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Journal of Clinical Orthopaedics and Trauma最新文献

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Surgical management of thoracolumbar burst fractures by three different posterior techniques: A prospective comparative study 用三种不同的后路技术治疗胸腰椎爆裂性骨折：前瞻性对比研究
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-11-01 DOI: 10.1016/j.jcot.2024.102564
Shivendra Kumar Sinha , Vishal Verma , Anil Regmi , P. Venkata Sudhakar , Nikhil Goyal , Siddharth Shekhar Sethy , Aakash Jain , Aman Verma , Pankaj Kandwal , Bhaskar Sarkar

Study design

Prospective Comparative Study.

Objectives

This study aims to study the outcome of thoracolumbar burst fractures by comparison of 3 different posterior constructs groups of patients treated by the posterior approach.

Setting

University level Tertiary care Centre of Northern India.

Methods

Single centre study conducted from September 2020 to April 2022, the study included patients aged 18–50 years with burst fractures in the thoracolumbar region, TLICS score ≥4, and injury surgery duration <3 weeks. Sixty patients were divided into three groups: Group I (short segment with index screw(s) in the fractured vertebrae), Group II (short segment with interbody cage fusion), and Group III (long segment without index screw or interbody cage). Clinical and radiological assessments were performed over a 6-month follow-up period. Outcome measures included the Visual Analog Scale (VAS) for pain, Oswestry Disability Index (ODI), American Spinal Injury Association (ASIA) impairment scale, and radiological parameters.

Results

Among 60 patients, 38 were male, and 22 were female, with a mean age of 33.37 ± 12.26 years. The most common injury mechanisms were falls from heights (85 %). Group I had the lowest estimated blood loss (395 ± 36.20 ml) and shortest surgery duration (140 ± 26.56 min), while Group III had the highest blood loss (744.25 ± 113.69 ml) and longest surgery duration (203.50 ± 23.40 min). No statistically significant differences were observed in kyphosis correction, canal clearance, or fusion status among the groups. Neurological and functional outcomes improved across all groups, with no significant intergroup differences.

Conclusion

All three posterior instrumentation constructs provided effective management of thoracolumbar burst fractures, demonstrating high rates of fusion, significant kyphosis correction, and minimal loss of alignment. Despite variations in surgical parameters such as estimated blood loss and surgery duration, the clinical and radiological outcomes were comparable.

