ORIGINAL_ARTICLE
Prevention of Periprosthetic Joint Infection
Prosthetic joint infection (PJI) is a calamitous complication with high morbidity and substantial cost. The reported incidence is low but it is probably underestimated due to the difficulty in diagnosis. PJI has challenged the orthopaedic community for several years and despite all the advances in this field, it is still a real concern with immense impact on patients, and the healthcare system. Eradication of infection can be very difficult. Therefore, prevention remains the ultimate goal. The medical community has executed many practices with the intention to prevent infection and treat it effectively when it encounters. Numerous factors can predispose patients to PJI. Identifying the host risk factors, patients’ health modification, proper wound care, and optimizing operative room environment remain some of the core fundamental steps that can help minimizing the overall incidence of infection. In this review we have summarized the effective prevention strategies along with the recommendations of a recent International Consensus Meeting on Surgical Site and Periprosthetic Joint Infection.
https://abjs.mums.ac.ir/article_3938_7af2c30bfb8fbba1e278002b419090b4.pdf
2015-04-01
72
81
10.22038/abjs.2015.3938
Infection
Prevention
total hip replacement
Total Joint Arthroplasty
Total knee replacement
Alisina
Shahi
alisina.shahi@rothmaninstitute.com
1
The Rothman Institute at Thomas Jefferson University
AUTHOR
Javad
Parvizi
parvj@aol.com
2
The Rothman Institute at Thomas Jefferson University
LEAD_AUTHOR
Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780–5.
1
Bozic KJ, Kurtz SM, Lau E, Ong K, Chiu V, Vail TP, et al. The Epidemiology of Revision Total Knee Arthroplasty in the United States.Clin Orthop Relat Res. 2010;468(1):45-51.
2
Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am. 2009;91(1):128-33.
3
Clohisy JC, Calvert G, Tull F, McDonald D, Maloney WJ. Reasons for revision hip surgery: a retrospective review. Clin Orthop Relat Res. 2004;(429):188-92.
4
Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ. The Chitranjan Ranawat Award: Long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties.Clin Orthop Relat Res. 2006;452:28-34.
5
Della Valle C, Parvizi J, Bauer TW, Dicesare PE, Evans RP, Segreti J, et al. Diagnosis of periprosthetic joint infections of the hip and knee. J Am Acad Orthop Surg. 2010;18(12):760-70.
6
Parvizi J, Adeli B, Zmistowski B, Restrepo C, Greenwald AS. Management of periprosthetic joint infection: the current knowledge: AAOS exhibit selection. J Bone Joint Surg Am. 2012;94(14):104.
7
Della Valle C, Parvizi J, Bauer TW, DiCesare PE, Evans RP, Segreti J, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on: the diagnosis of periprosthetic joint infections of the hip and knee. J Bone Joint Surg Am. 2011;93(14):1355-7.
8
Kurtz SM, Lau E, Watson H, Schmier JK, Parvizi J. Economic burden of periprosthetic joint infection in the United States. J Arthroplasty. 2012;27:61-5.
9
Parvizi J, Zmistowski B, Berbari EF, Bauer TW, Springer BD, Della Valle CJ, et al. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res. 2011;469(11):2992-4.
10
Proceedings of the International Consensus Meeting on Periprosthetic Joint Infection. Foreword. J Orthop Res. 2014;32:2-3.
11
Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med. 2004;351(16):1645–54.
12
Fitzgerald RH Jr, Nolan DR, Ilstrup DM, Van Scoy RE, Washington JA 2nd, Coventry MB. Deep wound sepsis following total hip arthroplasty. J Bone Joint Surg Am. 1977;59(7):847–55.
13
Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am. 1996;78(4):512-23.
14
Zimmerli W, Moser C. Pathogenesis and treatment concepts of orthopaedic biofilm infections. FEMS Immunol Med Microbiol. 2012;65(2):158-68.
15
Maderazo EG, Judson S, Pasternak H. Late infections of total joint prostheses. A review and recommendations for prevention. Clin Orthop Relat Res. 1988;(229):131-42.
16
Sendi P, Banderet F, Graber P, Zimmerli W. Clinical comparison between exogenous and haematogenous periprosthetic joint infections caused by Staphylococcus aureus. Clin Microbiol Infect. 2011; 17(7):1098-100.
17
Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008;466(7):1710-5.
18
Garvin KL, Konigsberg BS. Infection following total knee arthroplasty: prevention and management. Instr Course Lect. 2012;61:411-9.
19
Bozic KJ, Lau E, Kurtz S, Ong K, Berry DJ. Patient-related risk factors for postoperative mortality and periprosthetic joint infection in medicare patients undergoing TKA. Clin Orthop Relat Res. 2012; 470(1):130-7.
20
Malinzak RA, Ritter MA, Berend ME, Meding JB, Olberding EM, Davis KE. Morbidly obese, diabetic, younger, and unilateral joint arthroplasty patients have elevated total joint arthroplasty infection rates. J Arthroplasty. 2009;24:84-8.
21
Fletcher N, Sofianos D, Berkes MB, Obremskey WT. Prevention of perioperative infection. J Bone Joint Surg Am. 2007;89(7):1605-18.
22
Buller LT, Sabry FY, Easton RW, Klika AK, Barsoum WK. The preoperative prediction of success following irrigation and debridement with polyethylene exchange for hip and knee prosthetic joint infections. J Arthroplasty. 2012;27(6):857-64.
23
Jämsen E, Huhtala H, Puolakka T, Moilanen T. Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases. J Bone Joint Surg Am. 2009;91(1):38-47.
24
Jämsen E, Nevalainen P, Eskelinen A, Huotari K, Kalliovalkama J, Moilanen T. Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection: a single-center analysis of 7181 primary hip and knee replacements for osteoarthritis. J Bone Joint Surg Am. 2012; 94(14):101.
25
Lai K, Bohm ER, Burnell C, Hedden DR. Presence of medical comorbidities in patients with infected primary hip or knee arthroplasties. J Arthroplasty. 2007;22(5):651-6.
26
Marchant MH Jr, Viens NA, Cook C, Vail TP, Bolognesi MP. The impact of glycemic control and diabetes mellitus on perioperative outcomes after total joint arthroplasty. J Bone Joint Surg Am. 2009; 91(7):1621-9.
27
Mraovic B, Suh D, Jacovides C, Parvizi J. Perioperative hyperglycemia and postoperative infection after lower limb arthroplasty. J Diabetes Sci Technol. 2011;5(2):412-8.
28
Kamal T, Conway RM, Littlejohn I, Ricketts D. The role of a multidisciplinary pre-assessment clinic in reducing mortality after complex orthopaedic surgery. Ann R Coll Surg Engl. 2011;93(2):149-51.
29
Aggarwal VK, Tischler EH, Lautenbach C, Williams GR, Abboud JA, Altena M, et al. Mitigation and Education. J Arthroplasty. 2014;29(2):19–25.
30
Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999;27(2):97–132; quiz 133–4; discussion 96.
31
Rao N, Cannella B, Crossett LS, Yates AJ Jr, McGough R 3rd. A preoperative decolonization protocol for staphylococcus aureus prevents orthopaedic infections. Clin Orthop Relat Res. 2008;466(6):1343-8.
32
Bleasdale SC, Trick WE, Gonzalez IM, Lyles RD, Hayden MK, Weinstein RA. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med. 2007;167(19):2073-9.
33
Climo MW, Sepkowitz KA, Zuccotti G, Fraser VJ, Warren DK, Perl TM, et al. The effect of daily bathing with chlorhexidine on the acquisition of methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and healthcare-associated bloodstream infections: results of a quasi-experimental multicenter trial. Crit Care Med. 2009;37(6):1858-65.
34
Rao N, Cannella BA, Crossett LS, Yates AJ Jr, McGough RL 3rd, Hamilton CW. Preoperative screening/decolonization for Staphylococcus aureus to prevent orthopedic surgical site infection: prospective cohort study with 2-year follow-up. J Arthroplasty. 2011;26(8):1501-7.
35
Darouiche RO, Wall MJ Jr, Itani KMF, Otterson MF, Webb AL, Carrick MM, et al. Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis. N Engl J Med. 2010;362(1):18–26.
36
Hidron AI, Edwards JR, Patel J, Horan TC, Sievert DM, Pollock DA, et al. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol. 2008; 29(11):996-1011.
37
Ramos N, Skeete F, Haas JP, Hutzler L, Slover J, Phillips M, et al. Surgical site infection prevention initiative - patient attitude and compliance. Bull NYU Hosp Jt Dis. 2011;69(4):312-5.
38
Tokarski AT, Blaha D, Mont MA, Sancheti P, Cardona L, Cotacio GL, et al. Perioperative skin preparation. J Arthroplasty. 2014;29:26–8.
39
Fogelberg EV, Zitzmann EK, Stinchfield FE. Prophylactic penicillin in orthopaedic surgery. J Bone Joint Surg Am. 1970;52(1):95-8.
40
Pavel A, Smith RL, Ballard A, Larsen IJ. Prophylactic antibiotics in clean orthopaedic surgery. J Bone Joint Surg Am. 1974;56(4):777–82.
41
Meehan J, Jamali AA, Nguyen H. Prophylactic antibiotics in hip and knee arthroplasty. J Bone Joint Surg Am. 2009;91(10):2480-90.
42
Mauerhan DR, Nelson CL, Smith DL, Fitzgerald RH Jr, Slama TG, Petty RW, et al. Prophylaxis against infection in total joint arthroplasty. One day of cefuroxime compared with three days of cefazolin. J Bone Joint Surg Am. 1994;76(1):39–45.
43
Van Kasteren MEE, Manniën J, Ott A, Kullberg B-J, de Boer AS, Gyssens IC. Antibiotic prophylaxis and the risk of surgical site infections following total hip arthroplasty: timely administration is the most important factor. Clin Infect Dis. 2007;44(7):921-7.
44
Hansen E, Belden K, Silibovsky R, Vogt M, Arnold WV, Bicanic G, et al. Perioperative antibiotics. J Arthroplasty. 2014;29(2 Suppl):29–48.
45
Tanner J, Norrie P, Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev. 2011;(11):CD004122.
46
Lee J, Singletary R, Schmader K, Anderson DJ, Bolognesi M, Kaye KS. Surgical site infection in the elderly following orthopaedic surgery. Risk factors and outcomes. J Bone Joint Surg Am. 2006; 88(8):1705-12.
47
Prokuski L. Prophylactic antibiotics in orthopaedic surgery. J Am Acad Orthop Surg. 2008;16(5):283-93.
