MOJ orthopedics & rheumatology最新文献_第4页

Avulsion fracture of the lesser trochanter case report and systemic review 小转子撕脱性骨折1例报告及系统回顾

MOJ orthopedics & rheumatology Pub Date : 2020-11-30 DOI: 10.15406/mojor.2020.12.00532

Ahmad N Bo-Eisa, Mohammed S Alarbash, Abdullah AL-Buhassah, Abdullah F Al Khars

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Sciatic nerve dependent schwannoma 坐骨神经依赖性神经鞘瘤

MOJ orthopedics & rheumatology Pub Date : 2020-10-30 DOI: 10.15406/MOJOR.2020.12.00528

J. Álvarez, S. Ortíz

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Deformity correction (upper tibial bone defect due to osteomyelitis) in lower limb using Ilizarov technique 应用Ilizarov技术矫正下肢畸形(骨髓炎所致胫骨上骨缺损)

MOJ orthopedics & rheumatology Pub Date : 2020-10-30 DOI: 10.15406/mojor.2020.12.00530

Bari Mm, I. Shahidul, Bari AM Shayan R

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Staple arthroscopic fixation of tibial ACL avulsion with concomitant lobenhoffer approach for a posterolateral tibial plateau fracture 关节镜下吻合lobenbhoffer入路固定胫骨前交叉韧带撕脱伤治疗胫骨平台后外侧骨折

MOJ orthopedics & rheumatology Pub Date : 2020-10-30 DOI: 10.15406/MOJOR.2020.12.00529

F. Pereira, F. Brito, Tomás Osório, F. Lemos, Igor Lima Martins, A. L. Ramos

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Osborne’s ligament: a cadaveric study and literature review 奥斯本韧带:尸体研究及文献回顾

MOJ orthopedics & rheumatology Pub Date : 2020-10-30 DOI: 10.15406/mojor.2020.12.00531

Rómulo Silva, L. F. Pinto, Filomena Ferreira, P. Pereira, Dulce Madeira, A. Pinho

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Ilizarov hip reconstruction (hybrid transosseous Osteo-synthesis technique creating femoral support to acetabu-lum and correcting biomechanical limb axis in proximal femoral defect) Ilizarov髋关节重建术(混合型经骨骨合成技术为髋臼提供股骨支撑并纠正股骨近端缺损的生物力学肢体轴)

MOJ orthopedics & rheumatology Pub Date : 2020-10-08 DOI: 10.15406/MOJOR.2020.12.00527

Bari Mm, I. Shahidul, R. BariAmShayan

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Musculoskeletal disorders following excessive smartphone usage - a review article 过度使用智能手机后的肌肉骨骼障碍-一篇综述文章

MOJ orthopedics & rheumatology Pub Date : 2020-08-28 DOI: 10.15406/MOJOR.2020.12.00526

V. Khanna, Harish Chandra Khanna

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Indications for operative repair of the traumatic skull base CSF fistula 外伤性颅底脑脊液瘘的手术修复指征

MOJ orthopedics & rheumatology Pub Date : 2020-08-20 DOI: 10.15406/MOJOR.2020.12.00525

B. Saberi

{"title":"Indications for operative repair of the traumatic skull base CSF fistula","authors":"B. Saberi","doi":"10.15406/MOJOR.2020.12.00525","DOIUrl":"https://doi.org/10.15406/MOJOR.2020.12.00525","url":null,"abstract":"There are some indications for operative repair of the CSF fistula in the skull base trauma setting. Meningitis development while treating the CSF leakage with a conservative treatment method, failure of the conservative treatment, pneumocephalus and persistent leakage of the CSF, delayed CSF leakage, CSF leakage in penetrating trauma, recurrent CSF leakage and severe defect in the anterior skull base with brain herniation through the defect of the skull, are some indications for operation. In case there would be CSF leakage in spite of lumbar drainage in more than seven to ten days after the time of the injury, conservative therapy would not be effective anymore and there should be operative repair to be done for the CSF leakage.4 Having a high risk for developing meningitis, delayed CSF leakage, pneumocephalus and large dural tear, external brain herniation and penetrating injuries are the indications for early surgery which conservative therapy should not be considered in such cases. The best time for surgical repair depends on various factors like ongoing risk for meningitis development and risk of frontal lobe retraction during skull base exposure when there would be a swelling in the brain tissue due to the trauma. Frontal lobe swellings would be decreased in about 10 days after the occurrence of trauma, which allow enough retraction to expose anterior skull base.5 For traumatic otorrhea, surgical repair is usually not necessary since it would be resolved in about 14 days after the injury.6,7 Because of this fact, conservative management of CSF otorrhea should be considered for longer periods after the injury and in few cases which such conservative treatment strategy would be failed, operative repair can be considered.8","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43010838","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

