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Controversies in orthopaedic oncology. 骨科肿瘤学的争议。
Pub Date : 2024-05-01 DOI: 10.1302/0301-620x.106b5.bjj-2023-1381
Lee M Jeys, Joachim Thorkildsen, Vineet Kurisunkal, Ajay Puri, Pietro Ruggieri, Matthew T Houdek, Richard A Boyle, Walid Ebeid, Eduardo Botello, Guy V Morris, , Minna K Laitinen, , Adesegun Abudu, Keisuke Ae, Manish Agarwal, Vivek Ajit Singh, Toru Akiyama, Jose I Albergo, John Alexander, Bugra Alpan, Ahmed Aoude, Apichat Asavamongkolkul, William Aston, Thomas Baad-Hansen, Tessa Balach, Joseph Benevenia, Peter Bergh, Nicholas Bernthal, Odion Binitie, Michele Boffano, Jos Bramer, Harriet Branford White, Bernadette Brennan, Jorge Cabrolier, Jose A Calvo Haro, Domenico A Campanacci, Rodrigo Cardoso, Richard Carey Smith, Nicolas Casales Fresnga, Jose M Casanova, Oscar Ceballos, Chung M Chan, Yang-Guk Chung, Miguel A Clara-Altamirano, Gillian Cribb, Solomon Dadia, Dietmar Dammerer, Marieke de Vaal, Javier Delgado Obando, Shaneel Deo, Claudia Di Bella, Davide M Donati, Makoto Endo, Levent Eralp, Bulent Erol, Scott Evans, Will Eward, Fabrice Fiorenza, Joao Freitas, Philipp T Funovics, Marcos Galli Serra, Michelle Ghert, Kanishka Ghosh, Luis C Gomez Mier, Jesus Gomez Vallejo, Anthony Griffin, Ashish Gulia, Maurice Guzman, Jendrik Hardes, John Healey, Adriana Hernandez, Asle Hesla, Chindanai Hongsaprabhas, Francis Hornicek, Keith Hosking, Shintaro Iwata, Jake Jagiello, Luke Johnson, Andy Johnston, Min Wook Joo, Paul Jutte, Bilal Kapanci, Zeeshan Khan, Hiroshi Kobayashi, Yehuda Kollender, Sebastian Koob, Daniel Kotrych, Louis-Romee Le Nail, Pawel Legosz, Burkhard Lehner, Andreas Leithner, Valerae Lewis, Peng Lin, Francisco Linares, Santiago Lozano Calderon, Ashish Mahendra, Ferdiansyah Mahyudin, Eric Mascard, Jean-Camille Mattei, Louise McCullough, Manuel R Medellin Rincon, Rhidian Morgan-Jones, Diego J Moriel Garcesco, Sophie Mottard, Robert Nakayama, Prashant Narhari, Gary O'Toole, Oliveira Vania, André Olivier, Mohamed Omar, Eduardo Ortiz-Cruz, Harzem Ozger, Korhan Ozkan, Emanuela Palmerini, Panayiotis Papagelopoulos, Michael Parry, Sam Patton, Michael M Petersen, Gerard Powell, Mark Puhaindran, Anand Raja, Raja B Rajasekaran, Lauris Repsa, Mickael Ropars, Andrea Sambri, Thomas Schubert, Ahmad Shehadeh, Geoffrey Siegel, Scott Sommerville, Andre Spiguel, Jonathan Stevenson, Gwen Sys, Thomas Temple, Frank Traub, Hiroyuki Tsuchiya, Juan Valencia, Michel Van de Sande, Gualter Vaz, Roberto Velez Villa, Oleg Vyrva, Hazem Wafa, Wan I Wan Faisham Numan, Edward Wang, David Warnock, Joel Werier, Kwok-Chuen Wong, Yamamoto Norio, Ye Zhaoming, Suraya Zainul Abidin, Tomas Zamora, Juan P Zumarraga, Ghaith Abou-Nouar, Carsten Gebert, R L Randall
Chondrosarcoma is the second most common surgically treated primary bone sarcoma. Despite a large number of scientific papers in the literature, there is still significant controversy about diagnostics, treatment of the primary tumour, subtypes, and complications. Therefore, consensus on its day-to-day treatment decisions is needed. In January 2024, the Birmingham Orthopaedic Oncology Meeting (BOOM) attempted to gain global consensus from 300 delegates from over 50 countries. The meeting focused on these critical areas and aimed to generate consensus statements based on evidence amalgamation and expert opinion from diverse geographical regions. In parallel, periprosthetic joint infection (PJI) in oncological reconstructions poses unique challenges due to factors such as adjuvant treatments, large exposures, and the complexity of surgery. The meeting debated two-stage revisions, antibiotic prophylaxis, managing acute PJI in patients undergoing chemotherapy, and defining the best strategies for wound management and allograft reconstruction. The objectives of the meeting extended beyond resolving immediate controversies. It sought to foster global collaboration among specialists attending the meeting, and to encourage future research projects to address unsolved dilemmas. By highlighting areas of disagreement and promoting collaborative research endeavours, this initiative aims to enhance treatment standards and potentially improve outcomes for patients globally. This paper sets out some of the controversies and questions that were debated in the meeting.
