BMC Musculoskeletal Disorders最新文献

{"title":"Risk factors for low back pain amongst adults in Nigeria and South Africa: a systematic review.","authors":"Matthew Fay, Michelle Black","doi":"10.1186/s12891-024-08017-5","DOIUrl":"10.1186/s12891-024-08017-5","url":null,"abstract":"<p><strong>Background: </strong>The burden on the individual, society and healthcare providers of low back pain in the western world is well documented. Globalisation and urbanisation, it has been reported, has led to an increase in low back pain in developing countries such as those situated in Sub-Saharan Africa. Low back pain determinants are framed, according to the individual, social and cultural context. The aim of this systematic review was to determine the risk factors of low back pain in Nigeria and South Africa, whose growing and modernising economies operate alongside more traditional labour-intensive practices provide a comparison for modern-day Sub-Saharan Africa.</p><p><strong>Methods: </strong>Study eligibility included: etiological studies (whose primary objective is to explore/determine risk factors of lower back pain within the population) to include published literature AND non-published manuscripts and 'grey literature' (i.e. conference abstracts, thesis and preprints where applicable), studies exploring MSK pain in general if more than 80% of the sample complained of LBP, studies focussing on Nigerian or South African residents, studies including individuals aged 18 years or over and reports printed in the English language. Risk of bias was determined using the AXIS and CASP critical appraisal tools. Owing to study heterogeneity a stratified synthesis was performed to analyse study data.</p><p><strong>Results: </strong>Thirty-nine studies were included. Overall, a total of twenty-two sociodemographic, lifestyle, occupational and psychosocial risk factors were identified. There is good quality evidence of an association between the following risk factors and low back pain: advancing age, female gender, obesity, nature and duration of work, posture, manual handling, perceptions of work, job autonomy and disease conviction.</p><p><strong>Conclusion: </strong>This review suggests common risk factors for low back pain exists in Nigerian and South African populations as they do in other countries.</p><p><strong>Funding: </strong>No funding was received for this systematic review.</p><p><strong>Trail registration: </strong>The protocol for this review was registered on PROSPERO prior to commencement (protocol registration number: CRD 42023378363).</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"968"},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing a nomogram for the recurrence of tibial osteomyelitis after debridement surgery based on platelet to lymphocyte ratio at admission: a dual-center retrospective study from China.","authors":"Rongbin Lu, Shaohuai Xia, Gaoyong Deng, Wencai Li, Zhao Huang, He Ling","doi":"10.1186/s12891-024-08106-5","DOIUrl":"10.1186/s12891-024-08106-5","url":null,"abstract":"<p><strong>Aim: </strong>To construction of a nomogram to predict the prognosis of patients with tibial osteomyelitis after debridement surgery.</p><p><strong>Method: </strong>This study used binary logistic regression analysis to identify clinical independent predictive factors, and then used R language to construct a nomogram.</p><p><strong>Result: </strong>The results showed that WBC (3.36[1.77-6.37])、LYM (0.29[0.15-0.54])、BAS (2.19[1.22-3.91])、FIB (0.27[0.14-0.54])、ALB (0.16[0.09-0.3])、TBIL (0.41[0.21-0.83])、D-Dimer (1.77[1.03-3.03])、CRP (0.43[0.2-0.91])、ESR (3.08[1.6-5.79]) and PLR (0.47[0.24-0.9]) were independent predictive factors. Good prediction performance with modest errors was shown by the nomogram in both the training and validation groups.</p><p><strong>Conclusion: </strong>WBC、LYM、BAS、FIB、ALB、TBIL、D-Dimer、CRP、ESR and PLR are independent predictors of the prognosis of patients with tibial osteomyelitis after debridement surgery. The constructed nomogram can help clinicians assess and treat patients early, benefiting more patients.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"967"},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of digital classification based on AO classification in floating knee injury.","authors":"Nan Zhou, Xingkai Zhang, Hongzhi Liu, Gangqiang Du, Dongyang Zhao, Zeyue Geng, Mingliang Ma, Zhigang Wang","doi":"10.1186/s12891-024-08078-6","DOIUrl":"10.1186/s12891-024-08078-6","url":null,"abstract":"<p><strong>Objective: </strong>A digital classification system based on AO classification was adopted to study and summarize different types of floating knee injuries.