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Archives of Bone and Joint Surgery

Rajesh Malhotra, Deepak Gautam, Bhavuk Garg, Anjan Trikha
We wish to present a case of 47-year-old patient with Juvenile Rheumatoid Arthritis and ankylosis of both hips and both knees treated by bilateral hip and knee arthroplasty in a single anaesthesia i.e. Quadruple joint replacement in single sitting. He was back on his feet from his bed-ridden state within the fortnight following surgery. He has been followed up for four years and has been performing his activities of daily living independently. We discuss the preoperative planning, surgical details and post-operative rehabilitation and unique challenges pertaining to this case...
May 2018: Archives of Bone and Joint Surgery
Konstantin Igorevich Novikov, Koushik Narayan Subramanyam, Sergey V Kolesnikov, Oleg K Chegurov, Elina S Kolesnikova, Abhishek V Mundargi
Ilizarov is an accepted technique for lengthening short amputation stumps to improve prosthetic function and rehabilitation. The relation of stump lengthening and phantom limb pain (PLP) has not been reported in literature. We present here a case report of a transfemoral amputee who had a flare up of PLP following stump lengthening. He responded well to a combination of pharmacological therapy and soft tissue manipulative techniques and desired length was achieved. This report alerts the possibility of aggravation of PLP following stump lengthening and discusses its management...
May 2018: Archives of Bone and Joint Surgery
Sayyed-Hadi Sayyed-Hosseinian, Golnaz Ghayyem Hassankhani, Farshid Bagheri, Niloufar Alavi, Babak Shojaie, Alireza Mousavian
Background: American Orthopedic Foot and Ankle Society Score (AOFAS) is a reliable and reproducible measurement tool which is commonly used for the assessment of foot and ankle conditions. In this study we aimed to translate and assess the psychometric properties of the Persian version of AOFAS questionnaire. Methods: In this study, we enrolled 53 patients with ankle and hindfoot conditions. Our study was conducted according to five staged cross-cultural adaption steps including translation, synthesis, back translation, expert committee review, and pretesting...
May 2018: Archives of Bone and Joint Surgery
Fei Wu, Amir R Kachooei, Mohammad H Ebrahimzadeh, Farshid Bagheri, Ehsan Hakimi, Babak Shojaie, Ara Nazarian
Background: We hypothesize that there is no difference in the motion of the scapula with respect to the thoracic wall (scapulothoracic interface) between the affected versus non-affected shoulder on 0° and 90° standard arm abduction radiography. Methods: We enrolled 30 patients with the diagnosis of unilateral frozen shoulder after ruling out of other pathologies. Bilateral standard shoulder radiography was done in two position of 0° and 90° of arm abduction...
May 2018: Archives of Bone and Joint Surgery
Zari Naderi Ghale-Noie, Mohammad Hassani, Amir R Kachooei, Mohammad A Kerachian
Background: Diagnosis of osteonecrosis of the femoral head (ONFH) is complicated due to the lack of reliable serum biomarkers. Up-regulation of alpha-2-macroglobulin (A2M) gene has been reported in glucocorticoid-induced ANFH rat model. This study aimed to investigate whether the serum level of alpha-2-macroglobulin (A2M) can be used for ONFH diagnosis. Methods: Serum protein capillary electrophoresis was performed on the sera of 36 ONFH patients. Also, human enzyme-linked immunosorbent assay was performed to evaluate the serum levels of A2M...
May 2018: Archives of Bone and Joint Surgery
Morteza Nakhaei Amroodi, Davod Jafari, Ali A Kousari
Background: Open Bankart surgery is the main treatment procedure in patients with recurrent anterior shoulder dislocation, especially in cases with glenoid bone defect. The goal of this study was to determine the outcomes after open Bankart surgery in cases of recurrent anterior shoulder dislocation with glenoid bone defects and concomitant Hill-Sachs lesions. Methods: Between 2006 and 2010, 89 patients with recurrent anterior shoulder dislocation and concomitant glenoid bone defects (10-30%) and Hill-Sachs lesions undergoing open Bankart surgery were reviewed...
