Pub Date : 2020-10-01DOI: 10.4103/2542-4157.305396
G. Dharmshaktu
Poncet′s disease or tubercular rheumatism is uncommon, and there are not many related studies. No consensus has been achieved with respect to its etiopathogenesis. The low prevalence of this Poncet′s disease even in endemic regions suggests hidden mechanisms that require further research to fully comprehend this enigmatic disorder. Careful identification of primary focus of tubercular infection, clinical suspicion and knowledge of this disorder is crucial for prompt identification and treatment. This article aims to provide an overview of the recently published articles about Poncet′s disease. The article attempts to highlight key features of the disease for better understanding of this peculiar disorder.
{"title":"Poncet′s disease (tubercular rheumatism): a narrative review","authors":"G. Dharmshaktu","doi":"10.4103/2542-4157.305396","DOIUrl":"https://doi.org/10.4103/2542-4157.305396","url":null,"abstract":"Poncet′s disease or tubercular rheumatism is uncommon, and there are not many related studies. No consensus has been achieved with respect to its etiopathogenesis. The low prevalence of this Poncet′s disease even in endemic regions suggests hidden mechanisms that require further research to fully comprehend this enigmatic disorder. Careful identification of primary focus of tubercular infection, clinical suspicion and knowledge of this disorder is crucial for prompt identification and treatment. This article aims to provide an overview of the recently published articles about Poncet′s disease. The article attempts to highlight key features of the disease for better understanding of this peculiar disorder.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"96 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125984786","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 : 2020-07-01DOI: 10.4103/2542-4157.298830
Ming Lu, Chun-hong Wang, Min Li, T. Luo, Yong-Sui Lin, Weili Zhou, Bao Sha, Ming-xin Wang, Deqiang Meng, Zhenpu Gao, Guangling Yang, Xing-Cheng Zhao, Qiu Chen
Background and objective: Transforaminal endoscopy has certain advantages over traditional surgeries (e.g., intervertebral disc fusion) in the treatment of lumbar disc herniation, as it is associated with minimal trauma, clear surgical vision, and lower degree of bleeding. However, the therapeutic effects of transforaminal endoscopy on lumbar disc herniation in human immunodeficiency virus (HIV)-infected patients are poorly understood. The purposes of this study are to indicate the efficacy of transforaminal endoscopy in the treatment of lumber disc herniation in HIV-infected patients and compare the efficacy between transforaminal endoscopy and conventional lumbar disc fusion based on 2-year follow-up and prognosis turnover. Subjects and Methods: This is a prospective, single-center, non-randomized, controlled, 2-year follow-up clinical study. Sixty HIV-infected patients with lumbar disc herniation who will receive treatment in the Shanghai Public Health Clinical Center will be included in this study. These patients will be divided into two groups according to the surgical treatment. Patients in the experimental group (n = 30) will undergo nucleus pulposus enucleation under an intervertebral foramen endoscope, while patients in the control group (n = 30) will undergo intervertebral disc fusion. All patients will be followed up postoperatively at 6, 12, and 24 months. This study was approved by the Institutional Ethics Committee of Shanghai Public Health Clinical Center of China (approval No. [2020]2020-S122-02) on July 28, 2020. All participants will be informed about the study protocol and will be asked to provide written informed consent. This study was designed on November 30, 2018. Patient recruitment will be performed in the period between October 30, 2020 and April 30, 2021. The study outcomes will be analyzed between May 1, 2023 and May 30, 2023. The study will be terminated on June 30, 2023. The primary outcome measure of this study is the