MOJ orthopedics & rheumatology最新文献

Functional outcomes in acute lateral ankle ligament repair using suture tape augmentation 缝合带增强急性踝关节外侧韧带修复的功能效果

MOJ orthopedics & rheumatology Pub Date : 2022-01-10 DOI: 10.15406/mojor.2022.14.00568

L. Schmidt, J. Wessels, C. J. van Rensburg, Mthunzi Ngcelwane

{"title":"Functional outcomes in acute lateral ankle ligament repair using suture tape augmentation","authors":"L. Schmidt, J. Wessels, C. J. van Rensburg, Mthunzi Ngcelwane","doi":"10.15406/mojor.2022.14.00568","DOIUrl":"https://doi.org/10.15406/mojor.2022.14.00568","url":null,"abstract":"Introduction: Acute lateral ankle injuries are commonly managed conservatively but when repair is done in grade III injuries in the professional athletic population it is repaired using the Broström surgical procedure. Augmentation of this procedure using suture tape has been reported to improve ankle stability and physical patient outcomes. Method: This is a retrospective study of 30 patients with grade II-III anterior talofibular ligament instability, treated with augmented Broström-Gould suture tape procedure. The patients were followed up a minimum of 14.4 months post-surgery using AOFAS and RAND 36-item Short Form scores. We also evaluated ability and time to return to previous level of activity or sport following surgery and rehabilitation. Results: Overall patients showed excellent results, with an average AOFAS score of 92.7. According to the SF-36 scale patients perceived low levels of pain (80.6) and good physical functioning (88.3), with 86.7% of patients in the study being able to return to their previous level of activity or sport on average 10.94 weeks post surgery. Conclusion: Augmented Broström with suture tape showed excellent AOFAS and favourable RAND SF-36 outcomes in the short term with a good indication of functional outcomes in patients’ ability to return to previous levels of activity or sport.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42212007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical treatments of patients with periprosthetic humeral fracture and comorbidities 肱骨假体周围骨折及其合并症的外科治疗

MOJ orthopedics & rheumatology Pub Date : 2021-12-26 DOI: 10.15406/mojor.2021.13.00537

Jiayong Liu, Logan J Roebke, Josh W Vander Maten, M. Tranovich, N. Ebraheim

{"title":"Surgical treatments of patients with periprosthetic humeral fracture and comorbidities","authors":"Jiayong Liu, Logan J Roebke, Josh W Vander Maten, M. Tranovich, N. Ebraheim","doi":"10.15406/mojor.2021.13.00537","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00537","url":null,"abstract":"Background: Periprosthetic humeral fractures represent a complex and rare complication. Currently, there is no standardized procedure for management or classification of these fractures. Questions/purposes: This unique case series purpose was to look at surgical outcomes and comorbidity profiles of 10 PHF patients. Subsequent analysis looked at whether these outcomes could add to the discussion of a proposed standard of care in a patient cohort with significant comorbidities. Patients and methods: All patients with humeral fractures from 2008-2019 were analyzed for inclusion. A total of ten patients met the inclusion criteria; humeral fracture concurrent with a shoulder arthroplasty. Each patient was managed surgically using a locking plate with or without cerclage wiring. Outcome analysis was then performed for each patient. Humoral fractures managed conservatively were removed from the dataset along with periprosthetic fractures around an elbow arthroplasty, IM nail, or supracondylar fracture after shoulder arthroplasty. Results: The average union time in all patients was 13.27±2.90 (9.86-17.29) weeks. There was no significant difference between patients treated with cerclage wiring or without. All patients had successful union except for a patient with Osteogenesis Imperfecta. There were two radial nerve palsies. The average Deyo-Charlson score and BMI was 7.1±.84 (4-13) and 29.89 respectively. Conclusion: The treatment of PHFs using the technique of ORIF with locking plate with or without cerclage wiring provides satisfactory outcomes in a patient population that usually includes significant comorbidities. Level of evidence: Therapeutic Study Level IV Retrospective Review.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":"543 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41283386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interfragmentary approach total hip replacement in unstable intertrochanteric femur fracture in elderly shows better clinical result compare to standard posterior approach 骨折块间入路全髋关节置换术治疗老年不稳定股骨粗隆间骨折的临床效果优于标准后路入路

