip arthroplasty (THA) is the preferred treatment method in active, cognitively intact patients. In less active or cognitively impaired patients, bipolar hemiarthroplasty (BHA) is the practical option in Japan. Even with the direct anterior approach (DAA), clinical concerns about conducting THA in elderly patients include possible dislocations, critical complications, and medical cost-effectiveness. This study is aimed at rethinking the practical surgical indications for FNFs.</p><p><strong>Methods: </strong>Between April 2019 and March 2021, BHA patients with displaced FNF (<i>n</i> = 21) performed through the DAA were compared with THA patients with displaced FNF (<i>n</i> = 19). The perioperative complications, clinical and radiologic outcomes, and mortality were compared between groups retrospectively at six months.</p><p><strong>Results: </strong>THA patients had an increased average operation time (103.3 min vs. 89.1 min, <i>P</i> < 0.05) and similar amounts of bleeding (183.16 ml. vs. 121.1 ml.). The percentages of patients who received biological transfusion showed no difference, with low rates of perioperative complications (4% vs. 0%) and similar mortality rates compared to BHA patients. One THA patient experienced posterior dislocation during a state of postoperative delirium.</p><p><strong>Conclusion: </strong>THA through the DAA might be a credible and safe option for FNF patients, with excellent functional outcomes and fewer surgery-related complications. Early posterior dislocation might be related to optimized offset distance and not related to leg discrepancy or other radiographic items. Hence, orthopedic surgeons should reconsider their options before conducting BPH for elderly and cognitively intact FNF patients.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"2115586"},"PeriodicalIF":1.3,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40682110","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":"Total Knee Arthroplasty, All-in-One versus Four-in-One Femoral Cutting Jig System: A Comparison Study.","authors":"Amanda Pratama,&nbsp;Komang Agung Irianto,&nbsp;Rosy Setiawati,&nbsp;Brigita de Vega","doi":"10.1155/2022/2055537","DOIUrl":"https://doi.org/10.1155/2022/2055537","url":null,"abstract":"<p><strong>Background: </strong>Total knee arthroplasty (TKA) is often indicated for end-stage knee osteoarthritis management. The posterior-stabilized (PS) implant is one of the TKA implants with various component designs, including femoral component cutting jigs. However, little is known about how the differences in cutting jig designs affect the outcomes. This study aims to compare the radiographic and functional outcomes of the patients who underwent cemented TKA using all-in-one and four-in-one femoral component PS implants.</p><p><strong>Methods: </strong>A retrospective comparative study assessed patients who underwent cemented TKA using PS implants from 2018 to 2019. The patients were divided into all-in-one and four-in-one groups. Demographic data, surgery duration, postoperative radiological findings after one week, and functional outcomes after two years were collected and compared.</p><p><strong>Results: </strong>A total of 96 patients were included in the study, 55 patients were in all-in-one sample, and 41 patients were in four-in-one sample. The majority of the patients in both groups were female, aged >60 years old, overweight (BMI ≥ 25), and presented with an ASA score of II. We found significantly shorter surgery duration in the all-in-one group compared to the four-in-one group (128.00 ± 36.24 vs. 210.61 ± 57.54, <i>p</i>=0.000). The four-in-one group and the all-in-one group showed the insignificant difference in <i>α</i>, <i>β</i>, <i>δ</i>, and <i>γ</i> angles (<i>p</i>=0.476, 0.273, 0.594, and 0.818). The functional outcomes (SF-12, KSS, and KOOS) showed insignificant differences.</p><p><strong>Conclusion: </strong>There is no differentiation for the postsurgery functional and radiological outcomes between all-in-one and four-in-one implants.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"2055537"},"PeriodicalIF":1.3,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9293532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40612098","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":"Microbiological Profile and Drug Resistance Analysis of Postoperative Infections following Orthopedic Surgery: A 5-Year Retrospective Review.","authors":"Zuhdi O Elifranji,&nbsp;Bassem Haddad,&nbsp;Anas Salameh,&nbsp;Shehadeh Alzubaidi,&nbsp;Noor Yousef,&nbsp;Mohammad Al Nawaiseh,&nbsp;Ahmad Alkhatib,&nbsp;Razan Aburumman,&nbsp;Abdulrahman M Karam,&nbsp;Muayad I Azzam,&nbsp;Mohammad A Alshrouf","doi":"10.1155/2022/7648014","DOIUrl":"https://doi.org/10.1155/2022/7648014","url":null,"abstract":"<p><strong>Background: </strong>The distribution of postoperative orthopedic infection and their susceptibility pattern to antibiotics vary regionally and change over time. The incidence of methicillin-resistant <i>Staphylococcus aureus</i> infection is rising worldwide. Therefore, knowledge of the frequency of the causative microorganisms and their susceptibility to antibiotics are necessary for an improved therapeutic outcome. This study aims to study the frequency and distribution of postoperative orthopedic infection and their resistance pattern to antibiotics.