journal
https://read.qxmd.com/read/37529200/comparison-of-survival-rate-between-posterior-stabilized-and-constrained-condylar-articulations-in-revision-total-knee-arthroplasty-a-minimum-5-year-follow-up-analysis
#1
JOURNAL ARTICLE
Woo-Kyoung Kwak, Jong-Keun Seon
BACKGROUND: Revision total knee arthroplasty (RTKA) is a technically demanding procedure for failed primary TKA. Posterior-stabilized (PS) and constrained condylar knee (CCK) articulations are commonly used for RTKA, but comparison of these articulations in RTKA is scarce. The aim of this study was to compare survival rates and clinical outcomes of RTKAs using PS articulation and CCK articulation. METHODS: This study conducted a retrospective analysis of 86 RTKAs (PS, n = 41; CCK, n = 45) with a mean follow-up of 9...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529199/clinical-and-radiological-characteristics-of-lesser-trochanter-splitting-irreducible-intertrochanteric-fractures
#2
JOURNAL ARTICLE
Jin-Woo Kim, Jun-Il Yoo, Jung-Taek Kim, Won-Sik Choy, Yonghan Cha
BACKGROUND: The purpose of this study was to investigate the demographic factors and radiological characteristics of lesser trochanter splitting (LTS) irreducible intertrochanteric fractures and to report the clinical results of patients who underwent open reduction and internal fixation using dynamic hip screws (DHS). METHODS: Inclusion criteria were as follows: AO/Orthopedic Trauma Association type 31A1.2, a fracture line originating from the outside of the greater trochanter that passes through the lesser trochanter, and patients who were followed up for more than 1 year with a confirmed presence or absence of bone union...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529198/kinematically-aligned-oxford-unicompartmental-knee-arthroplasty-using-the-microplasty-instrumentation-system
#3
Takafumi Hiranaka, Takaaki Fujishiro, Motoki Koide, Koji Okamoto
This technical note demonstrates kinematically aligned Oxford unicompartmental knee arthroplasty using the Microplasty instrumentation system with custom-made devices. The medial joint line is evaluated preoperatively; if it is aligned and parallel with the lateral joint line, they are considered to comprise the coronal knee joint line (CJL). In this case, the coronal inclination of a spoon gauge inserted into the medial joint space indicates the CJL. Otherwise, an accessory spoon is inserted and connected to the medial spoon to refer to the posterior condylar line, which is considered the CJL...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529197/anterior-shoulder-instability-and-open-procedures-history-indications-and-clinical-outcomes
#4
REVIEW
Mohamad Y Fares, Peter Boufadel, Mohammad Daher, Jonathan Koa, Akshay Khanna, Joseph A Abboud
The shoulder, being the most mobile joint in the human body, is often susceptible to dislocations and subluxations more so than other joints. As such, shoulder instability constitutes a common complaint among patients worldwide, especially those who are young, participate in contact sports, and have increased innate flexibility in their joints. Management options in the setting of instability vary between conservative and surgical options that aim to mitigate symptoms and allow return of function. Surgical options can be arthroscopic and open, with a general shift among surgeons towards utilizing arthroscopic surgery in the past several decades...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529196/comparison-of-long-term-outcomes-between-nonoperative-treatment-and-vascularized-bone-graft-for-kienb%C3%A3-ck-disease-a-systematic-review-and-single-arm-meta-analysis
#5
JOURNAL ARTICLE
Jin Yeop Park, Jae Kwang Kim, Young Ho Shin
BACKGROUND: This systematic literature review compared long-term outcomes between nonoperative treatment and vascularized bone graft (VBG) in patients with Kienböck disease. METHODS: We systematically reviewed studies on nonoperative treatment and VBG for Kienböck disease with a mean follow-up of ≥ 5 years. A systematic search was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, and Embase databases to select relevant articles...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529195/clinical-outcomes-and-infection-rates-following-revision-total-knee-arthroplasty-aseptic-failure-versus-septic-failure
