Pub Date : 2023-09-30DOI: 10.23937/2572-3243.1510127
Birt Katherine M., McCarthy Helen E.
There is a widely acknowledged biological sex difference in anterior cruciate ligament (ACL) injuries, with females at a significantly higher risk compared to males. Due to the sex difference, the influence of the sex hormone estrogen has been investigated. Consequently, the aim of this study through reviewing current literature was to explore the association fluctuations in estrogen concentration during the menstrual cycle and altered ACL extracellular matrix (ECM) structure and subsequent function.
{"title":"The Effect of Estrogen on Anterior Cruciate Ligament Structure and Function: A Systematic Review","authors":"Birt Katherine M., McCarthy Helen E.","doi":"10.23937/2572-3243.1510127","DOIUrl":"https://doi.org/10.23937/2572-3243.1510127","url":null,"abstract":"There is a widely acknowledged biological sex difference in anterior cruciate ligament (ACL) injuries, with females at a significantly higher risk compared to males. Due to the sex difference, the influence of the sex hormone estrogen has been investigated. Consequently, the aim of this study through reviewing current literature was to explore the association fluctuations in estrogen concentration during the menstrual cycle and altered ACL extracellular matrix (ECM) structure and subsequent function.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132210","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}
Background: Neglected radiocarpal dislocations are rare and may have functional repercussions on the injured limb. Objective: The aim of this study was to evaluate the functional results of our management of neglected radiocarpal dislocation. Patient and method: This was a retrospective and descriptive study of five cases of neglected radiocarpal dislocation between January 2011 and December 2020. Patients were collected from various hospitals in Abidjan, Ivory Coast (some private centers and the orthopaedic surgery and trauma department of Cocody University Hospital). The minimum consultation time was 11 weeks. The initial treatment was traditional in 3 cases and failure of hospital treatment in 2 cases. Lesions were classified according to the Dumontier classification. Treatment was surgical in all cases. Functional results were assessed using the Quick DASH score and the modified Green and O'Brien score. Results: Patients were assessed for function at a minimum follow-up of 24 months. The total Quick DASH score was obtained using the formula: [(Sum) × 1.1] × 5/2. The mean Quick DASH score was 88.55 (extremes: 74.25 and 99). The mean modified Green and O'brien score was 96 (extremes: 80 and 100). Conclusion: Our functional results were satisfactory overall, as demonstrated by assessments using recognised and reliable tools. Further studies with a larger sample size are needed to confirm the conclusions of our study.
{"title":"Neglected Radiocarpal Dislocations: Descriptive Note on Five Cases in Black Africa","authors":"Koné Seydou Gnombena N’golo, Feigoudozoui Hermann Victoire, Yamalet Ulrich Florentin N’guena","doi":"10.23937/2572-3243.1510126","DOIUrl":"https://doi.org/10.23937/2572-3243.1510126","url":null,"abstract":"Background: Neglected radiocarpal dislocations are rare and may have functional repercussions on the injured limb. Objective: The aim of this study was to evaluate the functional results of our management of neglected radiocarpal dislocation. Patient and method: This was a retrospective and descriptive study of five cases of neglected radiocarpal dislocation between January 2011 and December 2020. Patients were collected from various hospitals in Abidjan, Ivory Coast (some private centers and the orthopaedic surgery and trauma department of Cocody University Hospital). The minimum consultation time was 11 weeks. The initial treatment was traditional in 3 cases and failure of hospital treatment in 2 cases. Lesions were classified according to the Dumontier classification. Treatment was surgical in all cases. Functional results were assessed using the Quick DASH score and the modified Green and O'Brien score. Results: Patients were assessed for function at a minimum follow-up of 24 months. The total Quick DASH score was obtained using the formula: [(Sum) × 1.1] × 5/2. The mean Quick DASH score was 88.55 (extremes: 74.25 and 99). The mean modified Green and O'brien score was 96 (extremes: 80 and 100). Conclusion: Our functional results were satisfactory overall, as demonstrated by assessments using recognised and reliable tools. Further studies with a larger sample size are needed to confirm the conclusions of our study.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277229","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}
Pub Date : 2023-06-30DOI: 10.23937/2572-3243.1510125
Dongqiang Gu, Haoran Gu, C. Lei, Li Wei
