journal
https://read.qxmd.com/read/38045591/use-of-three-column-reconstruction-and-free-vascularized-fibular-grafts-for-the-repair-of-large-tibial-defects-after-tumor-resection
#21
JOURNAL ARTICLE
Min Bom Kim, Kyung Wook Kim, Seung Hoo Lee, Young Ho Lee
BACKGROUND: This study aimed to evaluate the clinical outcomes of three-column reconstruction of the lower leg using a single-barrel contralateral vascularized fibular graft (VFG), medial locking plate, and the ipsilateral fibula for the repair of large tibial defects after tumor resection. METHODS: In this retrospective study, we reviewed 12 patients who underwent three-column reconstruction using a single-barrel contralateral VFG, medial locking plate, and the ipsilateral fibula between June 1996 and May 2020...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045590/predicting-prolonged-wound-drainage-after-hemiarthroplasty-for-hip-fractures-a-stacked-machine-learning-study
#22
JOURNAL ARTICLE
Sultan Turhan, Umut Canbek, Tugba Dubektas-Canbek, Eralp Dogu
BACKGROUND: Prolonged wound drainage (PWD) is one of the most important reasons that increase the risk of early periprosthetic joint infection after arthroplasty. It is very important to evaluate the risk factors for PWD in the surgical field after arthroplasty surgery. This can be accomplished using machine learning or artificial intelligence methods. Our aim in this study was to compare machine learning methods in predicting possible PWD. METHODS: The study was carried out on clinical, laboratory, and radiological data of 313 patients who underwent hemiarthroplasty (HA) for proximal femur fractures...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045589/outcomes-of-enterobacter-cloacae-associated-periprosthetic-joint-infection-following-hip-arthroplasties
#23
JOURNAL ARTICLE
Itay Ashkenazi, Samuel Morgan, Nimrod Snir, Aviram Gold, Michal Dekel, Yaniv Warschawski
BACKGROUND: Periprosthetic joint infections (PJIs) represent a serious complication following total hip arthroplasty (THA) and are associated with significant morbidity. While recent data suggest that Enterobacter cloacae is an emerging source of PJI, characteristics and outcomes of E. cloacae -associated infections are rarely described. The study aimed to present and describe the findings and outcomes of E. cloacae -associated PJI in our department. METHODS: This is a retrospective descriptive study of patients who underwent revision THA for E...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045588/current-research-on-the-influence-of-statin-treatment-on-rotator-cuff-healing
#24
REVIEW
Jong Pil Yoon, Sung-Jin Park, Dong-Hyun Kim, Bum-Jin Shim, Seok Won Chung
Rotator cuff tears are a condition characterized by damage to the muscles and tendons that connect the scapula and humerus, which are responsible for shoulder rotation and arm lifting. Metabolic factors such as diabetes, thyroid disease, high cholesterol, vitamin D deficiency, obesity, and smoking have been associated with an increased risk of rotator cuff tears. Interestingly, patients with hyperlipidemia, a condition characterized by high levels of cholesterol and other fats in the blood, have been found to have a higher incidence of rotator cuff tears and breakdown of tendon matrix...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045587/feasibility-of-non-window-three-dimensional-printed-porous-titanium-cage-in-posterior-lumbar-interbody-fusion-a-pilot-trial
#25
JOURNAL ARTICLE
Dae-Woong Ham, Chan-Woo Jung, Dong-Gune Chang, Jae Jun Yang, Kwang-Sup Song
BACKGROUND: The commercially available design of a three-dimensional (3D)-printed titanium (3D-Ti) cage can be divided into two types according to the presence of a window: a cage with a window that allows filling of bone graft materials and a non-window cage for stand-alone use. This prospective observational case series study aimed to explore the clinical feasibility of using a non-window type 3D-Ti cage in cases of combined window and non-window cage implantation. Furthermore, we evaluated the bone in growth patterns of non-window cages and their correlation with published fusion grading systems...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045586/a-decline-in-overutilization-of-transfusion-after-total-knee-arthroplasty-using-pharmacological-agents-for-patient-blood-management-in-south-korea-an-analysis-based-on-the-korean-national-health-insurance-claims-database-from-2008-to-2019
#26
JOURNAL ARTICLE
Jun-Gu Park, Seung-Beom Han, Jong-Hoon Park, Seok-Joo Moon, Woo-Young Jang
BACKGROUND: This study aimed to evaluate the annual trends of transfusion rates and utilization of blood management agents in total knee arthroplasty (TKA) based on the operation type and to analyze the risk factors of transfusion after TKA. METHODS: Using the Korean National Insurance claims database of 797,106 primary and revision TKAs between January 2008 and October 2019, data on the patients' characteristics, comorbidities, utilization of transfusion, and blood management agents were collected...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045585/validation-of-the-korean-ankylosing-spondylitis-quality-of-life-questionnaire
#27
JOURNAL ARTICLE
Minjun Choi, Tae Sik Goh, Dong Suk Kim, Seung Min Son, Jung Sub Lee