Level of evidence

III.
研究设计前瞻性比较研究。研究目的本研究旨在通过比较采用后路治疗的 3 组不同后路构建的患者，研究胸腰椎爆裂性骨折的疗效。研究地点印度北部大学级别的三级医疗中心。研究方法2020 年 9 月至 2022 年 4 月进行的单中心研究，研究对象包括年龄在 18-50 岁、胸腰椎爆裂性骨折、TLICS 评分≥4 分、受伤手术持续时间<3 周的患者。60 名患者被分为三组：第一组（在骨折椎体的短节段植入螺钉）、第二组（在短节段植入椎间笼融合器）和第三组（在长节段不植入螺钉或椎间笼）。随访 6 个月，进行临床和放射学评估。结果包括疼痛视觉模拟量表（VAS）、Oswestry残疾指数（ODI）、美国脊柱损伤协会（ASIA）损伤量表和放射学参数。最常见的受伤机制是高处坠落（85%）。第一组估计失血量最少（395±36.20 毫升），手术时间最短（140±26.56 分钟），而第三组失血量最高（744.25±113.69 毫升），手术时间最长（203.50±23.40 分钟）。各组在椎体后凸矫正、椎管清扫或融合状态方面无明显统计学差异。结论 所有三种后路器械结构都能有效治疗胸腰椎爆裂性骨折，融合率高，椎体后凸明显矫正，对线损失极小。尽管估计失血量和手术时间等手术参数存在差异，但临床和放射学结果相当。
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引用次数: 0
Bilateral congenital pseudoarthrosis of the tibia: A case report and literature review 双侧先天性胫骨假关节：病例报告和文献综述
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-18 DOI: 10.1016/j.jcot.2024.102769
Suresh Chand, Syed Faisal Afaque, Rajan Kumar Singh
Congenital Pseudoarthrosis of the Tibia (CPT) is a rare disease with an incidence of one in 190,000 live births. Bilateral presentation is extremely rare, and very few case reports of bilateral CPT are mentioned worldwide. Bilateral CPT has added challenges to treatment. We here present a case report of a 4-year-old girl with bilateral CPT with Neurofibromatosis type-1 (NF-1) managed with ‘4 in 1 osteosynthesis’ surgery of the right leg.
先天性胫骨假关节（CPT）是一种罕见疾病，发病率为每 19 万活产婴儿中就有一人患病。双侧发病的情况极为罕见，全世界也很少有关于双侧 CPT 的病例报告。双侧 CPT 给治疗带来了更多挑战。我们在此报告一例患有双侧 CPT 并伴有神经纤维瘤病 1 型（NF-1）的 4 岁女孩的病例，她的右腿接受了 "4 合 1 骨合成 "手术治疗。
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引用次数: 0
Minimally invasive management of clavicle fractures using titanium elastic nail: a prospective study 使用钛弹性钉微创治疗锁骨骨折：一项前瞻性研究
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102602
(Mohd) Uzair Ashfaque, Naiyer Ashif
{"title":"Minimally invasive management of clavicle fractures using titanium elastic nail: a prospective study","authors":"(Mohd) Uzair Ashfaque,&nbsp;Naiyer Ashif","doi":"10.1016/j.jcot.2024.102602","DOIUrl":"10.1016/j.jcot.2024.102602","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102602"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663293","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
To compare and evaluate the efficacy of tranexamic acid administered by intravenous versus oral route in reducing blood loss in primary total hip arthroplasty 比较和评估静脉注射氨甲环酸与口服氨甲环酸在减少初次全髋关节置换术失血量方面的疗效
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102643
Saran Singh, Sukhvinder Singh Basraan
{"title":"To compare and evaluate the efficacy of tranexamic acid administered by intravenous versus oral route in reducing blood loss in primary total hip arthroplasty","authors":"Saran Singh,&nbsp;Sukhvinder Singh Basraan","doi":"10.1016/j.jcot.2024.102643","DOIUrl":"10.1016/j.jcot.2024.102643","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102643"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663303","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
Functional outcomes after scapulectomy for tumours of the shoulder girdle 肩胛骨肿瘤切除术后的功能效果
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102645
Nitish Jagdish Jyoti, Ritvik Janardan, J. Kamal Kishore, A.S. Pon Aravindhan, Love Kapoor, Venkatesh Sampath Kumar, Shah Alam Khan
{"title":"Functional outcomes after scapulectomy for tumours of the shoulder girdle","authors":"Nitish Jagdish Jyoti,&nbsp;Ritvik Janardan,&nbsp;J. Kamal Kishore,&nbsp;A.S. Pon Aravindhan,&nbsp;Love Kapoor,&nbsp;Venkatesh Sampath Kumar,&nbsp;Shah Alam Khan","doi":"10.1016/j.jcot.2024.102645","DOIUrl":"10.1016/j.jcot.2024.102645","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102645"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663305","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
Complex open Hoffa's fracture with a large articular bone loss managed by native patella graft 大块关节骨缺损的复杂开放性霍法氏骨折，采用原生髌骨移植术治疗
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102634
Ganesh Singh Dharmshaktu, Ishwar Singh Dharmshaktu
{"title":"Complex open Hoffa's fracture with a large articular bone loss managed by native patella graft","authors":"Ganesh Singh Dharmshaktu,&nbsp;Ishwar Singh Dharmshaktu","doi":"10.1016/j.jcot.2024.102634","DOIUrl":"10.1016/j.jcot.2024.102634","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102634"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663412","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
Management Of Atypical Paediatric Aneurysmal Bone Cyst 非典型儿科动脉瘤性骨囊肿的管理
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102584
Dhruv Maini, Rajesh Arora, I.K. Dhami
{"title":"Management Of Atypical Paediatric Aneurysmal Bone Cyst","authors":"Dhruv Maini,&nbsp;Rajesh Arora,&nbsp;I.K. Dhami","doi":"10.1016/j.jcot.2024.102584","DOIUrl":"10.1016/j.jcot.2024.102584","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102584"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663512","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
Correction of genu valgum by medial closing wedge distal femoral osteotomy vs chevron osteotomy: a randomized control trial 股骨远端内侧闭合楔形截骨术与切弗隆截骨术对股骨外翻的矫正：随机对照试验
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102608
Rahul Kumar, Alok Sood, Sanjay Meena, Vaibhav Gambhir, Shweta Agarwal
{"title":"Correction of genu valgum by medial closing wedge distal femoral osteotomy vs chevron osteotomy: a randomized control trial","authors":"Rahul Kumar,&nbsp;Alok Sood,&nbsp;Sanjay Meena,&nbsp;Vaibhav Gambhir,&nbsp;Shweta Agarwal","doi":"10.1016/j.jcot.2024.102608","DOIUrl":"10.1016/j.jcot.2024.102608","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102608"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663579","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
Dual approach for fibular resection in Ewings sarcoma – a case report 埃文斯肉瘤腓骨切除术的双重方法--病例报告
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102609
Tejaswa Sonkar, Abhishek Rastogi, Lalit Maini
{"title":"Dual approach for fibular resection in Ewings sarcoma – a case report","authors":"Tejaswa Sonkar,&nbsp;Abhishek Rastogi,&nbsp;Lalit Maini","doi":"10.1016/j.jcot.2024.102609","DOIUrl":"10.1016/j.jcot.2024.102609","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102609"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663580","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
Evaluation of clinical and radiological outcome of Lisfranc fracture-dislocation treated with open reduction and internal fixation using dorsal bridge plating 采用背侧桥式钢板开放复位内固定治疗 Lisfranc 骨折脱位的临床和放射学疗效评估
Q2 Medicine
Journal of Clinical Orthopaedics and Trauma
Pub Date : 2024-10-01 DOI: 10.1016/j.jcot.2024.102596
Rakshit Sanjay Shah, Vineet Arora, S.K. Sharma
{"title":"Evaluation of clinical and radiological outcome of Lisfranc fracture-dislocation treated with open reduction and internal fixation using dorsal bridge plating","authors":"Rakshit Sanjay Shah,&nbsp;Vineet Arora,&nbsp;S.K. Sharma","doi":"10.1016/j.jcot.2024.102596","DOIUrl":"10.1016/j.jcot.2024.102596","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102596"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650848","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
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