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Journal of Arthroscopy and Joint Surgery最新文献

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Does acromioclavicular joint tenderness affect the outcome of rotator cuff repair? A prospective cohort study 肩锁关节压痛会影响肩袖修复的效果吗?一项前瞻性队列研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_129_22
Priyadarshi Amit, S. Malik, S. Massoud
Purpose: The purpose of this study was to assess the functional outcome of rotator cuff repair (RCR) without distal clavicle excision (DCE) in patients with degenerative rotator cuff tear and acromio-clavicular joint (ACJ) tenderness. Methods: A cohort of 70 patients undergoing arthroscopic RCR without DCE were prospectively evaluated. Parameters such as the presence of ACJ arthritis on imaging and long head of biceps tendon (LHBT) pathology (intra-operative) were recorded. The ACJ tenderness and clinical outcome scores including Oxford shoulder score and quick-disability of arm, and shoulder and hand score were evaluated preoperatively and at 1-year postoperatively. Results: Four patients were lost to follow up. Of remaining 66 patients, ACJ tenderness was found in 50% of the total study population. ACJ tenderness showed significant positive correlation with biceps tendinopathy (R = 0.37, P = 0.002). Postoperatively, there was significant improvement in clinical outcome scores which were comparable in patients with or without ACJ tenderness. Among patients with tender ACJ, the tenderness resolved completely in 78.7% of patients. Conclusions: ACJ tenderness did not adversely affect the outcome following RCR. Furthermore, the patients with ACJ tenderness have higher incidence of LHBT tendinopathy.
目的:本研究的目的是评估退行性肩袖撕裂和肩锁关节(ACJ)压痛患者进行肩袖修复(RCR)而不进行锁骨远端切除(DCE)的功能结果。方法:对70例关节镜下无DCE的RCR患者进行前瞻性评估。记录影像学上是否存在ACJ关节炎和肱二头肌腱长头(LHBT)病理(术中)等参数。术前和术后1年评估ACJ压痛和临床结局评分,包括牛津肩评分和手臂快速失能评分,以及肩手评分。结果:失访4例。在其余66例患者中,50%的研究人群发现ACJ压痛。ACJ压痛与肱二头肌肌腱病变呈显著正相关(R = 0.37, P = 0.002)。术后,有或无ACJ压痛患者的临床结果评分有显著改善。在压痛性ACJ患者中,78.7%的患者压痛完全消失。结论:ACJ压痛对RCR后的结果没有不良影响。此外,有ACJ压痛的患者LHBT肌腱病变的发生率更高。
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引用次数: 0
Do they feel better when they walk better? 3D gait analysis study in total knee arthroplasty for Indian osteoarthritic knees 当他们走得更好时,他们会感觉更好吗?印度骨关节炎膝关节全膝关节置换术的三维步态分析研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_92_22
Sanket Tanpure, Ashish Phadnis, Taral Nagda, Chasanal Rathod, AjayPandit Chavan, Mayuri Gad
Background: Osteoarthritis (OA) is a leading cause of disability in the elderly population. Gait analysis is a widely used tool to measure functional outcomes after total knee arthroplasty (TKA). This study aimed to assess the gait pattern and influence of TKA in patients with osteoarthritic knees. Materials and Methods: Preoperative and postoperative gait analysis was carried out on patients with grade 4 OA knee undergoing TKA. Sequential 33 adults (45 knees) with a mean age of 68.4 ± 5.8 years were studied. Gait analysis was carried out in Jupiter gait lab with 9 Qualisys Oqus cameras system and Qualisys track manager. Kinematic data were processed using Visual 3D C-Motion Software during a minimum of 6 walks across the walkway. Results: A significant difference in temporospatial parameters (gait speed, Cadence, step time, step length, stride width, stride length), joint kinematics in the sagittal plane (pelvis, hip, knee, ankle), coronal plane (pelvis, hip, knee, ankle), transverse plane (hip, knee) and motion analysis profile of knee (flexion/extension), ankle (dorsiflexion/plantarflexion), and hip (adduction/abduction). A significant difference was observed in the oxford knee score (OKS), Short Form 12, and knee society score. Conclusion: 3D gait analysis is a good tool to document and compare gait changes in patients undergoing TKA. Recent advances in surgical techniques and improvements in prosthesis design are important factors for better functional outcomes. Our results may be used by clinicians, physiotherapists, or researchers as a reference for integrated aspects for the development of TKA implant designs and improving functional outcomes.
