Objective: To study the therapeutic effect of Bushen Jiegu Decoction on patients with limb fractures. Methods: 59 patients with limb fractures were selected for this study from May 2021 to December 2022. They were divided into two groups by the random number table method. The research group received conventional treatment + Bushen Jiegu Decoction, while the control group received conventional treatment. The therapeutic effect, rehabilitation indicators, inflammatory factors, and callus growth of the two groups were compared. Results: The therapeutic effect of the treatment received in the research group was higher than that of the control group (P < 0.05); the visual analogue scale (VAS), tenderness score, and swelling of the research group were lower than those of the control group (P < 0.05); the interleukin-8 (IL-8), interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), and other inflammatory indicators were lower than those of the control group (P < 0.05); the callus volume score and density score in the study group were higher than those of the control group (P < 0.05). Conclusion: Treating patients with limb fractures with Bushen Jiegu Decoction can reduce swelling, relieve pain, inhibit inflammation, and stimulate the growth of callus, which makes it a highly effective and feasible treatment method.
{"title":"Clinical Research on the Treatment of Extremity Fractures with Bushen Jiegu Decoction","authors":"D. Yu","doi":"10.26689/bas.v1i2.5117","DOIUrl":"https://doi.org/10.26689/bas.v1i2.5117","url":null,"abstract":"Objective: To study the therapeutic effect of Bushen Jiegu Decoction on patients with limb fractures. Methods: 59 patients with limb fractures were selected for this study from May 2021 to December 2022. They were divided into two groups by the random number table method. The research group received conventional treatment + Bushen Jiegu Decoction, while the control group received conventional treatment. The therapeutic effect, rehabilitation indicators, inflammatory factors, and callus growth of the two groups were compared. Results: The therapeutic effect of the treatment received in the research group was higher than that of the control group (P < 0.05); the visual analogue scale (VAS), tenderness score, and swelling of the research group were lower than those of the control group (P < 0.05); the interleukin-8 (IL-8), interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), and other inflammatory indicators were lower than those of the control group (P < 0.05); the callus volume score and density score in the study group were higher than those of the control group (P < 0.05). Conclusion: Treating patients with limb fractures with Bushen Jiegu Decoction can reduce swelling, relieve pain, inhibit inflammation, and stimulate the growth of callus, which makes it a highly effective and feasible treatment method.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133519675","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}
Additive manufacturing technologies are becoming increasingly popular in the field of medicine. Advances in laser-based techniques, which can also be used to print metals, have made it possible to produce fully customized, biocompatible implants, which are a major breakthrough in the treatment of bone defects. The University of Debrecen is involved in the production of such implants. On the basis of the available literature and preliminary experience, the individualization of implants, the implantability and material requirements, and the novelties offered by the technology are summarized in this paper.
{"title":"3D Printing of Titanium Implants at the University of Debrecen","authors":"Dóra Eszter Bodrog","doi":"10.26689/bas.v1i1.4980","DOIUrl":"https://doi.org/10.26689/bas.v1i1.4980","url":null,"abstract":"Additive manufacturing technologies are becoming increasingly popular in the field of medicine. Advances in laser-based techniques, which can also be used to print metals, have made it possible to produce fully customized, biocompatible implants, which are a major breakthrough in the treatment of bone defects. The University of Debrecen is involved in the production of such implants. On the basis of the available literature and preliminary experience, the individualization of implants, the implantability and material requirements, and the novelties offered by the technology are summarized in this paper.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115140827","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}
Alberto Hernández Fernández, C. Pinilla-Gracia, L. Rodríguez Nogué, L. Rodríguez Chacón, Carlos Bejarano Lasunción
Background: Hip fracture is uncommon among younger patients but can have devastating consequences. Therefore, hip fracture caused by minimal trauma requires examinations on calcium metabolism to identify the primary cause. Methods: We present a clinical case of an 18-year-old male patient who suffered a subcapital fracture of the left hip due to minimal trauma while playing soccer. The patient immediately underwent surgery, which is closed reduction and internal fixation with two cancellous screws installed. Subsequently, metabolic tests showed severe vitamin D deficiency (27.1 nmol/L - normal above 75 nmol/L) and high levels of IgA anti-transglutaminase antibodies (2502.40 U/mL). Digestive biopsy confirmed the diagnosis of celiac disease, and he was treated with a gluten-free diet and calcium and vitamin D supplements. Results: After two years of follow-up, the patient is pain-free, with full hip mobility. There were no complications (osteosynthesis failure, avascular necrosis or pseudarthrosis) and serum levels of vitamin D, and IgA anti-transglutaminase antibodies had normalized. Conclusion: In young patients presenting with low energy trauma fractures, vitamin D deficiency should be considered as a possible etiology, and the reason for such osteomalacia, such as celiac disease, should be identified.
