Journals Journal of Orthopaedic Surgery...

Journal of Orthopaedic Surgery and Research
Xiaoli Qian, Xiaodong Cao, Liyan Zhu, Xiaojuan Yao, Lina Gu, Xin Yu
OBJECTIVE: To observe the effect of the whole-process care model of the medical union on the improvement of kinesiophobia and bone mineral density in patients with osteoporosis. METHODS: In this descriptive study, a convenient sampling method was used to select 148 patients with osteoporosis who visited the hospital from January 2020 to December 2021. Patients aged ≥ 18 years and diagnosed with osteoporosis through quantitative computed tomography (QCT) were included in the study...
February 27, 2024: Journal of Orthopaedic Surgery and Research
Vasileios Apostolopoulos, Petr Boháč, Petr Marcián, Luboš Nachtnebl, Michal Mahdal, Lukáš Pazourek, Tomáš Tomáš
BACKGROUND: Total knee arthroplasty (TKA) with all-polyethylene tibial (APT) components has shown comparable survivorship and clinical outcomes to that with metal-backed tibial (MBT). Although MBT is more frequently implanted, APT equivalents are considered a low-cost variant for elderly patients. A biomechanical analysis was assumed to be suitable to compare the response of the periprosthetic tibia after implantation of TKA NexGen APT and MBT equivalent. METHODS: A standardised load model was used representing the highest load achieved during level walking...
February 23, 2024: Journal of Orthopaedic Surgery and Research
Dongsheng Zhang, Yi Yang, Yunfeng Yi, Dongbin Wang, Lei Jiang, Hai Huang, Longyu Jin, Hui Meng, Fei Xia, Guangwei Guo
BACKGROUND: This study aimed to determine the incidence and influencing factors of venous thromboembolism (VTE) in patients with traumatic rib fractures. METHODS: The retrospective study analyzed medical records of patients with traumatic rib fractures from 33 hospitals. RESULTS: The overall incidence of VTE in hospitalized patients with traumatic rib fractures was 8.1%. Patients with isolated traumatic rib fractures had a significantly lower incidence of VTE (4...
February 23, 2024: Journal of Orthopaedic Surgery and Research
Ming Yan, DaWei Zhang, Min Yang
OBJECTIVE: This study was to investigate the underlying mechanism by which Saikosaponin D (SSD) mitigates the inflammatory response associated with osteoarthritis (OA) and regulates autophagy through upregulation of microRNA (miR)-199-3p and downregulation of transcription Factor-4 (TCF4). METHODS: A mouse OA model was established. Mice were intragastrically administered with SSD (0, 5, 10 μmol/L) or injected with miR-199-3p antagomir into the knee. Then, pathological changes in cartilage tissues were observed...
February 22, 2024: Journal of Orthopaedic Surgery and Research
Fengzhao Zhu, Dongqing Jia, Yaqing Zhang, Chencheng Feng, Ya Ning, Xue Leng, Yue Zhou, Changqing Li, Bo Huang
OBJECTIVE: Presently, no study has compared the clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF) with bilateral decompression via the unilateral approach (BDUA) and Open-TLIF with bilateral decompression for degenerative lumbar diseases (DLD). We aimed to compare the clinical outcomes of through Mis-TLIF combined with BDUA and Open-TLIF with bilateral decompression for the treatment of DLD, and reported the learning curve of the procedure of MIS-TLIF with BDUA...
February 20, 2024: Journal of Orthopaedic Surgery and Research
Haifeng Shi, Yongjing Huang, Yong Shen, Ke Wu, Zhihai Zhang, Qian Li
PURPOSE: This study aimed to systematically compare the efficacy and safety of arthroscopic wafer procedure (AWP) versus ulnar shortening osteotomy (USO) for ulnar impaction syndrome (UIS) treatment. METHODS: All the studies included in this meta-analysis compared the efficacy of AWP to USO for UIS and were acquired through a comprehensive search across multiple databases. The meta-analysis was performed by calculating the effect sizes with the Cochrane Collaboration's RevMan 5...
February 20, 2024: Journal of Orthopaedic Surgery and Research
Chen Zhao, Bing Zhang, Xuejiao Liu, Bo Li, Liang Bao, Cong Liu, Lihong Fan
AIM: This study aimed to verify the accuracy of intraoperative femurofibular angle combined with tibiofibular angle (FFA-TFA) measurement and compare it with traditional alignment line methods in open-wedge high tibial osteotomy (OWHTO). METHODS: A total of 174 knees of 122 patients undergoing OWHTO and using an alignment line or FFA-TFA measurement as an index of optimal correction were included in this retrospective study. The intraoperative alignment line passed through the targeted weight-bearing line (WBL) of the tibial plateau in the alignment line group...