BACKGROUND: Measuring accurate and reliable scores of quality of life in patients with ankylosing spondylitis (AS) is important in both decision-making and treatment planning for the disease. Questionnaire, The ankylosing spondylitis quality of life (ASQoL), is one of the representative tools for assessing how seriously AS patients view their disease severity, activity, as well as their overall health. To make these types of questionnaires readable and understandable, local language translation of surveys should be required...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045584/total-knee-arthroplasty-is-it-safe-a-single-center-study-of-4-124-patients-in-south-korea
#28
JOURNAL ARTICLE
Kyunga Ko, Kee Hyun Kim, Sunho Ko, Changwung Jo, Hyuk-Soo Han, Myung Chul Lee, Du Hyun Ro
BACKGROUND: Although total knee arthroplasty (TKA) is considered an effective treatment for knee osteoarthritis, it carries risks of complications. With a growing number of TKAs performed on older patients, understanding the cause of mortality is crucial to enhance the safety of TKA. This study aimed to identify the major causes of short- and long-term mortality after TKA and report mortality trends for major causes of death. METHODS: A total of 4,124 patients who underwent TKA were analyzed...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045583/hip-fractures-in-centenarians-functional-outcomes-mortality-and-risk-factors-from-a-multicenter-cohort-study
#29
MULTICENTER STUDY
Byung-Woong Jang, Jin-Woo Kim, Jae-Hwi Nho, Young-Kyun Lee, Jung-Wee Park, Yong-Han Cha, Ki-Choul Kim, Jun-Il Yoo, Jung-Taek Kim, Kyung-Hoi Koo, You-Sung Suh
BACKGROUND: Increasing longevity has caused the very old population to become the fastest-growing segment. The number of centenarians (over 100 years old) is increasing rapidly. Fractures in the elderly lead to excessive medical costs and decreased quality of life with socioeconomic burdens. However, little research has thoroughly examined the functional outcomes and mortality of hip fractures in centenarians. METHODS: This is a retrospective observational study...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045582/analysis-of-long-term-medical-expenses-in-vertebral-fracture-patients
#30
JOURNAL ARTICLE
Seung Hoon Kim, Suk-Yong Jang, Kyeongdong Nam, Yonghan Cha
BACKGROUND: The objective of this study was to analyze the direct medical expenses of a vertebral fracture cohort (VC) and a matched cohort (MC) over 5 years preceding and following the fracture, analyze the duration of the rise in medical expenses due to the fracture, and examine whether the expenses vary with age group, utilizing a national claims database. METHODS: Subjects with vertebral fractures and matched subjects were chosen from the National Health Insurance Service Sample cohort (NHIS-Sample) of South Korea...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045581/pediatric-spinal-trauma-at-a-single-level-1-trauma-center-review-of-62-cases
#31
JOURNAL ARTICLE
Nam-Su Chung, Han-Dong Lee, Ki-Hoon Park, Jong Wha Lee, Hee-Woong Chung
BACKGROUND: Traumatic spinal injuries in children are uncommon and result in different patterns of injuries due to the anatomical characteristics of children's spines. However, there are only a few epidemiological studies of traumatic spinal injury in children. The purpose of this study was to investigate the characteristics of traumatic spinal injury in children. METHODS: We retrospectively reviewed the cases of pediatric patients (age < 18 years) with traumatic spinal injury who were treated at a level 1 trauma center between January 2017 and December 2021...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045580/atelocollagen-injections-improve-outcomes-in-the-nonsurgical-treatment-of-grade-iii-medial-collateral-ligament-injuries
#32
JOURNAL ARTICLE
Young Hwan Jang, Doo Sup Kim
BACKGROUND: The purpose of this study was to evaluate the clinical outcomes of atelocollagen injections in isolated grade III medial collateral ligament (MCL) injuries of the knee joint. METHODS: A total of 50 participants were included in this retrospective study. Twenty-six patients underwent conservative treatment with a single atelocollagen injection, while the remaining patients underwent only typical conservative treatment. All participants underwent magnetic resonance imaging to identify and grade MCL injury...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045579/the-effect-of-aging-on-outcomes-after-posterior-cruciate-ligament-reconstruction-older-%C3%A2-50-years-versus-younger-50-years-patients
#33
JOURNAL ARTICLE
Kyoung Ho Yoon, Hee Sung Lee, CheolHyun Jung, Sang-Gyun Kim, Jae-Young Park
BACKGROUND: This study aimed to evaluate the clinical and radiological outcomes after posterior cruciate ligament (PCL) reconstruction in ≥ 50-year-old patients. METHODS: This retrospective case-control study reviewed 28 patients (age, ≥ 50 years) who underwent PCL reconstruction from 2004 to 2018. These patients were 1 : 1 matched to < 50-year-old patients by sex. Clinical, radiological, and survivorship outcomes of the patients were assessed at the final follow-up...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045578/operative-versus-nonoperative-management-of-pediatric-proximal-humerus-fractures-a-meta-analysis-and-systematic-review
#34
JOURNAL ARTICLE
Hae-Ryong Song, Mi Hyun Song
