Pub Date : 2021-01-12DOI: 10.1177/2210491720985119
L. Hong, Chung Kwong Yin, Cheung Kin Wing, C. Hing, Ho Kevin
Extensively coated long femoral stem revision hip arthroplasty is based on the principle of distal fixation at diaphyseal region, which can overcome the problem of proximal femoral bone stock defic...
广泛包膜股骨长柄翻修髋关节置换术是基于远端骨干区固定的原理，可以克服股骨近端骨缺损的问题。
{"title":"Extensively hydroxyapatite-coated long femoral stem revision hip arthroplasty: Clinical outcome and survivorship in 11 to 17.5 years follow up","authors":"L. Hong, Chung Kwong Yin, Cheung Kin Wing, C. Hing, Ho Kevin","doi":"10.1177/2210491720985119","DOIUrl":"https://doi.org/10.1177/2210491720985119","url":null,"abstract":"Extensively coated long femoral stem revision hip arthroplasty is based on the principle of distal fixation at diaphyseal region, which can overcome the problem of proximal femoral bone stock defic...","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"300 1","pages":"221049172098511"},"PeriodicalIF":0.3,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82871842","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 : 2021-01-11DOI: 10.1177/2210491720983819
Souravi Pal, K. Srikant, Amlan Dash
Synovial Chondromatosis is a rare disease of the synovial membrane characterised by formation of multiple loose bodies in a joint. Knee is the most common joint to be affected by this disease. Thou...
{"title":"A case of synovial chondromatosis of knee joint treated with total knee arthroplasty","authors":"Souravi Pal, K. Srikant, Amlan Dash","doi":"10.1177/2210491720983819","DOIUrl":"https://doi.org/10.1177/2210491720983819","url":null,"abstract":"Synovial Chondromatosis is a rare disease of the synovial membrane characterised by formation of multiple loose bodies in a joint. Knee is the most common joint to be affected by this disease. Thou...","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"610 1","pages":"221049172098381"},"PeriodicalIF":0.3,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86671501","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 : 2021-01-05DOI: 10.1177/2210491720983822
Joyce Oching Yam, P. Cheung, Lan-Fong Chiang, Shuk Ying Sambo Wan, W. Mok
Degenerative disk disease is a global and common debilitating condition with substantial healthcare and economic costs. Disc-Fx is a relatively new minimally invasive, percutaneous nucleo-annuloplasty procedure aimed to alleviate symptoms of discogenic back pain via manual discectomy with nuclear and annular modification via means of radiofrequency ablation. The aim of this retrospective study is to report the 1-year outcomes, efficacy and safety of the percutaneous nucleo-annuloplasty procedure for treatment of discogenic back pain in the local Hong Kong population. This retrospective study consists of 16 patients with a total of 24 levels from 2017 to –2019 with at least 6 months of chronic back pain failing conservative management, MRI-confirmed disc degeneration, and who have undergone percutaneous nucleo-annuloplasty via Disc-Fx procedure. All patients had plain radiography and magnetic resonance imaging prior to procedure. Percutaneous nucleo-annuloplasty was only performed in patients with confirmed discogenic back pain via a positive provocative test on discography. The mean functional outcome of Oswestry Disability Index improved from 46.25 points preoperatively to 24.12 at the of 1-year follow-up (p-value = 0.00). The Numerical Pain Rating Scale improved from 6.25 points to 4.4 points (p-value: 0.01) and 14.56 points to 8.85 points (p-value = 0.01) at preoperative to 1-year post-procedure respectively. There were no reported procedural related complications in the study population. The procedure of percutaneous nucleo-annuloplasty shows to be a relatively safe procedure that can be considered in patients with discogenic back pain. Larger studies would be desired to draw further conclusions about its efficacy.
