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Macroscopic analysis of the patella cartilage during total knee replacement 全膝关节置换术中髌骨软骨的宏观分析
MOJ orthopedics & rheumatology Pub Date : 2019-05-22 DOI: 10.15406/mojor.2019.11.00485
C. R. Schwartsmann, L. F. Spinelli, G. S. Silva, J. Brunelli, Leonardo Dalla Giacomassa, Leonardo Disconzi Barboza
{"title":"Macroscopic analysis of the patella cartilage during total knee replacement","authors":"C. R. Schwartsmann, L. F. Spinelli, G. S. Silva, J. Brunelli, Leonardo Dalla Giacomassa, Leonardo Disconzi Barboza","doi":"10.15406/mojor.2019.11.00485","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00485","url":null,"abstract":"Background: Knee osteoarthritis is diagnoses and monitored with radiography. Arthroscopy is considered the most valid method for evaluation of cartilage lesions. The best way for grading, measure and dimension is direct visualisation. Methods : Patelar cartilage lesion was analysed macroscopically during 176 total knee replacement. The grading of cartilage lesion, by direct visualisation, indentified six diferents groups. Results: Patellar articular cartilage was damaged in all 176 cases. There was no evidence of association between grade of arthrosis, gender, side or age. There is an association between tricompartmental arthrosis, varus deformity, obesity and grade of patelar arthrosis. Conclusion: All classifications systems regarding the femoropatellar cartilage lesions are unrealistic. Important subchondral bone exposure occurred in 77,2% patelar articular surface.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44579670","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: 1
Lipoma arborescens-a rare cause of monoarticular knee joint swelling in adolescents-case report 树状脂肪瘤-一种罕见的原因单关节膝关节肿胀在青少年-个案报告
MOJ orthopedics & rheumatology Pub Date : 2019-05-20 DOI: 10.15406/mojor.2019.11.00484
V. Gandhi, Shagun Shory, Avinash Kumar, M. Jindal, Mohit Goya, N. Aggarwal, Vipul Shory, A. Bansal
{"title":"Lipoma arborescens-a rare cause of monoarticular knee joint swelling in adolescents-case report","authors":"V. Gandhi, Shagun Shory, Avinash Kumar, M. Jindal, Mohit Goya, N. Aggarwal, Vipul Shory, A. Bansal","doi":"10.15406/mojor.2019.11.00484","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00484","url":null,"abstract":"Lipoma Arborescens is a slowly progressive intraarticular lesion of knee characterised by substitution of sub synovial tissue with fat cells and villous transformation of synovium [1]. It is a rare entity with limited literature. We present a case of lipoma arborescens in 17-year-old boy who presented with complaints of mono-articular swelling of left knee for 2 years with history of antecedent trauma. MRI showed frond like masses present in supra and infrapatellar region with high signal intensity on T1W and Intermediate signal intensity on T2W, consistent with fat. He was managed with open synovectomy which showed yellowish white polypoidal and villous masses of adipose tissue. Masses were sent for histopatholgy which showed hypertrophic villous projections of fat lined by synovial cells. Patient became asymptomatic postoperatively and improved functionally.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42220705","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: 1
Mexican Hip Fracture Audit (ReMexFC): objectives and methodology 墨西哥髋部骨折审计(ReMexFC):目标和方法
MOJ orthopedics & rheumatology Pub Date : 2019-05-02 DOI: 10.15406/mojor.2019.11.00483
Viveros García Jc, E. RoblesAlmaguer, Albrecht Junghanns Re, L. Re, C LópezPaz, A OlascoagaGómezdeLeón, G RamírezIzquierdo, B. SánchezTrocino, F TorresNaranjo, Zúñiga Gil Ch
{"title":"Mexican Hip Fracture Audit (ReMexFC): objectives and methodology","authors":"Viveros García Jc, E. RoblesAlmaguer, Albrecht Junghanns Re, L. Re, C LópezPaz, A OlascoagaGómezdeLeón, G RamírezIzquierdo, B. SánchezTrocino, F TorresNaranjo, Zúñiga Gil Ch","doi":"10.15406/mojor.2019.11.00483","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00483","url":null,"abstract":"In Mexico 1 out of every 4 adults has osteopenia or osteoporosis,1 whose most serious consequence is hip fracture (HF). It is estimated that between 8.5% and 18% of women will have a hip fracture throughout their lives.2,3 In Mexico City, an incidence of 1 725 cases in women and 1 297 men per 100 000 inhabitants has been reported, and it is believed that it will increase by at least 7 times by 2050.4","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46540621","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: 5