软骨肉瘤是第二大最常见的手术治疗原发性骨肉瘤。尽管文献中有大量科学论文,但在诊断、原发性肿瘤的治疗、亚型和并发症等方面仍存在很大争议。因此,需要就其日常治疗决策达成共识。2024 年 1 月,伯明翰骨科肿瘤学会议(BOOM)试图与来自 50 多个国家的 300 名代表达成全球共识。会议重点关注这些关键领域,旨在根据不同地区的证据汇总和专家意见形成共识声明。与此同时,由于辅助治疗、大面积暴露和手术的复杂性等因素,肿瘤重建中的假体周围关节感染(PJI)带来了独特的挑战。会议讨论了两阶段翻修、抗生素预防、化疗患者急性 PJI 的管理以及伤口管理和异体移植重建最佳策略的定义。会议的目标不仅仅是解决眼前的争议。会议旨在促进与会专家之间的全球合作,并鼓励未来的研究项目解决尚未解决的难题。通过强调存在分歧的领域和促进合作研究努力,该倡议旨在提高治疗标准,并有可能改善全球患者的治疗效果。本文列出了会议上讨论的一些争议和问题。
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引用次数: 0
Robotic trials in arthroplasty surgery. 关节置换手术中的机器人试验。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0711.r1
Chetan Khatri, Andrew Metcalfe, Peter Wall, Martin Underwood, Fares S Haddad, Edward T Davis
Total hip and knee arthroplasty (THA, TKA) are largely successful procedures; however, both have variable outcomes, resulting in some patients being dissatisfied with the outcome. Surgeons are turning to technologies such as robotic-assisted surgery in an attempt to improve outcomes. Robust studies are needed to find out if these innovations are really benefitting patients. The Robotic Arthroplasty Clinical and Cost Effectiveness Randomised Controlled Trials (RACER) trials are multicentre, patient-blinded randomized controlled trials. The patients have primary osteoarthritis of the hip or knee. The operation is Mako-assisted THA or TKA and the control groups have operations using conventional instruments. The primary clinical outcome is the Forgotten Joint Score at 12 months, and there is a built-in analysis of cost-effectiveness. Secondary outcomes include early pain, the alignment of the components, and medium- to long-term outcomes. This annotation outlines the need to assess these technologies and discusses the design and challenges when conducting such trials, including surgical workflows, isolating the effect of the operation, blinding, and assessing the learning curve. Finally, the future of robotic surgery is discussed, including the need to contemporaneously introduce and evaluate such technologies.
全髋关节和膝关节置换术(THA、TKA)在很大程度上是成功的手术,但这两种手术的疗效各不相同,导致一些患者对疗效不满意。外科医生正转向机器人辅助手术等技术,试图改善手术效果。要了解这些创新是否真正造福于患者,还需要进行大量的研究。机器人关节成形术临床和成本效益随机对照试验(RACER)是一项多中心、患者盲法随机对照试验。患者患有原发性髋关节或膝关节骨性关节炎。对照组使用传统器械进行手术。主要临床结果是12个月时的 "遗忘关节评分",并对成本效益进行内置分析。次要结果包括早期疼痛、组件对齐情况以及中长期结果。本注释概述了评估这些技术的必要性,并讨论了进行此类试验时的设计和挑战,包括手术工作流程、分离手术效果、盲法和评估学习曲线。最后还讨论了机器人手术的未来,包括同时引进和评估此类技术的必要性。
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引用次数: 0
The necessity of ulnar nerve exploration and translocation in open reduction of medial humeral epicondyle fractures in children. 儿童肱骨内上髁骨折切开复位术中尺神经探查和移位的必要性。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0501.r1
Shaoshan Liu, Yuxi Su
Medial humeral epicondyle fractures (MHEFs) are common elbow fractures in children. Open reduction should be performed in patients with MHEF who have entrapped intra-articular fragments as well as displacement. However, following open reduction, transposition of the ulnar nerve is disputed. The aim of this study is to evaluate the need for ulnar nerve exploration and transposition.