February 19, 2024: Journal of Orthopaedic Surgery and Research
Jianwen Sun, Chaoxiong Zhang, Xinhao Su, Haoyun Zhou, Siyun Zhou, Minjie Jiang, Binbo Fang
PURPOSE: Patients are typically diagnosed with both hypertension and fibrosarcoma. Medical oncologists must prescribe suitable anti-hypertensive medications while considering anti-tumor drugs. Recently, immunotherapy has become prominent in cancer treatment. Nonetheless, it is unknown what role anti-hypertensive medications will play in immunotherapy. METHODS: We examined the effects of six first-line anti-hypertensive medications on programmed cell death protein 1 antibody (PD1ab) in tumor treatment using a mouse model of subcutaneous fibrosarcoma...
February 19, 2024: Journal of Orthopaedic Surgery and Research
Bugra Kundakci, Akif Mirioglu, Mustafa Tekin, Melih Bagir, Omer Sunkar Bicer, Yusuf Kemal Arslan, Cenk Ozkan, Hilmi Serdar Ozbarlas
No abstract text is available yet for this article.
February 19, 2024: Journal of Orthopaedic Surgery and Research
ShuBin Feng, Qiang Feng, LiuJian Dong, Qiang Lv, ShiYue Mei, YaoDong Zhang
BACKGROUND AND OBJECTIVE: The pathogenesis of coronal suture craniosynostosis is often attributed to the dysregulated cellular dynamics, particularly the excessive proliferation and abnormal osteogenic differentiation of suture cells. Despite its clinical significance, the molecular mechanims of this condition remain inadequately understood. This study is dedicated to exploring the influence of the Periostin/Bone Morphogenetic Protein 1 (BMP1) axis on the growth and osteogenic maturation of Suture Mesenchymal Stem Cells (SMSCs), which are pivotal in suture homeostasis...
February 19, 2024: Journal of Orthopaedic Surgery and Research
Lihong Zhang, Zhihui Jin
BACKGROUND: Orthopedic implant infection has become a common catastrophic complication after various orthopedic implants, which can lead to prolonged use of antibiotics and even surgical failure. The quality of care (QoC) of orthopedic implant infection is very important. METHODS: Titanium dioxide (TiO2 ) nanotube array with planar TiAg was prepared, and their antibacterial rates were tested. 400 patients hospitalized in the Department of Orthopedics of Wuhan Fourth Hospital from May 2019 to May 2020 were selected as controls (before QoC evaluation system of orthopedics), and 400 patients hospitalized from June 2020 to June 2021 were selected as observation group (after QoC evaluation system of orthopedics)...
February 16, 2024: Journal of Orthopaedic Surgery and Research
Fei Huang, Gang Huang, Junpengli Jia, Shihao Lu, Jingchi Li
BACKGROUND: The capsule of the zygapophyseal joint plays an important role in motion segmental stability maintenance. Iatrogenic capsule injury is a common phenomenon in posterior approach lumbar interbody fusion operations, but whether this procedure will cause a higher risk of adjacent segment degeneration acceleration biomechanically has yet to be identified. METHODS: Posterior lumbar interbody fusion (PLIF) with different grades of iatrogenic capsule injury was simulated in our calibrated and validated numerical model...
February 16, 2024: Journal of Orthopaedic Surgery and Research
Tzu-Tsao Chung, Dueng-Yuan Hueng, Shang-Chih Lin
INTRODUCTION: Using an anterior cervical fixation device in the anterior cervical discectomy and fusion (ACDF) has evolved to various systems of static and dynamic cervical plates (SCP and DCP). Dynamic cervical plates have been divided into three categories: the rotational (DCP-R), translational (DCP-T), and hybrid (DCP-H) joints. However, little studies have been devoted to systematically investigate the biomechanical differences of dynamic cervical plates. MATERIALS AND METHODS: The biomechanical tests of load-deformation properties and failure modes between the SCP and DCP systems are implemented first by using the UHMWPE blocks as the vertebral specimens...
February 15, 2024: Journal of Orthopaedic Surgery and Research
Wen-Chih Liu, Magdalena Hartwich, Joseph J Locascio, Pietro Regazzoni, Jesse B Jupiter, Alberto Fernandez Dell'Oca
BACKGROUND: This study evaluates the association between ICUC trauma and short-form Disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick DASH) scores among patients who underwent surgery for distal radius fractures. METHODS: This research gathered patient-reported outcomes (PROs) from patients registered in the ICUC database at a single trauma center. The study involved 76 adult patients who underwent surgical treatment for distal radius fractures before 2023...
