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Clinical Outcome of Cruciate Retaining Vs Posterior Stabilized Implants of Total Knee Arthroplasty Using Knee Society Score 全膝关节置换术中十字韧带固定假体与后方稳定假体的临床效果(使用膝关节社会评分法进行评分
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102571
Manav Babbar, R.K. Pandey, Anshul Goel, Rishav Krishna
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引用次数: 0
Comparison Between Clinical Outcome of Fixed Platform and Rotating Platform Designs of Total Knee Arthroplasty 全膝关节置换术中固定平台与旋转平台设计的临床效果比较
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102572
Manav Babbar, R.K. Pandey, Anshul Goel, Rishav Krishna
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引用次数: 0
Subungual osteochondroma of great toe- a unique presentation 趾骨下骨软骨瘤--一种独特的表现形式
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102636
Reddy Lakshmana Sai, Tufan Mandal, Manoj Kumar
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引用次数: 0
Treatment of radial club hand with centralisation of wrist: A case report 通过腕关节中央化治疗桡骨棍手:病例报告
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102570
Baldish Singh Oberoi, Harsharan Singh Oberoi
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引用次数: 0
Diaphyseal Tibial Giant Cell Tumor Managed by Resection and Liquid Nitrogen Treated Re-Implantation 通过切除和液氮处理再植入手术治疗胫骨骺巨细胞瘤
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102573
Tushar Sharma, Abhishek Rastogi, Lalit Maini, Sumit Arora
{"title":"Diaphyseal Tibial Giant Cell Tumor Managed by Resection and Liquid Nitrogen Treated Re-Implantation","authors":"Tushar Sharma, Abhishek Rastogi, Lalit Maini, Sumit Arora","doi":"10.1016/j.jcot.2024.102573","DOIUrl":"10.1016/j.jcot.2024.102573","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102573"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651120","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
Outcome of clavicle fracture osteosynthesis done under clavipectoral fascial plane block: a prospective single arm study 在锁骨筋膜面阻滞下进行锁骨骨折骨合成术的效果:一项前瞻性单臂研究
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102663
Sameer Ahmed Ansari, Owais Ahmed Qureshi, Jyotsna Tahir, Muzaffar
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引用次数: 0
Changes in limb alignment and evaluation of periprosthetic proximal tibia fractures in case series of 382 cases of unicondylar knee arthroplasty 382 例单髁膝关节置换术病例系列中肢体排列的变化和假体近端胫骨骨折的评估
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102610
Abhay Meena, T. Kim
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引用次数: 0
Study of Functional Outcome and Postoperative Complications Among Proximal Humerus Fracture Patients Treated with Proximal Humerus Internal Locking System (PHILOS) Plating 肱骨近端内固定系统(PHILOS)钢板治疗肱骨近端骨折患者的功能效果和术后并发症研究
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102567
Nitin Jain, Rakesh Kumar
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引用次数: 0
Ceramic-on-ceramic vs metal-on-crosslink polyethylene in a fully hydroxyapatite-coated total hip arthroplasty: Survivorship, complications and long-term results 全羟基磷灰石涂层全髋关节置换术中的陶瓷对陶瓷与金属对交联聚乙烯:存活率、并发症和长期效果
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102555
José Cordero-Ampuero , Paula Velasco , Jorge Payo-Rodríguez , Pablo Peñalver-Andrada , Enrique González-Fernández

Background

Few studies compare complications and results in ceramic-ceramic (CeCe) vs metal-on-crosslink polyethylene (Me-XLPE) hip prosthesis.

Methods

Prospective, non-randomized, observational analysis of 2 series of hydroxyapatite-coated Furlong Active implanted with identical protocol by 1 surgeon in 1 hospital from 2006 to 2014.

Bearing surface

CeCe (Biolox Forte/Delta) in 35 cases of 53.7 ± 10.6 years (25–69) (21 males, 60 %), Me-XLPE in 65 of 69.0 ± 8.9 years (42–81) (36 males, 55 %); age was different (p < 0.00001), but not sex (p = 0.6565). Head diameter: 28 mm in 19, 32 mm in 9 and 36 mm in 7 CeCe hips; 28 mm in 63, 32 mm in 1 and 36 mm in 1 Me-XLPe hips.

Follow-up

10.5 ± 3.1 years (1–15) in ceramic, 9.8 ± 3.8 years (2–15) in Me-XLPE.

Results

Survivorship without additional surgery or closed reduction at 15 years: 91.0 % in ceramic, 83.8 % in Me-XLPE joints. Survivorship without component exchange at 15 years: 93.9 % in ceramic, 93.6 % in Me-XLPE joints.