change in the symptom improvement rate evaluated by the Japanese Orthopedic Association score at 24 months after the surgery. The secondary outcome measures include the changes in the symptom improvement rate evaluated by the Japanese Orthopedic Association score at 6 and 12 months after the surgery; pain improvement rate evaluated by the Visual Analogue Scale, and improvement in the quality of life evaluated by 36-Item Short Form Health Survey (SF-36) at 6, 12, and 24 months, as well as the recurrence rate of lumbar disc herniation and the incidence of postoperative adverse reactions at 6, 12, and 24 months after the surgery. Results: In our preliminary study ongoing between January 2016 and January 2018, 86 patients were included and divided into two groups, i.e., the experimental group (n = 48; nucleus pulposus enucleation under intervertebral foramen endoscope) and the control group (n = 38; intervertebral disc fusion). Six-month follow-up results revealed that the mortality of the experimental and
背景与目的:经椎间孔内窥镜在治疗腰椎间盘突出症方面比传统手术(如椎间盘融合术)有一定的优势，因为它创伤小，手术视力清晰，出血程度低。然而，经椎间孔内窥镜治疗人类免疫缺陷病毒(HIV)感染患者腰椎间盘突出症的疗效尚不清楚。本研究旨在探讨经椎间孔内窥镜治疗hiv感染患者腰椎间盘突出症的疗效，并基于2年随访和预后转换比较经椎间孔内窥镜与传统腰椎间盘融合的疗效。研究对象和方法:这是一项前瞻性、单中心、非随机、对照、2年随访的临床研究。本研究将纳入60例在上海市公共卫生临床中心接受治疗的hiv感染腰椎间盘突出症患者。这些患者将根据手术治疗分为两组。实验组(30例)在椎间孔内窥镜下行髓核去核术，对照组(30例)行椎间盘融合术。所有患者将于术后6、12和24个月随访。本研究经中国上海市公共卫生临床中心伦理委员会批准(批准号:[2020]2020- s122 -02)，于2020年7月28日发布。所有参与者都将被告知研究方案，并被要求提供书面知情同意书。本研究设计于2018年11月30日。患者招募将于2020年10月30日至2021年4月30日期间进行。研究结果将在2023年5月1日至2023年5月30日之间进行分析。该研究将于2023年6月30日终止。本研究的主要结局指标是术后24个月日本骨科协会评分评估的症状改善率的变化。次要结局指标包括术后6个月和12个月日本骨科协会评分评估的症状改善率的变化;采用视觉模拟量表评估疼痛改善率，采用36-Item Short - Form Health Survey (SF-36)评估6、12、24个月的生活质量改善情况，以及术后6、12、24个月腰椎间盘突出症复发率和术后不良反应发生率。结果:在我们2016年1月至2018年1月进行的初步研究中，86例患者被纳入并分为两组，即实验组(n = 48;椎间孔内窥镜下髓核去核组和对照组(n = 38;椎间盘融合)。6个月随访结果显示，实验组和对照组术中及术后6个月死亡率均为0，无椎间孔内窥镜手术及术后不良反应所致死亡。6个月随访结果显示，实验组与对照组的日本骨科协会评分改善率及复发率相当，且未发生不良反应。但实验组的视觉模拟量表改进率高于对照组(P < 0.05)。结论:本研究结果可用于说明创伤小的经椎间孔内窥镜治疗hiv感染患者腰椎间盘突出症是否比椎间盘融合术具有更好的中长期手术效果、预后和转换率。本研究的创新之处在于研究对象为腰椎间盘突出的hiv感染患者。试验注册:本研究于2020年8月28日在中国临床试验注册中心注册(注册号:ChiCTR2000037464)。研究方案:1.0。
{"title":"Efficacy and prognosis of transforaminal endoscopy in the treatment of lumbar disc herniation in patients infected with human immunodeficiency virus: a nonrandomized, controlled, 2-year follow-up clinical study","authors":"Ming Lu, Chun-hong Wang, Min Li, T. Luo, Yong-Sui Lin, Weili Zhou, Bao Sha, Ming-xin Wang, Deqiang Meng, Zhenpu Gao, Guangling Yang, Xing-Cheng Zhao, Qiu Chen","doi":"10.4103/2542-4157.298830","DOIUrl":"https://doi.org/10.4103/2542-4157.298830","url":null,"abstract":"Background and objective: Transforaminal endoscopy has certain advantages over traditional surgeries (e.g., intervertebral disc fusion) in the treatment of lumbar disc herniation, as it is associated with minimal trauma, clear surgical vision, and lower degree of bleeding. However, the therapeutic effects of transforaminal endoscopy on lumbar disc herniation in human immunodeficiency virus (HIV)-infected patients are poorly understood. The purposes of this study are to indicate the efficacy of transforaminal endoscopy in the treatment of lumber disc herniation in HIV-infected patients and compare the efficacy between transforaminal endoscopy and conventional lumbar disc fusion based on 2-year follow-up and prognosis turnover. Subjects and Methods: This is a prospective, single-center, non-randomized, controlled, 2-year follow-up clinical study. Sixty HIV-infected patients with lumbar disc herniation who will receive treatment in the Shanghai Public Health Clinical Center will be included in this study. These patients will be divided into two groups according to the surgical treatment. Patients in the experimental group (n = 30) will undergo nucleus pulposus enucleation under an intervertebral foramen endoscope, while patients in the control group (n = 30) will undergo intervertebral disc fusion. All patients will be followed up postoperatively at 6, 12, and 24 months. This study was approved by the Institutional Ethics Committee