{"title":"Hip Fracture Due to Osteomalacia Secondary to Celiac Disease","authors":"Alberto Hernández Fernández, C. Pinilla-Gracia, L. Rodríguez Nogué, L. Rodríguez Chacón, Carlos Bejarano Lasunción","doi":"10.26689/bas.v1i1.4981","DOIUrl":"https://doi.org/10.26689/bas.v1i1.4981","url":null,"abstract":"Background: Hip fracture is uncommon among younger patients but can have devastating consequences. Therefore, hip fracture caused by minimal trauma requires examinations on calcium metabolism to identify the primary cause. Methods: We present a clinical case of an 18-year-old male patient who suffered a subcapital fracture of the left hip due to minimal trauma while playing soccer. The patient immediately underwent surgery, which is closed reduction and internal fixation with two cancellous screws installed. Subsequently, metabolic tests showed severe vitamin D deficiency (27.1 nmol/L - normal above 75 nmol/L) and high levels of IgA anti-transglutaminase antibodies (2502.40 U/mL). Digestive biopsy confirmed the diagnosis of celiac disease, and he was treated with a gluten-free diet and calcium and vitamin D supplements. Results: After two years of follow-up, the patient is pain-free, with full hip mobility. There were no complications (osteosynthesis failure, avascular necrosis or pseudarthrosis) and serum levels of vitamin D, and IgA anti-transglutaminase antibodies had normalized. Conclusion: In young patients presenting with low energy trauma fractures, vitamin D deficiency should be considered as a possible etiology, and the reason for such osteomalacia, such as celiac disease, should be identified.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134010457","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}
B. Ten, Meltem Nass Duce, Hasan Hüsnü Yüksek, G. Temel, Y. Balcı, K. Esen
Objective: To determine the most common pathologies of lower back pain and the proportion of Bertolotti syndrome (BS) among these pathologies and to reveal possible gender-age differences, and to group the lumbosacral transitional vertebrae (LSTV) according to Castellvi classification and find their prevalence rates. Method: The images and reports of 357 patients who underwent magnetic resonance imaging (MRI) of the sacroiliac joint between March 2020 and October 2021, mostly due to low back pain, were evaluated by a radiologist specialized in musculoskeletal radiology. Results: The mean ages of patients with and without BS were 43.9 years old and 44 years old, respectively, and there was no correlation between BS and patient age (P = 0.976). The age range of patients with BS was 15–77 years old. Twenty per cent of the patients with BS were younger than 30 years old and 50% were younger than 40 years old. No gender difference was observed among patients with BS (P = 0.572). The prevalence rates if LSTVs according to Castellvi classification, were 10% in Type 1a, 11.4% in Type 1b, 35.7% in Type 2a, 17.1% in Type 2b, 4.3% in Type 3a, 12.9% in Type 3b and 8.6% in Type 4. The main pathologies causing lower lumbar pain were active-chronic sacroiliitis, vertebral and disc degenerations, and facet joint arthrosis, while BS comes after, with 2.8%. In BS, the pain originated from the lumbosacral transitional vertebrae. Conclusion: According to our results, BS starts to be seen below the age of 30 years, but there is no significant relationship with age or gender. BS is one of the most common causes of lower lumbar pain after sacroiliitis, vertebral degeneration, and discopathy. There are different hypotheses in the literature about the etiology of BS and there is no common opinion. Therefore, there is a need for multicenter studies with large sample sizes.
