MOJ orthopedics & rheumatology最新文献_第10页

The simulation in health care in orthopedics 骨科医疗保健中的模拟

MOJ orthopedics & rheumatology Pub Date : 2019-01-29 DOI: 10.15406/mojor.2019.11.00463

Ana Gabriela Ortiz Sánchez, Hugo Erick Olvera Cortés, Sara ra Morales López, A. Núñez

引用次数: 0

Evaluation of patients with displasia of hip development, radiographic and functional results 评价髋关节发育不全患者的影像学和功能结果

MOJ orthopedics & rheumatology Pub Date : 2019-01-28 DOI: 10.15406/mojor.2019.11.00461

L. Hernández, J. Gudiño

引用次数: 0

Modes of failure of proximal femoral nail (PFN) in unstable trochanteric fractures 股骨近端钉(PFN)在不稳定转子骨折中的失效模式

MOJ orthopedics & rheumatology Pub Date : 2019-01-25 DOI: 10.15406/mojor.2019.11.00460

Y. Siddiqui, Abdul Q. Khan, N. Asif, Mohd. Asif Sherwani

{"title":"Modes of failure of proximal femoral nail (PFN) in unstable trochanteric fractures","authors":"Y. Siddiqui, Abdul Q. Khan, N. Asif, Mohd. Asif Sherwani","doi":"10.15406/mojor.2019.11.00460","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00460","url":null,"abstract":"Trochanteric fractures are one of the commonest fractures in aging population.1 The prevalence of these fractures has increased substantially over the last few decades as a result of the larger longevity of the population.2 About 35 to 40% of such fractures are unstable one.3,4 Surgical stabilization of these fractures is preferred method of treatment for restoring pre-fracture mobility.5,6 Several fixation devices have been developed to overcome the difficulties encountered in the management of the unstable trochanteric fractures. Of late, most of these fractures were treated by lateral devices. As lateral devices were associated with high rates of complications7,9 intramedullary fixation devices have become gradually more prevalent.10–12 The proximal femoral nail (PFN) is an intramedullary system, intended to improve the management of unstable trochanteric fractures. Intramedullary implants are preferred in treatment of unstable trochanteric fractures, especially in the absence of medial buttress.13,14 In 1997 the AO designed an innovative intramedullary implant, the proximal femoral nail (PFN)6 for management of such fractures. Hence, PFN in unstable fracture patterns is progressively becoming standard method of fixation in view of its superior biomechanics and prevention of varus collapse in comparison to extramedullary devices.15 However, the evolution of the procedure may include complications associated with the migration of the interlocking head screws (Z-effect and reverse Z-effect), varus collapse, screw cutout, peri-implant fracture, nonunion, delayed union, shortening and infection. The objective of the paper is to describe the technical hitches, errors and modes of failure of PFN in unstable trochanteric fractures with their literature-based explanations and the recommendations to avoid such complications.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44700683","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: 13

A case of medelung deformity in a 13-year-old Iranian girl 一例13岁伊朗女孩梅德龙畸形

MOJ orthopedics & rheumatology Pub Date : 2019-01-18 DOI: 10.15406/mojor.2019.11.00459

Seyyed Mohsen, Ehsan Hakimi, Seyyed Mohammad Qoreishi, K. Ghamsari

{"title":"A case of medelung deformity in a 13-year-old Iranian girl","authors":"Seyyed Mohsen, Ehsan Hakimi, Seyyed Mohammad Qoreishi, K. Ghamsari","doi":"10.15406/mojor.2019.11.00459","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00459","url":null,"abstract":"Blood cell count and the blood chemistry analysis were normal. Her familiar history was positive for grandmother’s deformity similar to her own, with being less symptomatic. The postero-anterior wrist X-rays (Figure 1) illustrated typical Madelung deformity changes on her both wrists which is characterized by shortening of radius bone , in comparison with the ulna, radially curved radius, a disparity of the distal radioulnar joint plus a triangular-shaped carpus. The lateral X-ray (Figure 2) showed major changes on the right wrist: dorsal dislocation of the ulnar and an exaggerated volar tilt of the radioulnar joint in a way which caused palmar carpal displacement and an anterior translation of the hand and the wrist. She wa candidate for closed wedge osteotomy performed on the right side of left distal radius with Vicker’s ligament release, and an ulnar shortening osteotomy with plate fixation (Figure 3). No intra and postoperative complications were occurred. Osteotomies were protected with dorsal forearm plaster splint for 3 weeks. Postoperative management depends on what is done. Casting immobilization might be necessary for some weeks after the osteotomy of the radius or ulna. Physiotherapy might be needed in children not able to regain range of motion on their own after 2-3 months without restrictions. In our case no physiotherapy was needed. After 2 months, there was no pain, a good aesthetic and mobility improvement of the right wrist mainly in prone-supination. The radiographic images (Figure 3) illustrated improving alignment and healing of the bone.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41926830","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