of Shanghai Public Health Clinical Center of China (approval No. [2020]2020-S122-02) on July 28, 2020. All participants will be informed about the study protocol and will be asked to provide written informed consent. This study was designed on November 30, 2018. Patient recruitment will be performed in the period between October 30, 2020 and April 30, 2021. The study outcomes will be analyzed between May 1, 2023 and May 30, 2023. The study will be terminated on June 30, 2023. The primary outcome measure of this study is the change in the symptom improvement rate evaluated by the Japanese Orthopedic Association score at 24 months after the surgery. The secondary outcome measures include the changes in the symptom improvement rate evaluated by the Japanese Orthopedic Association score at 6 and 12 months after the surgery; pain improvement rate evaluated by the Visual Analogue Scale, and improvement in the quality of life evaluated by 36-Item Short Form Health Survey (SF-36) at 6, 12, and 24 months, as well as the recurrence rate of lumbar disc herniation and the incidence of postoperative adverse reactions at 6, 12, and 24 months after the surgery. Results: In our preliminary study ongoing between January 2016 and January 2018, 86 patients were included and divided into two groups, i.e., the experimental group (n = 48; nucleus pulposus enucleation under intervertebral foramen endoscope) and the control group (n = 38; intervertebral disc fusion). Six-month follow-up results revealed that the mortality of the experimental and","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133075094","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 : 2020-04-01DOI: 10.4103/2542-4157.289237
Kaining Liu, Zhen Huang, Zhi-bin Chen, B. Han, X. Ouyang
Background and objective: Guided tissue regeneration (GTR) has been widely used for periodontal regeneration after intrabony defects, and Bio-Oss® can be used together with GTR for the stability of the space under the GTR membrane. Platelet-rich fibrin (PRF), as a kind of platelet concentrate with rich autologous biologic agent, has been also used to treat periodontal intrabony defects for periodontal regeneration. However, whether PRF can enhance the regenerative effect of GTR and Bio-Oss® is not reported. Subjects and methods: This is a randomized self-controlled trial. Fourteen patients with periodontal intrabony defects who will receive treatment in the Department of Periodontology, Peking University School and Hospital of Stomatology, China will be included in this study. The left or right intrabony defects of each patient will be randomly randomized to a test group and a control group. In the test group, GTR, Bio-Oss® and PRF will be used for the treatment of periodontal intrabony defects. In the control group, GTR and Bio-Oss® will be used for the treatment of periodontal intrabony defects. PRF used in the trial will be liquid PRF, which can form Bio-Oss®-PRF mixture with Bio-Oss®, making the use of PRF easier in periodontal surgery. This study was approved by the Ethics Committee of Peking University School and Hospital of Stomatology (PKUSSIRB-201629066) on November 4, 2016. Outcome measures: The primary outcome is clinical attachment level, which will be measured at baseline, as well as 6, 12 and 24 months after surgery. The secondary outcomes include (1) depth of intrabony defect, (2) vertical bone loss, (3) probing depth, (4) bleeding index and (5) time of bone graft filling in the surgery. Radiographic evaluation will be accomplished at baseline and at 12 and 24 months after surgery. Probing depth and bleeding index assessments will be performed at baseline, and at 6, 12 and 24 months after surgery. Discussion: If the regenerative effects of GTR, Bio-Oss®, and PRF in combination are superior to those of GTR combined with Bio-Oss®, then the trial results will provide clinical evidence for the treatment of periodontal intrabony defects. Trial registration: Chinese Clinical Trial Registry, ID: ChiCTR1900027581. Registered on November 19, 2019.