February 15, 2024: Journal of Orthopaedic Surgery and Research
Engin Turkay Yilmaz, Ibrahim Mehmet Goymen, Melih Oral, Ozan Tuncay, Gokay Dursun, Egemen Turhan, Ahmet Mazhar Tokgozoglu
BACKGROUND: Current treatment options for patellofemoral (PF) instability have required functional scoring systems. The Banff Patellar Instability Instrument (BPII) 2.0 and Norwich Patellar Instability (NPI) scores were explicitly created to meet the need to evaluate PF instability. Different patient-reported outcome measurements (PROMs) are used to evaluate anterior knee problems. OBJECTIVES: To test the validity and reliability of the Turkish version of the BPII 2...
February 14, 2024: Journal of Orthopaedic Surgery and Research
Jiang Jiang, Daqiang Xu, Zhenhua Ji, Fei Wang, Rui Jia, Jun Wang, Hong Hong, Hongtao Zhang, Jianyi Li
BACKGROUND: Insufficient interfragmentary compression force (IFCF) frequently leads to unstable fixation of osteoporotic lateral tibial plateau fractures (OLTPFs). A combined cancellous lag screw (CCLS) enhances IFCF; however, its effect on OLTPF fixation stability remains unclear. Therefore, we investigated the effect of CCLS on OLTPF stability using locking plate fixation (LPF). MATERIALS AND METHODS: Twelve synthetic osteoporotic tibial bones were used to simulate OLTPFs, which were fixed using LPF, LPF-AO cancellous lag screws (LPF-AOCLS), and LPF-CCLS...
February 14, 2024: Journal of Orthopaedic Surgery and Research
Shibao Lu, Weiguo Zhu, Yu Wang, Chao Kong, Wei Wang, Xiaolong Chen, Xiangyu Li
OBJECTIVE: To retrospectively investigate the postoperative clinical and radiographic outcomes in elderly patients with degenerative lumbar spinal stenosis (DLSS) and severe global sagittal imbalance who underwent different fusion levels. METHODS: A total of 214 patients with DLSS and severe global sagittal imbalance were included. Sagittal imbalance syndrome was defined as the severe decompensated radiographic global sagittal imbalance accompanied with the following symptoms: severe back pain in naturel posture that disappears or significantly relieves in support position, living disability with ODI score > 40% and dynamic sagittal imbalance...
February 13, 2024: Journal of Orthopaedic Surgery and Research
Rongxian An, Qian Luo, Lei Li, Dinglu Cui, Jingchun Jin
BACKGROUND: There is still a lack of sufficient evidence-based medical data on the effect of resveratrol (Res) on primary osteoporosis (OP). This meta-analysis aimed to comprehensively evaluate the role of Res in animal models of primary OP. METHODS: The PubMed, Cochrane Library, Web of Science and Embase databases were searched up to August 2023. The risk of bias was assessed by the SYRCLE RoB tool. Random- or fixed-effects models were used to determine the 90% confidence interval (CI) or standardized mean difference (SMD)...
February 13, 2024: Journal of Orthopaedic Surgery and Research
Filippo Migliorini, Nicola Maffulli, Tapish Shukla, Riccardo D'Ambrosi, Mohit Singla, Abhishek Vaish, Raju Vaishya
BACKGROUND: In patients with COVID-19 infection and respiratory insufficiency, corticosteroid (CCS) administration is recommended. Among the wide range of complications and interactions, time-limited high-dose CCS administration might promote avascular necrosis (AVN) in a cumulative dose. This systematic review updated the current evidence and characterises the trend of AVN following time-limited high-dose CCS administration in patients who had severe COVID-19, discussing management strategies and outcomes...
February 12, 2024: Journal of Orthopaedic Surgery and Research
Zihua Li, Fajiao Xiao, Hui Huang, Jiang Xia, Haichao Zhou, Bing Li, Yunfeng Yang
BACKGROUND: To investigate whether accurate placement of sustentaculum tali screws have the impacts on the clinical efficacy of calcaneal fractures. METHODS: A retrospective analysis of 72 cases (73 feet) of calcaneal fractures from September 2015 to September 2019 treated with open reduction and internal fixation with sustentaculum tali screws was conducted. Patients were divided into the sustentaculum tali fixation group (ST group) and the sustentaculum fragment fixation group (STF group) according to the location of the sustentaculum tali screw placement...
February 12, 2024: Journal of Orthopaedic Surgery and Research
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