Complications

CeCe joints suffered 2 infections, 1 isolated dislocation, and 1 Vancouver-C fracture. Me-XLPE joints presented 2 infections (p = 0.6101), 5 isolated (p = 0.6621) and 2 recurrent dislocations (p = 0.5454), and 4 Vancouver-B fractures (p = 0.6548).
At final follow-up, Harris Hip Score averaged 93.2 ± 13.7 (23–100) in ceramic and 94.3 ± 8.7 (65–100) in XLPE joints (p = 0.64552).
Measured radiographic wear reached 0.06 ± 0.38 mm (0–1.5) (0.0057 mm/year) in CeCe and 0.16 ± 0.5 mm (0–2) (0.0163 mm/year) in Me-XLPE (p = 0.30302). At final radiographic follow-up, osteolysis was present in 8 Charnley-De Lee zones (6 patients) (17 %) of ceramic cups and in 25 zones (15 patients) (23 %) of XLPE cups (p = 0.980127).

Conclusion

At 10 years follow-up, metal-XLPE and ceramic-ceramic joints in Furlong-H-A.C. Active present no significant differences in complications, clinical score, wear, acetabular osteolysis, or survivorship without component exchange.
Nevertheless, survivorship without any surgery or closed reduction is different because of the high rate of dislocation in 28 mm metal-poly joints.
背景很少有研究对陶瓷(CeCe)与交联聚乙烯(Me-XLPE)髋关节假体的并发症和效果进行比较。方法对2006年至2014年期间一家医院的一名外科医生以相同方案植入的2个系列羟基磷灰石涂层Furlong Active进行前瞻性、非随机、观察性分析。35例(53.7±10.6岁,25-69岁)患者的轴承表面为CeCe(Biolox Forte/Delta)(21名男性,60%),65例(69.0±8.9岁,42-81岁)患者的轴承表面为Me-XLPE(36名男性,55%);年龄有差异(p <0.00001),但性别无差异(p = 0.6565)。头部直径:19 个 CeCe 髋关节为 28 毫米,9 个为 32 毫米,7 个为 36 毫米;63 个 Me-XLPe 髋关节为 28 毫米,1 个为 32 毫米,1 个为 36 毫米。随访陶瓷髋关节 10.5 ± 3.1 年(1-15),Me-XLPE 髋关节 9.8 ± 3.8 年(2-15):陶瓷关节的存活率为91.0%,Me-XLPE关节的存活率为83.8%。15年后无需更换组件的存活率:陶瓷关节为93.9%,Me-XLPE关节为83.8%:并发症CeCe关节有2处感染、1处孤立脱位和1处Vancouver-C骨折。最后随访时,Harris髋关节评分平均为 93.2 ± 13.7(23-100)。在最终随访中,陶瓷关节的 Harris 髋关节评分平均为 93.2 ± 13.7 (23-100),XLPE 关节的评分平均为 94.3 ± 8.7 (65-100)(p = 0.64552)。CeCe 关节的放射磨损测量值为 0.06 ± 0.38 mm (0-1.5) (0.0057 mm/年),Me-XLPE 关节的放射磨损测量值为 0.16 ± 0.5 mm (0-2) (0.0163 mm/年)(p = 0.30302)。在最终的放射学随访中,陶瓷杯有 8 个 Charnley-De Lee 区(6 名患者)(17%)出现骨溶解,XLPE 杯有 25 个区(15 名患者)(23%)出现骨溶解(p = 0.980127)。然而,由于 28 毫米金属-聚合关节的脱位率较高,因此在不进行任何手术或闭合复位的情况下,其存活率也有所不同。
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引用次数: 0
An additional intra-operative peri-articular tranexamic acid decreases the drain output but does not benefit in total blood loss conservation during bilateral Total Knee Arthroplasty: A retrospective observation 在双侧全膝关节置换术中,术中追加关节周围氨甲环酸可减少引流管输出量,但对保护总失血量无益:回顾性观察
Q2 Medicine Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102770
Arghya Kundu Choudhury , Anil Regmi , Bishwa Bandhu Niraula , Tushar Gupta , Souvik Paul , Roop Bhusan Kalia

Background

The preferred procedure for end-stage arthritic knees is Total Knee Arthroplasty (TKA). Hidden blood loss during and after surgery is one of the most frequent side effects of TKA. This study aims to assess the impact of an extra intraoperative dosage of local periarticular tranexamic acid (TXA) on total blood loss and drain output following bilateral TKA in comparison to conventional triple dose IV TXA.

Methods

Patients who had bilateral simultaneous TKA between January 2021 and November 2022 were the subjects of a single centre based retrospective observational analysis. In group 1 and group 2, 80 knees (IV TXA with periarticular TXA) were compared to a matched paired control set of 80 knees (3 dose IV TXA).

