Ju-Sung Kim, Mun-Sik Ko, Gwang-Sung Ri, S. Pak, Hyon-Min Kim, Jin-Hyok Kim
Purpose: The purpose of this study was to prospectively evaluate the outcome of fixation of chevron osteotomy for treatment of hallux valgus deformity with bioabsorbable pins and stainless steel Kirschner wires. Materials and Methods: A total of 112 patients (134 feet) with mild-to-moderate hallux valgus deformity treated with either bioabsorbable pins or stainless steel K-wires were included in the study between February 2010 and June 2016. At follow-up, patients were objectively and subjectively assessed to estimate the first intermetatarsal angle (IMA), hallux valgus angle (HVA), time to bony union and complications. Results: There was no significant difference between the 2 groups in terms of radiographic findings and main clinical outcomes by use of American Orthopaedic Foot and Ankle Society (AOFAS) scores. Pin migration or prominence, however, was the predominant complication in patients with stainless steel K-wires. Conclusions: Bioabsorbable pins and stainless steel K-wires used for fixation of the chevron osteotomy for treatment of hallux valgus deformity are similarly successful up.
{"title":"Bioabsorbable Pins Versus Stainless Steel Kirschner Wires in Fixation of the Chevron Osteotomy for Treatment of Hallux Valgus Deformity: A Prospective Randomized Study with 2-Year Follow-up","authors":"Ju-Sung Kim, Mun-Sik Ko, Gwang-Sung Ri, S. Pak, Hyon-Min Kim, Jin-Hyok Kim","doi":"10.26502/josm.5115009","DOIUrl":"https://doi.org/10.26502/josm.5115009","url":null,"abstract":"Purpose: The purpose of this study was to prospectively evaluate the outcome of fixation of chevron osteotomy for treatment of hallux valgus deformity with bioabsorbable pins and stainless steel Kirschner wires. Materials and Methods: A total of 112 patients (134 feet) with mild-to-moderate hallux valgus deformity treated with either bioabsorbable pins or stainless steel K-wires were included in the study between February 2010 and June 2016. At follow-up, patients were objectively and subjectively assessed to estimate the first intermetatarsal angle (IMA), hallux valgus angle (HVA), time to bony union and complications. Results: There was no significant difference between the 2 groups in terms of radiographic findings and main clinical outcomes by use of American Orthopaedic Foot and Ankle Society (AOFAS) scores. Pin migration or prominence, however, was the predominant complication in patients with stainless steel K-wires. Conclusions: Bioabsorbable pins and stainless steel K-wires used for fixation of the chevron osteotomy for treatment of hallux valgus deformity are similarly successful up.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349978","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}
Background: Retrocalcaneal bursitis is the inflammation of the bursa between the anterior aspect of the Achilles and posterior aspect of the calcaneum which is associated with achilles tendinitis, plantar fasciitis, calcaneal spurs, fibromyalgia and rheumatoid arthritis. Objectives: This study is conducted to review a series of patients prospectively with symptomatic retrocalcaneal bursitis and its associations to determine if PRP injections (1) provide symptomatic relief, (2) improved VAS and AOFAS scores and (3) alleviation of need of surgery. Materials and Methods: After screening of cases, 128 cases entered into the study and have been treated with an autologous platelet rich plasma injection with due pre and post procedural care. The cases are followed up on day 0, at the end of 1st week, 1st and 6th month for pain and range of movements. The patients are followed up for complications and the data were analyzed statistically. Results: Out of 128 cases, 76 patients (59.37%) improved with 1st dose and a further 38 patients (29.68%) with a 2nd dose of autologous PRP injection with an interval of 3 weeks from the first dose. A total of 89.05% of patients, who got treated with autologous PRP injection, had a good clinical and functional outcome even at the end of 1 year of injections and presented with statistically significant results with a p value <0.001. No adverse reactions and serious complications are noted in the study participants. Conclusion: The autologous PRP injection is considered superior in treatment of retrocalcaneal bursitis, which minimise the pain and improve the functional quality of life.