{"title":"Treating periodontal intrabony defects using guided tissue regeneration and Bio-Oss® with platelet-rich fibrin: study protocol for a self-controlled trial","authors":"Kaining Liu, Zhen Huang, Zhi-bin Chen, B. Han, X. Ouyang","doi":"10.4103/2542-4157.289237","DOIUrl":"https://doi.org/10.4103/2542-4157.289237","url":null,"abstract":"Background and objective: Guided tissue regeneration (GTR) has been widely used for periodontal regeneration after intrabony defects, and Bio-Oss® can be used together with GTR for the stability of the space under the GTR membrane. Platelet-rich fibrin (PRF), as a kind of platelet concentrate with rich autologous biologic agent, has been also used to treat periodontal intrabony defects for periodontal regeneration. However, whether PRF can enhance the regenerative effect of GTR and Bio-Oss® is not reported. Subjects and methods: This is a randomized self-controlled trial. Fourteen patients with periodontal intrabony defects who will receive treatment in the Department of Periodontology, Peking University School and Hospital of Stomatology, China will be included in this study. The left or right intrabony defects of each patient will be randomly randomized to a test group and a control group. In the test group, GTR, Bio-Oss® and PRF will be used for the treatment of periodontal intrabony defects. In the control group, GTR and Bio-Oss® will be used for the treatment of periodontal intrabony defects. PRF used in the trial will be liquid PRF, which can form Bio-Oss®-PRF mixture with Bio-Oss®, making the use of PRF easier in periodontal surgery. This study was approved by the Ethics Committee of Peking University School and Hospital of Stomatology (PKUSSIRB-201629066) on November 4, 2016. Outcome measures: The primary outcome is clinical attachment level, which will be measured at baseline, as well as 6, 12 and 24 months after surgery. The secondary outcomes include (1) depth of intrabony defect, (2) vertical bone loss, (3) probing depth, (4) bleeding index and (5) time of bone graft filling in the surgery. Radiographic evaluation will be accomplished at baseline and at 12 and 24 months after surgery. Probing depth and bleeding index assessments will be performed at baseline, and at 6, 12 and 24 months after surgery. Discussion: If the regenerative effects of GTR, Bio-Oss®, and PRF in combination are superior to those of GTR combined with Bio-Oss®, then the trial results will provide clinical evidence for the treatment of periodontal intrabony defects. Trial registration: Chinese Clinical Trial Registry, ID: ChiCTR1900027581. Registered on November 19, 2019.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131824540","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 : 2020-01-01DOI: 10.4103/2542-4157.281593
Objective: To perform bibliometric analysis of studies on the developing trend of three-dimensional (3D) printing in spinal surgery using the Science Citation Index Expanded via the Web of Science. Methods: The key words were “3D printing, spine.” Web of Science data were retrieved for relevant studies published from 2010 to 2020. A total of 4181 studies were collected for visual analysis. Results and conclusion: From 2010 to 2020, 4181 studies concerning the application of 3D printing in spinal surgery were listed in the Web of Science database. The United States had the largest number of publications (1249 studies), accounting for 29.8% of the total. The institutions with many publications included University of California, University of Montreal, Harvard University, and Johns Hopkins University. The journals publishing the included studies were mainly devoted to spinal surgery. European Spine Journal had the largest number of articles (202), accounting for 4.8% of the total. In the past 10 years, the number of studies regarding the application of 3D printing to spinal surgery worldwide has risen at a slow rate. The studies on the application of 3D printing to spinal surgery have received generous funding, with the United States Department of Health and Human Services as the major source of funding.
目的:利用Web of Science扩展的科学引文索引对脊柱外科三维打印的发展趋势进行文献计量分析。方法:以“3D打印，脊柱”为关键词。Web of Science检索了2010年至2020年发表的相关研究数据。共收集了4181项研究进行目视分析。结果与结论:2010年至2020年，Web of Science数据库共收录了4181篇关于3D打印在脊柱外科中的应用的研究。美国发表论文最多(1249篇)，占29.8%。发表论文较多的机构包括加州大学、蒙特利尔大学、哈佛大学和约翰霍普金斯大学。发表纳入研究的期刊主要涉及脊柱外科。欧洲脊椎期刊(European Spine Journal)发表的文章最多，为202篇，占4.8%。在过去的10年里，世界范围内关于3D打印在脊柱手术中的应用的研究数量缓慢上升。关于将3D打印应用于脊柱手术的研究得到了慷慨的资助，美国卫生与公众服务部是主要的资金来源。
{"title":"Bibliometric analysis of three-dimensional printing in spinal surgery","authors":"","doi":"10.4103/2542-4157.281593","DOIUrl":"https://doi.org/10.4103/2542-4157.281593","url":null,"abstract":"Objective: To perform bibliometric analysis of studies on the developing trend of three-dimensional (3D) printing in spinal surgery using the Science Citation Index Expanded via the Web of Science. Methods: The key words were “3D printing, spine.” Web of Science data were retrieved for relevant studies published from 2010 to 2020. A total of 4181 studies were collected for visual analysis. Results and conclusion: From 2010 to 2020, 4181 studies concerning the application of 3D printing in spinal surgery were listed in the Web of Science database. The United States had the largest number of publications (1249 studies), accounting for 29.8% of the total. The institutions with many publications included University of California, University of Montreal, Harvard University, and Johns Hopkins University. The journals publishing the included studies were mainly devoted to spinal surgery. European Spine Journal had the largest number of articles (202), accounting for 4.8% of the total. In the past 10 years, the number of studies regarding the application of 3D printing to spinal surgery worldwide has risen at a slow rate. The studies on the application of 3D printing to spinal surgery have received generous funding, with the United States Department of Health and Human Services as the major source of funding.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133865723","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 : 2019-10-01DOI: 10.4103/2542-4157.272835
