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Journal of Orthopedic and Spine Trauma最新文献

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Severely Comminuted Transolecranon Fracture Fixation with the Help of Medial Humerus Anatomical Plate: A Case Report and Educational Corner 肱骨内侧解剖钢板内固定严重粉碎性经鹰嘴骨折1例及教育角
Pub Date : 2022-06-28 DOI: 10.18502/jost.v8i3.9910
S. P. Mirghaderi, Sadula Sharifpour, Amirhossein Ghaseminejad Raeini, Maryam Salimi, A. Moharrami, Seyed Hadi Kalantar
Background: Transolecranon fracture is an unstable intra-articular injury in the elbow caused by high-energy trauma. Here, we introduce a medial humerus plate for severely comminuted transolecranon fracture. Case Report: This article presents the case of a 29-year-old man who had a severely comminuted transolecranon fracture due to a motorcycle accident. A dorsal longitudinal approach was used in order to reach the fracture site. An olecranon anatomical plate and a medial humerus plate were applied for fixation, a new treatment method. The range of motion (ROM) was complete at a two-month follow-up, and the Mayo Elbow Performance Score (MEPS) was obtained 100 with no signs of complications. Conclusion: Despite the several methods available for fixing transolecranon fractures, using the medial humerus plate, especially in severe comminution, can yield acceptable results. It should be considered in future studies to prove its efficacy in this type of fracture.
背景:经鹰嘴骨折是由高能创伤引起的肘关节内不稳定损伤。在这里,我们介绍肱骨内侧钢板治疗严重粉碎性鹰嘴骨折。病例报告:这篇文章提出了一个病例29岁的男子谁有一个严重粉碎性经鹰嘴骨折由于摩托车事故。采用背侧纵向入路到达骨折部位。采用鹰嘴解剖钢板和肱骨内侧钢板固定,是一种新的治疗方法。在两个月的随访中,活动范围(ROM)完全完成,Mayo肘关节功能评分(MEPS)达到100,无并发症迹象。结论:尽管有几种方法可用于固定经鹰嘴骨折,但使用肱骨内侧钢板,特别是在严重粉碎时,可获得令人满意的结果。在未来的研究中应考虑其对此类骨折的疗效。
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引用次数: 0
Epidemiology of Traumatic Orthopedic Injuries: A Cross-Sectional Survey from Northern Tehran, Iran 外伤性骨科损伤的流行病学:伊朗德黑兰北部的横断面调查
Pub Date : 2022-06-28 DOI: 10.18502/jost.v8i3.9908
F. Biglari, M. Sadighi, Seyyed Saeed Khabiri, M. Jafari Kafiabadi, A. Sabaghzadeh, A. Hakakzadeh, Pedram Khalighinejad, Amir Human Hoveidaei, A. Ebrahimpour
Background: Trauma is a leading cause of death and morbidity in developing countries. Previous research has revealed that epidemiological features of fractures may change from one study to the next. National Trauma Registry of Iran (NTRI) was launched in 2015, but it did not include any centers in northern Tehran, Iran. This study aimed to evaluate the epidemiology of fractures in the only Level 1 Trauma Center in that area. Methods: This retrospective cross-sectional study was performed on all patients with the primary diagnosis of orthopedic injury, from July to October 2019, who referred to the emergency department of Shohada Tajrish Hospital, Tehran. The patients’ files and operation notes were reviewed for demographics, medical history, physical examination, referral time, mechanism of injury, hospital stay, level of education, and intensive care unit (ICU) hospitalization. Results: 398 patients with orthopedic trauma were referred to the hospital with a mean age of 40.85 ± 21.03 years. 317 patients (79.65%) were men. The peak referral time was between 12 AM and 12 PM. A road traffic accident was the main cause of orthopedic trauma (39.4%). The mean days of hospital stay were 6.29 ± 5.36 days. The waiting time for surgery and days of hospital stay were related to the fracture site (high in lower extremity fractures) and older age. Conclusion: Trauma in northern Tehran is primarily caused by motor vehicle accidents and falls, respectively. Patients with older age and lower extremity fractures need more time of hospitalization.