May 2018: Archives of Bone and Joint Surgery
E Carlos Rodriguez-Merchan, Jose A Garcia-Ramos, Norma G Padilla-Eguiluz, Enrique Gomez-Barrena
Background: The role of arthroscopic partial meniscectomy (APM) for painful degenerative meniscal tears (PDMT) is currently controversial.To define the rate of early (1 to 5 years) conversion to total knee replacement (TKR) and their predictors after APM for PDMT in patients with knee osteoarthritis and more than 50 years of age. Methods: Retrospective cohort study of patients more than 50 years of age with the diagnosis of PDMT, treated by means of APM. Patients were classified in two groups: Patients that required an early (between 1 and 5 years after APM) TKR (TKR group) after its failure and patients that did not require a TKR (non-TKR group)...
May 2018: Archives of Bone and Joint Surgery
Thema Nicholson, Mitchell Maltenfort, Charles Getz, Mark Lazarus, Gerald Williams, Surena Namdari
Background: Our institution's traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. Methods: Patients undergoing primary total shoulder or reverse arthroplasty were retrospectively studied...
May 2018: Archives of Bone and Joint Surgery
Mohamed A Imam, James Holton, Abdel Na Hassan, Ahmed Matthana
Background: The importance of the syndesmosis in ankle stability is well recognized. Numerous means of fixation have been described for syndesmotic injuries including the suture button technique. Significant cost limits the use the commercially available options. We, therefore, designed a cheap and readily available alternative construct. We aim to assess the results of using a novel suture-button construct in treatment of syndesmotic ankle injuries. Methods: Fifty-two patients (34 males and 18 females) fulfilled our inclusion/exclusion criteria...
May 2018: Archives of Bone and Joint Surgery
Mohamed A Imam, Ahmed S Negida, Ahmed Elgebaly, Amr Samy Hussain, Lukas Ernstbrunner, Saqib Javed, Joshua Jacob, Mark Churchill, Paul Trikha, Kevin Newman, David Elliott, Arshad Khaleel
Background: There is a general consensus on the management of femoral fractures in children younger than two years and adolescents older than sixteen years. The best treatment for patients younger than sixteen years of age is still debatable. Titanium Elastic Nails (TEN), is widely used with some evidence, nonetheless, we undertook a systematic meta-analysis to assess the efficacy of TEN compared to Spica cast for the management of femoral shaft fracture in children aged between 2 to 16 years old...
May 2018: Archives of Bone and Joint Surgery
Ali Parsa, Maryam Mirzaie, Mohammad H Ebrahimzadeh, Ali Birjandinejad, Abdolreza Malek, Alireza Mousavian
About 15 % of all musculoskeletal tuberculosis (TB) have hip involvement. Early anti-tubercular drug therapy and other conservative treatment including short-term traction and mobilization programs could prevent hip joint destruction. Reactivation of TB accounts for a significant of active TB incidence, especially in the developed countries with a low TB prevalence. The risk of TB activation for population with the latent form of disease is about 5-10%. According to the existing literature surgery in tubercular hip arthritis would be safe once sufficient debridement and precise anti tubercular chemotherapy has been done...
May 2018: Archives of Bone and Joint Surgery
Michael-Alexander Malahias, Omid Shahpari, Maria-Kyriaki Kaseta
Background: Patients with an anterior cruciate ligament-deficient varus-angulated knee may need not only an isolated high tibial osteotomy (HTO), but also an additional anterior cruciate ligament reconstruction (ACLR). A number of prospective clinical trials have been published considering the combination of HTO and ACL reconstruction. Our aim was to investigate whether one-stage combined HTO and ACL reconstruction is an effective, well-established technique with long-term results in the treatment of varus-angulated knees with ACL deficiency...
May 2018: Archives of Bone and Joint Surgery
E Carlos Rodriguez-Merchan
No abstract text is available yet for this article.
