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Benefit of the external fixator in the management of open fractures of the leg skeleton: About 31 cases at Owendo University Teaching Hospital (CHUO) 外固定器在治疗腿部骨骼开放性骨折中的优势:奥文多大学教学医院(CHUO)的约 31 个病例
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1b.3502
Dr. Cyprien Mba Mba, Batchom Ad, M. C, O. Sm, Djembi Yr, Nguema Endzegue F, Kassi B, A. Jj, Ondo N’dong F
Open fractures of the leg skeleton represent 8 to 10% of traumatic injuries to the musculoskeletal system. Their stabilization methods remain controversial and the external fixator is one of them. The objective of this study was to show the benefit of the external fixator in the management of these fractures. This was a retrospective study carried out between January 2017 and December 2020 at Owendo University Teaching Hospital. The study concerned all patients admitted for open leg fractures, treated and followed up in the department. We collected 31 patients including 22 men and 9 women. Their average age was 34.2 years (range 18-62 years). The age group from 31 to 50 was the most represented with 54.8% (n=17). Field workers constituted the socio-professional group most affected with 25.8% (n=8). Road traffic accidents (RTA) were the main sources of trauma with 83.9% (n=26). According to the Gustilo and Anderson classification, the type IIIa lesions were the most frequent with 61.2% (n=19). The majority of patients were treated on the 6th day (58.1%, n=18). Occurring in 38.7% (n=12), the complications encountered were infection and delayed union in 16.2% (n=5) each. The average time to consolidation was 23.6 weeks (range 15 -52 weeks). With an average follow-up of 10 months, the results evaluated, according to Ketenjian criteria, were excellent in 19.4% (n=6), very good in 41.9% (n=13), good in 22.6% (n =7) and bad in 6.4% (n=2), in others words 83.9% satisfactory results. the results obtained are generally satisfactory but can be improved if we simplify the methods of providing the external fixator to needy patients.
腿部骨骼的开放性骨折占肌肉骨骼系统创伤的 8%至 10%。其稳定方法仍存在争议,而外固定器就是其中之一。本研究的目的是显示外固定器在治疗此类骨折中的优势。这是一项回顾性研究,于2017年1月至2020年12月期间在奥文多大学教学医院进行。研究涉及因开放性腿部骨折入院、在该科室接受治疗和随访的所有患者。我们收集了 31 名患者,包括 22 名男性和 9 名女性。他们的平均年龄为 34.2 岁(18-62 岁不等)。31至50岁年龄段的患者最多,占54.8%(17人)。野外工作者是受影响最大的社会职业群体,占 25.8%(人数=8)。道路交通事故是造成创伤的主要原因,占 83.9%(26 人)。根据古斯蒂洛和安德森的分类,IIIa型病变最为常见,占61.2%(19人)。大多数患者在第 6 天接受治疗(58.1%,n=18)。并发症发生率为38.7%(12人),感染和延迟愈合各占16.2%(5人)。平均巩固时间为23.6周(15-52周不等)。平均随访时间为 10 个月,根据 Ketenjian 标准评估的结果是:19.4%(6 人)为优秀,41.9%(13 人)为非常优秀,22.6%(7 人)为良好,6.4%(2 人)为不良,换言之,83.9% 的结果令人满意。
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引用次数: 0
Role of Cissus quadrangularis in bone loss pathologies 四棱接骨木在骨质疏松病症中的作用
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1c.3521
Rohit Nath, Bikram Keshari Kar, Rajesh K Dhadiwal, Gautam Vinod Daftary, Bhushan M. Khemnar, Nikita Nilesh Patil
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引用次数: 0
Evaluation of the outcome of displaced intraarticular calcaneal fractures treated with locking plate fixation: An observational study 关节内移位性小关节骨折锁定钢板固定治疗效果评估:观察性研究
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1c.3509
Dr. Nikhil Singh, Dr. Puneet Gupta
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引用次数: 0
Using subchondral one third tubular plate as a rafting plate for elevation of depressed tibial plateau fractures 将软骨下三分之一管状钢板作为筏板,用于抬高凹陷性胫骨平台骨折
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1sa.3483
El-Sayed Essawie Ahmed El-Harmel, M. A. Quolquela, Kamal Mohamed Hafez, Mohammed Roshdy El-Tabbakh