</p><p><strong>Methods: </strong>The study utilized a retrospective design that took place over a period of 5 years from 2016 and 2020 at a tertiary care hospital. The bacterial culture testing was performed by a recommended method. Descriptive statistics were used to analyze the data.</p><p><strong>Results: </strong>A total of 158 patients (100 males and 58 females) with positive cultures of postoperative orthopedic infection were included. The most common infective organism was <i>Staphylococcus aureus</i>, 64 patients (38.1%); coagulase-negative staphylococci, 40 patients (23.8%); <i>Klebsiella</i> species, 14 patients (8.3%); and <i>Enterococcus</i> species, <i>Escherichia coli</i>, and <i>Pseudomonas aeruginosa</i> in 10 patients (6%). Data also showed that gram-positive bacteria were detected in 118 patients (70.8%), while gram-negative microorganisms were found in 50 patients (29.8%). Among <i>Staphylococcus aureus</i>, 79.7% were MRSA, and vancomycin was the most effective antibiotic in staphylococcus infections. The antibiotics with the greatest sensitivity to gram-positive bacteria were vancomycin, linezolid, tigecycline, moxifloxacin, and nitrofurantoin, while the antibiotics for gram-negative bacteria with greater sensitivity were tigecycline, amikacin, ertapenem, imipenem, and cefotaxime.</p><p><strong>Conclusion: </strong><i>Staphylococcus aureus</i> is the most common postoperative orthopedic infection, which was predominantly MRSA with vancomycin being the most effective antibiotic. In addition, the results showed a high resistance pattern to the commonly used antibiotics, leaving few choices. Antibiotic agents should be carefully selected according to specific drug sensitivity through routine monitoring of drug resistance patterns and to help formulate hospital antibiotic policy.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"7648014"},"PeriodicalIF":1.3,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40519638","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":"A Bibliometric Analysis of the 50 Most Commonly Cited Studies of the Direct Anterior Approach in Total Hip Arthroplasty.","authors":"Ramakanth R Yakkanti,&nbsp;Anil Sedani,&nbsp;Dylan N Greif,&nbsp;Rukmini Yakkanti,&nbsp;Dustin H Massel,&nbsp;Victor H Hernandez","doi":"10.1155/2022/1974090","DOIUrl":"https://doi.org/10.1155/2022/1974090","url":null,"abstract":"<p><strong>Introduction: </strong>The direct anterior approach (DAA) has garnered a lot of attention and surgical popularity for total hip arthroplasty in recent years. Some of the postulated advantages for the increase in popularity of this approach include better pain control and earlier recovery in the immediate postoperative period. The amount of literature available on this topic has rapidly increased over the last 10 years requiring the need for an updated guide to best navigate the topic.</p><p><strong>Methods: </strong>The ISI Web of Knowledge database was used to search for research articles regarding the DAA surgical technique. The Boolean operative that yielded the largest search results was ([direct anterior approach hip] OR [anterior hip] OR [anterior hip arthroplasty] NOT [spine]).</p><p><strong>Results: </strong>92% of the highest cited articles on the DAA were published within the past two decades. One author, Keggi K, published 4 or more articles, with the highest citation average (110.5 citations). Recent articles were more strongly correlated with higher citation counts (<i>R</i> ² = 0.21 <i>v</i>. 0.19).</p><p><strong>Conclusion: </strong>This review clearly outlines the increasing trend in the most influential publications regarding DAA being published in the past two decades. This review allows interested surgeons to understand the historic literature pertaining to this topic. This review can assist future researchers in identifying trends in UKA as well as help clinicians navigate this body of literature.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":" ","pages":"1974090"},"PeriodicalIF":1.3,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9232372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40397990","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}