48
Von Eiff C, Becker K, Machka K, Stammer H, Peters G. Nasal carriage as a source of Staphylococcus aureus bacteremia. Study Group. N Engl J Med. 2001; 344(1):11-6.
49
Edwards PS, Lipp A, Holmes A. Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. Cochrane Database Syst Rev. 2004;(3):CD003949.
50
Ostrander RV, Brage ME, Botte MJ. Bacterial skin contamination after surgical preparation in foot and ankle surgery. Clin Orthop Relat Res. 2003;(406):246-52.
51
Keblish DJ, Zurakowski D, Wilson MG, Chiodo CP. Preoperative skin preparation of the foot and ankle: bristles and alcohol are better. J Bone Joint Surg Am. 2005;87(5):986-92.
52
Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005;87(5):980-5.
53
Tanner J, Swarbrook S, Stuart J. Surgical hand antisepsis to reduce surgical site infection. Cochrane Database Syst Rev. 2008;(1):CD004288.
54
Larson EL, Butz AM, Gullette DL, Laughon BA. Alcohol for surgical scrubbing? Infect Control Hosp Epidemiol. 1990;11(3):139-43.
55
Katthagen BD, Zamani P, Jung W. Effect of surgical draping on bacterial contamination in the surgical field. Z Orthop Ihre Grenzgeb. 1992 ;130(3):230-5.
56
French ML, Eitzen HE, Ritter MA. The plastic surgical adhesive drape: an evaluation of its efficacy as a microbial barrier. Ann Surg. 1976;184(1):46–50.
57
Johnston DH, Fairclough JA, Brown EM, Morris R. Rate of bacterial recolonization of the skin after preparation: four methods compared. Br J Surg. 1987; 74(1):64.
58
Blom AW, Gozzard C, Heal J, Bowker K, Estela CM. Bacterial strike-through of re-usable surgical drapes: the effect of different wetting agents. J Hosp Infect. 2002;52(1):52-5.
59
Blom A, Estela C, Bowker K, MacGowan A, Hardy JR. The passage of bacteria through surgical drapes. Ann R Coll Surg Engl. 2000;82(6):405-7.
60
Ritter MA, Campbell ED. Retrospective evaluation of an iodophor-incorporated antimicrobial plastic adhesive wound drape. Clin Orthop Relat Res. 1988; (228):307-8.
61
Jacobson C, Osmon DR, Hanssen A, Trousdale RT, Pagnano MW, Pyrek J, et al. Prevention of wound contamination using DuraPrep solution plus Ioban 2 drapes. Clin Orthop Relat Res. 2005;439:32-7.
62
Webster J, Alghamdi AA. Use of plastic adhesive drapes during surgery for preventing surgical site infection. Cochrane Database Syst Rev. 2007; (4):CD006353.
63
Alijanipour P, Karam J, Llinás A, Vince KG, Zalavras C, Austin M, et al. Operative environment. J Orthop Res. 2014;32:60-80.
64
Guo YP, Wong PM, Li Y, Or PPL. Is double-gloving really protective? A comparison between the glove perforation rate among perioperative nurses with single and double gloves during surgery. Am J Surg. 2012;204(2):210-5.
65
Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev. 2002;(3):CD003087.
66
Ersozlu S, Sahin O, Ozgur AF, Akkaya T, Tuncay C. Glove punctures in major and minor orthopaedic surgery with double gloving. Acta Orthop Belg. 2007; 73(6):760-4.
67
Carter AH, Casper DS, Parvizi J, Austin MS. A prospective analysis of glove perforation in primary and revision total hip and total knee arthroplasty. J Arthroplasty. 2012;27(7):1271-5.
68
Demircay E, Unay K, Bilgili MG, Alataca G. Glove perforation in hip and knee arthroplasty.J Orthop Sci. 2010;15(6):790-4.
69
Sutton PM, Greene T, Howell FR. The protective effect of a cut-resistant glove liner. A prospective, randomised trial. J Bone Joint Surg Br. 1998; 80(3):411-3.
70
Pieper SP, Schimmele SR, Johnson JA, Harper JL. A prospective study of the efficacy of various gloving techniques in the application of Erich arch bars. J Oral Maxillofac Surg. 1995; 53(10):1174-6
71
Parvizi J, Saleh KJ, Ragland PS, Pour AE, Mont MA. Efficacy of antibiotic-impregnated cement in total hip replacement. Acta Orthop. 2008;79(3):335-41.
72
Engesaeter LB, Lie SA, Espehaug B, Furnes O, Vollset SE, Havelin LI. Antibiotic prophylaxis in total hip arthroplasty: effects of antibiotic prophylaxis systemically and in bone cement on the revision rate of 22,170 primary hip replacements followed 0-14 years in the Norwegian Arthroplasty Register. Acta Orthop Scand. 2003;74(6):644-51.
73
Bohm E, Zhu N, Gu J, de Guia N, Linton C, Anderson T, et al. Does adding antibiotics to cement reduce the need for early revision in total knee arthroplasty? Clin Orthop Relat Res. 2014;472(1):162-8.
74
Namba RS, Inacio MCS, Paxton EW. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am. 2013;95(9):775–82.
75
Citak M, Argenson J-N, Masri B, Kendoff D, Springer B, Alt V, et al. Spacers. J Arthroplasty. 2014;29:93–9.
76
Koval KJ, Rosenberg AD, Zuckerman JD, Aharonoff GB, Skovron ML, Bernstein RL, et al. Does blood transfusion increase the risk of infection after hip fracture? J Orthop Trauma. 1997;11(4):260-5; discussion 265-6.
77
Innerhofer P, Klingler A, Klimmer C, Fries D, Nussbaumer W. Risk for postoperative infection after transfusion of white blood cell-filtered allogeneic or autologous blood components in orthopedic patients undergoing primary arthroplasty. Transfusion. 2005; 45(1):103-10.
78
Spahn DR. Anemia and patient blood management in hip and knee surgery: a systematic review of the literature. Anesthesiology. 2010;113(2):482-95.
79
Alshryda S, Sarda P, Sukeik M, Nargol A, Blenkinsopp J, Mason JM. Tranexamic acid in total knee replacement: a systematic review and meta-analysis. J Bone Joint Surg Br. 2011;93(12):1577-85.
80
Yang ZG, Chen WP, Wu LD. Effectiveness and safety of tranexamic acid in reducing blood loss in total knee arthroplasty: a meta-analysis. J Bone Joint Surg Am. 2012;94(13):1153-9.
81
Rasouli MR, Gomes LSM, Parsley B, Barsoum W, Bezwada H, Cashman J, et al. Blood conservation. J Arthroplasty. 2014;29:65–70.
82
Gastmeier P, Breier A-C, Brandt C. Influence of laminar airflow on prosthetic joint infections: a systematic review. J Hosp Infect. 2012;81(2):73-8.
83
Ong KL, Lau E, Manley M, Kurtz SM. Effect of procedure duration on total hip arthroplasty and total knee arthroplasty survivorship in the United States Medicare population. J Arthroplasty. 2008;23:127-32.
84
Urquhart DM, Hanna FS, Brennan SL, Wluka AE, Leder K, Cameron PA, et al. Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty: a systematic review. J Arthroplasty. 2010;25(8):1216-22.
85
Muilwijk J, van den Hof S, Wille JC. Associations between surgical site infection risk and hospital operation volume and surgeon operation volume among hospitals in the Dutch nosocomial infection surveillance network. Infect Control Hosp Epidemiol. 2007;28(5):557-63.
86
Andersson AE, Bergh I, Karlsson J, Eriksson BI, Nilsson K. Traffic flow in the operating room: an explorative and descriptive study on air quality during orthopedic trauma implant surgery. Am J Infect Control. 2012;40(8):750-5.
87
Salvati EA, Robinson RP, Zeno SM, Koslin BL, Brause BD, Wilson PD Jr. Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am. 1982;64(4):525-35.
88
Young RS, O’Regan DJ. Cardiac surgical theatre traffic: time for traffic calming measures? Interact Cardiovasc Thorac Surg. 2010;10(4):526-9.
89
Davis N, Curry A, Gambhir AK, Panigrahi H, Walker CR, Wilkins EG, et al. Intraoperative bacterial contamination in operations for joint replacement. J Bone Joint Surg Br. 1999;81(5):886-9.
90
Givissis P, Karataglis D, Antonarakos P, Symeonidis P, christodoulou A. Suction during orthopaedic surgery. How safe is the suction tip ? Acta Orthop Belg. 2008; 74(4):531-3.
91
Greenough CG. An investigation into contamination of operative suction. J Bone Joint Surg Br. 1986; 68(1):151-3.
92
Insull PJ, Hudson J. Suction tip: a potential source of infection in clean orthopaedic procedures. ANZ J Surg. 2012;82(3):185-6.
93
Mulcahy DM, McCormack D, McElwain JP. Intraoperative suction catheter tip contamination. J R Coll Surg Edinb. 1994;39(6):371-3.
94
Beldame J, Lagrave B, Lievain L, Lefebvre B, Frebourg N, Dujardin F. Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: when gloves should be changed. Orthop Traumatol Surg Res. 2012;98(4):432-40.
95
American Academy of Orthopedic Surgeons. AAOS clinical practice guideline: Prevention of orthopaedic implant infection in patients undergoing dental procedures [Internet]. [cited 2014 Jan 28]. Available from: http://www.aaos.org/research/guidelines/PUDP/PUDP_guideline.pdf
96
Chen A, Haddad F, Lachiewicz P, Bolognesi M, Cortes LE, Franceschini M, et al. Prevention of late PJI. J Arthroplasty. 2014;29:119-28.
97
ORIGINAL_ARTICLE
Two-Stage Nerve Graft in Severe Scar: A Time-Course Study in a Rat Model
excessive scarring; paralleling the process in tendon reconstruction of the hand. Inspired by the advantages of the two-stage technique in tendon grafting and with encouraging preliminary results, we aimed to investigate the two-stage nerve grafting technique as an alternative method of secondary nerve repair. Methods: Thirty female rats (~200 g) were randomly distributed into two groups (n=15). A 15 mm gap was created in the sciatic nerve of all the animals and an excessive extraneural scar was induced using the “mincing” method. In this method, a thin strip of muscle was removed, minced in a petri dish and returned to the peripheral nerve. In the two stage nerve graft group, a silicone tube was interposed in the first stage. After 4 weeks, in the second stage, the silicone tube was removed and a median nerve autograft was interposed through the newly formed vascularized sheath. In the conventional graft group, two nerve ends were protected with silicone caps in the first stage. After 4 weeks the caps were removed and the median graft was interposed. Behavioral assessments were performed at week 15 after surgery with the withdrawal reflex latency (WRL) and extensor postural thrust (EPT) and at the 3, 6 and 15-week time points with the TOA (toe out angle). Masson Trichrome staining method was used for histological assessments at week 15. Results: According to the EPT and WRL, the two-stage nerve graft showed significant improvement (P=0.020 and P =0.017 respectively). The TOA showed no significant difference between the two groups. The total vascular index was significantly higher in the two-stage nerve graft group (P<0.001). Conclusions: Two-stage nerve graft using a silicone tube enhances vascularity of the graft and improves functional recovery.
https://abjs.mums.ac.ir/article_4105_1ea6cda9012b22cbb92eaf93bd3c65b1.pdf
2015-04-01
82
87
10.22038/abjs.2015.4105
Graft
Peripheral nerve injuries
Rats
scar
Sciatic nerve
Shayan
Zadegan
shayan.zadegan@gmail.com
1
1.Tissue Repair Lab, Institute of Biochemistry and Biophysics (IBB), University of Tehran, Tehran Iran. 2.Research Center for Neural Repair (RCNR), University of Tehran, Tehran, Iran.