背景:创伤是发展中国家死亡和发病的主要原因。先前的研究表明,骨折的流行病学特征可能会在不同的研究中发生变化。伊朗国家创伤登记处(NTRI)成立于2015年,但不包括伊朗德黑兰北部的任何中心。本研究旨在评估该地区唯一的一级创伤中心骨折的流行病学。方法:这项回顾性横断面研究对2019年7月至10月转诊至德黑兰Shohada Tajrish医院急诊科的所有初级诊断为骨科损伤的患者进行。对患者的档案和手术记录进行了人口统计、病史、体检、转诊时间、损伤机制、住院时间、教育水平和重症监护室(ICU)住院情况的审查。结果:398例骨科创伤患者被转诊到医院,平均年龄40.85±21.03岁。男性317例(79.65%)。转诊高峰时间为上午12点至下午12点。道路交通事故是骨科创伤的主要原因(39.4%)。平均住院天数为6.29±5.36天。手术等待时间和住院天数与骨折部位(下肢骨折高发)和年龄有关。结论:德黑兰北部的创伤主要由机动车事故和跌倒引起。老年人和下肢骨折患者需要更多的住院时间。
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引用次数: 0
Time from Injury of Anterior Cruciate Ligament (ACL) to Reconstruction Has an Important Role in Saving Meniscus, a Commentary on an Article by Seyed Mohammad Javad Mortazavi et al. 前交叉韧带(ACL)损伤到重建的时间对挽救半月板有重要作用,评论Seyed Mohammad Javad Mortazavi等人的文章。
Pub Date : 2022-06-28 DOI: 10.18502/jost.v8i3.9909
Mir Mansour Moazen Jamshidi, A. Moharrami, Behzad Nezhad Tabrizi
Complete article title: Time from Injury of Anterior Cruciate Ligament (ACL) to Reconstruction Has an Important Role in Saving Meniscus, a Commentary on an Article by Seyed Mohammad Javad Mortazavi et al. “Time from Injury Is the Key Predictor of Meniscal Injury in ACL-Deficient Knees” The Article Abstract is not available.
完整文章标题:Seyed Mohammad Javad Mortazavi等人的一篇文章评论:从前交叉韧带损伤到重建的时间在挽救半月板中发挥着重要作用。“损伤时间是ACL缺陷膝关节半月板损伤的关键预测因素”文章摘要不可用。
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引用次数: 0
The Role of Spinopelvic Parameters in Total Hip Arthroplasty: A Current Concept Review 椎盂参数在全髋关节置换术中的作用:一个最新的概念综述
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9308
Mir Mansour Moazen Jamshidi, A. Moharrami, S. P. Mirghaderi, Sadula Sharifpour, Amirreza Mafi, S. Mortazavi
The spine, pelvis, and hip are three anatomic structures that tightly interact to create spinopelvic mobility and harmony. Orthopaedic surgeons, both spine and hip specialists, must have a complete awareness of this concept. Recently, the literature has placed great emphasis on paying attention to these parameters in the preoperative planning of the total hip arthroplasty (THA). We could distinguish between balanced and unbalanced pelvis and spine with spinopelvic parameters and therefore, we could diagnose the spinopelvic stiffness that is important in preventing complications following THA. This review briefly introduces the importance of spinopelvic parameters and their critical role in THA outcome. Treatment algorithms are also provided based on the most recent studies.