{"title":"Using subchondral one third tubular plate as a rafting plate for elevation of depressed tibial plateau fractures","authors":"El-Sayed Essawie Ahmed El-Harmel, M. A. Quolquela, Kamal Mohamed Hafez, Mohammed Roshdy El-Tabbakh","doi":"10.22271/ortho.2024.v10.i1sa.3483","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1sa.3483","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative study of functional outcome of single dose intra-lesional platelet rich plasma injection versus single dose corticosteroid injection for plantar fasciitis 单剂量皮损内富血小板血浆注射与单剂量皮质类固醇注射治疗足底筋膜炎的功能效果比较研究
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1c.3516
Dr. Mouneshwaran R, Dr. Vijayaragavan R
Background: Plantar fasciitis is a common cause of heel pain. In some cases, it can lead to significant morbidity and then invasive procedures like Platelet Rich Plasma (PRP) injection and/or intralesional steroid injection are required, in whom conservative treatment is unresponsive. It is still controversial whether PRP is more effective in reducing pain and also improving the function compared to intralesional steroid. Aims & Objectives: To determine efficacy of single dose Intralesional-PRP injection and single dose Intralesional-Corticosteroid injection, also to compare the efficacy between the both in Plantar fasciitis based on the functional outcome by Visual Analogue Pain scale (VAS) at end of 2weeks, 3rd months and 6th months. Methodology: A comparative study on skeletally mature patients with plantar fasciitis who had underwent conservative therapy but failed, were randomized into 2 groups: PRP and Steroid group. Using Visual Analog Scale (VAS), participants were assessed for pain on the Day of presentation, and then after therapy at 2 weeks, 3 months and 6 months. Results: Total of 60 patients were included in the study and randomized into 2 groups -30 for steroid group and 30 for PRP group. Results showed that VAS of PRP group was significantly lower than that of steroid group at 2weeks, 3months and 6 months. PRP was associated with great improvement in VAS score at 6months compared to steroid injection. The result and difference were more pronounced as the time from injection increased and maximal benefit was observed at 6 months follow-up. None of the patients needed a repeat injection at 6 months. Conclusion: PRP injections provide better pain relief and function, compared to corticosteroids, in patients with plantar fasciitis. On comparison with previous studies, results were almost similar that is superiority of PRP over steroid injection in plantar fasciitis.
背景介绍足底筋膜炎是足跟疼痛的常见原因。在某些情况下,它会导致严重的发病率,如果保守治疗无效,就需要进行富血小板血浆(PRP)注射和/或局部类固醇注射等侵入性治疗。与局部注射类固醇相比,血小板丰富血浆是否能更有效地减轻疼痛和改善功能,目前仍存在争议。目的和目标:根据视觉模拟疼痛量表(VAS)对足底筋膜炎患者在两周后、三个月后和六个月后的功能结果,确定单剂量皮内注射 PRP 和单剂量皮内注射类固醇的疗效,并比较两者的疗效。研究方法对骨骼发育成熟、接受过保守治疗但无效的足底筋膜炎患者进行比较研究,将其随机分为两组:PRP 组和类固醇组。使用视觉模拟量表(VAS)评估患者发病当天的疼痛情况,以及治疗后 2 周、3 个月和 6 个月的疼痛情况。研究结果共有 60 名患者参与研究,并随机分为两组--类固醇组和 PRP 组各 30 人。结果显示,在 2 周、3 个月和 6 个月时,PRP 组的 VAS 明显低于类固醇组。与类固醇注射相比,PRP 组在 6 个月时的 VAS 评分有很大改善。随着注射时间的延长,结果和差异更加明显,6 个月的随访观察到了最大效益。没有一名患者在 6 个月后需要再次注射。结论与皮质类固醇相比,注射 PRP 能更好地缓解足底筋膜炎患者的疼痛并改善其功能。与之前的研究相比,结果几乎相似,即注射 PRP 比注射类固醇治疗足底筋膜炎效果更好。
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引用次数: 0
Functional outcomes of high tibial osteotomy for symptomatic medial compartment osteoarthritis in middle-aged patients-both prospective and retrospective study in Indian population in the quaternary care center 高胫骨截骨术治疗中年患者无症状内侧室骨关节炎的功能疗效--在印度人群中开展的前瞻性和回顾性四级护理中心研究
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1c.3519
Dr. Sagar Thippanna Porammanavar, Dr. Sudarsana Gopalan N, Dr. Vijay Kumar S, Dr. Mallinath Gidaganti
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引用次数: 0
Effectiveness of corticosteroid injection in the treatment of De Quervain`s stenosing tenosynovitis 皮质类固醇注射治疗德-夸尔凡氏狭窄性腱鞘炎的效果
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1b.3496
Mohd. Ishaq Ganaie, Rahi Akhter, Nadeem Ali, Aasif Ashraf Vaid