#6
JOURNAL ARTICLE
Sung-Sahn Lee, Il Su Kim, Young-Wan Moon
BACKGROUND: It is controversial whether revision total knee arthroplasty (TKA) due to septic failure shows inferior clinical outcomes compared with TKA due to aseptic failure. Moreover, few studies have compared the infection rates after revision TKA between aseptic and septic failure. We aimed to compare the clinical outcomes and infection rates after aseptic and septic revision TKA. METHODS: Between April 2006 and May 2019, 68 and 26 patients underwent revision TKA due to aseptic failure (aseptic group) and septic failure (septic group), respectively...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529194/robot-assisted-retroauricular-anterior-scalenectomy-for-neurogenic-thoracic-outlet-syndrome
#7
JOURNAL ARTICLE
Won-Taek Oh, Sang-Hee Kim, Il-Hyun Koh, Yoon Woo Koh, Yun-Rak Choi
BACKGROUND: This study described the surgical technique of a robot-assisted retroauricular anterior scalenectomy and assessed clinical outcomes and complications for patients with neurogenic thoracic outlet syndrome (nTOS). METHODS: Between February 2014 and August 2016, 5 patients underwent robot-assisted retroauricular anterior scalenectomy using the da Vinci Xi system for nTOS. For clinical assessment, visual analog scale (VAS) symptom score, pinch and grip strength, and disabilities of arm, shoulder and hand (DASH) score were assessed to compare preoperative and postoperative outcomes...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529193/do-magnets-have-the-potential-to-serve-as-a-stabilizer-for-the-shoulder-joint-in-massive-rotator-cuff-tears-a-biomechanical-cadaveric-study
#8
JOURNAL ARTICLE
Yoon Sang Jeon, Sang Hyun Ko, Yun Moon Jeon, Dong Jin Ryu, Jeong Seok Kim, Hyun Soon Park, Min-Shik Chung, Daniel Kwak, Michelle H McGarry, Thay Q Lee
BACKGROUND: Disruption of the rotator cuff muscles compromises concavity compression force, which leads to superior migration of the humeral head and loss of stability. A novel idea of using the magnetic force to achieve shoulder stabilization in massive rotator cuff tears (MRCTs) was considered because the magnets can stabilize two separate entities with an attraction force. This study aimed to investigate the biomechanical effect of the magnetic force on shoulder stabilization in MRCTs...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529192/spontaneous-deltoid-tear-in-cuff-tear-arthropathy-and-its-effect-on-the-outcome-of-reverse-total-shoulder-arthroplasty-a-comparison-using-propensity-score-matching
#9
JOURNAL ARTICLE
Kyung Jae Lee, Young Hoon Jang, Ji Hoon Nam, Hye Jin Yoo, Sae Hoon Kim
BACKGROUND: Deltoid function critically influences the results of reverse total shoulder arthroplasty (RTSA), and spontaneous deltoid attrition tears are frequently detected in cuff tear arthropathy (CTA) patients; however, the clinical impacts of these tears on RTSA outcomes are undetermined. Our aim was to determine the effect of spontaneous deltoid attrition tears on postoperative outcomes after RTSA without an additional deltoid procedure. METHODS: Seventy-two patients who underwent RTSA for CTA with preoperative magnetic resonance imaging (MRI) and a minimum clinical follow-up of 1 year (mean, 32 months) were retrospectively reviewed in the study...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529191/titanium-alloy-knee-implant-is-associated-with-higher-bone-density-over-cobalt-chromium-a-prospective-matched-pair-case-control-study
#10
JOURNAL ARTICLE
Do Weon Lee, Du Hyun Ro, Hyuk-Soo Han, Myung Chul Lee
BACKGROUND: Little is known about the relationship between implant material and periprosthetic bone mineral density (pBMD) in total knee arthroplasty (TKA). The purpose of this study was to investigate the change in pBMD after TKA and to compare pBMD changes between two different implant materials. METHODS: A prospective matched-pair case-control study was conducted on 29 patients who underwent bilateral TKAs. The participants were randomly allocated to undergo cemented TKAs with a titanium nitride (TiN)-coated implant on one knee (TiN group) and a cobalt-chromium (CoCr) implant on the other knee (CoCr group)...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529190/effects-of-abdominal-massage-for-preventing-acute-postoperative-constipation-in-hip-fractures-a-prospective-interventional-study