{"title":"Efficacy and safety of nucleo-annuloplasty using radiofrequency ablation for discogenic back pain in a local Hong Kong population","authors":"Joyce Oching Yam, P. Cheung, Lan-Fong Chiang, Shuk Ying Sambo Wan, W. Mok","doi":"10.1177/2210491720983822","DOIUrl":"https://doi.org/10.1177/2210491720983822","url":null,"abstract":"Degenerative disk disease is a global and common debilitating condition with substantial healthcare and economic costs. Disc-Fx is a relatively new minimally invasive, percutaneous nucleo-annuloplasty procedure aimed to alleviate symptoms of discogenic back pain via manual discectomy with nuclear and annular modification via means of radiofrequency ablation. The aim of this retrospective study is to report the 1-year outcomes, efficacy and safety of the percutaneous nucleo-annuloplasty procedure for treatment of discogenic back pain in the local Hong Kong population. This retrospective study consists of 16 patients with a total of 24 levels from 2017 to –2019 with at least 6 months of chronic back pain failing conservative management, MRI-confirmed disc degeneration, and who have undergone percutaneous nucleo-annuloplasty via Disc-Fx procedure. All patients had plain radiography and magnetic resonance imaging prior to procedure. Percutaneous nucleo-annuloplasty was only performed in patients with confirmed discogenic back pain via a positive provocative test on discography. The mean functional outcome of Oswestry Disability Index improved from 46.25 points preoperatively to 24.12 at the of 1-year follow-up (p-value = 0.00). The Numerical Pain Rating Scale improved from 6.25 points to 4.4 points (p-value: 0.01) and 14.56 points to 8.85 points (p-value = 0.01) at preoperative to 1-year post-procedure respectively. There were no reported procedural related complications in the study population. The procedure of percutaneous nucleo-annuloplasty shows to be a relatively safe procedure that can be considered in patients with discogenic back pain. Larger studies would be desired to draw further conclusions about its efficacy.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"40 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81226707","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 : 2021-01-05DOI: 10.1177/2210491720983333
A. Samadi, Razieh Salehian, Danial Kiani, A. G. Jolfaei
Background:In this study, we want to search the effectiveness of Duloxetine on the severity of pain and quality of life in patients with chronic low back pain who had posterior spinal fixation.Meth...
背景:本研究旨在探讨度洛西汀对后路脊柱固定术后慢性腰痛患者疼痛程度和生活质量的影响。
{"title":"Effectiveness of duloxetine on severity of pain and quality of life in chronic low back pain in patients who had posterior spinal fixation","authors":"A. Samadi, Razieh Salehian, Danial Kiani, A. G. Jolfaei","doi":"10.1177/2210491720983333","DOIUrl":"https://doi.org/10.1177/2210491720983333","url":null,"abstract":"Background:In this study, we want to search the effectiveness of Duloxetine on the severity of pain and quality of life in patients with chronic low back pain who had posterior spinal fixation.Meth...","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"117 ","pages":"221049172098333"},"PeriodicalIF":0.3,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2210491720983333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72441458","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 : 2021-01-01DOI: 10.1177/22104917211039520
W. A. Al Attar, M. Husain, Ramy Komir, K. Alanazi, Hussain Ghulam
Background/purpose Cyclists are expected to present with sport-related injuries. The Oslo Sports Trauma Research Center provided exercises for preventing the most common injuries in cycling. We aimed to survey the compliance with Oslo Sports Trauma Research Center exercises among cyclists in the Gulf Cooperation Council countries. It is expected that most cyclists in the Gulf Cooperation Council countries are implementing these exercises as part of their warm-up sessions. Methods This cross-sectional online survey collected the participants’ demographic characteristics (country, age, and sex) and assessed their compliance with the programme. Results Four-hundred and twenty-three cyclists responded, of which 52% were aged 20–29 years. The pelvic control exercise was the most implemented (56%), followed by the elephant and isolated pelvic rotation exercises (54%); the single-leg pelvic rotation exercise was the least implemented (46%). The implementation rate did not differ significantly according to age or country. Saudi Arabia and Kuwait reported the highest mean implementation scores, while the United Arab Emirates reported the lowest Conclusions The implementation rate of Oslo Sports Trauma Research Center exercises was low among cyclists in the Gulf Cooperation Council countries. There is a need to increase awareness between players, programme deliverers, and policymakers and educate them about the importance of implementing such programmes in injury reduction.