Orthopaedics is a subject with a wide variety of diseases and strong specialties, among which the sports medicine subspecialty is a rapidly developing specialty. In particular, the sports medicine department has been subdivided in the orthopedics department of the national super first-class comprehensive hospital, and on the basis of the sports medicine specialty, professional groups have been subdivided by location, and teaching tasks from various sources and at different levels have been undertaken. In the field of shoulder arthroscopy, the application of the Trimano universal mechanical arm provides a simple and feasible scheme for the minimally invasive treatment of shoulder joint diseases. At the same time, standardized coordination can be provided for the treatment posture of shoulder arthroscopy with individual differences, providing a high standard model for the teaching of sports medicine specialty
{"title":"Application of Trimano Universal Manipulator in Clinical and Teaching of Shoulder Arthroscopy","authors":"Dongqiang Gu, Haoran Gu, C. Lei, Li Wei","doi":"10.23937/2572-3243.1510125","DOIUrl":"https://doi.org/10.23937/2572-3243.1510125","url":null,"abstract":"Orthopaedics is a subject with a wide variety of diseases and strong specialties, among which the sports medicine subspecialty is a rapidly developing specialty. In particular, the sports medicine department has been subdivided in the orthopedics department of the national super first-class comprehensive hospital, and on the basis of the sports medicine specialty, professional groups have been subdivided by location, and teaching tasks from various sources and at different levels have been undertaken. In the field of shoulder arthroscopy, the application of the Trimano universal mechanical arm provides a simple and feasible scheme for the minimally invasive treatment of shoulder joint diseases. At the same time, standardized coordination can be provided for the treatment posture of shoulder arthroscopy with individual differences, providing a high standard model for the teaching of sports medicine specialty","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90511991","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}
Pub Date : 2023-06-30DOI: 10.23937/2572-3243.1510120
de Oliveira Melo Mônica, Gontijo Kaanda Nabilla Souza, Candotti Claudia Tarragô, dos Santos Gabriela Cristina, dos Santos Cardoso Stephanie, Soares Bruna, Navarro Isis Juliene Rodrigues Leite, Loss Jefferson Fagundes
{"title":"An Intervention Program Based on Motor Coordination Principles Improves Knee Alignment in Pre-Professional Ballet Dancers","authors":"de Oliveira Melo Mônica, Gontijo Kaanda Nabilla Souza, Candotti Claudia Tarragô, dos Santos Gabriela Cristina, dos Santos Cardoso Stephanie, Soares Bruna, Navarro Isis Juliene Rodrigues Leite, Loss Jefferson Fagundes","doi":"10.23937/2572-3243.1510120","DOIUrl":"https://doi.org/10.23937/2572-3243.1510120","url":null,"abstract":"","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83494258","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}
Pub Date : 2023-06-30DOI: 10.23937/2572-3243.1510121
Shema-Shiratzky Shirley, Mor Amit, Elbaz Avi
Background: Chronic knee pain, primarily associated with knee osteoarthritis (OA), is a leading cause of disability among older adults and place an immense burden on patients and healthcare systems, exceeding $80 billion in direct medical costs annually. Current non-surgical solutions to treat chronic knee pain provide limited relief of symptoms. The present study aims to assess the long-term effect of a biomechanical, non-invasive intervention on total knee replacement (TKR) incidence and the utilization of healthcare resources over five years. Methods: This was a retrospective study among older adults with chronic knee pain, primarily due to OA, who received the biomechanical intervention between 2014 and 2017. An independent survey institute contacted patients between August and September 2022 to confirm their surgical status and utilization of other healthcare services, covering at least five years of follow-up. During the intervention, patients were provided with a FDA-cleared shoe-like device, which includes two convex pods attached to the sole. The pods are attached to the shoe in a customized manner based on the patient's gait and pain (i.e., calibrated). The device shifts the foot's center of pressure to reduce the knee joint load and alleviate pain. The device also creates controlled perturbation that challenges gait and posture stability and creates neuromuscular training. Patients were instructed to wear the device for up to 2-3 hours a day during their daily routine and invited to follow-up sessions for treatment modifications. Results: Four hundred and fourteen patients responded to the survey. Their mean (SD) age was 66.5 (4.2) years, 65% were women and 82% of patients were diagnosed with knee OA. At five years since inception, the TKR incidence rate was 18.4% with 95% CI (14.6%, 22.1%). Most responders (79%) reported using other healthcare resources and services to treat their knee pain before the intervention. Of them, 64% ceased receiving intra-articular injections to the knee, 44% discontinued using pain medication and 46% stopped receiving physiotherapy. Conclusion: This biomechanical, non-invasive intervention is a beneficial and sustainable intervention that reduces healthcare resource utilization, including avoidance of TKR and chronic knee pain. With the constant increase in the prevalence of chronic knee pain, offering this intervention to patients can help address the increasing burden on the healthcare system and society. Trial