AUTHOR
Masoumeh
Firouzi
firouzi@ibb.ut.ac.ir
2
1.Tissue Repair Lab, Institute of Biochemistry and Biophysics (IBB), University of Tehran, Tehran Iran. 2.Research Center for Neural Repair (RCNR), University of Tehran, Tehran, Iran.
AUTHOR
Mohammad Hossein
Nabian
hamooooooon@yahoo.com
3
1.Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2.Research Center for Neural Repair (RCNR), University of Tehran, Tehran, Iran.
AUTHOR
Leila
Zanjani
leila_zanjani@yahoo.com
4
1.Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2.Research Center for Neural Repair (RCNR), University of Tehran, Tehran, Iran.
AUTHOR
Ahmad
Ashtiani
amohebia@yahoo.com
5
Research Center for Neural Repair (RCNR), University of Tehran, Tehran, Iran.
AUTHOR
Reza Shahryar
Kamrani
rezas.kamrani@gmail.com
6
1.Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2.Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Ring D. Symptoms and disability after major peripheral nerve injury. Hand Clin. 2013; 29(3):421–5.
1
Mafi P, Hindocha S, Dhital M, Saleh M. Advances of peripheral nerve repair techniques to improve hand function: a systematic review of literature. Open Orthop J. 2012; 6:60–8.
2
Siemionow M, Uygur S, Ozturk C, Siemionow K. Techniques and materials for enhancement of peripheral nerve regeneration: a literature review. Microsurgery. 2013; 33(4):318–28.
3
Derby BM, Wilhelmi BJ, Zook EG, Neumeister MW. Flexor tendon reconstruction. Clin Plast Surg. 2011; 38(4):607–19.
4
Hunter JM, Salisbury RE. Flexor-tendon reconstruction in severely damaged hands. A two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting. J Bone Joint Surg Am. 1971; 53(5):829–58.
5
Culp RW. Reconstruction of flexor tendon with hunter tendon implant. Oper Tech Orthop. 1993; 3(4):298–302.
6
Battiston B, Triolo PF, Bernardi A, Artiaco S, Tos P. Secondary repair of flexor tendon injuries. Injury. 2013; 44(3):340–5.
7
Unglaub F, Bultmann C, Reiter A, Hahn P. Two-staged reconstruction of the flexor pollicis longus tendon. J Hand Surg Br. 2006; 31(4):432–5.
8
Abdul-Kader MH, Amin MA. Two-stage reconstruction for flexor tendon injuries in zone II using a silicone rod and pedicled sublimis tendon graft. Indian J Plast Surg. 2010; 43(1):14–20.
9
O’Shea K, Wolfe SW. Two-stage reconstruction with the modified Paneva-Holevich technique. Hand Clin. 2013; 29(2):223–33.
10
Jeong SH, Gu JH, Han SK, Kim WK. Two-staged tendon reconstruction in flexor tendon ruptures secondary to fracture of the hamate hook. Ann Plast Surg. 2012; 69(2): 157–60.
11
Sano K, Kimura K, Hashimoto T, Ozeki S. Two-stage tendon sheath reconstruction using sublimis tendon and silicone Penrose drain after severe purulent flexor tenosynovitis: a case report. Hand (NY). 2013; 8(3):343–7.
12
Hunter JM, Jaeger SH, Matsui T, Miyaji N. The pseudosynovial sheath--its characteristics in a primate model. J Hand Surg Am. 1983; 8(4):461–70.
13
Kamrani RS, Firuzi M, Nabian MH, Zanjani LO, Shaahrezaee M. Peripheral Nerve Graft in Severe Scar Tissue (Comparison of One Stage and Two Stage Nerve Graft). Iran J Orthop Surg. 2006; 4(4):1–7 (Persian).
14
Zanjani L, Firouzi M, Nabian MH, Nategh M, Rahimi-Movaghar V, S Kamrani R. Comparison and evaluation of current animal models for perineural scar formation in rat. Iran J Basic Med Sci. 2013; 16(7):886–90.
15
Nabian MH, Nadji-Tehrani M, Zanjani LO, Kamrani RS, Rahimi-Movaghar V, Firouzi M. Effect of bilateral median nerve excision on sciatic functional index in rat: an applicable animal model for autologous nerve grafting. J Reconstr Microsurgery. 2011; 27(1):5–10.
16
Thalhammer JG, Vladimirova M, Bershadsky B, Strichartz GR. Neurologic evaluation of the rat during sciatic nerve block with lidocaine. Anesthesiology. 1995; 82(4):1013–25.
17
Gärtner A, Pereira T, Armada-da-Silva P, Amado S, Veloso A, Amorim I, et al. Effects of umbilical cord tissue mesenchymal stem cells (UCX®) on rat sciatic nerve regeneration after neurotmesis injuries. J Stem Cells Regen Med. 2014; 10(1):14–26.
18
Masters DB, Berde CB, Dutta SK, Griggs CT, Hu D, Kupsky W, et al. Prolonged regional nerve blockade by controlled release of local anesthetic from a biodegradable polymer matrix. Anesthesiology. 1993; 79(2):340–6.
19
Varejão AS, Cabrita AM, Geuna S, Melo-Pinto P, Filipe VM, Gramsbergen A, et al. Toe out angle: a functional index for the evaluation of sciatic nerve recovery in the rat model. Exp Neurol. 2003; 183(2):695–9.
20
Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods. 2012; 9(7):671–5.
21
Thil MA, Duy DT, Colin IM, Delbeke J. Time course of tissue remodelling and electrophysiology in the rat sciatic nerve after spiral cuff electrode implantation. J Neuroimmunol. 2007; 185(1-2):103–14.
22
Albayrak BS, Ismailoglu O, Ilbay K, Yaka U, Tanriover G, Gorgulu A, et al. Doxorubicin for prevention of epineurial fibrosis in a rat sciatic nerve model: outcome based on gross postsurgical, histopathological, and ultrastructural findings. J Neurosurg Spine. 2010; 12(3):327–33.
23
Lundborg G, Hansson HA. Regeneration of peripheral nerve through a preformed tissue space. Preliminary observations on the reorganization of regenerating nerve fibres and perineurium. Brain Res. 1979; 178(2-3):573–6.
24
Lundborg G, Hansson HA. Nerve regeneration through preformed pseudosynovial tubes. A preliminary report of a new experimental model for studying the regeneration and reorganization capacity of peripheral nerve tissue. J Hand Surg Am. 1980; 5(1):35–8.
25
Lundborg G, Dahlin LB, Danielsen NP, Hansson HA, Larsson K. Reorganization and orientation of regenerating nerve fibres, perineurium, and epineurium in preformed mesothelial tubes - an experimental study on the sciatic nerve of rats. J Neurosci Res. 1981; 6(3):265–81.
26
Mackinnon SE, Dellon AL, Hudson AR, Hunter DA. Nerve regeneration through a pseudosynovial sheath in a primate model. Plast Reconstr Surg. 1985; 75(6):833–41.
27
Mackinnon SE, Dellon AL. A comparison of nerve regeneration across a sural nerve graft and a vascularized pseudosheath. J Hand Surg Am. 1988; 13(6):935–42.
28
Sulaiman OA, Gordon T. Effects of short- and long-term Schwann cell denervation on peripheral nerve regeneration, myelination, and size. Glia. 2000; 32(3):234–46.
29
Hall SM. The biology of chronically denervated Schwann cells. Ann N Y Acad Sci. 1999; 883:215–33.
30
Belkas JS, Munro CA, Shoichet MS, Midha R. Peripheral nerve regeneration through a synthetic hydrogel nerve tube. Restor Neurol Neurosci. 2005; 23(1):19–29.
31
Takasugi H, Inoue H, Akahori O. Scanning electron microscopy of repaired tendon and pseudosheath. Hand. 1976; 8(3):228–34.
32
ORIGINAL_ARTICLE
Radial Head Prosthesis Removal:a Retrospective Case Series of 14 Patients
Background: The purpose of this study was to report the preoperative complaints and postoperative outcome of patients after removal of the radial head prosthesis. Methods: This is a retrospective review of 14 adult patients (6 females and 8 males) from 2007 to 2011, who underwent radial head prosthesis removal by three surgeons. The average time between implantation and removal was 23 months (range from 2 weeks to 12 years, median 12 months). Results: The leading reported complaints before removal were restricted mobility of the elbow (active range of motion of less than 100 degrees) in 6, pain in 3, and pain together with restricted mobility in 4 patients. The objective findings before removal were restricted mobility of the elbow in 10 (71%), capitellar cartilage wear, loose implants, and heterotopic ossification each in 8 (57%), subluxation of the radio-capitellar joint or malpositioning of the stem in 5 (36%), and chronic infection in 2 (14%) patients. All patients with pain had wear of the capitellar cartilage on radiographs. The ulnar nerve was decompressed in four patients at the time of removal. Four patients underwent a subsequent operation for postoperative ulnar nerve symptoms 5 to 21 months after removal. Four patients were still complaining about persistent pain at the last follow-up visit. Except two patients, the total range of motion improved with a mean of 34 degrees (range 5 to 70) after a mean follow-up of 11 months. Conclusions: Removal of radial head prosthesis improved function and lessened pain in our case series. The reoperation rate was yet nearly 30% due to ulnar neuritis. Selective ulnar nerve decompression at the time of removal must be evaluated, especially in patients with expected large gain in range of motion after removal.
https://abjs.mums.ac.ir/article_4211_f1be0e85d7f1440c246ad0407b541168.pdf
2015-04-01
88
93
10.22038/abjs.2015.4211
Prosthesis
Radial head
radial head fracture
Removal
Valentin
Neuhaus
valentin.neuhaus@gmx.ch
1
Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
AUTHOR
Dimitrios C.