背景:骨关节炎(OA)是老年人致残的主要原因。步态分析是测量全膝关节置换术(TKA)后功能结果的一种广泛使用的工具。本研究旨在评估膝关节骨性关节炎患者的步态模式和TKA的影响。材料与方法:对4级OA膝关节行TKA患者进行术前、术后步态分析。连续研究33例成人(45膝),平均年龄68.4±5.8岁。步态分析在Jupiter步态实验室使用9个Qualisys Oqus摄像机系统和Qualisys轨迹管理器进行。在至少6次穿过人行道的过程中,使用Visual 3D C-Motion软件处理运动学数据。结果:在时空参数(步速、步速、步长、步宽、步长)、矢状面(骨盆、髋关节、膝关节、踝关节)、冠状面(骨盆、髋关节、膝关节、踝关节)、横切面(髋关节、膝关节)和膝关节(屈曲/伸展)、踝关节(背屈/跖屈)、髋关节(内收/外展)的运动分析剖面上存在显著差异。在牛津膝关节评分(OKS)、Short Form 12和膝关节社会评分中观察到显著差异。结论:三维步态分析是记录和比较全膝关节置换术患者步态变化的良好工具。手术技术的最新进展和假体设计的改进是改善功能预后的重要因素。我们的研究结果可以被临床医生、物理治疗师或研究人员用作TKA植入物设计开发和改善功能结果的综合参考。
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引用次数: 0
Demystifying partial tears of the anterior cruciate ligament: A review of current diagnostic and management strategies 解开前交叉韧带部分撕裂的神秘面纱:当前诊断和治疗策略综述
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_126_22
A. Chandra, Aakanksha Agarwal, MQ Azam
Partial tears of anterior cruciate ligament (ACL) are a diagnostic and management challenge. There is ongoing discussion and debate about the ideal management of a partial tear with "ala carte" options available in the current literature. Findings can remain occult on imaging studies, necessitating more efficient clinical examination and acumen to identify patients requiring surgical intervention. The authors through this literature review provide an overview on partial tears of ACL including the background anatomy, pathology, clinical diagnosis, imaging finding, and surgical techniques. The literature is critically probed and tabulated for effortless assessment. The objective is to help the orthopedic surgeon decide the optimal course for a suspected partial ACL tear. The authors do not aim to provide a guideline but rather present an inventory of available options and approaches for managing partial ACL tear. This review is a comprehensive amalgamation of the heterogeneity in the present literature.
前交叉韧带(ACL)部分撕裂是一个诊断和管理的挑战。在目前的文献中,关于“单点”治疗部分撕裂的理想方法的讨论和争论正在进行。影像学检查的结果可能仍然是隐匿的,需要更有效的临床检查和敏锐的嗅觉来识别需要手术干预的患者。作者通过这篇文献综述提供了部分撕裂ACL包括背景解剖,病理,临床诊断,影像学发现和手术技术的概述。对文献进行了批判性的探讨和制表,以便轻松评估。目的是帮助骨科医生决定对疑似部分前交叉韧带撕裂的最佳治疗方案。作者的目的不是提供一个指南,而是提供一个可用的清单和方法来管理部分ACL撕裂。这篇综述是对目前文献异质性的全面整合。
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引用次数: 0
Does arthroscopic knotless double-row rotator cuff repair yield better patient-reported outcome measures than knotted double-row repair? A prospective comparative interventional study 关节镜下无结双排肩袖修复术比有结双排修复术疗效更好吗?一项前瞻性比较介入研究
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_6_23
KailashP Dev Jaidev, SM Adil, Shambhu Singh, Akshay Pushkar, P Chhetri, VarunKumar Vijay, GPromod Kumar
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引用次数: 0
Primary arthroscopic bicruciate repair in multiligamentous knee injury with ipsilateral long bone fracture 膝关节多韧带损伤伴同侧长骨骨折的一期关节镜双交叉修复
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_112_22
P. Singhi, Ajay Amutham Elangovan, S. Raju
Long bone fractures and multiligamentous knee injury (MLKI) have a firm relationship. Primary arthroscopic bicruciate repair along with long bone fixation has not been reported hitherto. Here, we report two cases of long bone fracture with MLKI treated with long bone fixation and primary arthroscopic bicruciate repair with open lateral collateral ligament repair for one patient. Both patients had good clinical outcomes at 1-year follow-up. With the present-day advancements in the field of arthroscopy, there is a place for primary arthroscopic ligament repair in specific tears along with long bone fixation.