{"title":"Autologous Platelet Rich Plasma-A Biological Therapeutic Option for Retrocalcaneal Bursitis and its Associations","authors":"Madhan Jeyaraman, Vishalkumar S Patel, Hardik J Dhamshania, Naveen Jeyaraman, Preethi Selvaraj","doi":"10.26502/JOSM.5115002","DOIUrl":"https://doi.org/10.26502/JOSM.5115002","url":null,"abstract":"Background: Retrocalcaneal bursitis is the inflammation of the bursa between the anterior aspect of the Achilles and posterior aspect of the calcaneum which is associated with achilles tendinitis, plantar fasciitis, calcaneal spurs, fibromyalgia and rheumatoid arthritis. Objectives: This study is conducted to review a series of patients prospectively with symptomatic retrocalcaneal bursitis and its associations to determine if PRP injections (1) provide symptomatic relief, (2) improved VAS and AOFAS scores and (3) alleviation of need of surgery. Materials and Methods: After screening of cases, 128 cases entered into the study and have been treated with an autologous platelet rich plasma injection with due pre and post procedural care. The cases are followed up on day 0, at the end of 1st week, 1st and 6th month for pain and range of movements. The patients are followed up for complications and the data were analyzed statistically. Results: Out of 128 cases, 76 patients (59.37%) improved with 1st dose and a further 38 patients (29.68%) with a 2nd dose of autologous PRP injection with an interval of 3 weeks from the first dose. A total of 89.05% of patients, who got treated with autologous PRP injection, had a good clinical and functional outcome even at the end of 1 year of injections and presented with statistically significant results with a p value <0.001. No adverse reactions and serious complications are noted in the study participants. Conclusion: The autologous PRP injection is considered superior in treatment of retrocalcaneal bursitis, which minimise the pain and improve the functional quality of life.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349875","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}
G. Papagiannis, A. Triantafyllou, Yiannopoulou G Konstantina, P. Koulouvaris, Aikaterini I. Anastasiou, E. Papadopoulos, P. Papagelopoulos, G. Babis
Low back pain affects an estimated half a billion people at any time worldwide. Although several noninvasive treatment strategies have been developed, in many cases, they cannot relief patients’ symptoms, thus low back discectomy is the appropriate treatment of choice. It is widely accepted that surgery alters the biomechanics of the functional motion segment and results in additional disc herniation at the adjacent level or the opposite side, more commonly than expected. After the discectomy, changes in vertebral load properties and kinetics could occur. As a result, biomechanical stress on the affected level as well as cyclic loads can cause lumbar disc reherniation (rLDH). Since the rate of recurrent disc herniation is about 5%-15%, further research should be done so as to quantify the postoperative lumbar spine kinematic pattern, with the use of wearable sensors technology, that could be a potential biomechanical factor causing rLDH.
{"title":"Biomechanical Factors could Affect Lumbar Disc Reherniation after Microdiscectomy","authors":"G. Papagiannis, A. Triantafyllou, Yiannopoulou G Konstantina, P. Koulouvaris, Aikaterini I. Anastasiou, E. Papadopoulos, P. Papagelopoulos, G. Babis","doi":"10.26502/josm.5115005","DOIUrl":"https://doi.org/10.26502/josm.5115005","url":null,"abstract":"Low back pain affects an estimated half a billion people at any time worldwide. Although several noninvasive treatment strategies have been developed, in many cases, they cannot relief patients’ symptoms, thus low back discectomy is the appropriate treatment of choice. It is widely accepted that surgery alters the biomechanics of the functional motion segment and results in additional disc herniation at the adjacent level or the opposite side, more commonly than expected. After the discectomy, changes in vertebral load properties and kinetics could occur. As a result, biomechanical stress on the affected level as well as cyclic loads can cause lumbar disc reherniation (rLDH). Since the rate of recurrent disc herniation is about 5%-15%, further research should be done so as to quantify the postoperative lumbar spine kinematic pattern, with the use of wearable sensors technology, that could be a potential biomechanical factor causing rLDH.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349923","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}
Glomus tumors are usually presented with late diagnosis and treatment. This slow process may be caused due to the pain that only occur with provocative contact. In this case report, follow up of a patient is presented who has prolonged symptoms at a rare localisation of glomus tumor. After the glomus tumor of greater toe excised totally, the complaints of the patient were cut dramatically.