{"title":"Non-Invasive Biomechanical Intervention Leads to Low Rates of Total Knee Replacement and Reduced Utilization of Healthcare Resources among Older Adults with Chronic Knee Pain: A 5-Year Follow-Up Study","authors":"Shema-Shiratzky Shirley, Mor Amit, Elbaz Avi","doi":"10.23937/2572-3243.1510121","DOIUrl":"https://doi.org/10.23937/2572-3243.1510121","url":null,"abstract":"Background: Chronic knee pain, primarily associated with knee osteoarthritis (OA), is a leading cause of disability among older adults and place an immense burden on patients and healthcare systems, exceeding $80 billion in direct medical costs annually. Current non-surgical solutions to treat chronic knee pain provide limited relief of symptoms. The present study aims to assess the long-term effect of a biomechanical, non-invasive intervention on total knee replacement (TKR) incidence and the utilization of healthcare resources over five years. Methods: This was a retrospective study among older adults with chronic knee pain, primarily due to OA, who received the biomechanical intervention between 2014 and 2017. An independent survey institute contacted patients between August and September 2022 to confirm their surgical status and utilization of other healthcare services, covering at least five years of follow-up. During the intervention, patients were provided with a FDA-cleared shoe-like device, which includes two convex pods attached to the sole. The pods are attached to the shoe in a customized manner based on the patient's gait and pain (i.e., calibrated). The device shifts the foot's center of pressure to reduce the knee joint load and alleviate pain. The device also creates controlled perturbation that challenges gait and posture stability and creates neuromuscular training. Patients were instructed to wear the device for up to 2-3 hours a day during their daily routine and invited to follow-up sessions for treatment modifications. Results: Four hundred and fourteen patients responded to the survey. Their mean (SD) age was 66.5 (4.2) years, 65% were women and 82% of patients were diagnosed with knee OA. At five years since inception, the TKR incidence rate was 18.4% with 95% CI (14.6%, 22.1%). Most responders (79%) reported using other healthcare resources and services to treat their knee pain before the intervention. Of them, 64% ceased receiving intra-articular injections to the knee, 44% discontinued using pain medication and 46% stopped receiving physiotherapy. Conclusion: This biomechanical, non-invasive intervention is a beneficial and sustainable intervention that reduces healthcare resource utilization, including avoidance of TKR and chronic knee pain. With the constant increase in the prevalence of chronic knee pain, offering this intervention to patients can help address the increasing burden on the healthcare system and society. Trial","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83920786","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}
Background: Musculoskeletal disorders (MSKD) create a significant burden on individuals and society. Physical activity is an effective way of self-managing MSKD. Global health policy routinely recommends the instigation of management approaches to support people with MSKD to engage in physical activity. However, there is considerable heterogeneity in outcome measurement and establishing whether interventions are effective or not. A way of addressing this is to develop a core outcome set (COS). This study aims to identify a COS for exercise and physical activity interventions for people with MSKD. Methods: Guidance from the COMET initiative was followed. The study had two phases. 1) A systematic search of effectiveness studies investigating interventions that aim to increase physical activity levels in people with MSKD was conducted. All outcome concepts evaluated were extracted from the included studies. 2) Patients with MSKD and expert stakeholders then participated in an online and workshop-based consensus process. In accordance with other COS development studies, 70% agreement was required for a concept to be included in the final COS. Results: Phase 1: 25 studies were identified from the systematic searches and 50 conceptually different outcomes were extracted. Phase 2: 14 group members were recruited to the consensus phase. Function, Patient satisfaction, Physical activity, Quality of Life, Pain, Cost-effectiveness, Self-efficacy, Knowledge to plan future exercise, Utilisation of health services were the concepts that reached the 70% threshold for inclusion in the final COS. Conclusions: This study provides a COS that could provide an outcome measurement strategy in interventions that aim to increase exercise and physical activity in people with MSKD.