{"title":"The current implementation of Oslo Sports Trauma Research Center cycling injury prevention exercises among male elite cyclists in the Gulf Cooperation Council","authors":"W. A. Al Attar, M. Husain, Ramy Komir, K. Alanazi, Hussain Ghulam","doi":"10.1177/22104917211039520","DOIUrl":"https://doi.org/10.1177/22104917211039520","url":null,"abstract":"Background/purpose Cyclists are expected to present with sport-related injuries. The Oslo Sports Trauma Research Center provided exercises for preventing the most common injuries in cycling. We aimed to survey the compliance with Oslo Sports Trauma Research Center exercises among cyclists in the Gulf Cooperation Council countries. It is expected that most cyclists in the Gulf Cooperation Council countries are implementing these exercises as part of their warm-up sessions. Methods This cross-sectional online survey collected the participants’ demographic characteristics (country, age, and sex) and assessed their compliance with the programme. Results Four-hundred and twenty-three cyclists responded, of which 52% were aged 20–29 years. The pelvic control exercise was the most implemented (56%), followed by the elephant and isolated pelvic rotation exercises (54%); the single-leg pelvic rotation exercise was the least implemented (46%). The implementation rate did not differ significantly according to age or country. Saudi Arabia and Kuwait reported the highest mean implementation scores, while the United Arab Emirates reported the lowest Conclusions The implementation rate of Oslo Sports Trauma Research Center exercises was low among cyclists in the Gulf Cooperation Council countries. There is a need to increase awareness between players, programme deliverers, and policymakers and educate them about the importance of implementing such programmes in injury reduction.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"17 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90137880","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 : 2021-01-01DOI: 10.1177/22104917211000151
{"title":"Corrigendum to Chinese Whispers: A brief history of eponymous orthopaedic examinations","authors":"","doi":"10.1177/22104917211000151","DOIUrl":"https://doi.org/10.1177/22104917211000151","url":null,"abstract":"","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"56 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73579256","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 : 2021-01-01DOI: 10.1177/22104917211025808
Weiguo Li, Ka-lok Mak, T. W. Yau, Tit-Loong Lam, Chak L Chan, K. C. Lai, M. K. Chan, Sin TB Fong
A five-year-old boy presented with left tibial swelling; there was a typical radiological feature of osteofibrous dysplasia. He was observed until the age of 14 years; there was development of aggressive radiological features. Biopsy revealed chondroblastic osteosarcoma. It was excised and the histology revealed chondroblastic osteosarcoma. A small lesion distal to the main tumour revealed adamantinoma within a background of feature of osteofibrous dysplasia. Proximally, feature of osteofibrous dysplasia was identified focally. The finding of adamantinoma over the distal part of the lesion supports that feature of osteofibrous dysplasia may be a precursor of adamantinoma. They may be a spectrum of diseases with multistep neoplastic transformation. The osteosarcoma may be a result of de-differentiation from adamantinoma. This case is remarkable as the patient was only 14 years old and the tumour showed typical features of osteosarcoma, with feature of osteofibrous dysplasia and adamantinoma found in the same specimen. Feature of osteofibrous dysplasia may be a precursor of adamantinoma, and adamantinoma may dedifferentiate into osteosarcoma.
