journal
https://read.qxmd.com/read/38854776/equivalence-in-osteoporosis-workup-and-management-after-femoral-neck-fracture-fixation-and-vertebral-compression-fracture-cement-augmentation-a-single-center-retrospective-study-highlighting-persistent-underdiagnosis-and-undertreatment
#1
JOURNAL ARTICLE
Madeleine Grace DeClercq, Lauren Eberhardt, Philip Zakko, Jacob Keeley, Megan Audet, Daniel Park
BACKGROUND: The purpose of this study was to evaluate pre- and post-fracture medical management of osteoporosis among patients who underwent surgical fixation of femoral neck fractures (FNF) and vertebral compression fractures (VCF), and to investigate if there is a difference in treatment, management, and subsequent fractures between FNF and VCF patients. METHODS: Patients who underwent surgical fixation of FNF or VCF were retrospectively reviewed at a minimum 1 year follow up...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828473/precice-nail-bending-in-femur-lengthening
#2
JOURNAL ARTICLE
Akram Al Ramlawi, Michael Assayag, Philip McClure
INTRO: Intramedullary nails (ILNs) are commonly used in orthopedic surgery for the fixation of long bone fractures and limb lengthening. Understanding the structural mechanics (i.e. nail bend) of an ILN device is crucial in determining its performance under various loading conditions. Furthermore, nail diameter was found to play a key role in an ILN's susceptibility to plastic deformity. This study aims to investigate the degree of nail bending and incidence of plastic deformity in patients receiving antegrade femoral ILNs (PRECICE, NuVasive, Inc...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828472/effect-of-post-operative-nsaid-use-on-rotator-cuff-repair-outcomes
#3
JOURNAL ARTICLE
Adam Hadro, Fernando A Huyke-Hernandez, Rebekah M Kleinsmith, Stephen A Doxey, Adam Schweitzer, Jacob Ristow, Brian P Cunningham, Jonathan Braman
BACKGROUND: The impact of non-steroidal anti-inflammatory drugs (NSAIDs) on rotator cuff repair is an ongoing area of study within orthopedics, with conflicting results in current literature. Despite concerns over the deleterious effects of NSAIDs on rotator cuff healing, they are becoming an integral part of a multimodal post-operative pain control regiment. The purpose of this study was to compare post-operative patient-reported outcomes (PROs), complications rates, and retear rates of arthroscopic rotator cuff repairs in patients using ibuprofen post-operatively to those who abstained from NSAIDs for six weeks after surgery...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828471/special-aspects-of-total-hip-arthroplasty-in-patients-with-proximal-femur-pseudarthrosis
#4
JOURNAL ARTICLE
Valery Yu Murylev, Gennady G Rubin, Grigory A Kukovenko, Pavel M Elizarov, Aleksei V Muzychenkov, Semyon S Alekseev, Nikolay E Erokhin, Evgeniya Yu Tselishcheva, Alexander G Zhuchkov, Alexander I Rudnev
INTRODUCTION: The rate of proximal femur fractures (PFF) in the structure of musculoskeletal system injuries among all fractures of long bones ranges from 3.9 to 18%. According to Russian Ministry of Health 2020 data, the incidence of femoral fractures in Russia was up to 61 cases per 100,000 population (90,000 per year); and femoral neck fractures incidence was 4 times higher among people over 75 years of age. The choice of surgical technique and the fixator used depend on many factors, such as fracture location and its nature, the age of the patient, comorbidities, and the quality of bone tissue...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828470/are-relative-contraindications-for-unicompartmental-knee-replacements-in-medial-compartment-osteoarthritis-really-contraindications
#5
JOURNAL ARTICLE
Darren Myatt, Morgan Marshall, Thomas Ankers, Curtis Robb
BACKGROUND: Medial unicompartment knee replacement (UKR) is performed for isolated medial compartment osteoarthritis. Understanding the factors influencing functional outcomes helps patient selection and outcomes. We will review the association between pre-operative BMI and patellofemoral articular wear on post operative Oxford Knee Scores at >2 and > 5 years. METHODS: A retrospective review of a prospectively collected database was performed. Inclusion criteria were medial UKR for medial compartment OA...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828469/resistance-training-in-patients-with-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#6