长骨骨折和多韧带性膝关节损伤(MLKI)有着密切的关系。到目前为止,还没有报道采用关节镜下双髁状骨修复和长骨固定。在此,我们报告了两例MLKI长骨骨折,采用长骨内固定和关节镜下双髁状翻修术治疗一例患者。两名患者在1年的随访中均取得了良好的临床结果。随着当今关节镜领域的进步,有了一个位置,可以在特定撕裂的关节镜下进行初级韧带修复,并进行长骨固定。
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引用次数: 0
Complications of the open latarjet procedure are not related to the learning curve: Analysis after 11 years of experience 开缝开缝术的并发症与学习曲线无关:11年经验分析
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_95_22
D. Zúñiga, Camila Ordóñez, Felipe Valbuena, Mauricio Largacha
Introduction: The purpose of this study is to determine a relationship between complications of the open Latarjet procedure with the surgeon's learning curve during an 11-year experience in shoulder surgery. Methods: We conducted a retrospective descriptive observational case series of all open Latarjet procedures performed by a single shoulder surgeon between June 2011 and September 2021. Latarjet procedure was indicated in patients with glenoid bone defects of more than 15% or revision after a failed Bankart repair. Complications were recorded as well as patients' demographic data. We described the time between surgery and complication and correlated complication presentation with the surgeon's surgical curve. Results: Sixty-two consecutive patients were included (96, 8% male patients with an average age of 30 years). Eight patients presented with a complication (12, 5% of all patients). These complications were classified as graft related (n = 3), hardware related (n = 3), wound related (n = 1), and other (n = 1). There were no instability recurrences and no neurologic injuries. Complications were present in all periods of the surgeon's learning curve. Conclusions: The Latarjet procedure is technically demanding and complications can be present regardless of the surgeon's learning curve. Nevertheless, it is a successful procedure in most patients, with a low recurrence rate of instability.
引言:本研究的目的是确定在11年的肩部手术经验中,开放式Latarjet手术的并发症与外科医生的学习曲线之间的关系。方法:我们对2011年6月至2021年9月期间由一名肩部外科医生进行的所有开放式Latarjet手术进行了回顾性描述性观察病例系列。Latarjet手术适用于关节盂骨缺损超过15%或Bankart修复失败后翻修的患者。记录并发症以及患者的人口统计数据。我们描述了手术和并发症之间的时间,以及与外科医生的手术曲线相关的并发症表现。结果:包括62名连续患者(96.8%的男性患者,平均年龄30岁)。8名患者出现并发症(占所有患者的12.5%)。这些并发症分为移植物相关的(n=3)、硬件相关的(n=3)、伤口相关的(=1)和其他的(n=1)。没有不稳定复发,也没有神经损伤。并发症出现在外科医生学习曲线的所有阶段。结论:Latarjet手术在技术上要求很高,无论外科医生的学习曲线如何,都可能出现并发症。尽管如此,对大多数患者来说,这是一种成功的手术,不稳定的复发率很低。
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引用次数: 0
Management of pipkin type 3 fracture-dislocation in young adults: A dilemma 年轻人pipkin 3型骨折脱位的治疗:一个难题
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_106_22
B. Harna, Rishabh Saini, MC Saini
Pipkin type 3 fracture-dislocation constitutes a rare subgroup of fractures involving the femoral neck and head fracture. The management is difficult and controversial, including osteosynthesis using Herbert or cancellous screws and hip replacement surgery. In this case report, a 26-year-old male suffered a road traffic accident leading to a hip fracture. Radiographs and computed tomography scan of the hip depicted three large fragments of the femur head, dislocated posteriorly along with the neck of femur fracture. Considering the needs of the patient, fracture morphology, and unpredictable results of the osteosynthesis, the patient was treated primarily with uncemented total hip replacement. The complexity of the fracture leads to more chances of malreduction and avascular necrosis of the femur head. The patient had an uneventful intra and postoperative period. At the 3-year follow-up, the patient was walking unaided, pain-free, and performing all the activities of daily living satisfactorily.