{"title":"A Core Outcome Set for Exercise and Physical Activity Interventions for Musculoskeletal Disorders","authors":"Thompson Alexander, Mallett Ross, Potia Tanzila, Harrop Deb, Kirk Matthew, McLean Sionnadh","doi":"10.23937/2572-3243.1510119","DOIUrl":"https://doi.org/10.23937/2572-3243.1510119","url":null,"abstract":"Background: Musculoskeletal disorders (MSKD) create a significant burden on individuals and society. Physical activity is an effective way of self-managing MSKD. Global health policy routinely recommends the instigation of management approaches to support people with MSKD to engage in physical activity. However, there is considerable heterogeneity in outcome measurement and establishing whether interventions are effective or not. A way of addressing this is to develop a core outcome set (COS). This study aims to identify a COS for exercise and physical activity interventions for people with MSKD. Methods: Guidance from the COMET initiative was followed. The study had two phases. 1) A systematic search of effectiveness studies investigating interventions that aim to increase physical activity levels in people with MSKD was conducted. All outcome concepts evaluated were extracted from the included studies. 2) Patients with MSKD and expert stakeholders then participated in an online and workshop-based consensus process. In accordance with other COS development studies, 70% agreement was required for a concept to be included in the final COS. Results: Phase 1: 25 studies were identified from the systematic searches and 50 conceptually different outcomes were extracted. Phase 2: 14 group members were recruited to the consensus phase. Function, Patient satisfaction, Physical activity, Quality of Life, Pain, Cost-effectiveness, Self-efficacy, Knowledge to plan future exercise, Utilisation of health services were the concepts that reached the 70% threshold for inclusion in the final COS. Conclusions: This study provides a COS that could provide an outcome measurement strategy in interventions that aim to increase exercise and physical activity in people with MSKD.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79870762","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}
Pub Date : 2022-12-31DOI: 10.23937/2572-3243.1510116
Garnaik Deepak Kumar, Sree B Satya, Yhoshu Enono
we and the
我们和
{"title":"The Dhaga Syndrome: An Important Differential of Acquired Constriction Band around the Wrist in India","authors":"Garnaik Deepak Kumar, Sree B Satya, Yhoshu Enono","doi":"10.23937/2572-3243.1510116","DOIUrl":"https://doi.org/10.23937/2572-3243.1510116","url":null,"abstract":"we and the","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91530536","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}
Pub Date : 2022-12-31DOI: 10.23937/2572-3243.1510118
Amiri Niloufar Mohtasham, Forogh Bijan
Background: Lateral epicondylitis (LE) is a common cause of elbow pain. Besides conservative treatments, ozone therapy is getting attention due to its safety and effectiveness. This study aimed to assess the effectiveness of ozone therapy in lowering pain and tenderness and improving joint function. Methods: Patients clinically diagnosed with LE were included in our study. Baseline assessments including age, gender, involved elbow, tenderness, pain, and function scores were done. All the patients underwent up to ten sessions of ozone injection in the pain site. Each injection was between six to ten ml of 30 µg/ml ozone gas into the lateral epicondyle. After the treatment regimen, tenderness, pain, and function scores were assessed. Results: Of the 28 patients with LE, 16 and 12 were female and male, respectively. More than 80% had high physical activities with their involved elbow. Comparing the pain, tenderness, and function before and after the treatment, all parameters were statistically improved (P < 0.05). These results were consistent in both men and women subgroups. Conclusion: Ozone therapy is a safe and effective procedure in patients with LE to reduce pain and tenderness, in addition to improving performance. However, large clinical trials are warranted to compare ozone injection with routinely used treatments by clinicians.