{"title":"Osteosarcoma arising in a case of osteofibrous dysplasia of tibia with classic adamantinoma: A case report and literature review","authors":"Weiguo Li, Ka-lok Mak, T. W. Yau, Tit-Loong Lam, Chak L Chan, K. C. Lai, M. K. Chan, Sin TB Fong","doi":"10.1177/22104917211025808","DOIUrl":"https://doi.org/10.1177/22104917211025808","url":null,"abstract":"A five-year-old boy presented with left tibial swelling; there was a typical radiological feature of osteofibrous dysplasia. He was observed until the age of 14 years; there was development of aggressive radiological features. Biopsy revealed chondroblastic osteosarcoma. It was excised and the histology revealed chondroblastic osteosarcoma. A small lesion distal to the main tumour revealed adamantinoma within a background of feature of osteofibrous dysplasia. Proximally, feature of osteofibrous dysplasia was identified focally. The finding of adamantinoma over the distal part of the lesion supports that feature of osteofibrous dysplasia may be a precursor of adamantinoma. They may be a spectrum of diseases with multistep neoplastic transformation. The osteosarcoma may be a result of de-differentiation from adamantinoma. This case is remarkable as the patient was only 14 years old and the tumour showed typical features of osteosarcoma, with feature of osteofibrous dysplasia and adamantinoma found in the same specimen. Feature of osteofibrous dysplasia may be a precursor of adamantinoma, and adamantinoma may dedifferentiate into osteosarcoma.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"48 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72521341","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 : 2021-01-01DOI: 10.1177/22104917211006892
V. Chan, MT Chan, PK Chan, CH Yan, K. Chiu
Background: Dislocation is one of the most common causes of revision after total hip arthroplasty (THA). Standard hip precautions are thought to enhance soft-tissue healing and reduce dislocations. However, lifestyle restrictions affect a patient’s rehabilitation, quality of life (QOL), and satisfactions. We aim to compare conventional (CP) and minimal hip precautions (MP) after THA. Methods: Retrospective review of prospectively collected data in posterolateral approach THA. Chief surgeon assigns patients to CP or MP group. CP group had to sleep supine, used elevated toilet seats and chairs, avoid hip flexion greater than 90°, and no internal rotation or adduction for 6 weeks. MP group had no restrictions in hip movements, except for the combined flexion, adduction and internal rotation. All had a minimum 1-year follow-up. The number of dislocations, length of stay (LOS), time to independent toileting, Harris Hip Scores, QOL, and health perceptions, assessed by EuroQol 5D-5L, was compared between CP and MP groups. Results: Fifty-five THAs were included. CP group consisted of 17 primary and 12 revision THAs; MP group consisted of 21 primary and 5 revision THAs. There were two dislocations and both are revisions in CP group. Overall rate of dislocation was 6.9% in CP group and no dislocation in MP group (p-value > 0.05). MP group had shorter LOS (12 vs 19 days, p-value 0.04), higher EQ5D-5L health perception scores at 1-year (81.7 vs 70.9, p-value 0.01). Conclusion: MP group had shorter LOS and better health perceptions 1-year after THA with no increase in dislocation rates.
背景:脱位是全髋关节置换术后翻修最常见的原因之一。标准的髋关节预防措施被认为可以促进软组织愈合并减少脱位。然而，生活方式的限制会影响患者的康复、生活质量(QOL)和满意度。我们的目的是比较THA后常规(CP)和最小髋关节预防(MP)。方法:回顾性分析后外侧入路THA前瞻性收集的资料。主刀医师将患者分为CP组或MP组。CP组患者仰卧睡，使用高架坐便器和椅子，避免髋关节屈曲超过90°，6周内不进行内旋和内收。MP组除屈曲、内收和内旋外，髋部活动无限制。所有患者至少随访1年。通过EuroQol 5D-5L评估，比较CP组和MP组的脱位次数、住院时间(LOS)、独立如厕时间、Harris髋关节评分、生活质量和健康感知。结果:共纳入55例tha。CP组17例为原发性tha, 12例为改良tha;MP组包括21例原发性tha和5例改良tha。CP组有2例脱位，均为矫正。CP组整体脱位率为6.9%，MP组无脱位(p值> 0.05)。MP组的LOS较短(12天vs 19天，p值0.04)，1年时EQ5D-5L健康感知评分较高(81.7 vs 70.9, p值0.01)。结论:MP组THA术后1年LOS较短，健康感觉较好，脱位率未增加。