Introduction: De Quervain`s tenosynovitis is a condition that involves stenosis of the first dorsal compartment of wrist, which contain abductor pollicis longus and extensor pollicis brevis running through it, resulting in wrist pain and impaired wrist movement. Treatment method includes immobilization, steroid injections and surgical intervention. The aim of this study was to determine the outcome of corticosteroid injection in patients with De Quervain`s tenosynovitis. Materials and Methods: In this study a total of 48 patients with De Quervain`s tenosynovitis confirmed by clinical examination, USG and pain interfering with daily activities of life, managed with corticosteroid injection were taken into study. Treatment efficacy was measured by assessing reduction in severity of pain and tenderness on the radial side of wrist and negative Finkelstein test. The severity of pain was noted on Visual analogue scale (VAS 0-10) before and after intervention. Results: At 3 weeks, short-term responses included complete or nearly complete control of signs and symptoms in 28 (58.33%) patients, with zero VAS. 11 (22.92%) patients experienced partial response. Only 9 (18.75%) patients failed to show significant changes after the first injection. At six weeks follow-up 45 (93.75%) patients were symptoms free and fully satisfied with the results. We found no recurrence except 3 (6.25%) in this series of patients after 24 weeks of follow-up. Conclusion: We conclude that one or two local steroid injections in the first dorsal compartment leads to early improvement in patients with de Quervain's tenosynovitis.
简介杜氏腱鞘炎是一种腕部第一背室狭窄的疾病,腕部第一背室有拇长肌外展和拇短肌外展穿过,因此会导致腕部疼痛和腕部活动障碍。治疗方法包括固定、注射类固醇和手术干预。本研究旨在确定注射皮质类固醇对德-克瓦恩氏腱鞘炎患者的治疗效果。材料和方法:本研究共选取了 48 名经临床检查、超声波检查和疼痛影响日常生活的德-夸尔曼氏腱鞘炎患者,对其进行皮质类固醇注射治疗。疗效通过评估腕部桡侧疼痛和压痛的减轻程度以及芬克尔斯坦试验阴性来衡量。干预前后的疼痛严重程度用视觉模拟量表(VAS 0-10)表示。结果:3周后,28名(58.33%)患者的短期反应包括体征和症状完全或接近完全控制,VAS为零。11名患者(22.92%)出现部分反应。只有 9 名患者(18.75%)在首次注射后没有出现明显变化。在六周的随访中,45 名(93.75%)患者无症状,并对治疗效果完全满意。在 24 周的随访中,除 3 例(6.25%)患者外,我们没有发现其他患者复发。结论我们得出的结论是,在第一背侧间隙注射一到两次局部类固醇,可以使德-夸尔曼氏腱鞘炎患者的症状得到早期改善。
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引用次数: 0
Functional outcome of spaghetti wrist following surgery- our experience in 26 patients 意大利面手腕术后的功能效果--我们对 26 名患者的经验总结
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1sa.3485
Dr. SK Murad Ahmed, Dr. Krishna Priya Das, Dr. Md. Mamunur Rashid, Dr. Wayez Mahbub, Md. Moniruzzaman, Dr. Nadia Zebin Khan
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引用次数: 0
Epidemiology and results of non-operative treatment of Pelvic ring fractures and Disjunctions at Kara University Hospital 卡拉大学医院骨盆环骨折和骨盆断裂非手术治疗的流行病学和结果
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1b.3499
T. Towoezim, Kokou Kanassoua, Tabana Mouzou, T. Dossouvi, Taraba Christian Bakoukou, F. Gnandi-Piou, A. Abalo
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引用次数: 0
What are the risks of death in elderly patients after a proximal femur fracture at Aristide Le Dantec hospital? Aristide Le Dantec 医院老年股骨近端骨折患者的死亡风险有多大?
Pub Date : 2024-01-01 DOI: 10.22271/ortho.2024.v10.i1a.3490
Fode Ibrahima Kourala Keita, P. A. Diouf, A. B. Dione, Badara Dembélé, C. Diémé
{"title":"What are the risks of death in elderly patients after a proximal femur fracture at Aristide Le Dantec hospital?","authors":"Fode Ibrahima Kourala Keita, P. A. Diouf, A. B. Dione, Badara Dembélé, C. Diémé","doi":"10.22271/ortho.2024.v10.i1a.3490","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1a.3490","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"35 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140527037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Orthopaedics Sciences
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