REVIEW
Hsuan-Wei Liu
BACKGROUND: Though popular after joint replacement surgery, progressive resistance training (PRT) has controversial safety and efficacy claims. Therefore, PRT's effect on early postoperative muscle strength and functional capacity following total knee arthroplasty (TKA) must be thoroughly investigated. Between May 12, 2020, and February 12, 2002, the Cochrane Library, Web of Science, and Medline databases containing pertinent literature were thoroughly reviewed for this investigation...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38828468/the-avantage-%C3%A2-dual-mobility-cup-in-primary-total-hip-arthroplasty-a-registry-study
#7
JOURNAL ARTICLE
E Castiello, A Bruschi, B Bordini, F De Gaetano, D Tigani
BACKGROUND: Avantage Cup has been widely used in dual mobility implants. However, in Swedish Registry, the outcome of the Avantage Cup is reported with higher implants revision compared to control. The aim of our study was to verify if the same results are present in the Registry of Prosthetic Orthopedic Implants (RIPO) of Emilia Romagna (ER, Italy), as the Avantage cup was the most implanted dual mobility cup for a long follow-up reported in this Registry (2000-2012). Furthermore, we assessed the survival rate of the implant over the time...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38800591/the-method-of-femoral-tunnel-drilling-in-anterior-cruciate-ligament-reconstruction-does-not-influence-the-return-to-sport-rate
#8
JOURNAL ARTICLE
Francisco Antonio Miralles-Muñoz, Carlos de La Pinta-Zazo, Luis Albero-Catalá, María Flores Vizcaya-Moreno
BACKGROUND: Limited evidence is available comparing the modified transtibial (MTT) and transportal (TP) techniques in anterior cruciate ligament (ACL) reconstruction and their impact on returning to sports participation. The objective was to analyze the outcomes after arthroscopic reconstruction of the ACL in recreational athletes with a 2-year postoperative follow-up, comparing the MTT and TP techniques, based on the method used to drill the femoral tunnel. HYPOTESIS: The rate of return to sport would be comparable regardless of the surgical technique used...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38800590/enhanced-recovery-after-surgery-day-surgery-for-mako%C3%A2-robotic-arm-assisted-tka-better-outcome-for-patients-improved-efficiency-for-hospitals
#9
JOURNAL ARTICLE
Ee Chern Ng, Sheng Xu, Xuan Eric Liu, Jason Beng Teck Lim, Ming Han Lincoln Liow, Hee Nee Pang, Darren Keng Jin Tay, Seng Jin Yeo, Jerry Yongqiang Chen
INTRODUCTION: Robotic-assisted Total Knee Arthroplasty (TKA) was designed to improve implant position accuracy by providing surgeons with real-time intra-operative data to tailor the operation to the patient. Proponents of robotic-assisted TKA believe that this translates into meaningful improvements in outcomes. However, there are concerns that the longer surgical duration associated with robotic-assisted TKA leads to longer length of stay (LOS). In this study, the authors investigated the outcome of MAKO® Robotic-arm Assisted TKA combined with ERAS protocol to assess its effect on LOS and short-term outcomes...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38800589/on-the-importance-of-precision-in-cortical-bone-drilling-integrating-experimental-validation-and-computational-modeling
#10
JOURNAL ARTICLE
Mohammadjavad Matin Einafshar, Mohadese Rajaeirad, Ahmad Babazadeh Ghazijahani, Michael Skipper Andersen
BACKGROUND: Cortical bone drilling is integral to orthopedic and dental surgeries, yet challenges such as thermal necrosis persist. Previous finite element (FE) models may overlook critical parameters, impacting accuracy. This study aims to integrate experimental and computational approaches to predict essential parameters-initial temperature, point angle, and spindle speed-enhancing precision in cortical bone drilling. METHODS: Bovine cortical samples were utilized to systematically investigate the impact of four independent parameters on maximum temperature (MT) and maximum thrust force (MTF)...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38800588/advances-in-bioadhesives-for-meniscal-repair-a-comprehensive-review-and-criteria-for-the-ideal-candidate
#11
REVIEW