脊柱、骨盆和髋关节是紧密相互作用的三个解剖结构,以创造脊柱骨盆的活动和和谐。骨科医生,无论是脊柱还是髋关节专家,都必须完全了解这一概念。最近,文献非常强调在全髋关节置换术(THA)的术前规划中要注意这些参数。我们可以通过脊柱参数区分平衡和不平衡的骨盆和脊柱,因此,我们可以诊断脊柱僵硬,这对预防THA术后并发症很重要。本文简要介绍了脊柱骨盆参数的重要性及其在THA预后中的关键作用。还根据最新的研究提供了治疗算法。
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引用次数: 5
The Effect of Augmentative Plating for the Treatment of Nonunion of Femoral Shaft Fractures after Intramedullary Nailing: A Case Series 增强钢板治疗髓内钉治疗股骨干骨折不愈合的疗效分析(附1例报告)
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9312
B. Siavashi, M. Soleimani, M. Golbakhsh, M. Rastegar, S. Shafiei
Background: Several treatment approaches are now considered to manage femoral nonunion following intramedullary (IM) nailing. Augmentation plating over a maintained IM nail was a successful treatment for femur fracture nonunion in recent years. We aimed to describe our experiences in evaluating the union of bone for these patients after plate augmentation with serial examinations and radiologic studies. Methods: This was a case study on 21 patients who had a nonunion or delayed union of the femoral shaft fracture (FSF) after IM nailing. After initial intervention, they were monitored for 20.4 months (range: 12-72 months). Results: A closed IM nail was used in 18 patients, while the other three patients were shown as non-IM nail cases with a dynamic hip screw (DHS) in one patient, an external fixator in one other patient, and plate fixation in another one that was planned for augmentation plating. After plating, appropriate union appeared in all patients. Fracture union took an average of 7 months ranging from 3 to 12 months. Conclusion: Augmentation plating for treating FSF nonunion with leaving the nail in place results in excellent and favorable clinical outcomes with the radiographic recovery of the nonunion site in all of the cases with no complication.
背景:目前有几种治疗方法可用于髓内钉治疗股骨不连。近年来,在保留IM钉上进行增强钢板治疗股骨骨折不愈合是一种成功的治疗方法。我们的目的是通过一系列检查和放射学研究来描述我们在评估这些患者在钢板增强术后骨愈合方面的经验。方法:对21例IM钉内固定后股骨干骨折不愈合或延迟愈合的患者进行病例分析。在初次干预后,他们被监测了20.4个月(范围:12-72个月)。结果:18名患者使用了封闭式IM钉,而其他三名患者显示为非IM钉病例,其中一名患者使用动力髋螺钉(DHS),另一名患者采用外固定器,另一例患者采用钢板固定,计划进行强化钢板。所有患者在电镀后均出现了适当的愈合。骨折愈合时间为3-12个月,平均7个月。结论:加强钢板内固定治疗FSF骨不连具有良好的临床效果,所有病例的骨不连部位均能得到影像学恢复,无并发症。
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引用次数: 0
Medical Faults in Orthopedic Surgeries: How to Address and Prevent the Consequences 骨科手术中的医疗过失:如何处理和预防后果
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9317
Aryan Ayati, M. Tahmasebi
The article's abstract is not available.  
这篇文章的摘要不可用。
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引用次数: 0
The Contributing Factors of Nonunion Bone Fractures: A Brief Review 骨不连性骨折的诱因综述
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9309
Hamidreza Zafari, S. Moein, M. Razzaghof, S. Mortazavi
The skeletal system has a high healing capacity. A nonunion fracture occurs when the natural course of bone healing is impaired. Numerous local and systemic factors participate in the development of a nonunion fracture. Patients with diabetes mellitus (DM), smoking history, obesity, and malnutrition are at risk for nonunion. Moreover, the major local risk factors for impaired bone healing are malalignment, infection, mechanical stability, and tissue loss. In this brief review, we discuss the definition, epidemiology, and diagnosis of nonunion. We further explain the major contributing factors which must be considered in patient selection for nonunion revision surgeries.