Septic arthritis in ochronosis’ patient 嗜铬病患者的败血症性关节炎
MOJ orthopedics & rheumatology Pub Date : 2019-04-30 DOI: 10.15406/mojor.2019.11.00482
Filipe Medeiros, Bruno Correia, Filipe Sousa, Tânia Freitas, R. Jerónimo, Á. Botelho
{"title":"Septic arthritis in ochronosis’ patient","authors":"Filipe Medeiros, Bruno Correia, Filipe Sousa, Tânia Freitas, R. Jerónimo, Á. Botelho","doi":"10.15406/mojor.2019.11.00482","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00482","url":null,"abstract":"Alkaptonuria is a rare autosomal recessive metabolic disease, with an incidence of 1:125,000 to 1:1 million worldwide. First description of Alkaptonuria was done by Garrod in 1908, that also recognized it to follow classic Mendelian recessive inheritance.1 The genetic defect is mapped to the HGD gene and more than 90 different mutations have been identified to date.2 Alkaptonuria is caused by homogentisic acid oxidase enzyme deficiency, that results in high homogentisic acid levels. It will eventually result in black deposits in skin, sclerae, connective tissues and urine. Ochronosis, dark pigmentation of connective tissues, is the musculoskeletal manifestation of this disease.3 It can lead to early degeneration of cartilage, leading to secondary osteoarthritis,4 by a mechanism that has not been understood.2 A worldwide review conducted in 2004 found that approximately 600 cases of ochronotic arthropathy have been reported since 1962.1 The diagnosis is often delayed because of its low prevalence and nonspecific early symptoms.4 The diagnosis occasionally is discovered intraoperatively in patients undergoing joint replacement surgery through the observation of the characteristic bluish-black pigmentation of the tissue surrounding the joint.2 Ochronotic arthropathy manifests first in the spine. Subsequent degeneration is on the knee (most commonly affected, in 64% of cases), hip, and shoulder. Small joints of the hand and foot usually are not affected.2 Homogentisic acid and its oxidation products could accumulate also in the sclera, skin, heart valves, the cartilage of the nose and ears, tendons, ligaments, renal tubule epithelial cells, pancreas, and arteries.5–7 In this paper, it is described a clinical presentation of ochronotic arthropathy with septic arthritis in the knee, of a complex patient.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43503608","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 endoscopic transforaminal lumbar discectomy, a simplified technique guide 微创内窥镜经椎间孔腰椎间盘切除术，一种简化的技术指南
MOJ orthopedics & rheumatology Pub Date : 2019-04-01 DOI: 10.15406/mojor.2019.11.00479
Ali M Maziad, J. Chiu
{"title":"Minimally invasive endoscopic transforaminal lumbar discectomy, a simplified technique guide","authors":"Ali M Maziad, J. Chiu","doi":"10.15406/mojor.2019.11.00479","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00479","url":null,"abstract":"Disc degeneration is a common problem affecting many middleaged individuals that increases in severity with age. Lack of exercise, bad postural habits, obesity and repetitive trauma may accelerate the process and can lead to early onset of symptoms. Depending on the number of spinal segments involved and the degree of degeneration, symptoms can range from mild muscular aches to severe neural compression that can compromise movement and sensation severely up to a point of disability. Treatment usually follows a hierarchy of steps or algorithm ranging from rest and medical treatment to extensive major surgery. Due to the nature of conventional spine surgery, large incisions and extensive deep tissue dissection are mandatory to gain access to the site of pathology.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44162754","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
Različiti operacijski pristupi za TEP kuka - različiti rezultati u operacijskom i ranom poslijeperacijskom razdoblju 不同的髋关节TEP操作方法-不同的操作和早期操作后结果
MOJ orthopedics & rheumatology Pub Date : 2019-03-27 DOI: 10.15406/MOJOR.2019.11.00478
Denis Grgurović, Ivana Herak
