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World Journal of Orthopedics

Don Koh, Lincoln Liow, Joseph Cheah, Kevin Koo
BACKGROUND: Peroneal tendinopathies are an under-diagnosed and potentially under-treated pathology. If left untreated it can be a cause of chronic lateral hindfoot pain. Its diagnosis is challenging owing to its low incidence and vague clinical presentation. CASE SUMMARY: We share a case of a patient who experienced a chronic lateral ankle pain exacerbated after alighting from a bus. This patient came to our attention only after failing conservative management on two separate occasions...
January 18, 2019: World Journal of Orthopedics
Juan José Gil-Álvarez, Pablo García-Parra, Manuel Anaya-Rojas, María Del Pilar Martínez-Fuentes
BACKGROUND: No dynamic technique, such as tendon transfer, has been described for scapular winging due to levator scapulae or rhomboid major and minor palsies resulting from an isolated dorsal scapular nerve injury. Thus, we evaluated how the contralateral trapezius compound osteomuscular flap transfer would work in stabilizing lateral scapular winging, and the case is reported here. A literature review was also conducted, and articles relevant to the case are presented. CASE SUMMARY: A 37-year-old male patient who had sustained an isolated dorsal scapular nerve injury underwent reconstructive surgery using the contralateral trapezius compound osteomuscular flap transfer technique to treat scapular winging and the consequent pain, and to restore function from the shoulder impairment...
January 18, 2019: World Journal of Orthopedics
Casper Kloster Pingel Saebye, Johnny Keller, Thomas Baad-Hansen
BACKGROUND: The musculoskeletal tumour society score (MSTS) is a well-known questionnaire for measuring functional outcome in patients with neoplasms in the extremities. Standardized guidelines for cross-cultural translation and validation ensure the equivalence of content between the original and translated versions. The translation and validation provide the possibility to compare different sarcoma populations on an international level. This study is based on the hypothesis that the Danish MSTS questionnaire is a valid tool for measuring the end result after surgery for neoplasms in the extremities...
January 18, 2019: World Journal of Orthopedics
David Morgonsköld, Victoria Warkander, Panayiotis Savvides, Axel Wihlborg, Mathilde Bouzereau, Hans Möller, Paul Gerdhem
AIM: To investigate the inter- and intra-rater reliability of the vertebral fracture classifications used in the Swedish fracture register. METHODS: Radiological images of consecutive patients with cervical spine fractures ( n = 50) were classified by 5 raters with different experience levels at two occasions. An identical process was performed with thoracolumbar fractures ( n = 50). Cohen's kappa was used to calculate the inter- and intra-rater reliability. RESULTS: The mean kappa coefficient for inter-rater reliability ranged between 0...
January 18, 2019: World Journal of Orthopedics
Enrique Guerado, Maria Luisa Bertrand, Juan Ramon Cano, Ana María Cerván, Adolfo Galán
Damage control orthopaedics (DCO) originally consisted of the provisional immobilisation of long bone - mainly femur - fractures in order to achieve the advantages of early treatment and to minimise the risk of complications, such as major pain, fat embolism, clotting, pathological inflammatory response, severe haemorrhage triggering the lethal triad, and the traumatic effects of major surgery on a patient who is already traumatised (the "second hit" effect). In recent years, new locations have been added to the DCO concept, such as injuries to the pelvis, spine and upper limbs...
January 18, 2019: World Journal of Orthopedics
Ahmed Isam Saad, Shafiq Arif Shahban, Richard Fernandes
BACKGROUND: Metallosis describes the build-up of metal debris in the soft tissues after a period of metal on metal articulation. This debris can be asymptomatic or lead to catastrophic implant failure, which can present acutely, as in this case, or over a period of time. This report highlights how a metal clip used to hold the polyethylene liner to the tibial base plate broke 5 years after implantation, dislodged from its original position and went on to cause post-operative knee metallosis...
December 18, 2018: World Journal of Orthopedics
Fabian van de Bunt, Michael L Pearl, Tom van Essen, Johannes A van der Sluijs
AIM: To examine humeral retroversion in infants who sustained brachial plexus birth palsy (BPBI) and suffered from an internal rotation contracture. Additionally, the role of the infraspinatus (IS) and subscapularis (SSc) muscles in the genesis of this bony deformation is explored. METHODS: Bilateral magnetic resonance imaging (MRI) scans of 35 infants (age range: 2-7 mo old) with BPBI were retrospectively analyzed. Retroversion was measured according to two proximal axes and one distal axis (transepicondylar axis)...