David Mazy, Arman Jafari, Houman Savoji, Marie-Lyne Nault
The latest studies agree that meniscal tears that require surgery should be repaired whenever possible to avoid early-onset osteoarthritis secondary to meniscectomy. Unfortunately, there are several limitations associated with meniscal sutures, making it difficult to put into practice the theory behind the concept of saving the meniscus. Meanwhile, there is an exponential growth in the use of tissue adhesives for surgery, but finding one suited to meniscal repair remains a struggle. This review has two main goals (1) to compile the various bioadhesives used in this field and (2) to list the criteria for an ideal meniscal bioadhesive...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38800587/a-ten-year-experience-of-musculoskeletal-tuberculosis-at-a-tertiary-care-hospital-in-south-india
#12
JOURNAL ARTICLE
Druti Hazra, Rosemary Shaji V, Arushi Dhall, Arathi P Rao, Anil K Bhat, Kiran Chawla
BACKGROUND: The delayed identification and management of musculoskeletal tuberculosis (MSTB) poses substantial health challenges and leads to significant morbidity. This study aimed to collate ten years of hospital data and provide valuable insights into the clinical, diagnostics, and outcomes of the patients diagnosed with MSTB. METHODS: A retrospective study was undertaken to review clinic records from 2013 to 2022 for all individuals diagnosed with MSTB in a tertiary care hospital in South India...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784950/establishment-of-intervertebral-disc-degeneration-models-a-review-of-the-currently-used-models
#13
REVIEW
Najah Elmounedi, Hassib Keskes
One of the frequent causes of low back pain is intervertebral disc degeneration (IDD), which is followed by discogenic pain. Some significant risk factors that have been linked to the onset and progression of IDD include age, mechanical imbalance, changes in nutrition and inflammation. According to recent studies, five types of animal models are established for producing IDD: the spontaneous models, the puncture models, the biomechanical models, the chemical models and the hybrid models. These models are crucial in studying and understanding IDD's natural history and identifying potential treatment targets for IDD...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784949/considerations-for-revision-anterior-cruciate-ligament-reconstruction-a-review-of-the-current-literature
#14
REVIEW
Bryson Kemler, Carlo Coladonato, Andres Perez, Brandon J Erickson, Fotios P Tjoumakaris, Kevin B Freedman
BACKGROUND: Failure rates among primary Anterior cruciate ligament reconstruction range from 3.2 to 11.1 %. Recently, there has been increased focus on surgical and anatomic considerations which predispose patients to failure, including excessive posterior tibial slope (PTS), unaddressed high-grade pivot shift, and improper tunnel placement. METHODS: The purpose of this review was to provide a current summary and analysis of the literature regarding patient-related and technical factors surrounding revision ACLR, rehabilitation considerations, overall outcomes, and return to sport (RTS) for patients who undergo revision ACLR...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784948/the-relationship-between-joint-hypermobility-and-patellar-instability-a-systematic-review
#15
REVIEW
Libbi Anne Heighes, Diego Agustín Abelleyra Lastoria, Rebecca Beni, Ahsan Iftikhar, Caroline Blanca Hing
INTRODUCTION: Hypermobility describes the movement of joints beyond normal limits. Whether hypermobility predisposes to patellar instability is yet to be established. We aimed to determine if joint hypermobility leads to an increased risk of patellar instability, and to evaluate outcomes of treatment for patellar instability in those who exhibit hypermobility. METHODS: Published and unpublished literature databases were searched to September 7, 2023. Studies comparing prevalence of patellar dislocation/differences in treatment outcomes in patients with and without hypermobility were included...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784947/effects-of-trimline-cut-in-ankle-foot-orthosis-an-experimental-and-finite-element-analysis
#16
JOURNAL ARTICLE
A Anbuvalanraj, S Karuppudaiyan, Sandipan Roy