骨骼系统具有很高的愈合能力。当骨愈合的自然过程受损时,就会发生骨不连骨折。许多局部和系统因素参与了骨不连骨折的发展。糖尿病(DM)、吸烟史、肥胖和营养不良的患者有骨不连的风险。此外,骨愈合受损的主要局部风险因素是对齐不良、感染、机械稳定性和组织损失。在这篇简短的综述中,我们讨论了骨不连的定义、流行病学和诊断。我们进一步解释了在选择骨不连翻修手术患者时必须考虑的主要因素。
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引用次数: 0
Surgical Treatment of Chronic Traumatic Rupture of the Flexor Digitorum Profundus Tendon in a 9-Years-Old Female: A Case Report 一例9岁女性慢性创伤性指深屈肌腱断裂的外科治疗
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9315
M. Kargar, A. Sadeghi, S. Montazeri
Background: Flexor tendon rupture is a common traumatic event that is treated with surgery. Delay in reconstruction can reduce the chances of successful treatment even the surgeon is forced to choose fuse surgery. Case Report: The study case was a 9-year-old girl who presented after months of traumatic injury with severe deformity of index finger and shortened flexor digitorum profundus (FDP). Although there was no suitable tendon, a plantaris tendon graft was prepared from her left leg. After one year, the range of motion (ROM) in the left hand was normal beyond expectation. Conclusion: Single-stage tendon graft repair surgery even in chronic cases with shortened tendon and severe deformity is a good method which is recommended for similar patients, especially in children.
背景:屈肌腱断裂是一种常见的创伤事件,需要手术治疗。即使外科医生被迫选择融合手术,重建的延迟也会降低成功治疗的机会。病例报告:研究病例为一名9岁女孩,她在遭受数月的创伤后出现食指严重畸形和指深屈肌缩短(FDP)。虽然没有合适的肌腱,但从她的左腿上准备了足底肌腱移植。一年后,左手的活动范围(ROM)正常,超出了预期。结论:即使在肌腱缩短和严重畸形的慢性病例中,单期肌腱移植物修复手术也是一种很好的方法,推荐给类似的患者,尤其是儿童。
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引用次数: 0
Mortality Rate and Quality of Life in Patients with Intertrochanteric Fractures Treated with Dynamic Hip Screw 动力髋螺钉治疗转子间骨折患者的死亡率和生活质量
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9311
S. Shafiei, Sina Ghaderzadeh, M. Rastegar, B. Siavashi, M. Golbakhsh, S. J. Mortazavi
Background: Intertrochanteric (IT) fracture is one of the most common fractures in adults. Dynamic hip screw (DHS) surgery is a surgical procedure for IT fracture treatment. This study evaluated the mortality rate and quality of life (QOL) among these patients one year after the surgery. Methods: This cohort study was conducted on 110 patients with IT fractures treated with DHS from 2017 to 2019. A questionnaire was completed for each patient before, during, and after surgery. Preoperative information included demographics, height, weight, body mass index (BMI), smoking, diabetes, variables such as IT fracture classification, injury mechanism, lateral wall, and the American Society of Anesthesiologists (ASA) comorbidity classification. Tip-apex distance (TAD), nail position at the femoral head, and the amount of bleeding during the operation were achieved during and immediately after the surgery. The mortality rate was determined one year after the surgery, and the surviving patients were assessed by the 36-Item Short Form Survey (SF-36) questionnaire. Results: The mortality rate among patients who underwent DHS was 31.81%. There was no significant difference between living and dead patients regarding demographic information, surgical techniques, and comorbidities. There was no association between patients regarding the average of all areas of physical, mental, and overall health and gender. There was no significant relationship between the mean of physical and mental health with the duration of hospital stay and the amount of bleeding during surgery. A history of diabetes, high blood pressure, and smoking in these patients was not associated with mortality and QOL. Conclusion: The patient’s age is the most important risk factor for mortality after the DHS surgery.