{"title":"Is convention hip precaution necessary after total hip arthroplasty?","authors":"V. Chan, MT Chan, PK Chan, CH Yan, K. Chiu","doi":"10.1177/22104917211006892","DOIUrl":"https://doi.org/10.1177/22104917211006892","url":null,"abstract":"Background: Dislocation is one of the most common causes of revision after total hip arthroplasty (THA). Standard hip precautions are thought to enhance soft-tissue healing and reduce dislocations. However, lifestyle restrictions affect a patient’s rehabilitation, quality of life (QOL), and satisfactions. We aim to compare conventional (CP) and minimal hip precautions (MP) after THA. Methods: Retrospective review of prospectively collected data in posterolateral approach THA. Chief surgeon assigns patients to CP or MP group. CP group had to sleep supine, used elevated toilet seats and chairs, avoid hip flexion greater than 90°, and no internal rotation or adduction for 6 weeks. MP group had no restrictions in hip movements, except for the combined flexion, adduction and internal rotation. All had a minimum 1-year follow-up. The number of dislocations, length of stay (LOS), time to independent toileting, Harris Hip Scores, QOL, and health perceptions, assessed by EuroQol 5D-5L, was compared between CP and MP groups. Results: Fifty-five THAs were included. CP group consisted of 17 primary and 12 revision THAs; MP group consisted of 21 primary and 5 revision THAs. There were two dislocations and both are revisions in CP group. Overall rate of dislocation was 6.9% in CP group and no dislocation in MP group (p-value > 0.05). MP group had shorter LOS (12 vs 19 days, p-value 0.04), higher EQ5D-5L health perception scores at 1-year (81.7 vs 70.9, p-value 0.01). Conclusion: MP group had shorter LOS and better health perceptions 1-year after THA with no increase in dislocation rates.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"58 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77876110","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 : 2021-01-01DOI: 10.1177/22104917211056949
P. M. Chung, Bolton K. H. Chau, E. Chow, K. H. Lam, Nang MR Wong
Introduction Lower limb amputation has significant morbidity and mortality. This study reviews the potential factors affecting the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population. Methods Cases with lower limb amputations (toe, ray, below-knee, and above-knee amputations) from a regional hospital from January 2016 to December 2017 were recruited. Amputations due to trauma were excluded. The one-year mortality rate and the potential risk factors (age, sex, length-of-stay, multiple operations, extent of surgery (minor vs. major), medical comorbidities including (1) end-stage renal failure (ESRF), (2) cardiac diseases, (3) ischemic heart disease, (4) peripheral vascular disease and (5) diabetes mellitus) were analyzed by multiple logistic regression using Matlab 2018a. Results A total of 132 patients were recruited (173 operations). The one-year mortality rate was 36.3%. The mean age at death was 72.2 years. The results of the regression analysis showed patients having ESRF (β = 2.195, t 120 = 3.008, p = 0.003) or a major amputation (including above- or below-knee amputation) (β = 1.079, t 120 = 2.120, p = 0.034), had a significantly higher one-year mortality. The remaining factors showed no significant effect. The one-year mortality rate in ESRF patients was 77.8%; while the one-year mortality rate without ESRF was 29.8%. The mean age at death in the ESRF group was 62.9 years; while that without ESRF was 76.1 years. The one-year mortality for patients with major amputation was 45.8% while that for minor amputation was 20.4%. Conclusion ESRF and major amputation are factors that increase the one-year mortality rate after lower limb amputation.
下肢截肢具有显著的发病率和死亡率。本研究回顾了影响香港华人下肢截肢后一年死亡率的潜在因素。方法选取2016年1月至2017年12月在某地区医院进行下肢截肢(脚趾、桡足、膝下和膝上截肢)的病例。排除创伤导致的截肢。采用Matlab 2018a软件，对1年死亡率和潜在危险因素(年龄、性别、住院时间、多次手术、手术程度(小手术vs大手术)、医疗合并症(1)终末期肾衰竭(ESRF)、(2)心脏疾病、(3)缺血性心脏病、(4)外周血管疾病和(5)糖尿病)进行多元logistic回归分析。结果共纳入132例患者(173例手术)。1年死亡率为36.3%。平均死亡年龄为72.2岁。回归分析结果显示，ESRF患者(β = 2.195, t 120 = 3.008, p = 0.003)或主要截肢(包括膝上或膝下截肢)患者(β = 1.079, t 120 = 2.120, p = 0.034)的1年死亡率显著较高。其余因素无显著影响。ESRF患者1年死亡率为77.8%;而未进行ESRF的1年死亡率为29.8%。ESRF组平均死亡年龄为62.9岁;而没有ESRF的寿命为76.1岁。大截肢患者1年死亡率为45.8%，小截肢患者1年死亡率为20.4%。结论ESRF和重度截肢是增加下肢截肢术后1年死亡率的因素。
{"title":"Factors that affect the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population","authors":"P. M. Chung, Bolton K. H. Chau, E. Chow, K. H. Lam, Nang MR Wong","doi":"10.1177/22104917211056949","DOIUrl":"https://doi.org/10.1177/22104917211056949","url":null,"abstract":"Introduction Lower limb amputation has significant morbidity and mortality. This study reviews the potential factors affecting the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population. Methods Cases with lower limb amputations (toe, ray, below-knee, and above-knee amputations) from a regional hospital from January 2016 to December 2017 were recruited. Amputations due to trauma were