Pipkin 3型骨折脱位是一种罕见的涉及股骨颈和股骨头骨折的骨折亚群。治疗是困难和有争议的,包括使用赫伯特或松质螺钉和髋关节置换手术。在本病例报告中,一名26岁的男性遭遇道路交通事故导致髋部骨折。髋部x线片和计算机断层扫描显示股骨头部有三大块碎片,沿股骨颈骨折后侧脱位。考虑到患者的需要、骨折形态和不可预测的骨整合结果,患者主要采用非骨水泥全髋关节置换术治疗。骨折的复杂性导致更多的复位不良和股骨头缺血性坏死的机会。患者在手术期间和术后均平安无事。在3年的随访中,患者可以独立行走,无痛,并能满意地完成所有日常生活活动。
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引用次数: 0
Why a radiology special issue? And about the guest editors… 为什么要出版放射学专刊?至于特邀编辑……
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_32_23
SrinivasB S. Kambhampati, Hemant Pandit, Amol Tambe
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引用次数: 0
Transphyseal anterior cruciate ligament reconstruction in adolescent athletes provides good functional outcomes 青少年运动员经骨骺前交叉韧带重建提供了良好的功能结果
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_114_22
Ravi Gupta, Anil Kapoor, G. Masih, Deepam Vashisht, Rohil Mehat
Background: In adolescent athletes, the treatment of anterior cruciate ligament (ACL) tear is still a topic of debate. The present study aimed to evaluate the functional outcomes and complications of transphyseal ACL reconstruction (ACLR) in adolescent athletes. Materials and Methods: Thirty-four athletes who underwent transphyseal ACLR using a hamstring tendon graft participated in this study. Functional outcomes (Lysholm and Tegner activity score) and potential complications (graft rupture, angular deformity [AD], or limb length discrepancy) after transphyseal ACLR were assessed at the final follow-up. Results: The average age at the time of the surgery was 13.1 ± 0.8 years. Lysholm and Tegner activity score was 96.5 ± 5 and 8.1 ± 1.4, respectively, at a mean follow-up of 64.9 ± 23.9 months. 27/34 (79%) of patients returned to the same level of sports. The mean time to return to sports was 8.3 ± 1.5 months. Three patients had graft tears, and none of the patients had any deformity. Conclusion: Transphyseal ACLR is a safe procedure with good functional outcomes. Level of Study: Level III.
背景:在青少年运动员中,前交叉韧带撕裂的治疗仍然是一个争论的话题。本研究旨在评估青少年运动员经膝前交叉韧带重建(ACLR)的功能结果和并发症。材料和方法:34名运动员参与了这项研究,他们使用腘绳肌腱移植进行了经膝ACLR。在最后的随访中评估了经膝ACLR后的功能结果(Lysholm和Tegner活动评分)和潜在并发症(移植物破裂、角畸形[AD]或肢体长度差异)。结果:手术时的平均年龄为13.1±0.8岁。平均随访64.9±23.9个月时,Lysholm和Tegner活性评分分别为96.5±5和8.1±1.4。27/34(79%)的患者恢复到相同的运动水平。恢复运动的平均时间为8.3±1.5个月。三名患者出现移植物撕裂,没有一名患者出现任何畸形。结论:经皮ACLR是一种安全、功能良好的手术方法。学习水平:三级。
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引用次数: 0
Significance of the ancillary posterior knee soft-tissue edema sign in traumatic knee injuries 外伤性膝后软组织水肿征象的临床意义
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.4103/jajs.jajs_18_23
Rajesh Botchu, Ali Shah, KarthikeyanP Iyengar, David Beale, Paresh Sonsale
{"title":"Significance of the ancillary posterior knee soft-tissue edema sign in traumatic knee injuries","authors":"Rajesh Botchu, Ali Shah, KarthikeyanP Iyengar, David Beale, Paresh Sonsale","doi":"10.4103/jajs.jajs_18_23","DOIUrl":"https://doi.org/10.4103/jajs.jajs_18_23","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135494962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Arthroscopy and Joint Surgery
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