December 18, 2018: World Journal of Orthopedics
Ugonna N Ihekweazu, Garrett H Sohn, Mitzi S Laughlin, Robin N Goytia, Vasilios Mathews, Gregory W Stocks, Anay R Patel, Mark R Brinker
AIM: To determine social, logistical and demographic factors that influence time to discharge in a short stay pathway (SSP) by following total knee arthroplasty (TKA). METHODS: The study included primary TKA's performed in a high-volume arthroplasty center from January 2016 through December 2016. Potential variables associated with increased hospital length of stay (LOS) were obtained from patient medical records. These included age, gender, race, zip code, body mass index (BMI), number of pre-operative medications used, number of narcotic medications used, number of patient reported allergies (PRA), simultaneous bilateral surgery, tobacco use, marital status, living arrangements, distance traveled for surgery, employment history, surgical day of the week, procedure end time and whether the surgery was performed during a major holiday week...
December 18, 2018: World Journal of Orthopedics
Hossein Elgafy, Craig J Raberding, Megan L Mooney, Kyle A Andrews, Joan M Duggan
AIM: To define a ten-step protocol that reduced the incidence of surgical site infection in the spine surgery practice of the senior author and evaluate the support for each step based on current literature. METHODS: In response to unexplained increased infection rates at our institution following spine surgery, a ten-step protocol was implemented: (1) preoperative glycemic management based on hemoglobin A1c (HbA1c); (2) skin site preoperative preparation with 2% chlorhexidine gluconate disposable cloths; (3) limit operating room traffic; (4) cut the number of personnel in the room to the minimum required; (5) absolutely no flash sterilization of equipment; (6) double-gloving with frequent changing of outer gloves; (7) local application of vancomycin powder; (8) re-dosing antibiotic every 4 h for prolonged procedures and extending postoperative coverage to 72 h for high-risk patients; (9) irrigation of subcutaneous tissue with diluted povidone-iodine solution after deep fascial closure; and (10) use of DuraPrep skin preparation at the end of a case before skin closure...
November 18, 2018: World Journal of Orthopedics
John Carney, Nathanael Heckmann, Erik N Mayer, Ram K Alluri, Carleton Thomas Vangsness, George F Hatch Iii, Alexander E Weber
AIM: To explore the current evidence surrounding the administration of prophylactic antibiotics for arthroscopic knee surgery. METHODS: Databases were searched from inception through May of 2018 for studies examining prophylactic antibiotic use and efficacy in knee arthroscopy. Studies with patient data were further assessed for types of arthroscopic procedures performed, number of patients in the study, use of antibiotics, and outcomes with the intention of performing a pooled analysis...
November 18, 2018: World Journal of Orthopedics
Silvia Ravalli, Marta Anna Szychlinska, Rosalia Maria Leonardi, Giuseppe Musumeci
Osteoarthritis (OA) is a chronic degenerative disease of articular cartilage with limited treatment options. This reality encourages clinicians to suggest preventive measures to delay and contain the outbreak of the pathological conditions. Articular cartilage and synovium suffering from OA are characterised by an inflammatory state and by significant oxidative stress, responsible for pain, swelling and loss of mobility in the advanced stages. This review will focus on the ability of olive oil to exert positive effects on the entire joint to reduce pro-inflammatory cytokine release and increase lubricin synthesis, olive leaf extract, since it maintains lubrication by stimulating high molecular weight hyaluronan synthesis in synovial cells, curcumin, which delays the start of pathological cartilage breakdown, sanguinarine, which downregulates catabolic proteases, vitamin D for its capacity to influence the oxidative and pro-inflammatory environment, and carnosic acid as an inducer of heme oxygenase-1, which helps preserve cartilage degeneration...
November 18, 2018: World Journal of Orthopedics
Henrik Constantin Bäcker, Samuel E Galle, Mauro Maniglio, Melvin Paul Rosenwasser
Posterior instability of the shoulder is a rare condition and represents about 10% of shoulder instability. It has become more frequently recognized in the last year, even though it is more difficult to diagnose than anterior shoulder instability. As this form of shoulder pathology is somewhat rare, biomechanical knowledge is limited. The purpose of our study was to perform an extensive literature search, including PubMed and Medline, and to give an overview of the current knowledge on the biomechanics of posterior shoulder instability...
November 18, 2018: World Journal of Orthopedics
Greg Aj Robertson, Alexander M Wood
This editorial reviews and summarises the current evidence (meta-analyses and Cochrane reviews) relating to the use of hip hemi-arthroplasty for neck of femur fractures. Regarding the optimal surgical approach, two recent meta-analyses have found that posterior approaches are associated with: higher rates of dislocation compared to lateral and anterior approaches; and higher rates of re-operation compared to lateral approaches. Posterior approaches should therefore be avoided when performing hip hemi-arthroplasty procedures...