</p><p><strong>Methods: </strong>One hundred cases with a floating knee injury from March 2005 to December 2020 were collected, including 74 males and 26 females with an average age of 43.74 years. The distribution of the affected limbs in there were 51 cases (51.0%) on the left and 46 cases (46.0%) on the right, as well as 3 cases (3.0%) that got bilaterally affected limbs. The femora and tibiae in this system were divided into three parts separately based on the AO classification, which was finally composed of six types after pairwise combination. The images in this study would be analyzed by using the classification to summarize the distribution rules of the classification in a floating knee injury.</p><p><strong>Results: </strong>The proportion of I-VI type injury was 42.7%(44/103) in type I, 18.4%(19/103) in type II, 9.7%(10/103) in type III, 10.7%(11/103) in type IV, 11.7%(12/103) in type V, and 6.8%(7/103) in type VI.</p><p><strong>Conclusions: </strong>The digital classification system of floating knee injury based on AO classification could classify most cases of floating knee injury and cases with open injury, which referred to a reference effectively for the selection of surgical treatment plan, and would be conducive to the future clinical classification.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"966"},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative angulation of the C-arm for X-ray of each curved surface of the femoral neck wall: a cadaveric study.","authors":"Qiu-Liang Zhu, Xiang-Ping Yu, Jun Ma, Fang Lin, Yun-Yun Chen, Wen-Bin Ruan","doi":"10.1186/s12891-024-08074-w","DOIUrl":"10.1186/s12891-024-08074-w","url":null,"abstract":"<p><strong>Background: </strong>C-arm fluoroscopy is the main method assisting surgical reduction and internal fixation of the femoral neck, as traditional anteroposterior and lateral fluoroscopy is insufficient for visualizing the irregular anatomical structure of the femoral neck. We analysed the anatomy of the femoral neck to ascertain the optimal position and angle of the C-arm for adequate visualization of the femoral neck during fluoroscopy.</p><p><strong>Methods: </strong>The femoral neck was divided into anterior, posterosuperior and posteroinferior surfaces. These surfaces and the coronal plane of the femur formed the anterior surface coronal angle (ACA), posterosuperior surface coronal angle (PSCA) and posteroinferior surface coronal angle (PICA), respectively. Three angles of 32 dried femoral samples were measured. In the aluminium model, steel wires penetrated the femoral neck wall, whereas, in the wire model, three Kirschner wires penetrated the femoral neck wall. The C-arm was rotated 5° for a 0°-180° fluoroscopic view of each curved surface. Each specimen was imaged, totalling 111 frames. The optimal angle for fluoroscopic imaging of each surface was ascertained, and fluoroscopic features of the Kirschner wire penetrating the femoral neck cortex at three different angles on fluoroscopy and anteroposterior and lateral radiographs were observed.</p><p><strong>Results: </strong>The femoral neck is irregularly shaped and cylindrical, with the anterior surface longer than the posteroinferior surface. The ACA, PSCA and PICA were 31 ± 4.589°, 67.813 ± 5.052° and 168.688 ± 3.206°, respectively. The optimal angles for visualizing the anterior, posterosuperior and posteroinferior surfaces of the steel wire aluminium foil model under fluoroscopy were 30.781 ± 5.464°, 67.969 ± 3.721°, and 167.813 ± 4.319°, respectively. There was no significant difference in the measurements of the corresponding surface coronal angles (P > 0.05). Kirschner wires penetrating the femoral neck wall were difficult to visualize on traditional anteroposterior and lateral films. Increasing the angle to 30°, 70° or 170° for fluoroscopy allowed clear visualization of Kirschner wires penetrating the femoral cortex.</p><p><strong>Conclusion: </strong>Traditional anteroposterior and lateral fluoroscopic views are insufficient for clear visualization of the true structure of the femoral neck. Additionally, increasing the angle to 30°, 70° or 170° for fluoroscopy allows observation of the fracture reduction quality from the anterior surface, posterosuperior surface and posteroinferior surface of the femoral neck and the damage to the corresponding cortical bone caused by internal fixation.</p><p><strong>Level of evidence: </strong>Level II.