肱骨内上髁骨折(MHEF)是儿童常见的肘部骨折。肱骨内上髁骨折(MHEF)患者如果有关节内碎片缠绕和移位,则应行切开复位术。然而,在切开复位术后,尺神经的转位还存在争议。本研究旨在评估尺神经探查和转位的必要性。
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引用次数: 0
Analysis of modular taper fractures of the revision hip stem Prevision and comparison of the original and current taper design. 对翻修髋关节柄 Prevision 模块化锥度骨折的分析以及原始锥度设计与当前锥度设计的比较。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0605.r1
Lutz Dreyer, Christian Bader, Thilo Flörkemeier, Michael Wagner
The risk of mechanical failure of modular revision hip stems is frequently mentioned in the literature, but little is currently known about the actual clinical failure rates of this type of prosthesis. The current retrospective long-term analysis examines the distal and modular failure patterns of the Prevision hip stem from 18 years of clinical use. A design improvement of the modular taper was introduced in 2008, and the data could also be used to compare the original and the current design of the modular connection.
文献中经常提到模块化翻修髋关节柄的机械故障风险,但目前对这种假体的实际临床故障率知之甚少。目前的回顾性长期分析研究了 Prevision 髋关节柄在 18 年临床使用中的远端和模块化失效模式。2008 年对模块锥度进行了设计改进,这些数据也可用于比较原始和当前的模块连接设计。
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引用次数: 0
Central band interosseus membrane reconstruction for longitudinal instability injuries of the forearm. 前臂纵向不稳定性损伤的中央带骨间膜重建术。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0598.r2
Juan A Gallego, Dani Rotman, Adam C Watts
Acute and chronic injuries of the interosseus membrane can result in longitudinal instability of the forearm. Reconstruction of the central band of the interosseus membrane can help to restore biomechanical stability. Different methods have been used to reconstruct the central band, including tendon grafts, bone-ligament-bone grafts, and synthetic grafts. This Idea, Development, Exploration, Assessment, and Long-term (IDEAL) phase 1 study aims to review the clinical results of reconstruction using a synthetic braided cross-linked graft secured at either end with an Endobutton to restore the force balance between the bones of the forearm.
骨间膜的急性和慢性损伤可导致前臂纵向不稳定。重建骨间膜中央带有助于恢复生物力学稳定性。重建中央带的方法多种多样,包括肌腱移植、骨-韧带-骨移植和合成移植。这项 "构想、开发、探索、评估和长期(IDEAL)"第一阶段研究旨在回顾使用合成编织交联移植物重建的临床效果,该移植物的两端用 Endobutton 固定,以恢复前臂骨骼之间的力平衡。
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引用次数: 0
Migration and clinical outcomes of a novel cementless hydroxyapatite-coated titanium acetabular shell: two-year follow-up of a randomized controlled trial using radiostereometric analysis. 新型无骨水泥羟基磷灰石涂层钛髋臼壳的迁移和临床效果:使用放射线立体计量分析法进行的随机对照试验的两年随访。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0862.r1
Thies J N van der Lelij, Perla J Marang-van de Mheen, Bart L Kaptein, Lennard A Koster, Peter Ljung, Rob G H H Nelissen, Sören Toksvig-Larsen
The objective of this study was to compare the two-year migration and clinical outcomes of a new cementless hydroxyapatite (HA)-coated titanium acetabular shell with its previous version, which shared the same geometrical design but a different manufacturing process for applying the titanium surface.
本研究的目的是比较新型无骨水泥羟基磷灰石(HA)涂层钛髋臼壳与之前版本的髋臼壳两年的迁移情况和临床结果。
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引用次数: 0
Comparison of survival prediction models for bone metastases of the extremities following surgery. 四肢骨转移手术后生存预测模型的比较。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0751
Jay H Park, Juneseok Won, Han-Soo Kim, Yongsung Kim, Shin Kim, Ilkyu Han
This study aimed to compare the performance of survival prediction models for bone metastases of the extremities (BM-E) with pathological fractures in an Asian cohort, and investigate patient characteristics associated with survival.
本研究旨在比较亚洲队列中伴有病理性骨折的四肢骨转移(BM-E)生存预测模型的性能,并调查与生存相关的患者特征。
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引用次数: 0
Postoperative hypotension following acute hip fracture surgery is a predictor of 30-day mortality. 急性髋部骨折术后低血压是 30 天死亡率的预测因素。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0692.r2
Neil Donald, Grace Eniola, Krisztian Deierl
Hip fractures are some of the most common fractures encountered in orthopaedic practice. We aimed to identify whether perioperative hypotension is a predictor of 30-day mortality, and to stratify patient groups that would benefit from closer monitoring and early intervention. While there is literature on intraoperative blood pressure, there are limited studies examining pre- and postoperative blood pressure.