BACKGROUND: Proximal humerus fractures account for 2% of all pediatric fractures. A nonoperative approach is the treatment of choice for most of these fractures; however, debates continue regarding the treatment of displaced fractures, especially in adolescents. In this study, we aimed to examine demographic data and treatment strategies for proximal humerus fractures in the pediatric population by conducting a meta-analysis. Additionally, we investigated the preferred surgical technique for operative treatment...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045577/results-of-the-use-of-bioabsorbable-magnesium-screws-for-surgical-treatment-of-mason-type-ii-radial-head-fractures
#35
JOURNAL ARTICLE
Chul-Hyung Lee, Seungha Woo, Hyun Duck Choi
BACKGROUND: In Mason classification type II radial head fractures, compared to plate fixation, fixation with cannulated headless screws and absorbable pins has been reported to provide more favorable postoperative outcomes, including less postoperative limitation in range of motion. The fact that radial head fractures are less prone to weight-bearing during fracture union further supports the use of absorbable screws as a suitable alternative treatment option in radial head fractures...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045576/proximal-junctional-failure-after-corrective-surgery-focusing-on-elderly-patients-with-severe-sagittal-imbalance
#36
JOURNAL ARTICLE
Se-Jun Park, Jin-Sung Park, Chong-Suh Lee, Tae Soo Shin, Keun-Ho Lee
BACKGROUND: Previous reports with proximal junctional failure (PJF) included relatively young patients or deformity without sagittal imbalance. The present study focused on the two well-known risk factors for PJF, old age and severe sagittal imbalance. With these high-risk patients, the present study aimed to identify a strategy that could prevent PJF and to investigate whether the degree of correction would really affect the PJF occurrence. METHODS: Patients who were ≥ 60 years of age and underwent long fusion (≥ 4) to the sacrum for severe sagittal imbalance (defined as pelvic incidence minus lumbar lordosis [PI-LL] ≥ 30°) were included...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045575/corrigendum-to-component-asymmetry-in-bilateral-cementless-total-hip-arthroplasty
#37
Seung Hun Woo, Won Chul Shin, Jung Bum Han, Sang Min Lee, Nam Hoon Moon, Kuen Tak Suh
[This corrects the article on p. 27 in vol. 15, PMID: 36778988.].
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045574/does-serum-vitamin-d-influence-the-prognosis-of-critically-ill-patients-with-trauma-a-prospective-observational-study-in-a-trauma-center
#38
JOURNAL ARTICLE
Yong-Cheol Yoon, Won-Tae Cho, Jin Yeong Jeon, Hyung Keun Song
BACKGROUND: Vitamin D concentrations are associated with sepsis, pneumonia, and mortality in critically ill patients. However, the role of vitamin D in critically injured patients with trauma remains unknown. This study investigated the effects of vitamin D concentrations on outcomes in critically injured patients with trauma. METHODS: A prospective observational study was conducted by randomly selecting 100 patients among those who visited our trauma center. The serum vitamin D concentration was measured upon arrival at the hospital, and the length of stay in a trauma intensive care unit after admission, duration of mechanical ventilation, number of days spent in the hospital, development of complications, and death were investigated...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045573/clinical-outcomes-union-rates-and-complications-of-screw-versus-button-fixation-in-the-bristow-latarjet-procedure-for-anterior-shoulder-instability-a-systematic-review-and-meta-analysis
#39
JOURNAL ARTICLE
Napatpong Thamrongskulsiri, Danaithep Limskul, Thanathep Tanpowpong, Somsak Kuptniratsaikul, Thun Itthipanichpong
BACKGROUND: The Latarjet procedure is a common procedure for treating critical glenoid bone loss in anterior shoulder instability. Implants such as the screw and cortical button are widely used. The aim of this study was to compare studies on screw versus button fixation techniques in the Bristow-Latarjet procedure for anterior shoulder instability in terms of clinical outcomes, union rates, and complications. METHODS: The PubMed, Scopus, and Embase databases were searched to find comparative studies that reported outcomes of using screw versus button fixation in the Bristow-Latarjet procedure following the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines...
December 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38045572/feasibility-of-two-screw-anterior-fixation-for-odontoid-fractures-in-a-chinese-population-a-morphometric-study-based-on-computed-tomography
#40
JOURNAL ARTICLE
Yixiang Ai, Dereje Gobena Alemayehu, Genwen Mao, Yaping Liang, Ran Cao, Jiale Hu, Yimin Yang, Zhiwei Ren
BACKGROUND: To evaluate the feasibility of treating odontoid fractures in the Chinese population with two cortical screws based on computed tomography (CT) scans and describe a new measurement strategy to guide screw insertion in treating these fractures. METHODS: A retrospective review of cervical computed tomographic scans of 128 patients (aged 18-76 years; men, 55 [43.0%]) was performed. The minimum external transverse diameter (METD), minimum external anteroposterior diameter (MEAD), maximum screw length (MSL), and screw projection back angle (SPBA) of the odontoid process were measured on coronal and sagittal CT images...
December 2023: Clinics in Orthopedic Surgery
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