M. Mruthyunjaya, Supreeth Nekkanti, Punith Nanjesh
Background and objective: Spontaneous atraumatic bilateral Achilles tendon tears are very rare. The most common risk factors for sudden bilateral Achilles tendon tears have been attributed to prolonged corticosteroid use. This study aimed to present the efficiency of surgical reconstruction of bilateral flexor hallucis longus graft on spontaneous atraumatic bilateral Achilles tendon tear. Subject and methods: This study reported a 25-year-old male who suffered from spontaneous atraumatic bilateral Achilles tendon tear. The patient was surgically managed by surgical reconstruction of bilateral flexor hallucis longus graft and immobilised with above knee cast in plantarflexion for six weeks. The patient was then subjected to physiotherapy at 6 weeks after surgery. This study was approved by the Institutional Review Board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: Flexor strength at the time of removal of the cast was 3/5. After graded physiotherapy targeted at calf strengthening, flexor strength improved to 4/5. At the end of one-year follow-up, foot function recovered well. The Leppilahti score was recorded to be 78 for the right calf and 76 for the left calf at the last follow-up. Conclusion: Idiopathic spontaneous bilateral Achilles tendon tear was successfully managed by surgical reconstruction of flexor hallucis longus graft.
背景与目的:自发性非外伤性双侧跟腱撕裂非常罕见。双侧跟腱突然撕裂最常见的危险因素是长期使用皮质类固醇。本研究旨在探讨双侧拇长屈肌移植重建自发性非外伤性双侧跟腱撕裂的效果。研究对象和方法:本研究报告了一例25岁男性跟腱自发性非外伤性撕裂。患者通过手术重建双侧拇长屈肌移植物，并将膝上固定于跖屈6周。术后6周患者接受物理治疗。这项研究得到了印度Jagadguru Sri Shivarathreeshwara医院机构审查委员会的批准。结果:取下石膏时屈肌强度为3/5。在针对小腿加强的分级物理治疗后，屈肌力量提高到4/5。随访1年后，足部功能恢复良好。最后一次随访时，右小腿Leppilahti评分为78分，左小腿为76分。结论:采用拇长屈肌移植物重建术可成功治疗特发性自发性双侧跟腱撕裂。
{"title":"Spontaneous atraumatic bilateral Achilles tendon tear: surgical reconstruction of flexor hallucis longus graft","authors":"M. Mruthyunjaya, Supreeth Nekkanti, Punith Nanjesh","doi":"10.4103/2542-4157.272835","DOIUrl":"https://doi.org/10.4103/2542-4157.272835","url":null,"abstract":"Background and objective: Spontaneous atraumatic bilateral Achilles tendon tears are very rare. The most common risk factors for sudden bilateral Achilles tendon tears have been attributed to prolonged corticosteroid use. This study aimed to present the efficiency of surgical reconstruction of bilateral flexor hallucis longus graft on spontaneous atraumatic bilateral Achilles tendon tear. Subject and methods: This study reported a 25-year-old male who suffered from spontaneous atraumatic bilateral Achilles tendon tear. The patient was surgically managed by surgical reconstruction of bilateral flexor hallucis longus graft and immobilised with above knee cast in plantarflexion for six weeks. The patient was then subjected to physiotherapy at 6 weeks after surgery. This study was approved by the Institutional Review Board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: Flexor strength at the time of removal of the cast was 3/5. After graded physiotherapy targeted at calf strengthening, flexor strength improved to 4/5. At the end of one-year follow-up, foot function recovered well. The Leppilahti score was recorded to be 78 for the right calf and 76 for the left calf at the last follow-up. Conclusion: Idiopathic spontaneous bilateral Achilles tendon tear was successfully managed by surgical reconstruction of flexor hallucis longus graft.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123782142","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 : 2019-10-01DOI: 10.4103/2542-4157.272834
Supreeth Nekkanti, A. Siddartha, P. Tushar
Background and objective: Isolated subtalar dislocations are rare injuries. Current studies have reported that it requires 5 or 6 weeks immobilization after the injury. The purpose of this study was to understand the effect of 4-week immobilization on the recovery of foot function after isolated medial subtalar dislocation. Subject and methods: We reported a rare case of an isolated medial subtalar dislocation in a male who was immobilized for only 4 weeks after closed reduction under anesthesia. The patient underwent early mobilization of the feet and ankles. This report has been submitted after due approval from the Institutional Review Board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: The patient was successfully managed by closed reduction under anesthesia. The foot function of the patient recovered well at 6 months of follow-up. The results of 1-year follow-up showed that the foot function was basically normal. Conclusion: Early closed reduction and early mobilization of the foot and ankle ensured the good functional outcome.