MOJ orthopedics & rheumatology Pub Date : 2021-12-17 DOI: 10.15406/mojor.2021.13.00567

Muhammad AzharAbdullah, O. Bilgen

{"title":"Interfragmentary approach total hip replacement in unstable intertrochanteric femur fracture in elderly shows better clinical result compare to standard posterior approach","authors":"Muhammad AzharAbdullah, O. Bilgen","doi":"10.15406/mojor.2021.13.00567","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00567","url":null,"abstract":"Introduction: Hip fracture is the most common fracture in elderly patients, with the rate of morbidity increasing is the main issues. The clinical as well functional outcomes are influenced by many factors, which includes patient condition, type of fracture, and definite treatment weather replacement or fixation. Patient and methodology: We carry out study in our center 54 patients presented to our center with unstable Intertrochanteric Femur Fracture with age more than 70 years old. Twenty Six of them (group 1) underwent standard posterior approach and 28 (group 2) underwent interfragmentary approach. Those patient with cognitive disorder and other neuromuscular disorder was excluded in this study. All of them was treated with Uncemented Total Hip Repalcement and Trochanteric Cable Plate with same type of implant. Statistical analysis: Latest version of SPSS software package was used for the statistical analysis of data. Categorical measurements were given as numbers and percentage values, whereas continuous measurements were given as mean and SD values (median and minimum–maximum when necessary). Their mean age was 82 (70-90) years, 14 males and 40 females with BMI is 20.2 (19.8-22.1.). Result: According to comparison of the groups, it was found that the rate of dislocation was statistically significantly higher in patient underwent posterolateral approach compare to interfragmentary approach. Trochanteric non union also is higher in group 1 compare to group 2. Conclusion: The option of Total Hip Repalcement with Trochanteric Grip Plate in elderly patient with osteoporotic bone through interfragmentary approach, give immediate stability and allow weight bearing and show good functional outcome with no complication at short term period.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42058866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can spectral doppler high specificity and gray scale nail assessment suggest inflammation in psoriatic arthritis patients and control groups? 频谱多普勒高特异性和灰度指甲评估是否能提示银屑病关节炎患者和对照组的炎症？

MOJ orthopedics & rheumatology Pub Date : 2021-11-16 DOI: 10.15406/mojor.2021.13.00564

J. A. Mendonça, V. Leandro-Merhi, J. L. B. De Aquino

{"title":"Can spectral doppler high specificity and gray scale nail assessment suggest inflammation in psoriatic arthritis patients and control groups?","authors":"J. A. Mendonça, V. Leandro-Merhi, J. L. B. De Aquino","doi":"10.15406/mojor.2021.13.00564","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00564","url":null,"abstract":"Introduction: The use of high resolution ultrasonography (US) has become a very important tool in nail assessment. This study evaluated nails clinical and ultrasound measurements in psoriatic arthritis (PsA) patients. Methods: A cross sectional study was performed with a total of 60 patients, PSA patients, 10 healthy individuals and 6 hand osteoarthritis patients (OA). Only PsA patients meeting the CASPAR criteria were included in the study. Results: Spectral Doppler (sD) was used to analyze 208 nail beds. Nail plates on the gray scale (GS) showed loss of the normal three-layered pattern in 89 nails (45.9%). Power Doppler (PD) signal was detected in 189 nail beds (92.2%), showing inflammatory activity in most of the patients and nails assessed. Resistance index (RI) was significantly lower in PsA patients as compared to control groups in both the longitudinal and transverse planes (p<0.001).Nail enthesitis was observed when RI values were below 0.4, characterizing 100% sensitivity and 96% specificity (p<0.01). Conclusions: Nail US scanning presented statistical significance in PsA patients. Future studies could show many inflammatory situations, requiring treatment assessment.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47534237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Polypropylene prosthesis as cicatricial adjuvant after fasciotomy for compartment syndrome of the foot: Case report 聚丙烯假体作为足筋膜切开术后瘢痕佐剂治疗足筋膜室综合征1例