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"956"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of prior shelf procedure on subsequent conversion total hip arthroplasty.","authors":"Tatsuhito Ikezaki, Toshiyuki Kawai, Yaichiro Okuzu, Koji Goto, Yutaka Kuroda, Shuichi Matsuda","doi":"10.1186/s12891-024-07969-y","DOIUrl":"10.1186/s12891-024-07969-y","url":null,"abstract":"<p><strong>Background: </strong>It is unclear if shelf acetabuloplasty provides adequate bone coverage when conversion total hip arthroplasty (THA) is required in patients with developmental dysplasia of the hip (DDH). We aimed to investigate the short-term results of conversion THA after shelf acetabuloplasty.</p><p><strong>Methods: </strong>Forty-six patients requiring conversion THAs after a prior shelf acetabuloplasty were matched to THAs for osteoarthritis secondary to Crowe I DDH in a 1:1 ratio. Surgical factors, clinical scores, cup placement, and bone coverage of the cup were evaluated.</p><p><strong>Results: </strong>The preoperative Japanese Orthopaedic Association (JOA) score and flexion range of motion (ROM) were lesser in the shelf group (JOA: 49.2 ± 22.4 vs. 60.1 ± 14.5, p < 0.01, flexion ROM: 69 ± 22.4 vs. 82.1 ± 17.5, p < 0.01). There were no significant differences in JOA (88.7 ± 8.7 vs. 92.1 ± 8.0,p = 0.053) and flexion ROM (93.5 ± 17.3° vs. 99.5 ± 8.0, p = 0.08) after the index THA.All cups in both groups were placed at the anatomical hip centre. The cup centre edge angle (cup CE) was significantly lower in the shelf group (21.3°vs. 28.4, p = 0.0011), and ratio of cup coverage over the cup was lower in the shelf group (77.0% vs. 86.9%, p < 0.0001). There was no significant difference in the number of cases where acetabular bone grafting was performed (87.0% vs. 80.4%, p = 0.46). The operative time tended to be longer in the shelf group (117 ± 30.3 min vs. 106.6 ± 25.3 min, p = 0.06), and there was no significant difference in intraoperative blood loss (294.3 ± 33.8 vs. 313.3 ± 25.9, p = 0.50).</p><p><strong>Conclusion: </strong>Conversion THA after prior shelf acetabuloplasty provided encouraging short-term results with no major complications. Prior shelf acetabuloplasty did not complicate subsequent THA. Bone coverage of the acetabular component was inadequate in total hip arthroplasty, even with prior shelf acetabuloplasty.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"963"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing continuous passive motion duration following arthroscopic release of elbow contracture: a retrospective study.","authors":"Xunhao Wang, Qianyuan Liu, Jiyang Tan, Jiani Wu, Haoyu Yang, Fei Xiong, Qiuwen Ying, Jingyi Mi","doi":"10.1186/s12891-024-08108-3","DOIUrl":"10.1186/s12891-024-08108-3","url":null,"abstract":"<p><strong>Background: </strong>The anatomical structure of the elbow joint makes it vulnerable to contractures. While elbow arthroscopy minimizes soft tissue damage and enhances early rehabilitation, the optimal duration for postoperative Continuous Passive Motion (CPM) therapy is unclear. This retrospective study aims to establish the appropriate duration of CPM following arthroscopic elbow contracture release.</p><p><strong>Methods: </strong>We analyzed postoperative outcomes from patients undergoing CPM rehabilitation for 1, 3, or 5 months. Metrics such as ASES, VAS, DASH, MEPS scores, grip strength, and range of motion were assessed before surgery and at 1,3,6 and 12 months post-surgery.</p><p><strong>Results: </strong>Patients who received 3 or 5 months of CPM therapy showed statistically significant improvements in elbow flexion-extension, range of motion, and functional scores (ASES, VAS, DASH, MEPS) compared to the 1-month group (p < 0.05). However, no significant differences were observed between the 3- and 5-month groups.</p><p><strong>Conclusions: </strong>A 3-month CPM period is effective for patients with higher functional demands, with no additional benefit from extending therapy to 5 months.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"965"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142726088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of operative versus conservative treatment for Rockwood type III acromioclavicular joint dislocation: a systematic review and meta-analysis of randomized controlled trials.","authors":"Chengxin Xie, Shaohua Fan, Lin Chen, Lingqin Huang, Cong Chen, Hua Luo","doi":"10.1186/s12891-024-08100-x","DOIUrl":"10.1186/s12891-024-08100-x","url":null,"abstract":"<p><strong>Background: </strong>Optimal management of Rockwood type III acromioclavicular joint (ACJ) dislocation is still debated. Our aim is to conduct a meta-analysis of clinical studies evaluating the functional outcomes of operative versus conservative treatment for Rockwood type III ACJ dislocation.