背景与目的:孤立性距下脱位是一种罕见的损伤。目前的研究报道，受伤后需要5或6周的固定。本研究的目的是了解4周固定对孤立性距下内侧脱位后足功能恢复的影响。对象和方法:我们报告了一例罕见的孤立性距下内侧脱位的男性患者，他在麻醉下闭合复位后仅固定了4周。患者进行了足部和脚踝的早期活动。本报告是在印度Jagadguru Sri Shivarathreeshwara医院机构审查委员会批准后提交的。结果:患者在麻醉下行闭合复位手术，手术成功。随访6个月，患者足部功能恢复良好。随访1年，足部功能基本正常。结论:早期闭合复位和早期活动足、踝关节可保证良好的功能预后。
{"title":"Isolated medial subtalar dislocation: the importance of early mobilization","authors":"Supreeth Nekkanti, A. Siddartha, P. Tushar","doi":"10.4103/2542-4157.272834","DOIUrl":"https://doi.org/10.4103/2542-4157.272834","url":null,"abstract":"Background and objective: Isolated subtalar dislocations are rare injuries. Current studies have reported that it requires 5 or 6 weeks immobilization after the injury. The purpose of this study was to understand the effect of 4-week immobilization on the recovery of foot function after isolated medial subtalar dislocation. Subject and methods: We reported a rare case of an isolated medial subtalar dislocation in a male who was immobilized for only 4 weeks after closed reduction under anesthesia. The patient underwent early mobilization of the feet and ankles. This report has been submitted after due approval from the Institutional Review Board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: The patient was successfully managed by closed reduction under anesthesia. The foot function of the patient recovered well at 6 months of follow-up. The results of 1-year follow-up showed that the foot function was basically normal. Conclusion: Early closed reduction and early mobilization of the foot and ankle ensured the good functional outcome.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116184464","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 : 2019-07-01DOI: 10.4103/2542-4157.265974
Navjyoti Gupta, S. Chatterjee
Background and objective: Glenohumeral subluxation is a common complication that is a palpable gap between the acromion and humeral head and causes mechanical integrity change in the joint. Electromyography is a method used to assess and capture skeletal muscle electrical activity and assess the strength of muscle that controls motor neurons. The objective of this study is to investigate whether different inclination angles influence middle deltoid muscle activity in patients with glenohumeral subluxation. Subjects and methods: It is a cross-sectional study in which 30 stroke patients with shoulder subluxation were included. Recruitment started from September, 2018. The study was completed in July 2019. Uncooperative patients or those who develop reflex sympathetic dystrophy or have psychological problems were excluded from this study. Purposeful sampling was used to collect samples. Glenohumeral subluxation will be assessed. Electromyography surface electrodes will be used to capture the middle deltoid muscle activity. The study is conducted in the Neurophysiology Unit of Neurophysiotherapy Research Lab of the Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation (India). Ethical approval was obtained from Institutional Ethical Committee (IEC) of Maharishi Markandeshwar University (IEC/MMU 2018/1114) on March 24, 2018. Outcome measures: Primary outcome measure is electromyography motor unit action potential parameter. Secondary outcome measures are amplitude, duration, and rise time. Discussion: Results from this study will provide evidence whether patient exercise performance without changing patient position but only adjusting bed/couch angles can improve the motor function of stroke patients. The study findings may help therapists and patients to prescribe exercise in what particular degree to get good results from the therapy. Trial registration: The study was registered with Clinical Trials Registry-India on September 17, 2018 (registration No. CTRI/2018/09/015732).