#11
JOURNAL ARTICLE
Yong-Gum Park, Boo Seop Kim, Kyu-Tae Kang, Yong-Chan Ha
BACKGROUND: This prospective randomized controlled study aimed to determine the effects of abdominal massage on constipation management in elderly patients with hip fractures. METHODS: From August 2017 to December 2018, patients aged above 65 years with hip fractures (n = 88) were randomly assigned to a massage group that received a bowel massage (n = 48) or a control group that did not receive a bowel massage (n = 40). Patients in the bowel massage group received a bowel massage from a trained caregiver after breakfast at approximately 9:00 AM for an hour...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529189/acetabular-femoral-and-combined-anteversion-in-a-province-in-south-korea-computed-tomography-based-study
#12
JOURNAL ARTICLE
Youngho Cho, Jaeuk Shin, Sangwoo Kim
BACKGROUND: The purpose of this study was to investigate the femoral, acetabular, and combined anteversion of the hip joint in South Koreans using computed tomography (CT). METHODS: We measured anteversion using CT venograms taken from 2016 to 2020. Of the total 1,073 patients, 952 patients were included in the study except for those with pelvic fractures, previous femoral fractures, childhood hip joint disease, osteoarthritis, or hip dysplasia (lateral center-edge angle, < 20), foreigners, and hip and knee replacement patients...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529188/effectiveness-of-weekly-teriparatide-injection-in-postmenopausal-patients-with-hip-fractures
#13
JOURNAL ARTICLE
Sang Yeob Lee, Min-Seok Seo, Jun-Il Yoo
BACKGROUND: Teriparatide is an effective anabolic agent used in the treatment of severe osteoporosis. In addition, it is also used to promote fracture healing. The purpose of this double-blind randomized controlled trial was to evaluate the influence of weekly teriparatide administration on bone formation in hip fracture patients. METHODS: The control group (n = 41) was composed of patients treated with normal saline other than teriparatide, and the teriparatide group (n = 51) consisted of patients who received weekly teriparatide...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529187/development-of-prediction-model-using-machine-learning-algorithms-for-nonsteroidal-anti-inflammatory-drug-induced-gastric-ulcer-in-osteoarthritis-patients-retrospective-cohort-study-of-a-nationwide-south-korean-cohort
#14
JOURNAL ARTICLE
Jaehan Jeong, Hyein Han, Du Hyun Ro, Hyuk-Soo Han, Sungho Won
BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAID) are currently among the most prescribed medications worldwide to relieve pain and reduce inflammation, especially in patients suffering osteoarthritis (OA). However, NSAIDs are known to have adverse effects on the gastrointestinal system. If a gastric ulcer occurs, planned OA treatment needs to be changed, incurring additional treatment costs and causing discomfort for both patients and clinicians. Therefore, it is necessary to create a gastric ulcer prediction model that can reflect the detailed health status of each individual and to use it when making treatment plans...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529186/radiographic-factors-of-proximal-junctional-failure-according-to-age-groups-in-adult-spinal-deformity
#15
JOURNAL ARTICLE
Se-Jun Park, Jin-Sung Park, Chong-Suh Lee, Tae Soo Shin, Il Su Kim, Keun-Ho Lee
BACKGROUND: Patient age has been associated with the development of proximal junctional failure (PJF). The characteristics of adult spinal deformity (ASD) are considered different between younger and older age groups. We hypothesized that the radiographic risk factors of PJF would be different according to age groups. This study aimed to evaluate different radiographic risk factors of PJF between two age groups undergoing thoracolumbar fusion for ASD. METHODS: ASD patients aged ≥ 60 years who underwent thoracolumbar fusion from the low thoracic level (T9-T12) to the sacrum were included...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529185/excision-with-temporary-interphalangeal-joint-pin-fixation-for-toe-ganglion-cysts