Results

In all, 80 patients having 160 TKAs performed were included in the study. When the two groups' total and concealed blood losses were compared, they were found to be statistically insignificant; nevertheless, first group's drain output was considerably lower than the second group due to the use of an additional dose of periarticular TXA. Comparable declines in Hb, HCT, and platelet count were observed among the two groups. The secondary goal indicated that although there was no significant difference in range of motion between the groups 72 h after surgery, group 2 had a higher rate of hospital re-admissions within 30 days compared to group 1.

Conclusion

The study demonstrated that peri-articular TXA administration during bilateral simultaneous TKA resulted in no additional benefit to the total or hidden blood loss conservation, except reducing the drain amount. However, a unique finding of the current study suggests decreased chances of wound complications and lesser 30-day readmission rate among patients receiving peri-articular TXA. Present study thus advocates the use of TXA as an effective peri-articular adjunct after TKA when a negative suction drain is being used post-operatively.

Level of evidence

Level III, Retrospective comparative study.
背景治疗终末期膝关节炎的首选手术是全膝关节置换术(TKA)。术中和术后的隐性失血是 TKA 最常见的副作用之一。本研究旨在评估与传统的三倍剂量静脉注射氨甲环酸(TXA)相比,术中增加局部关节周围氨甲环酸(TXA)剂量对双侧 TKA 术后总失血量和引流管输出量的影响。在第1组和第2组中,80个膝关节(IV TXA与关节周围TXA)与80个膝关节(3剂量IV TXA)的配对对照组进行了比较。对两组患者的总失血量和隐性失血量进行比较后发现,这两组患者的失血量在统计学上并不显著;然而,由于使用了额外剂量的关节周围 TXA,第一组患者的引流量大大低于第二组。两组患者的血红蛋白、血细胞比容和血小板计数下降幅度相当。次要目标表明,虽然两组在术后 72 小时的活动范围上没有显著差异,但与第一组相比,第二组在 30 天内的再入院率更高。结论该研究表明,在双侧同时 TKA 期间使用关节周围 TXA 除了减少引流量外,对总失血量或隐性失血量的保护没有额外益处。然而,本研究的一个独特发现表明,接受关节周围注射 TXA 的患者出现伤口并发症的几率降低,30 天再入院率降低。因此,本研究提倡在 TKA 术后使用负压吸引引流管时,将 TXA 作为一种有效的关节周围辅助用药。
{"title":"An additional intra-operative peri-articular tranexamic acid decreases the drain output but does not benefit in total blood loss conservation during bilateral Total Knee Arthroplasty: A retrospective observation","authors":"Arghya Kundu Choudhury ,&nbsp;Anil Regmi ,&nbsp;Bishwa Bandhu Niraula ,&nbsp;Tushar Gupta ,&nbsp;Souvik Paul ,&nbsp;Roop Bhusan Kalia","doi":"10.1016/j.jcot.2024.102770","DOIUrl":"10.1016/j.jcot.2024.102770","url":null,"abstract":"<div><h3>Background</h3><div>The preferred procedure for end-stage arthritic knees is Total Knee Arthroplasty (TKA). Hidden blood loss during and after surgery is one of the most frequent side effects of TKA. This study aims to assess the impact of an extra intraoperative dosage of local periarticular tranexamic acid (TXA) on total blood loss and drain output following bilateral TKA in comparison to conventional triple dose IV TXA.</div></div><div><h3>Methods</h3><div>Patients who had bilateral simultaneous TKA between January 2021 and November 2022 were the subjects of a single centre based retrospective observational analysis. In group 1 and group 2, 80 knees (IV TXA with periarticular TXA) were compared to a matched paired control set of 80 knees (3 dose IV TXA).</div></div><div><h3>Results</h3><div>In all, 80 patients having 160 TKAs performed were included in the study. When the two groups' total and concealed blood losses were compared, they were found to be statistically insignificant; nevertheless, first group's drain output was considerably lower than the second group due to the use of an additional dose of periarticular TXA. Comparable declines in Hb, HCT, and platelet count were observed among the two groups. The secondary goal indicated that although there was no significant difference in range of motion between the groups 72 h after surgery, group 2 had a higher rate of hospital re-admissions within 30 days compared to group 1.</div></div><div><h3>Conclusion</h3><div>The study demonstrated that peri-articular TXA administration during bilateral simultaneous TKA resulted in no additional benefit to the total or hidden blood loss conservation, except reducing the drain amount. However, a unique finding of the current study suggests decreased chances of wound complications and lesser 30-day readmission rate among patients receiving peri-articular TXA. Present study thus advocates the use of TXA as an effective peri-articular adjunct after TKA when a negative suction drain is being used post-operatively.</div></div><div><h3>Level of evidence</h3><div>Level III, Retrospective comparative study.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102770"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531987","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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Journal of Clinical Orthopaedics and Trauma
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