</p><p><strong>Methods: </strong>We conducted a systematic search across PubMed, EMBASE, Web of Science, and the Cochrane Library, including only randomized controlled trials (RCTs) focusing exclusively on type III ACJ dislocation. A total of 244 patients from four studies were included. Outcomes measured included Constant scores (CS), coracoclavicular distance (CCD), pain, and complication rates. Heterogeneity was assessed and managed to ensure robust conclusions.</p><p><strong>Results: </strong>The pooled results showed no significant difference in long-term functional outcomes, measured by CS, between surgical and conservative treatments (MD: 4.82, 95% CI: -6.42 to 16.06, P = 0.400). Surgical treatment provided better early pain relief and superior CCD at all follow-up points but did not improve long-term outcomes. Complication rates were similar for both treatments, though surgical intervention had a higher incidence of posttraumatic osteoarthritis and hardware-related issues. Conservative treatment resulted in fewer complications and comparable long-term results.</p><p><strong>Conclusions: </strong>Based on the evidence, while surgical treatment may offer early benefits in pain relief and CCD improvement, it does not enhance long-term functional outcomes and is associated with higher specific complication rates. Conservative treatment provides a viable alternative with fewer complications and similar long-term outcomes. These findings highlight the need for individualized treatment plans based on patient-specific factors and suggest further high-quality, long-term studies to refine management strategies for Type III AC joint dislocations.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"960"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding the optimal treatment model: a systematic review and meta- analysis of manipulative interventions following failed initial treatment of radial head subluxation in children.","authors":"RuiLing Xu, ShengHu Zhou, QingSong Tang, XinLing Miao, YingEr He, Xiang Ren, Kang Zhao, Jie Hu","doi":"10.1186/s12891-024-08089-3","DOIUrl":"10.1186/s12891-024-08089-3","url":null,"abstract":"<p><strong>Background: </strong>The hyperpronation (HP) maneuver, known for its high success rate in reducing radial head subluxation after initial treatment failure, has gained significant favor among surgeons over the traditional supination-flexion (SF) maneuver. Despite its perceived advantages, the optimal treatment approach remains a topic of debate in the medical community due to uncertainties surrounding repeat and crossover reduction outcomes. Further research and clinical assessments are needed to establish a definitive treatment protocol ensuring optimal patient outcomes. This systematic review and meta-analysis aim to compare the efficacy of HP and SF maneuvers following unsuccessful initial treatments for radial head subluxation.</p><p><strong>Methods: </strong>A thorough search of PubMed, Embase, and Cochrane Library databases up to May 13, 2024 was conducted. The Cochrane risk-of-bias tool evaluated study quality, and RevMan 5.3 facilitated systematic review calculations. Subgroup analyses explored reasons for heterogeneity by considering second reduction attempts with crossover and repeat maneuvers. Sensitivity analyses using fixed and random effects models were performed for ambiguous decisions.</p><p><strong>Results: </strong>Nine studies with 170 patients were analyzed. The success rate for the second reduction was significantly higher with HP (OR = 2.48, 95% CI 1.18 to 5.20, P = 0.02) compared to SF. Repeat maneuver success rate for the second reduction also favored HP (OR = 3.79, 95% CI 1.57 to 9.16, P<0.01). However, no significant difference was found in the success rate of the crossover maneuver for the second reduction (OR = 0.75, 95% CI 0.16 to 3.47, P = 0.71).</p><p><strong>Conclusion: </strong>The initial reduction method was unclear, possibly favoring HP over SF following initial treatment failure for radial head subluxation in children. When the initial reduction technique is clear, the choice between HP and SF for second reduction can be adjusted based on the physician's proficiency in the method and the patient's cooperation.