MOJ orthopedics & rheumatology Pub Date : 2021-10-20 DOI: 10.15406/mojor.2021.13.00561

J. M. Juliano Eustáquio, Leonardo Soares Ataíde Oliveira, Décio José De Oliveira Júnior, Thayla Carriço Mendes, Alberto Martins Fontoura Borges, O. B. Neto

引用次数: 0

Modified Judet’s Quadricepsplasty with patella traction for extension contracture of knee 改良Judet股四头肌成形术加髌骨牵引治疗膝关节挛缩

MOJ orthopedics & rheumatology Pub Date : 2021-10-18 DOI: 10.15406/mojor.2021.13.00560

Bari Mm, I. Shahidul, Azad Mohammad Abul Kalam, A. Tanvir, Bari A M Shayan R

{"title":"Modified Judet’s Quadricepsplasty with patella traction for extension contracture of knee","authors":"Bari Mm, I. Shahidul, Azad Mohammad Abul Kalam, A. Tanvir, Bari A M Shayan R","doi":"10.15406/mojor.2021.13.00560","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00560","url":null,"abstract":"To see the clinical result of Modified Judet’s Quadricepsplasty (MJQP) with patella traction at BARI-ILIZAROV ORTHOPAEDIC CENTRE for the treatment of knee extension contracture. Materials and methods: We received 16 patients with knee extension contracture treated by MJQP with patella traction from January 2015 to January 2021, at our BARI-ILIZAROV ORTHOPAEDIC CENTRE. The age at revision surgery was 25-58 years. The time between fracture treatment to MJQP was 4 to 20 months and our follow up was 10-30 months. We assessed pre-operative and post-operative range of motion (ROM). Results: Knee range of motion pre-operatively was 5-50 (35± 10)° and 35-85 (55±10)° after MJQP and in average of 0-35(18+10) °. We applied patella traction for 12-14 (10±3)° When we removed the patella traction the knee range of motion at that time was 95-110 (93±4)° and increase of 10-70 compared with the range of motion after release of all arthrofibrosis in the joint. Our follow up time was 12-35 (19±5) months. Knee range of motion at first follow up was 85-135 (105±13)°, an increase of 45-105 (70±15) ° compared with pre-operatively and of 10-45 (12±12)° compared with the range of motion after patella traction removed. Knee function was excellent in 12 cases (70%), good in 3 (27%) and fair in one (3%). Conclusion: MJQP with patella traction lengthens the contracted Quadriceps femoris gives excellent result with proper post-operative care and CPM therapy.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46631126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Locked intramedullary nailing technique of the femur without brilliance amplifier at the trauma and orthopedics department of the university hospital of peace series on 35 cases during 1 year 和平大学医院创伤骨科无扩髓器股骨交锁髓内钉固定术1年35例

MOJ orthopedics & rheumatology Pub Date : 2021-09-27 DOI: 10.15406/mojor.2021.13.00556

Augustin Delange Hendrick, Almenord Pharol, Khawly Clifford PG, Augustin Delange, P. Woolley