{"title":"Symptomatic Lumbosacral Transitional Vertebrae (Bertolotti Syndrome) as a Cause of Low Back Pain: Classification and Imaging Findings","authors":"B. Ten, Meltem Nass Duce, Hasan Hüsnü Yüksek, G. Temel, Y. Balcı, K. Esen","doi":"10.26689/bas.v1i1.4979","DOIUrl":"https://doi.org/10.26689/bas.v1i1.4979","url":null,"abstract":"Objective: To determine the most common pathologies of lower back pain and the proportion of Bertolotti syndrome (BS) among these pathologies and to reveal possible gender-age differences, and to group the lumbosacral transitional vertebrae (LSTV) according to Castellvi classification and find their prevalence rates. Method: The images and reports of 357 patients who underwent magnetic resonance imaging (MRI) of the sacroiliac joint between March 2020 and October 2021, mostly due to low back pain, were evaluated by a radiologist specialized in musculoskeletal radiology. Results: The mean ages of patients with and without BS were 43.9 years old and 44 years old, respectively, and there was no correlation between BS and patient age (P = 0.976). The age range of patients with BS was 15–77 years old. Twenty per cent of the patients with BS were younger than 30 years old and 50% were younger than 40 years old. No gender difference was observed among patients with BS (P = 0.572). The prevalence rates if LSTVs according to Castellvi classification, were 10% in Type 1a, 11.4% in Type 1b, 35.7% in Type 2a, 17.1% in Type 2b, 4.3% in Type 3a, 12.9% in Type 3b and 8.6% in Type 4. The main pathologies causing lower lumbar pain were active-chronic sacroiliitis, vertebral and disc degenerations, and facet joint arthrosis, while BS comes after, with 2.8%. In BS, the pain originated from the lumbosacral transitional vertebrae. Conclusion: According to our results, BS starts to be seen below the age of 30 years, but there is no significant relationship with age or gender. BS is one of the most common causes of lower lumbar pain after sacroiliitis, vertebral degeneration, and discopathy. There are different hypotheses in the literature about the etiology of BS and there is no common opinion. Therefore, there is a need for multicenter studies with large sample sizes.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128380698","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}
Marco Latorre, Nicolas Martín Molho, María Liliana Soruco, Diaz Dilernia Fernando, Guido Sebastián Carabelli, Martín Alejandro Buttaro
Nowadays, fractures of the acetabulum associated with low energy trauma are common in older adults. The indication for surgical or conservative treatment depends on multiple factors, such as patient age and comorbidities, type and location of the fracture, and socioeconomic environment. Regardless of the treatment chosen, none is free of complications. A patient with a conservatively treated acetabular fracture that resulted in septic arthritis of the quadrilateral joint is described below.
{"title":"Septic Arthritis of the Hip Following Closed Acetabulum Fracture Treated Conservatively: A Case Report","authors":"Marco Latorre, Nicolas Martín Molho, María Liliana Soruco, Diaz Dilernia Fernando, Guido Sebastián Carabelli, Martín Alejandro Buttaro","doi":"10.26689/bas.v1i1.4977","DOIUrl":"https://doi.org/10.26689/bas.v1i1.4977","url":null,"abstract":"Nowadays, fractures of the acetabulum associated with low energy trauma are common in older adults. The indication for surgical or conservative treatment depends on multiple factors, such as patient age and comorbidities, type and location of the fracture, and socioeconomic environment. Regardless of the treatment chosen, none is free of complications. A patient with a conservatively treated acetabular fracture that resulted in septic arthritis of the quadrilateral joint is described below.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116410544","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}
Objective: To analyze the effect of rehabilitation nursing on the compliance of rehabilitation exercise and functional recovery in patients with hip fracture. Methods: 80 patients with hip fracture were selected from our hospital (Xiamen Rehabilitation Hospital) from October 2021 to March 2023 as research subjects. After being randomly divided into groups, the control group was given routine nursing, and the observation group was given rehabilitation nursing. The positive effects of different nursing programs on patients’ compliance towards rehabilitation exercise, functional recovery, and quality of life were analyzed. Results: The rehabilitation compliance of the observation group was higher than that of the control group (P < 0.05); the hip function recovery scores of the two groups were similar before nursing (P > 0.05), and the scores of the observation group after nursing were significantly higher than those of the control group (P < 0.05); The quality-of-life scores in the observation group were higher than those in the control group (P < 0.05). Conclusion: Rehabilitation nursing can effectively improve the hip fracture patients’ compliance towards rehabilitation exercises, which can further improve the patient’s functional recovery, improve their quality of life, and the nursing effect is more ideal.
{"title":"Study of the Effect of Rehabilitation Nursing on the Compliance of Patients with Hip Fracture Towards Rehabilitation Exercise and Functional Recovery","authors":"Xiong Xu","doi":"10.26689/bas.v1i1.5026","DOIUrl":"https://doi.org/10.26689/bas.v1i1.5026","url":null,"abstract":"Objective: To analyze the effect of rehabilitation nursing on the compliance of rehabilitation exercise and functional recovery in patients with hip fracture. Methods: 80 patients with hip fracture were selected from our hospital (Xiamen Rehabilitation Hospital) from October 2021 to March 2023 as research subjects. After being randomly divided into groups, the control group was given routine nursing, and the observation group was given rehabilitation nursing. The positive effects of different nursing programs on patients’ compliance towards rehabilitation exercise, functional recovery, and quality of life were analyzed. Results: The rehabilitation compliance of the observation group was higher than that of the control group (P < 0.05); the hip function recovery scores of the two groups were similar before nursing (P > 0.05), and the scores of the observation group after nursing were significantly higher than those of the control group (P < 0.05); The quality-of-life scores in the observation group were higher than those in the control group (P < 0.05). Conclusion: Rehabilitation nursing can effectively improve the hip fracture patients’ compliance towards rehabilitation exercises, which can further improve the patient’s functional recovery, improve their quality of life, and the nursing effect is more ideal.","PeriodicalId":223723,"journal":{"name":"Bone and Arthrosurgery Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130799890","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}
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