{"title":"Investigating the Effect of Injectable Ozone in Treating Symptoms and Improving Performance in Patients with Tennis Elbow Disease","authors":"Amiri Niloufar Mohtasham, Forogh Bijan","doi":"10.23937/2572-3243.1510118","DOIUrl":"https://doi.org/10.23937/2572-3243.1510118","url":null,"abstract":"Background: Lateral epicondylitis (LE) is a common cause of elbow pain. Besides conservative treatments, ozone therapy is getting attention due to its safety and effectiveness. This study aimed to assess the effectiveness of ozone therapy in lowering pain and tenderness and improving joint function. Methods: Patients clinically diagnosed with LE were included in our study. Baseline assessments including age, gender, involved elbow, tenderness, pain, and function scores were done. All the patients underwent up to ten sessions of ozone injection in the pain site. Each injection was between six to ten ml of 30 µg/ml ozone gas into the lateral epicondyle. After the treatment regimen, tenderness, pain, and function scores were assessed. Results: Of the 28 patients with LE, 16 and 12 were female and male, respectively. More than 80% had high physical activities with their involved elbow. Comparing the pain, tenderness, and function before and after the treatment, all parameters were statistically improved (P < 0.05). These results were consistent in both men and women subgroups. Conclusion: Ozone therapy is a safe and effective procedure in patients with LE to reduce pain and tenderness, in addition to improving performance. However, large clinical trials are warranted to compare ozone injection with routinely used treatments by clinicians.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87130596","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}
Pub Date : 2022-12-31DOI: 10.23937/2572-3243.1510117
Danieli Marcus Vinicius, Guerreiro João Paulo Fernandes
Despite the evolution in implant design, surgical technique, rehabilitation and better medical training, a great number of patients are not satisfied with the final result of Total Knee Arthroplasty (TKA). The conventional TKA technique could result in a high number of outliers in limb alignment and are related to a high rate of residual symptoms. Robotically assisted (RA) surgery was introduced to improve these results. Recent studies showed this technique is associated to lower costs, better accuracy in implant placement and limb alignment, improvement in function and patient satisfaction. RA technique is also related to less blood loss, less bone resection and smaller aggression to soft tissues. Besides that, this brings better ergonomics to the surgeon with less caloric waste. In this way, by the benefits showed, the adhesion to the robotic surgery must be encouraged.
{"title":"Robotically Assisted Total Knee Arthroplasty - Literature Review","authors":"Danieli Marcus Vinicius, Guerreiro João Paulo Fernandes","doi":"10.23937/2572-3243.1510117","DOIUrl":"https://doi.org/10.23937/2572-3243.1510117","url":null,"abstract":"Despite the evolution in implant design, surgical technique, rehabilitation and better medical training, a great number of patients are not satisfied with the final result of Total Knee Arthroplasty (TKA). The conventional TKA technique could result in a high number of outliers in limb alignment and are related to a high rate of residual symptoms. Robotically assisted (RA) surgery was introduced to improve these results. Recent studies showed this technique is associated to lower costs, better accuracy in implant placement and limb alignment, improvement in function and patient satisfaction. RA technique is also related to less blood loss, less bone resection and smaller aggression to soft tissues. Besides that, this brings better ergonomics to the surgeon with less caloric waste. In this way, by the benefits showed, the adhesion to the robotic surgery must be encouraged.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"8 Suppl 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89916127","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}