Christoforou
dimitri.christoforou@gmail.com
2
Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
AUTHOR
Amir Reza
Kachooei
akachooei@partners.org
3
Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Jesse B.
Jupiter
jjupiter1@partners.org
4
Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
AUTHOR
David C.
Ring
david.ring@austin.utexas.edu
5
Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
AUTHOR
Chaitanya
S. Mudgal
cmudgal@partners.org
6
Department of
Orthopedic Surgery, Massachusetts General Hospital, 55 Fruit
Street, Boston, MA, 02114 USA.
LEAD_AUTHOR
Ruan HJ, Fan CY, Liu JJ, Zeng BF. A comparative study of internal fixation and prosthesis replacement for radial head fractures of Mason type III. Int Orthop. 2009;33(1):249-53.
1
Grewal R, MacDermid JC, Faber KJ, Drosdowech DS, King GJ. Comminuted radial head fractures treated with a modular metallic radial head arthroplasty. Study of outcomes. J Bone Joint Surg Am. 2006;88(10):2192-200.
2
Dotzis A, Cochu G, Mabit C, Charissoux JL, Arnaud JP. Comminuted fractures of the radial head treated by the Judet floating radial head prosthesis. J Bone Joint Surg Br. 2006;88(6):760-4.
3
Harrington IJ, Sekyi-Otu A, Barrington TW, Evans DC, Tuli V. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. J Trauma. 2001;50(1):46-52.
4
Burkhart KJ, Mattyasovszky SG, Runkel M, Schwarz C, Kuchle R, Hessmann MH, et al. Mid- to long-term results after bipolar radial head arthroplasty. J Shoulder Elbow Surg. 2010;19(7):965-72.
5
Ricon FJ, Sanchez P, Lajara F, Galan A, Lozano JA, Guerado E. Result of a pyrocarbon prosthesis after comminuted and unreconstructable radial head fractures. J Shoulder Elbow Surg. 2011.
6
O’Driscoll SW, Herald J. Symptomatic failure of snap-on bipolar radial head prosthesis. J Shoulder Elbow Surg. 2009;18(5):e7-11.
7
O’Driscoll SW, Herald JA. Forearm pain associated with loose radial head prostheses. J Shoulder Elbow Surg. 2011.
8
Doornberg JN, Parisien R, van Duijn PJ, Ring D. Radial head arthroplasty with a modular metal spacer to treat acute traumatic elbow instability. J Bone Joint Surg Am. 2007;89(5):1075-80.
9
van Riet RP, Morrey BF. Delayed valgus instability and proximal migration of the radius after radial head prosthesis failure. J Shoulder Elbow Surg. 2010;19(7):e7-10.
10
Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872-7.
11
Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg Am. 1986;68(5):669-74.
12
van Riet RP, van Glabbeek F, de Weerdt W, Oemar J, Bortier H. Validation of the lesser sigmoid notch of the ulna as a reference point for accurate placement of a prosthesis for the head of the radius: a cadaver study. J Bone Joint Surg Br. 2007;89(3):413-6.
13
Frank SG, Grewal R, Johnson J, Faber KJ, King GJ, Athwal GS. Determination of correct implant size in radial head arthroplasty to avoid overlengthening. J Bone Joint Surg Am. 2009;91(7):1738-46.
14
van Riet RP, Sanchez-Sotelo J, Morrey BF. Failure of metal radial head replacement. J Bone Joint Surg Br. 2010;92(5):661-7.
15
Allavena C, Delclaux S, Bonnevialle N, Rongières M, Bonnevialle P, Mansat P. Outcomes of bipolar radial head prosthesis to treat complex radial head fractures in 22 patients with a mean follow-up of 50 months. Orthop Traumatol Surg Res. 2014;100(7):703-9.
16
Duckworth AD, Wickramasinghe NR, Clement ND, Court-Brown CM, McQueen MM. Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal? Clin Orthop Relat Res. 2014;472(7):2136-43.
17
Athwal GS, Rouleau DM, MacDermid JC, King GJ. Contralateral elbow radiographs can reliably diagnose radial head implant overlengthening. J Bone Joint Surg Am. 2011;93(14):1339-46.
18
Van Riet RP, Van Glabbeek F, Verborgt O, Gielen J. Capitellar erosion caused by a metal radial head prosthesis. A case report. J Bone Joint Surg Am. 2004;86-A(5):1061-4.
19
Monica JT, Mudgal CS. Radial head arthroplasty. Hand Clin. 2010;26(3):403-10, vii.
20
Park MJ, Chang MJ, Lee YB, Kang HJ. Surgical release for posttraumatic loss of elbow flexion. J Bone Joint Surg Am. 2010;92(16):2692-9.
21
Wretenberg P, Ericson A, Stark A. Radial head prosthesis after fracture of radial head with associated elbow instability. Arch Orthop Trauma Surg. 2006;126(3):145-9.
22
ORIGINAL_ARTICLE
Sternocostoclavicular Joint Swelling; Diagnosis of a Neglected Entity
Background: Sternocostoclavicular joint (SCCJ) swelling is an underdiagnosed, albeit important entity in clinical practice. The present study was conducted in order to identify the incidence and common causes of this entity. Methods: Patients presenting to the Orthopaedic Clinic with a swelling of the sternocostoclavicular joint, during the study period of two years were included, and detailed history was obtained from the patient. Baseline investigations (total and differential leukocyte count, ESR, CRP, X-ray and CT) wereperformed. Magnetic resonance imaging,FNAC or joint aspiration was performed whenever clinically or radiologically indicated. Results: A total of 21 patients were enrolled into the study for a duration of 2 years. Patients mainly presented with both pain and swelling of the SCCJ with predominant right sided involvement. Osteoarthritis was the most frequent diagnosis followed by infections, primary bone/cartilage tumor, and metastasis. Conclusions: Although most of the patients with SCCJ swelling have a benign etiology, it is not wise to dismiss thisswelling as degenerative changes. Serious conditions like septic arthritis or neoplasia, may masquerade with similar presentations such as osteoarthritis. It would be therefore imperative to rule out all of these potentially life threatening conditions using thorough clinic-radiological workups.
https://abjs.mums.ac.ir/article_4102_e53c744b6960876d5db93f61eaa65196.pdf
2015-04-01
94
98
10.22038/abjs.2015.4102
Infection
Inflammatory
neoplasia
Sternocostoclavicular
Swelling
Deep
Sharma
drdeep_sharma@yahoo.com
1
Department of Orthopaedics, PMR Block, Jawaharlal
Institute of Post Graduate Medical Education and
Research (JIPMER), Puducherry, India
LEAD_AUTHOR
Pooja
Dhiman
poojapgimer@gmail.com
2
Department of Biochemistry, JIPMER, Puducherry, India
AUTHOR
Jagdish
Menon
menon.j@jipmer.edu.in
3
Department of Orthopaedics, JIPMER, Puducherry, India
AUTHOR
Komuravalli
Varun krishna
varrikrish4@gmail.com
4
Department of Orthopaedics, JIPMER, Puducherry, India
AUTHOR
Le Loët X, Vittecoq O. The sternocostoclavicular joint: normal and abnormal features. Joint Bone Spine. 2002; 69(2): 161-9.
1
Levy M, Goldberg I, Fischel RE, Frisch E, Maor P. Friedrich’s disease. Aseptic necrosis of the sternal end of the clavicle. J Bone Joint Surg Br. 1981;63(4):539-41.
2
Mandal SK, Ganguly J, Sil K, Mondal SS. Diagnostic dilemma in a case of osteolytic lesions. BMJ Case Rep. 2014; doi:10.1136/bcr-2013-201682
3
Mondal S, Sinha D, Nag A, Ghosh A. Unilateral sternocostoclavicular hyperostosis in a patient with ankylosing spondylitis: A case report with color Doppler ultrasonogram findings. Indian J Radiol Imaging. 2013; 23(3):278-80.
4
Aggarwal AN, Dhammi IK, Singh AP, Kumar S, Goyal MK. Tubercular osteomyelitis of the clavicle: a report of four cases.J Orthop Surg (Hong Kong). 2009; 17(1):123-6.
5
Thongngarm T, McMurray RW. Osteoarthritis of the sternoclavicular joint. J Clin Rheumatol. 2000; 6(5):269-71.
6
Khan SA, Zahid M, Asif N, Hasan AS. Tuberculosis of the sternoclavicular joint. Indian J Chest Dis Allied Sci. 2002;44(4):271-3.
7
Dhillon MS, Gupta RK, Bahadur R, Nagi ON. Tuberculosis of the sternoclavicular joints. Acta Orthop Scand. 2001; 72(5):514-7.
8
Bar-Natan M, Salai M, Sidi Y, Gur H. Sternoclavicular Infectious Arthritis in Previously Healthy Adults. Semin Arthritis Rheum. 2002; 32(3): 189-95.
9
Ross JJ, Shamsu.ddin H. Sternoclavicular septic arthritis: review of 180 cases. Medicine (Baltimore). 2004; 83(3):139-48.
10
Rocha PP, Yoshika TT. Primary skeletal infections in heroin users: a clinical characterization, diagnosis and therapy. Clin Ortho Related Res. 1979;144:238-48.
11
Kofoed H, Thomsen P, Lindenberg S. Serous synovitis of the sternoclavicular joint: Differential diagnostic aspects. Scand J Rheumatol. 1985;14(1):61-4.
12
Yood RA, Goldenberg DL. Sternoclavicular joint arthritis. Arthritis Rheum. 1980; 23(2):232-9.
13
Gilbert NF, Deavers MT, Madewell JE, Lewis VO. A 16-year-old Girl With Pain and Swelling in the Medial Clavicle. Clin Orthop Relat Res. 2008;466(12): 3158–62.
14
Lamb CEM. Sternoclavicular joint enlargement following block dissection. Br J Surg. 1976; 63(6):488-92.
15
Cantlon GE, Gluckman JL. Sternoclavicular joint hypertrophy following radical neck dissection. Head Neck Surg. 1983;5(3):218-21.
16
Gluth MB, Simpson CB, Wirth MA. Sternoclavicular Joint Swelling After Surgery of the Head and Neck Region: A Case Report and Differential Diagnostic Review. Am J Otolaryngol. 2001;22(5):367-70.
17
Rodríguez-Henríquez P, Solano C, Peña A, León-Hernández S, Hernández-Díaz C, Gutiérrez M, et al. Sternoclavicular joint involvement in rheumatoid arthritis: clinical and ultrasound findings of a neglected joint. Arthritis Care Res (Hoboken). 2013; 65(7):1177-82.