Microorganisms associated with surgical site infections and orthopedic devices at the orthopedic spine service, orthopedics hospital 骨科医院骨科脊柱部与手术部位感染和骨科器械相关的微生物

MOJ orthopedics & rheumatology Pub Date : 2019-01-11 DOI: 10.15406/mojor.2019.11.00458

Francisco Fernando Salazar García, E. Martínez, A. Gallardo

引用次数: 0

Monoarthritis revealing Infliximab-induced systemic lupus erythematosus in Crohn's disease 单关节炎揭示克罗恩病中英夫利昔单抗诱导的系统性红斑狼疮

MOJ orthopedics & rheumatology Pub Date : 2019-01-01 DOI: 10.15406/mojor.2019.11.00495

S. Bouomrani, F. Rekik, Ali Naffati, W. Mahdhaoui, A. Hammami, Dhia Eddine Amri

引用次数: 0

Isolated palmar dislocation of the fifth carpometacarpal joint: a case report of rare injury 孤立性掌掌第五关节脱位1例

MOJ orthopedics & rheumatology Pub Date : 2019-01-01 DOI: 10.15406/mojor.2019.11.00481

Chowdhury Foyzur Rob

引用次数: 0

A revolutionary use of wrist arthroscopy in paediatric arthrogryposis? a case report and review of the literature 腕部关节镜在儿童关节挛缩症中的革命性应用?病例报告及文献回顾

MOJ orthopedics & rheumatology Pub Date : 2019-01-01 DOI: 10.15406/mojor.2019.11.00502

K. Oestreich

引用次数: 2

Radiological incidence of meniscus and knee injury in ACL tears 前交叉韧带撕裂后半月板和膝关节损伤的放射学发生率

MOJ orthopedics & rheumatology Pub Date : 2019-01-01 DOI: 10.15406/mojor.2019.11.00490

Mohammed S Alhassan, Yaseen Alrasasy, Omar Alrasheed, Abdullah Albahrani, T. AlShammari, Ali Alrassasi, A. Alsaeed, A. Alhassan, Abbas Aljumaiah

引用次数: 0

The importance of early diagnosis and management in total knee arthroplasty infection 全膝关节置换术感染早期诊断和处理的重要性

MOJ orthopedics & rheumatology Pub Date : 2018-12-27 DOI: 10.15406/mojor.2018.10.00457

Amendola L, Cauli V, Calabrò T, Comitini S, O. A, Tigani D

{"title":"The importance of early diagnosis and management in total knee arthroplasty infection","authors":"Amendola L, Cauli V, Calabrò T, Comitini S, O. A, Tigani D","doi":"10.15406/mojor.2018.10.00457","DOIUrl":"https://doi.org/10.15406/mojor.2018.10.00457","url":null,"abstract":"The infection of a knee prosthesis is a serious complication often characterized by a complex and prolonged diagnostic procedure and the treatment of which, even if could gain a healing of the septic process, not always results in a satisfactory functional result.1 Difficulties in the treatment of a knee prosthetic infection deal with the presence of the prosthesis which acts as a foreign body, feeding the persistence of the infection itself2. Microorganisms usually considered as nonpathogenic or poorly resistant to common antibiotic therapy could determine the clinical conditions in which the healing can be achieved only with the removal of the prosthetic implant3. There are particular situations at the base of the onset and persistence of so-called “foreign body” infections: the host organism reacts against biomaterials filling them with a thin film made of proteinaceous material. Some of these proteins have receptors specific for Staphylococcus Aureus and Epidermidis, determining contact that at least initially, is reversible. This condition can become irreversible through the production of a gelatinous substance (exopolysaccharides) by certain bacterial species as coagulase-negative staphylococci (St. Epidermidis, Capitis, Haemolyticus), Enterobacteriaceae, Pseudomonacee, Aciteobacter (Figure 1). Formation of a matrix glycoprotein then acts, defined by Gristina and Costeron, as “glycocalyx”.2 The action of the glycocalyx is manifold: it forms a barrier against antibiotics and inhibits macrophage phagocytosis.3","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45476527","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