An Ankle-foot orthosis (AFO) is a structure that spans from the lower leg to the foot and controls ankle joint movement. It prevents or assists the human body's lower leg and foot in replicating a normal human gait. The purpose of AFO is to achieve a stable gait by controlling the musculoskeletal system adequately. The mechanical features of AFO stiffness will play an essential role in helping gait, if this stiffness is not matching to the patient's conditions, gait will decrease and knee joint motion will be compromised...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784946/total-knee-arthroplasty-quality-assurance-and-improved-longevity-costs-less
#17
JOURNAL ARTICLE
Irrum Afzal, Fanuelle Getachew, Lisi Hu, Nick Clement, Philip Mitchell, Deiary Kader
BACKGROUND: There is an accepted variation in the financial cost of total knee arthroplasty (TKA) implants but it is not known whether this cost is reflected by the evidence in support of their use. A cost analysis study was carried out to determine the total cost of consumables of a TKA, and whether this was related to the supporting evidence and survivorship data. METHODS: Intra-operative data for all unilateral, cemented, primary TKA over a 13 month period at a high-volume Orthopaedic Centre was collected...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38784945/the-effect-of-fixation-type-on-periprosthetic-fractures-in-high-risk-patients-who-have-osteoporosis-undergoing-total-joint-arthroplasty
#18
JOURNAL ARTICLE
Jeremy A Dubin, Sandeep S Bains, Ruben Monarrez, Christopher Salib, Daniel Hameed, James Nace, Michael Mont, Gregory Golladay, Ronald E Delanois
INTRODUCTION: Minimizing the burden of periprosthetic fractures (PFF) following total joint arthroplasty (TJA) with regard to morbidity and mortality remains an outcome of interest. Patient and surgical risk factors, including osteoporosis and fixation type, have not truly been optimized in patients undergoing TJA as a means to reduce the risk of PFF. As such, we examined: (1) What percentage of patients who underwent THA and total knee arthroplasty (TKA) met the criteria for osteoporosis screening? (2) How did the 5-year rate of PFF and fragility fracture differ in the high-risk and low-risk groups for osteoporosis between the cemented and cementless cohorts? (3) What percentage of the aforementioned patients received a dual x-ray absorptiometry (DEXA) scan before THA or TKA? METHODS: We queried an all-payer, national database from April 1, 2016 to December 31, 2021, to identify high-risk and low-risk patients who underwent TJA with a cementless or cemented fixation...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38765896/a-systematic-review-of-the-use-of-shockwave-therapy-for-knee-osteoarthritis
#19
REVIEW
Po-Cheng Liao, Shih-Hsiang Chou, Chia-Lung Shih
INTRODUCTION: Previous studies assessed the effect of extracorporeal shockwave therapy (ESWT) for knee osteoarthritis (OA) among different situations. Thus, results from a meta-analysis regarding this topic may not be reliable due to heterogeneity. METHODS: A systematic review was conducted on three internet databases, namely Cochrane Library, PubMed, and Embase, gathering pertinent papers from their establishment to March 2024. The search phrases were as follows: "shockwave" OR "shock wave" OR "extracorporeal shockwave" OR "Extracorporeal Shockwave Therapy [MeSH Term]" AND "knee" AND ("osteoarthritis" OR "arthritis" OR "arthritic" OR "osteoarthritis [MeSH term]")...
October 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38737733/improved-outcomes-with-perioperative-dietitian-led-interventions-in-patients-undergoing-total-joint-arthroplasty-a-systematic-review
#20
REVIEW
Steven L Yee, R Cole Schmidt, James Satalich, John Krumme, Gregory J Golladay, Nirav K Patel
BACKGROUND: Nutritional assessment is important for optimization of patients undergoing elective total joint arthroplasty (TJA). Preoperative nutritional intervention is a potentially modifiable optimization target, but the outcomes of such intervention are not well-studied. The purpose of this study is to assess the impact of nutritional interventions on elective TJA outcomes. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized to perform a systematic review of the Ovid Medline, Embase, and Cochrane Library systems...
October 2024: Journal of Orthopaedics
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