18
Sternheim A, Chechik O, Freedman Y, Steinberg EL.Transient sternoclavicular joint arthropathy, a self-limited disease. J Shoulder Elbow Surg. 2014; 23(4):548-52.
19
ORIGINAL_ARTICLE
Is there any Correlation Between Patient Height and Patellar Tendon Length?
Background: A potential specific problem of patellar tendon graft in ACL reconstruction is the possibility of graft-tunnel mismatch which could be more problematic with anatomic ACL reconstruction where the femoral tunnel is placed low on the lateral wall of the lateral femoral condyle. The occasional occurrence of this mismatch raises the question that whether a correlation exists between patient height and patellar tendon length. The purpose of the present study was to measure patellar tendon length as an anthropometric finding and to evaluate whether a correlation exists between patient height and patellar tendon length. Methods: Intra-operative measurement of patellar tendon length was carried out in 267 consecutive patients during bone-patellar tendon-bone (BTB) graft ACL reconstruction. Patient age, gender, height were recorded. The patellar tendon measurements were done independently by two surgeons and the possible inter-observer errors were checked. The data were analyzed using the Pearson correlation. Results: The mean length of the patellar tendon was 46.4 ± 4.8 mm (Mean ± SD) with a range of 32–61 mm. The mean patient height was 177 ± 7 cm (Mean ± SD) with a range of 159–197 cm. A weak positive correlations were found between patient height and patellar tendon length (Pearson r = 0.24, P< 0.001). The linear regression equation for patellar tendon length (y, in millimeters) as a function of patient height (x, in centimeters) can be expressed as y=16.54 + 0.17x. Conclusions: Our study showed a weak correlation between patellar tendon length and patient height. This finding is in contrast to the usual measurements in human anthropometry in which taller individuals have normally longer tendons and ligaments. The graft-tunnel mismatch may be the result of this variation.
https://abjs.mums.ac.ir/article_4108_075ff2279dd8393f7a313f7e9358a768.pdf
2015-04-01
99
103
10.22038/abjs.2015.4108
ACL reconstruction
Graft-tunnel mismatch
Height
Patellar tendon length
Amir Mohammad
Navali
amirmnavali@gmail.com
1
Associate professor of orthopedic surgery, Tabriz University of Medical Sciences
LEAD_AUTHOR
Mohammad
Asghari Jafarabadi
asgharimo@tbzmed.ac.ir
2
Associate Professor,Road Traffic Injury Research Center, Tabriz University of Medical Sciences
AUTHOR
Möller E, Weidenhielm L, Werner S. Outcome and knee-related quality of life after anterior cruciate ligament reconstruction: a long-term follow-up. Knee Surg Sports Traumatol Arthrosc. 2009;17(7):786-94.
1
Shaffer B, Gow W, Tibone JE. Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction: a new technique of intraarticular measurement and modified graft harvesting. Arthroscopy. 1993;9(6):633-46.
2
Augé II WK, Yifan K. Technical Note A Technique for Resolution of Graft-Tunnel Length Mismatch in Central Third Bone–Patellar Tendon–Bone Anterior Cruciate Ligament Reconstruction. Arthroscopy. 1999;15(8):877-81.
3
Denti M, Bigoni M, Randelli P, Monteleone M, Cevenini A, Ghezzi A, et al. Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction Intraoperative and cadaver measurement of the intra-articular graft length and the length of the patellar tendon. Knee Surg Sports Traumatol Arthrosc. 1998;6(3):165-8.
4
Olszewski AD, Miller MD, Ritchie JR. Ideal tibial tunnel length for endoscopic anterior cruciate ligament reconstruction. Arthroscopy. 1998;14(1):9-14.
5
Taylor DE, Dervin GF, Keene GC. Femoral bone plug recession in endoscopic anterior cruciate ligament reconstruction. Arthroscopy. 1996;12(4):513-5.
6
Spindler K, Bergfeld J, Andrish J. Intraoperative complications of ACL surgery: avoidance and management. Orthopedics. 1993;16(4):425-30.
7
Verma NN, Dennis MG, Carreira DS, Bojchuk J, Hayden JK, Bach Jr BR. Preliminary clinical results of two techniques for addressing graft tunnel mismatch in endoscopic anterior cruciate ligament reconstruction. J Knee Surg. 2005;18(3):183-91.
8
Goldstein JL, Verma N, McNickle AG, Zelazny A, Ghodadra N, Bach BR. Avoiding mismatch in allograft anterior cruciate ligament reconstruction: correlation between patient height and patellar tendon length. Arthroscopy. 2010;26(5):643-50.
9
Verma N, Noerdlinger MA, Hallab N, Bush-Joseph CA, Bach BR. Effects of graft rotation on initial biomechanical failure characteristics of bone-patellar tendon-bone constructs. Am J Sports Med. 2003;31(5):708-13.
10
Fowler BL, DiStefano VJ. Tibial tunnel bone grafting: a new technique for dealing with graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction. Arthroscopy. 1998;14(2):224-8.
11
Mariani PP, Calvisi V, Margheritini F. A modified bone-tendon-bone harvesting technique for avoiding tibial tunnel–graft mismatch in anterior cruciate ligament reconstruction. Arthroscopy. 2003;19(1):3.
12
Grawe B, Smerina A, Allen A. Avoiding Graft-Tunnel Length Mismatch in Anterior Cruciate Ligament Reconstruction: The Single–Bone Plug Technique. Arthrosc Tech. 2014;3(3):417-20.
13
Wang H, Hua C, Cui H, Li Y, Qin H, Han D, et al. Measurement of normal patellar ligament and anterior cruciate ligament by MRI and data analysis. Exp Ther Med. 2013; 5(3):917-921.
14
Brown JA, Brophy RH, Franco J, Marquand A, Solomon TC, Watanabe D, et al. Avoiding Allograft Length Mismatch During Anterior Cruciate Ligament Reconstruction Patient Height as an Indicator of Appropriate Graft Length. Am J Sports Med. 2007; 35(6):986-9.
15
Luk KM, Wong N, Cheng JC. Anthropometry of the patellar tendon in Chinese. J Orthop Surg (Hong Kong). 2008;16(1):39-42.
16
Couppé C, Svensson RB, Sødring-Elbrønd V, Hansen P, Kjær M, Magnusson SP. Accuracy of MRI technique in measuring tendon cross-sectional area. Clin Physiol Funct Imaging. 2014;34(3):237-41.
17
ORIGINAL_ARTICLE
Arthroscopic Meniscal Repair: “Modified Outside-In Technique”
Background: Despite the introduction of different techniques for meniscal repair, no single procedure is superior in all situations. The new method for meniscal repair named “ modified outside-in technique ” aims to achieve higher primary fixation strength by an alternative suture technique as well as avoid disadvantages of outside-in, inside-out, and all-inside suture procedures. Additionally, the mid-term results of surgically treated patients with eniscal injuries by our new technique were evaluated. Methods: The current prospective study included 66 patients who underwent meniscal repair by the modified outside-in technique. The International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form was completed pre- and post-operatively. At final follow-up, Lysholm score was completed and patients were questioned about their return to previous sport activities. Clinical success was defined as lack of swelling and joint line tenderness, absence of locking, negative McMurray test and no need for meniscectomy. Patients’ satisfaction was evaluated using the visual analogue scale (VAS). Patients were followed for 26±1.7 months. Results: Clinical success was achieved in 61 patients (92.4%) and 5 candidates required meniscectomy (7.6%). IKDC Subjective Knee Evaluation Form score increased significantly from 54.2±12.7 preoperatively to 90.8±15.6 postoperatively (P<0.001). Lysholm score was excellent and good in 49 (80.3%) patients and fair in 12 (19.7%). Patients’ satisfaction averaged at 8.35±1 (6-10). Neurovascular injury, synovitis and other knot-related complications were not reported. Conclusions: The modified outside-in technique has satisfactory functional and clinical outcomes. We believe that this procedure is associated with better clinical and biomechanical results; however, complementary studies should be performed to draw a firm conclusion in this regard.
https://abjs.mums.ac.ir/article_4199_23e01e3c97c45e9c7e8fd846b5c6ddf3.pdf
2015-04-01
104
108
10.22038/abjs.2015.4199
Arthroscopy
Meniscus
Modified outside-in technique
Sohrab
Keyhani
sohrab_keyhani4@yahoo.com
1
Shahid Beheshti University of medical sciences
AUTHOR
Mohammadreza
Abbasian
mohammadreza.abbasian@gmail.com
2
Shahid Beheshti University of medical sciences
AUTHOR
Nasim
Siatiri
nasimsiatiri@yahoo.com
3
Shahid Beheshti University of medical sciences
AUTHOR
Ali
Sarvi
sarvi@yahoo.com
4
Shahid Beheshti University of medical sciences
AUTHOR
Mohsen
Mardani Kivi
mardanikivi@yahoo.com
5
Guillan University of medical sciences
AUTHOR
Ali Akbar
Esmailiejah
yoosofjafari@yahoo.com
6
Shahid Beheshti University of medical sciences
LEAD_AUTHOR
References
1
Ikeuchi H. Trial and error in the development of instruments for endoscopic knee surgery. Orthop Clin North Am. 1982;13(2):255.
2
DeHaven KE. Meniscus repair: open versus arthroscopic. Arthroscopy. 1985;1(3):173-4.
3
Henning CE. Arthroscopic repair of meniscus tears. Orthopedics. 1983;6(9):1130-32.
4
Phillips BB. Arthroscopy of the lower extremity. In: Canale ST, Beaty JH, eds. Campbell’s Operative Orthopedics. 11th edition. Philadelphia: Mosby Elsevier; 2008:2832-42.
5
Morgan CD, Casscells W. Arthroscopic meniscus repair: a safe approach to the posterior horns. Arthroscopy. 1986;2(1):3-12.
6
Reigel CA, Mulhollan JS, Morgan CD. Arthroscopic all-inside meniscus repair. Clin Sports Med. 1996;15(3):483-98.
7
Forster MC, Aster AS. Arthroscopic meniscal repair. Surgeon. 2003;1(6):323-7.
8
Muriuki MG, Tuason DA, Tucker BG, Harner CD. Changes in tibiofemoral contact mechanics following radial split and vertical tears of the medial meniscus an in vitro investigation of the efficacy of arthroscopic repair. J Bone Joint Surg Am. 2011;93(12):1089-95.
9
Rodeo SA. Arthroscopic meniscal repair with use of the outside-in technique. Instr Course Lect. 2000;49:195-206.
10
Laprell H, Stein V, Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: A prospective study. Arthroscopy. 2002;18(4):387–93.