{"title":"Influence of different inclination angles on middle deltoid muscle activity in stroke patients with shoulder subluxation: protocol for a cross-sectional study","authors":"Navjyoti Gupta, S. Chatterjee","doi":"10.4103/2542-4157.265974","DOIUrl":"https://doi.org/10.4103/2542-4157.265974","url":null,"abstract":"Background and objective: Glenohumeral subluxation is a common complication that is a palpable gap between the acromion and humeral head and causes mechanical integrity change in the joint. Electromyography is a method used to assess and capture skeletal muscle electrical activity and assess the strength of muscle that controls motor neurons. The objective of this study is to investigate whether different inclination angles influence middle deltoid muscle activity in patients with glenohumeral subluxation. Subjects and methods: It is a cross-sectional study in which 30 stroke patients with shoulder subluxation were included. Recruitment started from September, 2018. The study was completed in July 2019. Uncooperative patients or those who develop reflex sympathetic dystrophy or have psychological problems were excluded from this study. Purposeful sampling was used to collect samples. Glenohumeral subluxation will be assessed. Electromyography surface electrodes will be used to capture the middle deltoid muscle activity. The study is conducted in the Neurophysiology Unit of Neurophysiotherapy Research Lab of the Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation (India). Ethical approval was obtained from Institutional Ethical Committee (IEC) of Maharishi Markandeshwar University (IEC/MMU 2018/1114) on March 24, 2018. Outcome measures: Primary outcome measure is electromyography motor unit action potential parameter. Secondary outcome measures are amplitude, duration, and rise time. Discussion: Results from this study will provide evidence whether patient exercise performance without changing patient position but only adjusting bed/couch angles can improve the motor function of stroke patients. The study findings may help therapists and patients to prescribe exercise in what particular degree to get good results from the therapy. Trial registration: The study was registered with Clinical Trials Registry-India on September 17, 2018 (registration No. CTRI/2018/09/015732).","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129749140","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 : 2019-07-01DOI: 10.4103/2542-4157.265976
V. Chandru, Supreeth Nekkanti, R. Madhukesh, Sumit Sudan, M. Rishikesh
Background and objective: Pigmented villonodular synovitis (PVNS) is characterized by inflammation and deposition of hemosiderin in the synovium. There is no clear consensus on the exact treatment protocol of PVNS. This study aimed to understand the effectiveness of arthroscopic surgery for PVNS of the knee joint. Subject and methods: We reported a case of 21-year-old male who presented with a progressive painful diffuse swelling of the knee joint. Radiographic imaging revealed PVNS of the knee which was confirmed by arthroscopy. The patient underwent radiotherapy after arthroscopic surgery for 8 weeks. This study has been submitted after due approval from the institutional review board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: Patient was followed up for 1 year with no evidence of recurrence. Conclusion: Arthroscopy coupled with postoperative radiotherapy is useful in inhibiting PVNS and preventing its recurrence.
背景与目的:色素绒毛结节性滑膜炎(PVNS)以滑膜内含铁血黄素的炎症和沉积为特征。关于PVNS的确切治疗方案尚无明确的共识。本研究旨在了解关节镜手术治疗膝关节PVNS的有效性。对象和方法:我们报告了一例21岁的男性患者，他表现为膝关节进行性疼痛弥漫性肿胀。影像学显示膝关节PVNS，经关节镜检查证实。患者在关节镜手术后接受放疗8周。这项研究是在印度Jagadguru Sri Shivarathreeshwara医院的机构审查委员会批准后提交的。结果:患者随访1年，无复发迹象。结论:关节镜联合术后放疗可有效抑制PVNS，防止其复发。
{"title":"Is arthroscopic surgery adequate to treat pigmented villonodular synovitis of the knee joint?","authors":"V. Chandru, Supreeth Nekkanti, R. Madhukesh, Sumit Sudan, M. Rishikesh","doi":"10.4103/2542-4157.265976","DOIUrl":"https://doi.org/10.4103/2542-4157.265976","url":null,"abstract":"Background and objective: Pigmented villonodular synovitis (PVNS) is characterized by inflammation and deposition of hemosiderin in the synovium. There is no clear consensus on the exact treatment protocol of PVNS. This study aimed to understand the effectiveness of arthroscopic surgery for PVNS of the knee joint. Subject and methods: We reported a case of 21-year-old male who presented with a progressive painful diffuse swelling of the knee joint. Radiographic imaging revealed PVNS of the knee which was confirmed by arthroscopy. The patient underwent radiotherapy after arthroscopic surgery for 8 weeks. This study has been submitted after due approval from the institutional review board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: Patient was followed up for 1 year with no evidence of recurrence. Conclusion: Arthroscopy coupled with postoperative radiotherapy is useful in inhibiting PVNS and preventing its recurrence.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"33 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134483147","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 : 2019-07-01DOI: 10.4103/2542-4157.265973