November 18, 2018: World Journal of Orthopedics
Jason B Anari, Patrick J Cahill, John M Flynn, David A Spiegel, Keith D Baldwin
Pelvic instrumentation for neuromuscular scoliosis has been part of neuromuscular scoliosis surgery since the era of the Luque Galveston construct. Unit Rod (Medtronic Sofamor-Danek, Nashville, TN) instrumentation brought with it the concept of cantilever correction by placing the implants in the pelvis and then gradually bringing the rod to the spine by sequentially tightening the sublaminar wires, with the goal of creating a level pelvis over a straight spine. More recently surgeons have utilized pedicle screw constructs in which the corrective strategies have varied...
October 18, 2018: World Journal of Orthopedics
Herwig Drobetz, Alyce Black, Jonathan Davies, Petra Buttner, Clare Heal
AIM: To determine factors correlated with postoperative radial shortening in patients with distal radius fractures treated with volar locking distal radius plates. METHODS: A total of 250 patients with a distal radius fracture stabilised with volar locking plates between January 2010 and December 2014 were included in a multicentre retrospective cohort study. We measured the distance of the distal locking screws to the joint line immediately postoperatively and then measured radial shortening after six to eight weeks using the change in ulnar variance...
October 18, 2018: World Journal of Orthopedics
Suyany G Weiss, Gabrielle O Kuchar, Jennifer T Gerber, Fernanda Tiboni, Carmen Lucia M Storrer, Thaís C Casagrande, Allan F Giovanini, Rafaela Scariot
AIM: To evaluate the effects of sodium alendronate on bone repair in fractures created in appendicular bones. METHODS: Wistar rats ( n = 36) were allocated into three distinct groups: group C (control), group B1 (received 1 mg/kg of alendronate), and group B2 (received 3 mg/kg of alendronate). The rats underwent femoral transversal linear fracture surgery using stable internal fixation with a 2.0 mm plate and screw system. Each animal randomly received intraperitoneal applications of sodium alendronate at a dose corresponding to group B1 or B2 three times a week, while the control group received a 0...
October 18, 2018: World Journal of Orthopedics
Lars V von Engelhardt, Andreas Breil-Wirth, Christian Kothny, Jörn Bengt Seeger, Christian Grasselli, Joerg Jerosch
AIM: To evaluate the clinical and radiological outcome nine and ten years after short-stemmed, bone preserving and anatomical hip arthroplasty with the MiniHipTM system. METHODS: In a prospective study, 186 patients underwent hip arthroplasty with a partial neck preserving short stem (MiniHipTM , Corin). Elderly patients were not excluded from this study, thus the mean age at the time of surgery was 59.3 years (range 32 to 82 years). Surgery and the follow-up assessments were performed at two Centers...
October 18, 2018: World Journal of Orthopedics
Ravi Popat, Konstantinos Tsitskaris, Steven Millington, Sebastian Dawson-Bowling, Sammy A Hanna
AIM: To determine the functional outcomes, complications and revision rates following total knee arthroplasty (TKA) in patients with Paget's disease of bone (PDB). METHODS: A systematic review of the literature was performed. Four studies with a total of 54 TKAs were included for analysis. Functional outcomes, pain scores, complications and revision rates were assessed. The mean age was 72.0 years and the mean follow-up was 7.5 years. RESULTS: All studies reported significant improvement in knee function and pain scores following TKA...
October 18, 2018: World Journal of Orthopedics
Madeline Therese Kudibal, Thomas Kallemose, Anders Troelsen, Henrik Husted, Kirill Gromov
AIM: To investigate whether minority ethnicity and the duration of education influence preoperative disability and expectations in patients undergoing total knee arthroplasty. METHODS: We prospectively included 829 patients undergoing primary unilateral total knee arthroplasty (TKA) from April 2013 to December 2014 at a single centre. Patients filled in pre-operative questionnaires with information regarding place of birth, duration of education, expectations for outcome of surgery and baseline characteristics...
October 18, 2018: World Journal of Orthopedics
Surajudeen Adebola Bolarinwa, Wendy Novicoff, Quanjun Cui
AIM: To investigate whether adductor canal nerve block (ACB) reduces patient falls when compared to femoral nerve block (FNB) after total knee arthroplasty (TKA). METHODS: We conducted an institutional review of all-cause falls after TKA from January 2013 to August 2016 using a quality improvement database. Our inclusion criteria were patients with diagnosis of primary knee osteoarthritis who underwent primary unilateral TKA with either a FNB or an ACB and sustained a fall during their hospitalization...
October 18, 2018: World Journal of Orthopedics
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