{"title":"Rare Localisation of Glomus Tumor under greater Toenail Bed, presenting with Pain for a Decade-A Case Report","authors":"K. Aytekin, C. Esenyel, Z. U. Coskun","doi":"10.26502/JOSM.5115007","DOIUrl":"https://doi.org/10.26502/JOSM.5115007","url":null,"abstract":"Glomus tumors are usually presented with late diagnosis and treatment. This slow process may be caused due to the pain that only occur with provocative contact. In this case report, follow up of a patient is presented who has prolonged symptoms at a rare localisation of glomus tumor. After the glomus tumor of greater toe excised totally, the complaints of the patient were cut dramatically.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349935","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}
We treated 18 patients with congenital pseudarthrosis of tibia and 27 patients with acquired bone loss. Out of 18 cases of congenital pseudarthrosis of tibia the free vascularized fibular grafts (FVFGs) were performed in 16 cases and compression-distraction techniques in 2 cases. In patients with angular deformities and shortenings in the lower leg soft tissue distraction and correction were conducted. The mean soft tissue distraction period was 78.4 days, the length of bone defect 10.7 cm, the mean operative time 3.2 hours, and primary bone healing achieved in 12 cases. The mean union period was 7.3 months and the mean period of full weight bearing was 10.8 months. In 4 cases pseudarthroses and deformities developed and healed secondarily, and the treatment period ranged from 16 months to 26 months. The mean length of bone defects was 9.7 cm and the mean period of full weight bearing 14 months. The mean length of bone defects in the group of Ilizarov technique was 6.6 cm, the mean period of distraction 82 days and the mean period of full weight bearing 12.2 months. The complications include pseudarthrosis, refracture, angular deformity, equinovarus and temporary peroneal nerve palsy in the FVFG group and in the group of compression-distraction technique, refracture, equinovarus and temporary peroneal nerve palsy. The FVFG is suitable for the treatment of pseudarthrosis in young patients and the compression-distraction technique is effective option for the treatment of bone defects of patients with infection and deformity.
{"title":"Treatment of Large Bone Defect of Long Bones: Comparison of Free Vascularized Fibular Graft with Compression-Distraction Technique","authors":"Kuk-Chol Kim, S. Ri, M. Jang, Su-Ryon Ryang","doi":"10.26502/josm.5115008","DOIUrl":"https://doi.org/10.26502/josm.5115008","url":null,"abstract":"We treated 18 patients with congenital pseudarthrosis of tibia and 27 patients with acquired bone loss. Out of 18 cases of congenital pseudarthrosis of tibia the free vascularized fibular grafts (FVFGs) were performed in 16 cases and compression-distraction techniques in 2 cases. In patients with angular deformities and shortenings in the lower leg soft tissue distraction and correction were conducted. The mean soft tissue distraction period was 78.4 days, the length of bone defect 10.7 cm, the mean operative time 3.2 hours, and primary bone healing achieved in 12 cases. The mean union period was 7.3 months and the mean period of full weight bearing was 10.8 months. In 4 cases pseudarthroses and deformities developed and healed secondarily, and the treatment period ranged from 16 months to 26 months. The mean length of bone defects was 9.7 cm and the mean period of full weight bearing 14 months. The mean length of bone defects in the group of Ilizarov technique was 6.6 cm, the mean period of distraction 82 days and the mean period of full weight bearing 12.2 months. The complications include pseudarthrosis, refracture, angular deformity, equinovarus and temporary peroneal nerve palsy in the FVFG group and in the group of compression-distraction technique, refracture, equinovarus and temporary peroneal nerve palsy. The FVFG is suitable for the treatment of pseudarthrosis in young patients and the compression-distraction technique is effective option for the treatment of bone defects of patients with infection and deformity.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349967","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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