May 2018: Archives of Bone and Joint Surgery
Uttam Chand Saini, Nirmal Raj Gopinathan, Sameer Aggarwal, Ramesh Sen
No abstract text is available yet for this article.
March 2018: Archives of Bone and Joint Surgery
Shalin Patel, Dafang Zhang, Brandon E Earp
We report a case of a 29-year-old man who presented with a distal humeral shaft fracture sustained by blunt trauma. Physical examination and nerve conduction study were consistent with injury to the median and radial nerves proximal to the elbow. The patient underwent open reduction and internal fixation of the humeral shaft fracture with neurolysis of the median and radial nerves. Repeat electromyography at 6 months postoperatively showed recruitment of motor units in all muscles sampled, in keeping with clinical improvement...
March 2018: Archives of Bone and Joint Surgery
Mark Wai Wah Lai, Regina Wing Shan Sit
Lateral Ankle sprain (LAS) is a common sports injury associated with recurrent ankle sprain, chronic ankle instability (CAI) and post-traumatic ankle osteoarthritis (PTOA). Platelet Rich Plasma (PRP) has been increasingly used for herapeutic applications in sports-related injuries, and is thought to stimulate tissue healing. We reported a case of LAS with complete tear of anterior talofibular ligament, which showed complete healing of ligament and early ankle stabilization after PRP. The healing is supported by dynamic ultrasound images and magnetic resonance imaging...
March 2018: Archives of Bone and Joint Surgery
Spyridon P Galanakos, Andreas F Mavrogenis, Christos Vottis, George A Macheras, Ioannis Ignatiadis
In microsurgical nerve repair, the epineural sleeve technique can be used to bridge short nerve defects and to cover the coaptation site with the epineurium of the nerve stump. The epineurium serves as a mechanical aid to reduce gap size, and increase repair strength, effectively assisting nerve regeneration. This article presents a 32-year-old patient who experienced complete transection of the median nerve at the distal forearm, which was treated with the epineural sleeve graft reconstruction technique. Nerve regeneration was followed-up for 18 months and evaluated with the Rosén and Lundborg scoring system...
March 2018: Archives of Bone and Joint Surgery
Omid Shahpari, Moslem FallahKezabi, Hamid Hejrati Kalati, Farshid Bagheri, Mohammad H Ebrahimzadeh
Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anterior cruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challenging issues between orthopedic surgeons regarding graft selection and surgical techniques. Methods: We retrospectively reviewed the patients who underwent anatomical arthroscopic one bundle ACL reconstruction with quadruple hamstring tendon autograft from 2010 to 2016 in our orthopedic sport medicine center...
March 2018: Archives of Bone and Joint Surgery
Mohammad H Kaseb, Mohammad N Tahmasebi, Sm Javad Mortazavi, Mohammad R Sobhan, Mohammad H Nabian
Background: There is no difference in the functional outcomes 6 months after total knee arthroplasty (TKA) for knee osteoarthritis between patellar resurfacing and non-resurfacing. Thus, we have performed this study to compare the short-term clinical outcomes of TKA performed with and without the patella resurfacing. Methods: A total of 50 patients with osteoarthritis of the knee (OAK) were randomized to receive patellar resurfacing (n=24; resurfaced group) or to retain their native patella (n=26; non-resurfaced group) based on envelope selection and provided informed consent...
March 2018: Archives of Bone and Joint Surgery
Afshin Ahmadzadeh Heshmati, Moghaddameh Mirzaee
Background: The purpose of this study was validation of the Persian translation of the Swiss Spinal Stenosis Questionnaire in order to be used by Iranian researchers. Methods: A total of 104 patients with spinal stenosis diagnosis, who were candidates for operative treatment were entered into the study. The patients completed the translated questionnaire in the 1st and the 7th days of admission and 6 months after surgery. Visual analogue scale was used to determine the severity of the pain in the1st day and the 6th month...
March 2018: Archives of Bone and Joint Surgery
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