Humeral lengthening by Ilizarov technique in patients with post septic shortening 用Ilizarov技术延长脓毒症后缩短患者的肱骨

MOJ orthopedics & rheumatology Pub Date : 2020-08-06 DOI: 10.15406/mojor.2020.12.00524

Bari Mm, I. Shahidul, Bari AM Shayan R

{"title":"Humeral lengthening by Ilizarov technique in patients with post septic shortening","authors":"Bari Mm, I. Shahidul, Bari AM Shayan R","doi":"10.15406/mojor.2020.12.00524","DOIUrl":"https://doi.org/10.15406/mojor.2020.12.00524","url":null,"abstract":"Purpose: Humeral lengthening in patients with post septic shortening is a challenging procedure for Orthopaedic surgeon. The aim of this study was to evaluate the efficacy and safety of humeral lengthening using Ilizarov fixator. We reviewed the literature on humeral lengthening using different fixators with regard to indications, operative technique, results and complications. We also retrospectively reviewed 12 patients treated with humeral lengthening using Ilizarov external fixation. The etiology was epiphyseal injury (7 cases), infection (5 cases). The average age at surgery was 14,5 years (range 12,5-23,5) with post septic humeral shortening. The patients were assessed clinically and radio-graphically. Follow up ranged from 1-10-years.The magnitude of lengthening achieved ranged from 5-15cm with an average of 7, 5cm. Functionally all the patients returned to their preoperative jobs and daily activities including sports. Complications included pin track infection in 8 patients, radial nerve palsy which recovered completely in one patient. Conclusion; Humeral lengthening is a valid method that improves the outcome following arm shortening and deformity correction including angulation and rotation. Extensive lengthening up to 100% of the original length could be achieved without increasing the risk of complications.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45350740","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

Minimally invasive surgery of humeral fractures with posterior approach and anatomical plate 肱骨骨折后入路解剖钢板微创手术治疗

MOJ orthopedics & rheumatology Pub Date : 2020-07-24 DOI: 10.15406/MOJOR.2020.12.00523

Carlos Arroyo Sánchez, C. Abril, A. David, Guillermo Varón

{"title":"Minimally invasive surgery of humeral fractures with posterior approach and anatomical plate","authors":"Carlos Arroyo Sánchez, C. Abril, A. David, Guillermo Varón","doi":"10.15406/MOJOR.2020.12.00523","DOIUrl":"https://doi.org/10.15406/MOJOR.2020.12.00523","url":null,"abstract":"We evaluate the functional and radiological outcomes, the union rates and functional results in a group of patients with diaphyseal fracture of the humerus of the distal third with a minimally invasive technique whit posterior approach and anatomical plate. Between 2013 and 2017, 32 patients were operated, with an average age of 31years. Functional assessment was performed using the abbreviated DASH functional scale and pain was classified according to the VAS scale. All the fractures healed successfully, except for two cases that presented in union delay. The radial nerve injury prior to the intervention was recovered progressively without requiring transfers. The functional results were satisfactory in the patients who completed more than one year of follow-up. The posterior approach of the minimally invasive surgery in the treatment of this particular fracture pattern seems to show a biological advantage by allowing complete union rates in all patients. The iatrogenic injury of the radial nerve does not seem to increase in relation to its isolation and protection in the proximal portion of the triceps Level of evidence: IV","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43722587","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