{"title":"Različiti operacijski pristupi za TEP kuka - različiti rezultati u operacijskom i ranom poslijeperacijskom razdoblju","authors":"Denis Grgurović, Ivana Herak","doi":"10.15406/MOJOR.2019.11.00478","DOIUrl":"https://doi.org/10.15406/MOJOR.2019.11.00478","url":null,"abstract":"","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":"11 1","pages":"89-89"},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67089882","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
The Role of Ilizarov Angiogenesis in Accelerated Healing of Painful Multidrug Resistant Madura Foot Ulcer (A Rare Case Report) Ilizarov血管生成在疼痛性多药耐药Madura足溃疡加速愈合中的作用(附一例报告)
MOJ orthopedics & rheumatology Pub Date : 2019-03-21 DOI: 10.15406/mojor.2019.11.00477
M. Bari, S. Islam, Mahfuzer Rahman, M. Obinna
{"title":"The Role of Ilizarov Angiogenesis in Accelerated Healing of Painful Multidrug Resistant Madura Foot Ulcer (A Rare Case Report)","authors":"M. Bari, S. Islam, Mahfuzer Rahman, M. Obinna","doi":"10.15406/mojor.2019.11.00477","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00477","url":null,"abstract":"","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42647484","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
The relation between chronic neck pain and hypertension (Ashatra city study) 慢性颈部疼痛与高血压的关系（Ashatra市研究）
MOJ orthopedics & rheumatology Pub Date : 2019-03-12 DOI: 10.15406/mojor.2019.11.00476
N. Salim, Soad Salman, Abbas Alhabeeb
{"title":"The relation between chronic neck pain and hypertension (Ashatra city study)","authors":"N. Salim, Soad Salman, Abbas Alhabeeb","doi":"10.15406/mojor.2019.11.00476","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00476","url":null,"abstract":"","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48613674","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
Gait – pathology or phisiology 步态——病理学或生物学
MOJ orthopedics & rheumatology Pub Date : 2019-03-06 DOI: 10.15406/MOJOR.2019.11.00475
V. Fedotov, I. Fedotova, Kostyantin Lytvinenko
{"title":"Gait – pathology or phisiology","authors":"V. Fedotov, I. Fedotova, Kostyantin Lytvinenko","doi":"10.15406/MOJOR.2019.11.00475","DOIUrl":"https://doi.org/10.15406/MOJOR.2019.11.00475","url":null,"abstract":"The purpose of our scientific work was to study some mechanisms of formation of human gait, to study some electromyographyc (EMG) and biomechanical features of gait in pathological conditions and volunteers. The gait of a person is a peculiar kind of two-legged movement, in which the support for one leg cyclically changes the biaxial period, and then the support to the other leg. Gait is figuratively described as “controlled fall”. At each new step, the person bend over and begins to fall, which is hampered by the advanced leg. After it touches the earth, the weight of the body is transferred to it, the knee bends, and erects, returning the body to its original position. That is why many authors represent gait as model of the “inverted pendulum” (Figure 1).","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47367250","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
Long-term effects and complication rates of Coonrad-Morrey total elbow arthroplasty - a retrospective analysis of 95 prostheses in 16-year follow-up Coonrad-Morrey全肘关节置换术的远期疗效和并发症发生率——95例16年随访的回顾性分析
MOJ orthopedics & rheumatology Pub Date : 2019-03-01 DOI: 10.15406/mojor.2019.11.00474
H. Tiusanen, Miika Stenholm, Pjotr Sarantzin, Timo Lindström, M. Saltychev
{"title":"Long-term effects and complication rates of Coonrad-Morrey total elbow arthroplasty - a retrospective analysis of 95 prostheses in 16-year follow-up","authors":"H. Tiusanen, Miika Stenholm, Pjotr Sarantzin, Timo Lindström, M. Saltychev","doi":"10.15406/mojor.2019.11.00474","DOIUrl":"https://doi.org/10.15406/mojor.2019.11.00474","url":null,"abstract":"The first total elbow arthroplasty of constrained type was installed by Dee in 1972.1 Even though he had reported good clinical results, the component loosening had been common. In 1982, Morrey and Bryan have also reported up to 27% rate of component loosening of that early type of constrained prostheses in a five-year follow-up.2 Strong forces at the bone cement interface of hinged prosthesis has been suggested as a reason for that loosening. Thus, that kinds of constrained prostheses have been retired from a practice.","PeriodicalId":91366,"journal":{"name":"MOJ orthopedics & rheumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46959195","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
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