11
Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. Results of meniscal repair using a bioabsorbable screw. Arthroscopy. 2004; 20(6):586-90.
12
Jones HP, Lemos MJ, Wilk RM, Smiley PM, Gutierrez R, Schepsis AA. Two-year follow-up of meniscal repair using a bioabsorbable arrow. Arthroscopy. 2002;18(1):64-9.
13
Fok AW, Yau WP. Early results of all-inside meniscal repairs using a pre-loaded suture anchor. Hong Kong Med J. 2013;19(2):124-8.
14
Quinby JS, Golish SR, Hart JA, Diduch DR. All-inside meniscal repair using a new flexible, tensionable device. Am J Sports Med. 2006;34(8):1281-6.
15
Billante MJ, Diduch DR, Lunardini DJ, Treme GP, Miller MD, Hart JM. Meniscal repair using an all-inside, rapidly absorbing, tensionable device. Arthroscopy. 2008;24(7):779-85.
16
Kalliakmanis A, Zourntos S, Bousgas D, Nikolaou P. Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients. Arthroscopy. 2008;24(7):810-6.
17
Miller MD, Kline AJ, Jepsen KG. All-inside meniscal repair devices: an experimental study in the goat model. Am J Sports Med. 2004;32(4):858-62.
18
Hospodar SJ, Schmitz MR, Golish SR, Ruder CR, Miller MD. FasT-Fix versus inside-out suture meniscal repair in the goat model. Am J Sports Med. 2009;37(2):330-3.
19
Seil R, Rupp S, Jurecka C, Georg T, Kohn D. Biodegradable meniscus fixations: a comparative biomechanical study. Rev Chir Orthop Reparatrice Appar Mot. 2003; 89(1):35-43.
20
Hantes ME, Zachos VC, Varitimidis SE, Dailiana ZH, Karachalios T, Malizos KN. Arthroscopic meniscal repair: a comparative study between three different surgical techniques. Knee Surg Sports TraumatolArthrosc. 2006;14(12):1232-7.
21
ORIGINAL_ARTICLE
Evaluation of Patient Outcome and Satisfaction after Surgical Treatment of Adolescent Idiopathic Scoliosis Using Scoliosis Research Society-30
Background: Adolescent idiopathic scoliosis (AIS) may lead to physical and mental problems. It also can adversely affect patient satisfaction and the quality of life. In this study, we assessed the outcomes and satisfaction rate after surgical treatment of AIS using scoliosis research society-30 questionnaire (SRS-30). Methods: We enrolled 135 patients with AIS undergoing corrective surgery. Patients were followed for at least 2 years. We compared pre- and post-operative x-rays in terms of Cobb’s angles and coronal balance. At the last visit, patients completed the SRS-30 questionnaire. We then assessed the correlation between radiographic measures, SRS-30 total score, and patient satisfaction. Results: Cobb’s angle and coronal balance improved significantly after surgery (P <0.001). The scores of functional activity, pain, self-image/cosmesis, mental health, and satisfaction were 27±4.3, 26±2.5, 33±5.2, 23±3.5, and 13±1.8, respectively. The total SRS-30 score was 127±13. Radiographic measures showed significant positive correlation with satisfaction and SRS-30 total scores ( P<0.05). There was also a positive correlation between. satisfaction and selfimage/cosmesis domain scores ( P<0.05). Conclusions: The greater radiographic angles were corrected the higher SRS-30 total score and patient satisfaction were. It is intuitive that the appearance and cosmesis is of most important factor associated with patient satisfaction.
https://abjs.mums.ac.ir/article_4107_1566adc64c52945b2e8267fc7f99bd08.pdf
2015-04-01
109
113
10.22038/abjs.2015.4107
Adolescent idiopathic scoliosis
Satisfaction
Scoliosis research society-30 questionnaire
Spinal
deformity
Hasan
Ghandehari
farshdortho@gmail.com
1
Iran university of medical sciences
AUTHOR
Maryam
Ameri Mahabadi
maryammahabadi@gmail.com
2
Iran university of medical sciences
AUTHOR
Seyed Mani
Mahdavi
smanimahdavi@yahoo.com
3
Iran university of medical sciences
AUTHOR
Seyed Hossein
Vahid Tari
farshadortho@gmail.com
4
Iran University of medical sciences
LEAD_AUTHOR
Ali
Shahsavaripour
shahsavariortho@gmail.com
5
Iran university of medical sciences
AUTHOR
Farshad
Safdari
f.safdari.to@gmail.com
6
Bone Joint and related tissue research center, Shahid Beheshti university of medical sciences
AUTHOR
Gorman KF, Julien C, Moreau A. The genetic epidemiology of idiopathic scoliosis. Eur Spine J. 2012; 21(10):1905-19.
1
Weiss HR, Goodall D. The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. Eur J Phys Rehabil Med. 2008;44(2):177-93.
2
Riseborough EJ, Wynne-Davies R. A genetic survey of idiopathic scoliosis in Boston, Massachusetts. J Bone Joint Surg Am. 1973;55(5):974-82.
3
Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop. 2013;7(1):3-9.
4
Trobisch P, Suess O, Schwab F. Idiopathic scoliosis. Dtsch Arztebl Int. 2010;107(49):875-84.
5
Ameri E, Behtash H, Mobini B, Bouzari B, Tari V. Patient satisfaction after scoliosis surgery. Med J Islam Repub Iran. 2008; 21(4) :177-84.
6
Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976). 2005;30(9):1082-5.
7
El-Hawary R, Chukwunyerenwa C. Update on Evaluation and Treatment of Scoliosis. Pediatr Clin North Am. 2014;61(6):1223-41.
8
Suk SI, Kim JH, Kim SS, Lee JJ, Han YT. Thoracoplasty in thoracic adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2008;33(10):1061-7.
9
Bullmann V, Halm HF, Niemeyer T, Hackenberg L, Liljenqvist U. Dual-rod correction and instrumentation of idiopathic scoliosis with the Halm-Zielke instrumentation. Spine (Phila Pa 1976). 2003; 28(12):1306-13.
10
Lonner BS, Auerbach JD, Estreicher M, Milby AH, Kean KE. Video-assisted thoracoscopic spinal fusion compared with posterior spinal fusion with thoracic pedicle screws for thoracic adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2009;91(2):398-408.
11
Misterska E, Glowacki M, Harasymczuk J. Personality characteristics of females with adolescent idiopathic scoliosis after brace or surgical treatment compared to healthy controls. Med Sci Monit. 2010;16(12):CR606-15.
12
Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet. 2008; 371(9623):1527-37.
13
Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J. 2001;10(4):278-88.
14
Tones M, Moss N, Polly DW Jr. A review of quality of life and psychosocial issues in scoliosis. Spine (Phila Pa 1976). 2006;31(26):3027-38.
15
Matsunaga S, Hayashi K, Naruo T, Nozoe S, Komiya S. Psychologic management of brace therapy for patients with idiopathic scoliosis. Spine (Phila Pa 1976). 2005; 30(5):547-50.
16
Koch KD, Buchanan R, Birch JG, Morton AA, Gatchel RJ, Browne RH. Adolescents undergoing surgery for idiopathic scoliosis: how physical and psychological characteristics relate to patient satisfaction with the cosmetic result. Spine (Phila Pa 1976). 2001;26(19):2119-24.
17
Merola AA, Haher TR, Brkaric M, Panagopoulos G, Mathur S, Kohani O, et al. A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using theScoliosis Research Society (SRS) outcome instrument. Spine (Phila Pa 1976). 2002;27(18):2046-51.
18
Misterska E, Głowacki M, Harasymczuk J. Assessment of spinal appearance in female patients with adolescent idiopathic scoliosis treated operatively. Med Sci Monit. 2011;17(7):CR404-10.
19
Kinel E, Kotwicki T, Podolska A, Białek M, Stryła W. Quality of life and stress level in adolescents with idiopathic scoliosis subjected to conservative treatment. Stud Health Technol Inform. 2012; 176: 419-22.
20
Spanyer JM, Crawford CH 3rd, Canan CE, Burke LO, Heintzman SE, Carreon LY. Health-Related Quality-of-Life Scores, Spine-Related Symptoms, and Reoperations in Young Adults 7 to 17 Years After Surgical Treatment of Adolescent Idiopathic Scoliosis. Am J Orthop (Belle Mead NJ). 2015;44(1):26-31.
21
Lee JS, Lee DH, Suh KT, Kim JI, Lim JM, Goh TS. Validation of the Korean version of the Scoliosis Research Society-22 questionnaire. Eur Spine J. 2011; 20(10):1751-6.
22
Haher TR, Gorup JM, Shin TM, Homel P, Merola AA, Grogan DP, et al. Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. A multicenter study of 244 patients. Spine (Phila Pa 1976). 1999;24(14):1435-40.
23
Asher MA, Min Lai S, Burton DC. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine (Phila Pa 1976). 2000; 25(18):2381-6
24
Scoliosis Research Society. Adolescent idiopathic scoliosis. March 31, 2009. Available at: http://www.srs.org/professionals/education/ adolescent/idiopathic/. Accessed June 15, 2011.
25
Carriço G, Meves R, Avanzi O. Cross-cultural adaptation and validity of an adapted Brazilian Portuguese version of Scoliosis Research Society-30 questionnaire. Spine (Phila Pa 1976). 2012; 37(1):E60-3.
26
Mousavi SJ, Mobini B, Mehdian H, Akbarnia B, Bouzari B, Askary-Ashtiani A, et al. Reliability and validity of the persian version of the scoliosis research society-22r questionnaire. Spine (Phila Pa 1976). 2010;35(7):784-9.
27
Rothenfluh DA, Neubauer G, Klasen J, Min K. Analysis of internal construct validity of the SRS-24 questionnaire. Eur Spine J. 2012;21(8):1590-5.
28
Sathira-Angkura V, Pithankuakul K, Sakulpipatana S, Piyaskulkaew C, Kunakornsawat S. Validity and reliability of an adapted Thai version of Scoliosis Research Society-22 questionnaire for adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2012; 37(9):783-7.
29
Bridwell KH, Berven S, Glassman S, Hamill C, Horton WC 3rd, Lenke LG, et al. Is the SRS-22 instrument responsive to change in adult scoliosis patients having primary spinal deformity surgery? Spine (Phila Pa 1976). 2007;32(20):2220-5.
30
Omidi Kashani F, Ghayem Hasankhani E, Baradaran A, Baghban N. Clinical Outcomes of Surgery in Young Patients With Spinal Deformity. Razavi Int J Med. 2015;2(4):e23878.