Thomas W. Smith, A. Ravipati, I. Wong
Background and objective: Heterotopic ossification (HO) is a known complication of hip arthroscopy and may significantly affect the outcomes of patients undergoing hip arthroscopy. Its incidence in the literature varies from 0–44% following hip arthroscopy without prophylaxis. Our primary goal was to find the local rate of HO after hip arthroscopy as determined by the Brooker Classification. Secondary outcomes included determining risk factors for development of HO by sex, age, body mass index, hip pathology and effects on outcome scores. Subjects and methods: Patients who underwent hip arthroscopy by a local high-volume surgeon from July 2012 to June 2015 were reviewed for the presence of pre- and postoperative HO retrospectively. Patients required at least 12 months of postoperative radiographic follow-up with anteroposterior pelvis radiographs. Patients were excluded if they had any other procedure performed at the time of hip arthroscopy or if medical records were not accessible. Radiographs were reviewed for HO according to the Brooker Classification. Demographic data including sex, age, body mass index, presence of labral tear and repair and outcome score were obtained. The incidence of HO and demographic averages were calculated and compared. This study received approval from the Nova Scotia Health Authority (NSHA) Research Ethics Board (REB) (approval No. 1021503) on August 8, 2016. Results: A total of 307 hips met inclusion criteria, 152 females and 155 males. The overall incidence of HO was 23.45% (72 hips). Fifty-six hips (78%) had Brooker class I HO, 13 (18%) hips had Brooker class II HO, and 3 (4%) hips had Brooker class III HO. No specific demographic variables or the pathology were seen to be associated significantly with development of HO. Outcome score differences were not significantly different between the HO and non-HO groups (P = 0.94). Conclusion: The incidence of HO in our series matched the range found in other studies of HO incidence in the literature. The incidence of HO dose not appear to be influenced by demographic variables including sex, age, and body mass index in our study. This data will add to the developing base of literature on HO incidence in hip arthroscopy and will serve as a comparison and benchmark for future study on HO prophylaxis.
{"title":"Incidence and risk factors for development of postoperative heterotopic ossification in a high-volume hip arthroscopy practice: A case series","authors":"Thomas W. Smith, A. Ravipati, I. Wong","doi":"10.4103/2542-4157.265973","DOIUrl":"https://doi.org/10.4103/2542-4157.265973","url":null,"abstract":"Background and objective: Heterotopic ossification (HO) is a known complication of hip arthroscopy and may significantly affect the outcomes of patients undergoing hip arthroscopy. Its incidence in the literature varies from 0–44% following hip arthroscopy without prophylaxis. Our primary goal was to find the local rate of HO after hip arthroscopy as determined by the Brooker Classification. Secondary outcomes included determining risk factors for development of HO by sex, age, body mass index, hip pathology and effects on outcome scores. Subjects and methods: Patients who underwent hip arthroscopy by a local high-volume surgeon from July 2012 to June 2015 were reviewed for the presence of pre- and postoperative HO retrospectively. Patients required at least 12 months of postoperative radiographic follow-up with anteroposterior pelvis radiographs. Patients were excluded if they had any other procedure performed at the time of hip arthroscopy or if medical records were not accessible. Radiographs were reviewed for HO according to the Brooker Classification. Demographic data including sex, age, body mass index, presence of labral tear and repair and outcome score were obtained. The incidence of HO and demographic averages were calculated and compared. This study received approval from the Nova Scotia Health Authority (NSHA) Research Ethics Board (REB) (approval No. 1021503) on August 8, 2016. Results: A total of 307 hips met inclusion criteria, 152 females and 155 males. The overall incidence of HO was 23.45% (72 hips). Fifty-six hips (78%) had Brooker class I HO, 13 (18%) hips had Brooker class II HO, and 3 (4%) hips had Brooker class III HO. No specific demographic variables or the pathology were seen to be associated significantly with development of HO. Outcome score differences were not significantly different between the HO and non-HO groups (P = 0.94). Conclusion: The incidence of HO in our series matched the range found in other studies of HO incidence in the literature. The incidence of HO dose not appear to be influenced by demographic variables including sex, age, and body mass index in our study. This data will add to the developing base of literature on HO incidence in hip arthroscopy and will serve as a comparison and benchmark for future study on HO prophylaxis.","PeriodicalId":348394,"journal":{"name":"Clinical Trials in Orthopedic Disorders","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130599193","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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