#16
JOURNAL ARTICLE
Gyeong-Gu Bak, Ho-Seong Lee, Young-Rak Choi, Tae-Hoon Kim, Sung-Hoo Kim
BACKGROUND: Toe ganglion cysts are often symptomatic and recurrent. Communicating lesions between ganglion cysts and the interphalangeal joint (IPJ) or tendon sheath make it difficult to prevent a recurrence. Temporary restriction of the joint and tendon motion can facilitate surgical site healing. This study analyzed the clinical results of temporary pin fixation of the IPJ after toe ganglion cyst excision. METHODS: Sixteen patients with symptomatic toe ganglion cysts underwent surgical treatment...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529184/bone-grafting-can-promote-the-prognosis-of-displaced-femoral-neck-fractures-a-follow-up-of-the-clinical-significance-of-bone-defects
#17
JOURNAL ARTICLE
Xiaozhong Zhu, Wei Wang, Zhiyuan Wang, Yi Zhu, Guangyi Li, Jiong Mei
BACKGROUND: Femoral neck fractures (FNFs) comprise a large proportion of osteoporotic fractures in Asia. However, the full range of prognostic variables that affect prognosis remains unclear. Here, we aimed to determine whether the severity of bone defects at the fracture site and other variables impact the prognosis of displaced FNFs. METHODS: We evaluated the incidence of FNF internal fixation failures at regular intervals after surgery in data collected retrospectively...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529183/comparison-of-functional-and-cosmetic-outcomes-according-to-fracture-level-in-gartland-type-iii-pediatric-supracondylar-humerus-fractures
#18
JOURNAL ARTICLE
Moon Seok Park, Jung Ryul Kim, Ki Hyuk Sung, Young Jae Moon, Seung Cheol Lee, Sung Il Wang
BACKGROUND: Supracondylar humerus (SCH) fractures in children have been traditionally categorized according to the Wilkins-modified Gartland classification scheme, which is solely based on the degree of displacement. As this classification does not consider fracture patterns in the coronal or sagittal plane, the relationship between the fracture pattern and prognosis in SCH fractures remains unclear. Therefore, the purpose of this study was to evaluate the relationship between the fracture level and prognosis of pediatric SCH fractures...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529182/importance-of-whole-body-scintigraphy-or-positron-emission-tomography-for-early-detection-of-femoral-lesions-in-breast-cancer-patients-treated-with-bisphosphonates
#19
JOURNAL ARTICLE
Soo Min Cha, Yun Ki Kim, Hyun Dae Shin, Jae Young Park, Sang Hyun Lee
BACKGROUND: We hypothesized that most of the atypical femoral fractures (AFFs) associated with bisphosphonate treatment for breast cancer (BC) could be found before the fracture event in another radiological examination already performed by breast surgeons, rather than on simple radiographs (SRs). METHODS: We thoroughly inspected the clinical charts of BC patients treated at our institute between 2008 and 2017. In total, 228 patients were categorized into three groups based on SRs: complete AFF on at least one side (group 1); incomplete fracture on at least one side, but not any complete fracture (group 2); and no suspicious lesion (group X) on either femur...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37529181/self-aligned-technique-for-tibial-component-placement-in-total-knee-arthroplasty-lessening-rotational-malalignment-in-measured-resection-and-gap-balancing-techniques
#20
JOURNAL ARTICLE
Apisit Patamarat, Nitchanant Kitcharanant, Piti Rattanaprichavej, Artit Laoruengthana
BACKGROUND: Femorotibial rotational mismatch can occur when there is a rotational malalignment in either the tibial or femoral component. Self-aligned technique was proposed for orienting the tibial component in relation to the femoral prosthesis to reduce rotational malalignment between components. Therefore, we aimed to compare the rotational angle of the femoral and tibial components, as well as the femorotibial rotational mismatch, between the measured resection (MR) and gap-balancing (GB) techniques when combined with a self-aligned technique...
August 2023: Clinics in Orthopedic Surgery
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