{"title":"Locked intramedullary nailing technique of the femur without brilliance amplifier at the trauma and orthopedics department of the university hospital of peace series on 35 cases during 1 year","authors":"Augustin Delange Hendrick, Almenord Pharol, Khawly Clifford PG, Augustin Delange, P. Woolley","doi":"10.15406/mojor.2021.13.00556","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00556","url":null,"abstract":"Femoral fractures increase the length of hospital stay for our patients for several reasons such as lack of blood, economic resources, and lack of infrastructure. The use of a C-arm has been shown to reduce patient morbidity due to early functional recovery and reduced hospital stay. Objective: To develop an intramedullary nailing technique without c-arm with a closed focus to reduce the duration of hospitalization of its patients as well as the cost related to the equipment used for follow-up. Methodology: prospective study on 35 patients for 1 year August 2020 to August 2021 Results: We followed 35 patients in which the mean age was 37.83 years with extremes of 18 and 78 years. The male sex predominates 21 against 14 women or 60% against 40% respectively. The sex ratio is 1.5. A total of 19 diaphyseal fractures (54.3%) were nailed, 9 supracondylar (25.7%) and 7 subtrochanteric (20%). Twenty-seven were closed fractures (71.1%), and 8 were open fractures (22.9%). The length of hospitalization was less than 3 days for 30 patients (85.7%), and more than 3 days for 5 patients (14.3%). Conclusion: We recommend that we promote this closed-hearth technique because it improves the postoperative follow-up of patients. Additionally, it would reduce exposure to radiation from c-arm in hospitals that have this equipment.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42301507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of diabetic foot ulcer & atherosclerosis using tibial transverse bone lengthening technique; Bangladesh experience 目的探讨应用胫骨横截骨延长技术治疗糖尿病足溃疡和动脉粥样硬化的疗效；孟加拉国经验

MOJ orthopedics & rheumatology Pub Date : 2021-09-27 DOI: 10.15406/mojor.2021.13.00557

Choudhury Quayyum MKI, I. Shahidul, Ashraf Mohammad Tanvir, Bari AM Shayan R

引用次数: 0

Original positioning method to determine the clinical and radiographic parameters of the hip joint in patients with cerebral palsy 原定位法测定脑瘫患者髋关节临床及影像学参数

MOJ orthopedics & rheumatology Pub Date : 2021-08-16 DOI: 10.15406/mojor.2021.13.00555

Y. M, N. M, Martsyniak S, Kabatsiy M, F. V

{"title":"Original positioning method to determine the clinical and radiographic parameters of the hip joint in patients with cerebral palsy","authors":"Y. M, N. M, Martsyniak S, Kabatsiy M, F. V","doi":"10.15406/mojor.2021.13.00555","DOIUrl":"https://doi.org/10.15406/mojor.2021.13.00555","url":null,"abstract":"Relevance: Obtaining true radiographic parameters of the hip joint helps to choose therapeutic tactics for children with cerebral palsy. Goal of the study: Improvement of the diagnostic results in pathology of the hip joint among patients with cerebral palsy by using our original method. Materials and methods: The number of examined patients – 30 persons (60 joints), 15 boys and 15 girls, 26 joints were operated. The age of patients ranged between 3-15 years. All patients underwent a clinical evaluation – Ruwe's femoral torsion, as well as radiography of the hip joints using our original method (utility model patent №137567). The offered method is cheap, simple and accessible to all medical institutions with an X-ray room, for the diagnosis and screening of pathology of the hip joint. The our original method can be used to determine all the main parameters of the hip joint (femoral torsion, neck-shaft angle, Viberg angle, Reimers’ index, acetabular angle, Sharp’s angle) in patients with cerebral palsy. Making only single radiograph, one obtains true radiographic parameters of both hip joints, which significantly reduces the radiation load upon the patient. Our method can be used in the examination and screening of patients with developmental disorders and other diseases of the hip joint.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43474551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Patella dislocation with unusual osteochondral fracture, whilst playing virtual reality game 髌骨脱位伴异常骨软骨骨折，同时玩虚拟现实游戏

MOJ orthopedics & rheumatology Pub Date : 2021-08-13 DOI: 10.15406/mojor.2021.13.00553

S. W. Canbilen, K. El-Abed, R. Ahmad

引用次数: 0