31
Carreon LY, Sanders JO, Diab M, Sturm PF, Sucato DJ; Spinal Deformity Study Group. Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2011; 36(12):965-8.
32
Gorzkowicz B, Kołban M, Szych Z. Assessment of quality of life in patients with idiopathic scoliosis treated operatively. Ortop Traumatol Rehabil. 2009; 11(6):530-41.
33
Sanders JO, Carreon LY, Sucato DJ, Sturm PF, Diab M; Spinal Deformity Study Group. Preoperative and perioperative factors effect on adolescent idiopathic scoliosis surgical outcomes. Spine (Phila Pa 1976). 2010;35(20):1867-71.
34
ORIGINAL_ARTICLE
A Survey of Severity and Distribution of Musculoskeletal Pain in Multiple Sclerosis Patients; a Cross-Sectional Study
Background: Pain, a common phenomenon in multiple sclerosis (MS) patients, is associated with many symptoms and problems. To investigation severity and distribution of musculoskeletal pain in MS patients. Methods: In this cross-sectional study, 115 members of the Mazandaran MS Association with confirmed MS were randomly selected to participate in the study. The patients were asked to fill out Numerical Rating Score and Nodric questionnaires, respectively. The data was analyzed by SPSS ver. 16 software. Results: The mean age of the participants was 30.43±5.86 years and 88 cases (76.5%) were female. The mean disease duration was 26.34±24.32 months and 87.8% of the cases were experiencing pain at the time of study. The mean pain severity was 3.75±2.25 and worst pain experienced was 5.73±2.12. The most common pain sites were: the knees (55.7%), wrist (43.5%), and neck (41.7%). Women experience higher prevalence of shoulder, upper back, and ankle pain (P
https://abjs.mums.ac.ir/article_3939_67a8348bb456f5f766d1a444ea6022cd.pdf
2015-04-01
114
118
10.22038/abjs.2015.3939
Multiple Sclerosis
musculoskeletal pain
Pain measurement
Masoud
ShayestehAzar
mshayestehazar@yahoo.com
1
Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Mohammad
Kariminasab
mhkariminasab@gmail.com
2
Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Majid
Sajjadi Saravi
sajjadi.majid@gmail.com
3
Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
AUTHOR
Mahmoud
Abedini
abedinm20@gmail.com
4
Department of Neurology, Bu Ali Teaching Hospital, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
Mehran
Fazli
mehran222@gmail.com
5
General Practitioner in Imam Khomeini Hospital of Esfarayen, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
LEAD_AUTHOR
Seyyed Abbas
Hashemi
abbas.hashemi30@gmail.com
6
Faculty of medicine, Student research committee, Mazandaran University of medical sciences, Sari, Iran
AUTHOR
Pedram
Abdizadeh
fazli_mehran@yahoo.com
7
Faculty of medicine, Student research committee, Mazandaran University of medical sciences, Sari, Iran
AUTHOR
Wingerchuk DM, Lucchinetti CF, Noseworthy JH. Multiple sclerosis: current pathophysiological concepts. Lab Invest. 2001;81(3):263-81.
1
Pittock SJ, McClelland RL, Mayr WT, Jorgensen NW, Weinshenker BG, Noseworthy J, et al. Clinical implications of benign multiple sclerosis: A 20-year population-based follow-up study. Ann Neurol. 2004; 56(2):303-6.
2
Buchanan R, Wang S, Tai-Seale M, Ju H. Analyses of the minimum data set: comparisons of nursing home residents with multiple sclerosis to other nursing home residents. Mult Scler. 2003;9(2):171-88.
3
Ehde DM, Osborne TL, Jensen MP. Chronic pain in persons with multiple sclerosis. Phys Med Rehabil Clin N Am. 2005;16(2):503-12.
4
Solaro C, Brichetto G, Amato M, Cocco E, Colombo B, D’Aleo G, et al. The prevalence of pain in multiple sclerosis A multicenter cross-sectional study. Neurology. 2004;63(5):919-21.
5
Svendsen KB, Jensen TS, Overvad K, Hansen HJ, Koch-Henriksen N, Bach FW. Pain in patients with multiple sclerosis: a population-based study. Arch Neurol. 2003;60(8):1089-94.
6
Hirsh AT, Turner AP, Ehde DM, Haselkorn JK. Prevalence and impact of pain in multiple sclerosis: physical and psychologic contributors. Arch Phys Med Rehabil. 2009;90(4):646-51.
7
O’Connor AB, Schwid SR, Herrmann DN, Markman JD, Dworkin RH. Pain associated with multiple sclerosis: systematic review and proposed classification. Pain. 2008;137(1):96-111.
8
Kerns RD, Kassirer M, Otis J. Pain in multiple sclerosis: a biopsychosocial perspective. J Rehabil Res Dev. 2002;39(2):225-32.
9
Pöllmann W, Erasmus L-P, Feneberg W, Bergh FT, Straube A. Interferon beta but not glatiramer acetate therapy aggravates headaches in MS. Neurology. 2002;59(4):636-9.
10
Michalski D, Liebig S, Thomae E, Hinz A, Bergh FT. Pain in patients with multiple sclerosis: a complex assessment including quantitative and qualitative measurements provides for a disease-related biopsychosocial pain model. J Pain Res. 2011;4:219-25.
11
Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain. 2009;10(5):517-26.
12
Induruwa I, Constantinescu CS, Gran B. Fatigue in multiple sclerosis—A brief review. J Neurol Sci. 2012; 323(1-2):9-15.
13
Braley TJ, Chervin RD. Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep. 2010;33(8):1061-7.
14
Compston A, Coles A. Multiple sclerosis. Lancet. 2008;372(9648):1502-17.
15
Fazli M, Shayesteh-Azar M. Correlation between the fatigue with gender, age and disease duration in multiple sclerosis patients. Int J Med Invest. 2013;2(4):206-9.
16
Solaro C, Uccelli MM. Pharmacological management of pain in patients with multiple sclerosis. Drugs. 2010;70(10):1245-54.
17
Kenner M, Menon U, Elliott DG. Multiple sclerosis as a painful disease. Int Rev Neurobiol. 2007;79:303-21.
18
Nurmikko TJ, Gupta S, Maclver K. Multiple sclerosis-related central pain disorders. Curr Pain Headache Rep. 2010;14(3):189-95.
19
Österberg A, Boivie J. Central pain in multiple sclerosis–sensory abnormalities. Eur J Pain. 2010; 14(1):104-10.
20
Truini A, Barbanti P, Pozzilli C, Cruccu G. A mechanism-based classification of pain in multiple sclerosis. J Neurol. 2013;260(2):351-67.
21
Kalia LV, OConnor PW. Severity of chronic pain and its relationship to quality of life in multiple sclerosis. Mult Scler. 2005;11(3):322-7.
22
Svendsen KB, Jensen TS, Hansen HJ, Bach FW. Sensory function and quality of life in patients with multiple sclerosis and pain. Pain. 2005;114(3):473-81.
23
Hadjimichael O, Kerns RD, Rizzo MA, Cutter G, Vollmer T. Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain. 2007;127(1-2):35-41.
24
Beiske A, Pedersen E, Czujko B, Myhr KM. Pain and sensory complaints in multiple sclerosis. Eur J Neurol. 2004;11(7):479-82.
25
Österberg A, Boivie J, Thuomas KÅ. Central pain in multiple sclerosis—prevalence and clinical characteristics. Eur J Pain. 2005;9(5):531-42.
26
Archibald C, McGrath P, Ritvo P, Fisk J, Bhan V, Maxner C, et al. Pain prevalence, severity and impact in a clinic sample of multiple sclerosis patients. Pain. 1994;58(1):89-93.
27
Ehde DM, Gibbons LE, Chwastiak L, Bombardier CH, Sullivan MD, Kraft GH. Chronic pain in a large community sample of persons with multiple sclerosis. Mult Scler. 2003;9(6):605-11.
28
Ehde D, Osborne T, Hanley M, Jensen M, Kraft G. The scope and nature of pain in persons with multiple sclerosis. Mult Scler. 2006;12(5):629-38.
29
Warnell P. The pain experience of a multiple sclerosis population: a descriptive study. Axone. 1991; 13(1):26-8.
30
Bagnato F, Centonze D, Galgani S, Grasso MG, Haggiag S, Strano S. Painful and involuntary multiple sclerosis. Expert Opin Pharmacother. 2011;12(5):763-77.
31
ORIGINAL_ARTICLE
Outcome of Distal Both Bone Leg Fractures Fixed by Intramedulary Nail for Fibula & MIPPO in Tibia
Background: Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteosynthesis for the fibula as well. A common complication associated with dual plating is an increased chance of soft tissue necrosis, infection, and in some cases resulting in an exposed implant. We conducted a prospective study to analyze the results of fractures of the distal in both leg bones managed by the MIPPO procedure for tibial fractures and a rush nail for fibular fractures. Methods: The study was conducted in a tertiary care hospital from November 2012 to May 2014, a total of 30 fractures in 30 patients (18 males, 12 females) with a mean age of 42.4 years (26-60 years) were treated in our institution in the aforesaid time period with MIPPO for tibia and rush nail for fibular fractures. All the cases were operated on by a single surgeon in emergency within 24 hours. The patients with skin blistering and compound fractures were excluded from this study. Rehabilitative measures were proceeded as per patient’s pain profile, isometric and isotonic exercises were started on the first post-operative day, with full weight bearing at 10-12 weeks after assessing clinical and radiological union. Regular follow up of patients was done, radiographs were taken at the immediate post-operative period and at 3, 6, 12 and 24 weeks. Results: All the patients were available for regular follow up. Radiological and clinical union proceeded normally in all the patients, no patients had signs of any deep infection, delayed union or nonunion, three patients had a superficial infection of the tibial incision that healed with a change in antibiotic. Conclusions: The use of dual plating for fixation of the lower tibia and fibula fractures is often associated with soft tissue complications, exposed implant, and increased risk of infection. We conclude that in fractures of the distal tibia and fibula it is better to use a rush nail for the fibula with a concurrent MIPPO for the tibia for the reasons cited above. Moreover, with the use of rush nail the cost of implant is also reduced, which is a very important factor in developing countries.
https://abjs.mums.ac.ir/article_4186_11947f2629f79820db81a81389312899.pdf
2015-04-01
119
123
10.22038/abjs.2015.4186
Distal fibula
Dual plating
Rush nail
Anil
Gupta
dr.anilgupta29@yahoo.com
1
Head of Department Orthopedics & spinal injury Govt Medical college. Jammu
AUTHOR
Rashid
Anjum
raashidanjum@gmail.com
2
Government medical college Jammu. Jammu & kashmir
LEAD_AUTHOR
Navdeep
Singh
drnavdeepraina@yahoo.com
3
Govt Medical college Jammu
AUTHOR
Shafiq
Hackla
shafiq966hack90699@gmail.com
4
Government Medical college Jammu
AUTHOR
Court‑Brown CM, McBirnie J, Wilson G. Adult ankle fractures: An increasing problem? Acta Orthop. 1998;69(1):43‑7.