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"957"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ligamental reconstruction improved the functional outcomes of patients with anterior cruciate ligament injury and early-stage symptomless osteoarthritis.","authors":"Guang-Nian Liu, Xing Chen, Ying Jin, Xiu-Qi Liu, Shu-Hong Wu, Hua-Zhang Xiong","doi":"10.1186/s12891-024-08102-9","DOIUrl":"10.1186/s12891-024-08102-9","url":null,"abstract":"<p><strong>Background: </strong>The optimal treatment for anterior cruciate ligament (ACL) injuries with early-stage symptomless osteoarthritis (OA) remains unclear. This study aimed to compare the clinical outcomes of ACL reconstruction (ACLR) in patients with ACL injury in the presence and absence of early-stage symptomless OA.</p><p><strong>Methods: </strong>Medical records of patients with early-stage symptomless OA who sustained ACL injury and underwent ACLR from January 2018 to December 2020 at a single institution were retrospectively reviewed. Radiography and magnetic resonance imaging were performed preoperatively to identify ACL injury and OA. Patients with ACL injury and early-stage symptomless OA (combined group, n = 14) were matched at a 1:2 ratio with patients with ACL injury (isolated group, n = 32). Data on demographic characteristics, pain and functional outcomes (visual analogue scale, Tegner, Lysholm, and International Knee Documentation Committee scores and range of motion), and imaging outcomes were collected. Complications were recorded, and outcomes were compared between the groups.</p><p><strong>Results: </strong>Forty-six patients (26 males, 20 females) were included in this study, among whom 14 had ACL injury and early-stage symptomless OA, whereas 32 sustained isolated ACL injury (average follow-up duration: 3.4 ± 1.0 years). At the final follow-up, pain and functional outcomes similar to those in patients with isolated ACL-deficient knees were achieved in the combined group; acute-stage ACLR resulted in significantly better outcomes (p < 0.05). No significant radiographic progression of OA or complications were observed.</p><p><strong>Conclusions: </strong>Knee function in patients with ACL injuries and early-stage symptomless OA who underwent ACLR was the same as that in patients with isolated ACL-deficient knees. Furthermore, ACLR had a beneficial effect on knee outcomes. The subgroup analysis revealed that acute-stage ACLR could lead to better outcomes in patients with ACL injuries and early-stage symptomless OA.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"958"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D preoperative plan assisted total knee arthroplasty after knee arthrodesis with patella absence: a case report.","authors":"Li-Ming Liu, Kai Lei, Peng-Fei Yang, Lin Guo","doi":"10.1186/s12891-024-08086-6","DOIUrl":"10.1186/s12891-024-08086-6","url":null,"abstract":"<p><strong>Purpose: </strong>The conversion of knee arthrodesis to total knee arthroplasty (TKA) is a challenging procedure. This article aims to report a case of fusion knee with patellar absence who was converted to TKA and has achieved good results.</p><p><strong>Methods: </strong>The patient, a 23 years old Tibetan Buddhist monk, sustained a left knee joint injury at the age of 12 due to a car accident, leading to subsequent knee arthrodesis at 18 years old as a result of recurrent severe infections. However, this procedure hindered his ability to perform daily meditation practices that required bending both knees and sitting cross-legged. After adequate preoperative preparation, with the help of customized osteotomy guide plate and customized 3D-printed porous tantalum patella, the 3D preoperative plan assisted TKA after arthrodesis was performed. The knee function was followed up to explore the clinical effect of above-mentioned surgical procedure.</p><p><strong>Results: </strong>A 1-year follow-up showed significant improvement in postoperative knee function with improved scores for function outcomes, and the patient was satisfied with the conversion. The patient's left knee improved significantly from preoperative immobility with 5° of fixed fusion to postoperative ROM of 0° to 100°, and the patient could squat and stand up, walk on the flat ground, and go up and down stairs.</p><p><strong>Conclusion: </strong>Adequate preoperative communication with patients and good expectation management are crucial for ensuring favorable prognoses. Perfect preoperative planning and its reliable implementation during operation are essential. Additionally, postoperative rehabilitation and proactive management of complications play pivotal roles in achieving optimal clinical outcomes.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":9189,"journal":{"name":"BMC Musculoskeletal Disorders","volume":"25 1","pages":"964"},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}