髋部骨折是骨科临床中最常见的骨折之一。我们的目的是确定围手术期低血压是否是 30 天死亡率的预测因素,并对可受益于更密切监测和早期干预的患者群体进行分层。虽然有关于术中血压的文献,但对术前和术后血压的研究却很有限。
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引用次数: 0
Positive outcome reporting in orthopaedic literature. 骨科文献中的积极成果报告。
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0391.r2
Peter Filtes, Keenan Sobol, Charles Lin, Utkarsh Anil, Timothy Roberts, Carlos Pargas-Colina, Pablo Castañeda
Perthes' disease (PD) is a relatively rare syndrome of idiopathic osteonecrosis of the proximal femoral epiphysis. Treatment for Perthes' disease is controversial due to the many options available, with no clear superiority of one treatment over another. Despite having few evidence-based approaches, many patients with Perthes' disease are managed surgically. Positive outcome reporting, defined as reporting a study variable producing statistically significant positive (beneficial) results, is a phenomenon that can be considered a proxy for the strength of science. This study aims to conduct a systematic literature review with the hypothesis that positive outcome reporting is frequent in studies on the treatment of Perthes' disease.
珀尔特氏病(PD)是一种相对罕见的股骨近端骨骺特发性骨坏死综合征。珀尔特氏病的治疗方法很多,但没有明确的优劣之分,因此存在争议。尽管循证方法很少,但许多珀尔特氏病患者仍接受手术治疗。阳性结果报告,即报告研究变量在统计学上产生了显著的阳性(有益)结果,这一现象可被视为科学实力的代表。本研究旨在进行系统的文献综述,假设在治疗珀尔特氏病的研究中经常出现阳性结果报告。
{"title":"Positive outcome reporting in orthopaedic literature.","authors":"Peter Filtes, Keenan Sobol, Charles Lin, Utkarsh Anil, Timothy Roberts, Carlos Pargas-Colina, Pablo Castañeda","doi":"10.1302/0301-620x.106b2.bjj-2023-0391.r2","DOIUrl":"https://doi.org/10.1302/0301-620x.106b2.bjj-2023-0391.r2","url":null,"abstract":"Perthes' disease (PD) is a relatively rare syndrome of idiopathic osteonecrosis of the proximal femoral epiphysis. Treatment for Perthes' disease is controversial due to the many options available, with no clear superiority of one treatment over another. Despite having few evidence-based approaches, many patients with Perthes' disease are managed surgically. Positive outcome reporting, defined as reporting a study variable producing statistically significant positive (beneficial) results, is a phenomenon that can be considered a proxy for the strength of science. This study aims to conduct a systematic literature review with the hypothesis that positive outcome reporting is frequent in studies on the treatment of Perthes' disease.","PeriodicalId":516847,"journal":{"name":"The Bone & Joint Journal","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655826","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
Acetabular retroversion: functional or anatomical? 髋臼后移:功能性还是解剖性?
Pub Date : 2024-02-01 DOI: 10.1302/0301-620x.106b2.bjj-2023-0706.r1
Mark R J Jenkinson, Tin C C Cheung, Johan Witt, Jonathan R B Hutt
The aim of this study is to evaluate whether acetabular retroversion (AR) represents a structural anatomical abnormality of the pelvis or is a functional phenomenon of pelvic positioning in the sagittal plane, and to what extent the changes that result from patient-specific functional position affect the extent of AR.
本研究的目的是评估髋臼内翻(AR)是骨盆结构解剖学上的异常,还是骨盆在矢状面上定位的一种功能性现象,以及患者特定的功能性体位所导致的变化在多大程度上影响了髋臼内翻的程度。
{"title":"Acetabular retroversion: functional or anatomical?","authors":"Mark R J Jenkinson, Tin C C Cheung, Johan Witt, Jonathan R B Hutt","doi":"10.1302/0301-620x.106b2.bjj-2023-0706.r1","DOIUrl":"https://doi.org/10.1302/0301-620x.106b2.bjj-2023-0706.r1","url":null,"abstract":"The aim of this study is to evaluate whether acetabular retroversion (AR) represents a structural anatomical abnormality of the pelvis or is a functional phenomenon of pelvic positioning in the sagittal plane, and to what extent the changes that result from patient-specific functional position affect the extent of AR.","PeriodicalId":516847,"journal":{"name":"The Bone & Joint Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655828","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
The Bone & Joint Journal
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