背景:转子间骨折是成人最常见的骨折之一。动力髋螺钉(DHS)手术是一种治疗IT骨折的手术方法。本研究评估了这些患者手术后一年的死亡率和生活质量。方法:本队列研究对2017年至2019年接受DHS治疗的110例IT骨折患者进行了研究。在手术前、手术中和手术后,对每位患者进行问卷调查。术前信息包括人口统计学、身高、体重、体重指数(BMI)、吸烟、糖尿病、IT骨折分类、损伤机制、侧壁和美国麻醉师协会(ASA)共病分类等变量。在手术期间和手术后立即测量尖端距离(TAD)、股骨头处的钉子位置以及手术期间的出血量。手术后一年确定死亡率,并通过36项简式调查(SF-36)问卷评估存活患者。结果:DHS患者的死亡率为31.81%。在人口统计学信息、手术技术和合并症方面,活患者和死患者之间没有显著差异。患者在身体、心理、整体健康和性别各领域的平均值方面没有关联。身体和心理健康的平均值与住院时间和手术出血量之间没有显著关系。这些患者的糖尿病、高血压和吸烟史与死亡率和生活质量无关。结论:患者年龄是DHS术后死亡的最重要危险因素。
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引用次数: 2
Intrapelvic Migration of Dynamic Hip Screw Postoperatively Leading to Total Hip Arthroplasty: A Case Report 动态髋关节螺钉骨盆内移位导致全髋关节置换术1例报告
Pub Date : 2022-04-30 DOI: 10.18502/jost.v8i2.9316
Mir Mansour Moazen Jamshidi, A. Moharrami, Pouya Tabatabaei Irani, M. Ghasemi, Amirreza Mafi, S. Mortazavi
Background: This study aimed to present a rare case of a failed dynamic hip screw (DHS) used for fixation of intertrochanteric fracture sliding into the pelvis and to review the most common causes of DHS failure in order to prevent this from happening in the future. Case Report: A 68-year-old woman was referred to the orthopedics clinic with left hip pain and limping from 6 months ago. In our evaluation, she had DHS failure and intrapelvic protrusion. Conclusion: There have been several aspects of the previously described DHS failure. We performed a two-stage total hip arthroplasty (THA) for the patient with a good one-year follow-up in the present case.
背景:本研究旨在介绍一例用于股骨转子间骨折滑入骨盆的动力髋螺钉(DHS)失败的罕见病例,并回顾DHS失败的最常见原因,以防止这种情况在未来发生。病例报告:一名68岁的女性因6个月前左髋疼痛和一瘸一拐被转诊到骨科诊所。在我们的评估中,她有DHS失败和骨盆内突出。结论:先前描述的DHS失败有几个方面。我们对本例患者进行了两阶段全髋关节置换术(THA),并进行了一年的随访。
{"title":"Intrapelvic Migration of Dynamic Hip Screw Postoperatively Leading to Total Hip Arthroplasty: A Case Report","authors":"Mir Mansour Moazen Jamshidi, A. Moharrami, Pouya Tabatabaei Irani, M. Ghasemi, Amirreza Mafi, S. Mortazavi","doi":"10.18502/jost.v8i2.9316","DOIUrl":"https://doi.org/10.18502/jost.v8i2.9316","url":null,"abstract":"Background: This study aimed to present a rare case of a failed dynamic hip screw (DHS) used for fixation of intertrochanteric fracture sliding into the pelvis and to review the most common causes of DHS failure in order to prevent this from happening in the future. \u0000Case Report: A 68-year-old woman was referred to the orthopedics clinic with left hip pain and limping from 6 months ago. In our evaluation, she had DHS failure and intrapelvic protrusion. \u0000Conclusion: There have been several aspects of the previously described DHS failure. We performed a two-stage total hip arthroplasty (THA) for the patient with a good one-year follow-up in the present case.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42400259","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: 1
期刊
Journal of Orthopedic and Spine Trauma
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