excluded. The one-year mortality rate and the potential risk factors (age, sex, length-of-stay, multiple operations, extent of surgery (minor vs. major), medical comorbidities including (1) end-stage renal failure (ESRF), (2) cardiac diseases, (3) ischemic heart disease, (4) peripheral vascular disease and (5) diabetes mellitus) were analyzed by multiple logistic regression using Matlab 2018a. Results A total of 132 patients were recruited (173 operations). The one-year mortality rate was 36.3%. The mean age at death was 72.2 years. The results of the regression analysis showed patients having ESRF (β = 2.195, t 120 = 3.008, p = 0.003) or a major amputation (including above- or below-knee amputation) (β = 1.079, t 120 = 2.120, p = 0.034), had a significantly higher one-year mortality. The remaining factors showed no significant effect. The one-year mortality rate in ESRF patients was 77.8%; while the one-year mortality rate without ESRF was 29.8%. The mean age at death in the ESRF group was 62.9 years; while that without ESRF was 76.1 years. The one-year mortality for patients with major amputation was 45.8% while that for minor amputation was 20.4%. Conclusion ESRF and major amputation are factors that increase the one-year mortality rate after lower limb amputation.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"67 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76067185","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 : 2021-01-01DOI: 10.1177/22104917211056946
R. Sane, P. Samant, R. Butala
Background/purpose Vitamin C has been proposed to prevent the incidence of complex regional pain syndrome, but the results are conflicting. We evaluated the effectiveness of vitamin C in the prevention of complex regional pain syndrome-1 after distal end radius fractures in the aging population. Methods This was a prospective, randomized study. Patients treated with either conservative or surgical management for distal end radius fracture received Vitamin C (500 mg/day) plus standard therapy or standard therapy alone for a period of 3 months. The presence of complex regional pain syndrome-1 was assessed with Budapest criteria. Results The complex regional pain syndrome-I occurred in 11.3% in Vitamin C plus Standard in compared to 26% in Standard therapy alone. Vitamin C was significantly associated with a reduction in the likelihood of exhibiting complex regional pain syndrome-1. Conclusion Vitamin C (500 mg/day) supplementation was effective and associated with a lower occurrence of acute complex regional pain syndrome-1. It can be a promising prophylactic option for the prevention of complex regional pain syndrome-1 after distal end radius fracture.
{"title":"Effectiveness of prophylactic vitamin C supplementation in the prevention of complex regional pain syndrome after distal end radius fractures in the aging population","authors":"R. Sane, P. Samant, R. Butala","doi":"10.1177/22104917211056946","DOIUrl":"https://doi.org/10.1177/22104917211056946","url":null,"abstract":"Background/purpose Vitamin C has been proposed to prevent the incidence of complex regional pain syndrome, but the results are conflicting. We evaluated the effectiveness of vitamin C in the prevention of complex regional pain syndrome-1 after distal end radius fractures in the aging population. Methods This was a prospective, randomized study. Patients treated with either conservative or surgical management for distal end radius fracture received Vitamin C (500 mg/day) plus standard therapy or standard therapy alone for a period of 3 months. The presence of complex regional pain syndrome-1 was assessed with Budapest criteria. Results The complex regional pain syndrome-I occurred in 11.3% in Vitamin C plus Standard in compared to 26% in Standard therapy alone. Vitamin C was significantly associated with a reduction in the likelihood of exhibiting complex regional pain syndrome-1. Conclusion Vitamin C (500 mg/day) supplementation was effective and associated with a lower occurrence of acute complex regional pain syndrome-1. It can be a promising prophylactic option for the prevention of complex regional pain syndrome-1 after distal end radius fracture.","PeriodicalId":42408,"journal":{"name":"Journal of Orthopaedics Trauma and Rehabilitation","volume":"50 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74982116","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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