1
Koval KJ, Lurie J, Zhou W, Sparks MB, Cantu RV, Sporer SM, et al. Ankle fractures in the elderly: What you get depends on where you live and who you see. J Orthop Trauma. 2005;19(9):635‑9.
2
Kannus P, Palvanen M, Niemi S, Parkkari J, Järvinen M. Increasing number and incidence of low‑trauma ankle fractures in elderly people: Finnish statistics during 1970‑2000 and projections for the future. Bone. 2002;31(3):430‑3.
3
Canale ST, Beaty JH. Campbell operative orthopedics. 12th ed. Maryland Heights, Missouri: Mosby; 2013.
4
Höiness P, Engebretsen L, Strömsöe K. The influence of perioperative soft tissue complications on the clinical outcome in surgically treated ankle fractures. Foot Ankle Int. 2001;22(8):642‑8.
5
McKenna PB, O›Shea K, Burke T. Less is more: Lag screw only fixation of lateral malleolar fractures. Int Orthop. 2007;31(4):497‑502.
6
Beauchamp CG, Clay NR, Thexton PW. Displaced ankle fractures in patients over 50 years of age. J Bone Joint Surg Br. 1983;65(3):329‑32.
7
Appleton P, McQueen M, Court‑Brown C. The fibula nail for treatment of ankle fractures in elderly and high risk patients. Tech Foot Ankle. 2006;5(3):204‑8.
8
Lee YS, Huang HL, Lo TY, Huang CR. Lateral fixation of AO type‑B2 ankle fractures in the elderly: The Knowles pin versus the plate. Int Orthop. 2007;31(6):817‑21.
9
Smith G, Wallace R, Findlater G, White T. The fibular nail: A biomechanical study. Procs Seventh SICOT/SIROT Anuual International Conference, Gothenburg; 2010.
10
Ramasamy PR, Sherry P. The role of a fibular nail in the management of Weber type B ankle fractures in elderly patients with osteoporotic bone: A preliminary report. Injury. 2001;32(6):477‑85.
11
Rajeev A, Senevirathna S, Radha S, Kashayap NS. Functional outcomes after fibula locking nail for fragility fractures of the ankle. J Foot Ankle Surg. 2011;50(5):547‑50.
12
Rüedi T. Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation. Injury. 1973;5(2):130-4.
13
Borens O, Kloen P, Richmond J, Roederer G, Levine DS, Helfet DL. Borens O, Kloen P, Richmond J, et al: Minimally invasive treatment of pilon fractures with a low profile plate: preliminary results in 17 cases. Arch Orthop Trauma Surg. 2009;129(5):649-59.
14
Anderson SA, Li X, Franklin P, Wixted JJ. Ankle fractures in the elderly: Initial and long‑term outcomes. Foot Ankle Int. 2008;29(12):1184‑8.
15
Nåsell H, Ottosson C, Törnqvist H, Lindé J, Ponzer S. The impact of smoking on complications after operatively treated ankle fractures: A follow‑up study of 906 patients. J Orthop Trauma. 2011;25(12):748‑55.
16
Wukich DK, Joseph A, Ryan M, Ramirez C, Irrgang JJ. Outcomes of ankle fractures in patients with uncomplicated versus complicated diabetes. Foot Ankle Int. 2011;32(2):120‑30.
17
Borg T, Larsson S, Lindsjo U. Percutanous plating of distal tibial fractures- preliminary results in 21 patients. Injury. 2004;35(6):608–14.
18
Bahari S, Lenehan B, Khan H, McElwain JP. Minimally invasive percutaneous plate fixation of distal tibia fractures. Acta Orthop Belg. 2007;73(5):635-40.
19
Redfern DJ, Syed SU, Davies SJ. Fractures of the distal tibia: minimal invasive plate osteosynthesis. Injury. 2004;35(6):615-20.
20
Lau TW, Leung F, Chan CF, Chow SP. Wound complication of minimally invasive plate osteosynthesis in distal tibia fractures. Int Orthop. 2008;32(5):697-703.
21
Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993;292:108-17.
22
ORIGINAL_ARTICLE
Adult Degenerative Scoliosis with Spinal Stenosis Treated with Stand-Alone Cage via an Extreme Lateral Transpsoas Approach; a Case Report and Literature Review
We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that wassuccessfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declinedopen surgery and instrumentation due to her advanced age concerns about potential side effects.
https://abjs.mums.ac.ir/article_4101_702b3fe19da4176745c31a595580027a.pdf
2015-04-01
124
129
10.22038/abjs.2015.4101
Degenerative scoliosis
Minimally invasive spinal surgery
XLIF
Arvind
von Keudell
avkeudell@gmail.com
1
Orthopaedic Surgery Resident,
Harvard Combined Residency Program
55 Fruit Street, Boston
LEAD_AUTHOR
Marjan
Alimi
test@yahoo.com
2
2Department of Neurological Surgery, Cornell University, 525 East 68th Street, New York, NY, United States
AUTHOR
Harry
Gebhard
test1@yahoo.com
3
Department of Orthopedics and Trauma Surgery, Kantonsspital Baselland, Rheinstrasse 26, CH-4410 Liestal
AUTHOR
Roger
Härtl
roger@hartlmd.com
4
2Department of Neurological Surgery, Cornell University, 525 East 68th Street, New York, NY, United States
LEAD_AUTHOR
Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine. 2005;30(9):1082-5.
1
Birknes JK, White AP, Albert TJ, Shaffrey CI, Harrop JS. Adult degenerative scoliosis: a review. Neurosurgery. 2008;63(3 ):94-103.
2
Fessler RG, O’Toole JE, Eichholz KM, Perez-Cruet MJ. The development of minimally invasive spine surgery. Neurosurg Clin N Am. 2006;17(4):401-9.
3
Everett CR, Patel RK. A systematic literature review of nonsurgical treatment in adult scoliosis. Spine. 2007;32(19):S130-4.
4
Epstein JA, Epstein BS, Jones MD. Symptomatic lumbar scoliosis with degenerative changes in the elderly. Spine (Phila Pa 1976). 1979;4(6):542-7.
5
Nachemson A. Adult scoliosis and back pain. Spine. 1979;4(6):513-7.
6
Carreon LY, Puno RM, Dimar JR, 2nd, Glassman SD, Johnson JR. Perioperative complications of posterior lumbar decompression and arthrodesis in older adults. J Bone Joint Surg Am. 2003; 85(11):2089-92.
7
Cho KJ, Suk SI, Park SR, Kim JH, Kim SS, Choi WK, et al. Complications in posterior fusion and instrumentation for degenerative lumbar scoliosis. Spine. 2007;32(20):2232-7.
8
Crandall DG, Revella J. Transforaminal lumbar interbody fusion versus anterior lumbar interbody fusion as an adjunct to posterior instrumented correction of degenerative lumbar scoliosis: three year clinical and radiographic outcomes. Spine. 2009;34(20):2126-33.
9
Kang BU, Choi WC, Lee SH, Jeon SH, Park JD, Maeng DH, et al. An analysis of general surgery-related complications in a series of 412 minilaparotomic anterior lumbosacral procedures. J Neurosurg Spine. 2009;10(1):60-5.
10
Marchesi DG, Aebi M. Pedicle fixation devices in the treatment of adult lumbar scoliosis. Spine. 1992; 17:304-9.
11
Sasso RC, Best NM, Mummaneni PV, Reilly TM, Hussain SM. Analysis of operative complications in a series of 471 anterior lumbar interbody fusion procedures. Spine. 2005;30(6):670-4.
12
Zurbriggen C, Markwalder TM, Wyss S. Long-term results in patients treated with posterior instrumentation and fusion for degenerative scoliosis of the lumbar spine. Acta Neurochir (Wien). 1999; 141(1):21-6.
13
Deyo RA, Cherkin DC, Loeser JD, Bigos SJ, Ciol MA. Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure. J Bone Joint Surg Am. 1992;74(4):536-43.
14
Glassman SD, Alegre G, Carreon L, Dimar JR, Johnson JR. Perioperative complications of lumbar instrumentation and fusion in patients with diabetes mellitus. Spine J. 2003;3(6):496-501.
15
German JW, Adamo MA, Hoppenot RG, Blossom JH, Nagle HA. Perioperative results following lumbar discectomy: comparison of minimally invasive discectomy and standard microdiscectomy. Neurosurg Focus. 2008;25(2):20.
16
Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6(4):435-43.
17
Benglis DM, Elhammady MS, Levi AD, Vanni S. Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity. Neurosurgery. 2008;63(3):191-6.
18
Pimenta L, Gharzedine I, Coutinho E, editors. XLIF Approach for the Treatment of Adult Scoliosis: 2-year Follow-up. NASS 22nd Annual Meeting. Austin, Texas: The Spine Journal; 2007.
19
Pimenta L, Bellera F, Schaffa T, Malcolm J, McAfee P, editors. A new minimally invasive surgical technique for adult lumbar degenerative scoliosis. 11th International Meeting on Advanced Spine Techniques (IMAST). Southampton, Bermuda; 2004.
20
Rodgers WB, Hyde J, Cohen D, Deviren V, Khajavi K, Peterson M, et al., editors. A Prospective, Multi-Center, Non-Randomized Evaluation of XLIF in the Treatment of Adult Scoliosis: Mid-Term Radiographic Outcomes. NASS 24th Annual Meeting. San Francisco, California: The Spine Journal; 2009.
21
Anand N, Rosemann R, Khalsa B, Baron EM. Mid-term to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis. Neurosurg Focus. 2010;28(3):E6.
22
Pimenta L. Lateral endoscopic transpsoas retroperitoneal approach for lumbar spine surgery. VIII Brazilian Spine Society Meeting. Brazil: Belo Horizonte, Minas Gerais; 2001.
23
Anand N, Baron EM, Thaiyananthan G, Khalsa K, Goldstein TB. Minimally invasive multilevel percutaneous correction and fusion for adult lumbar degenerative scoliosis: a technique and feasibility study. J Spinal Disord Tech. 2008;21(7):459-67.
24
Dakwar E, Cardona RF, Smith DA, Uribe JS. Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis. Neurosurg Focus. 2010; 28(3):8.
25
Tormenti MJ, Maserati MB, Bonfield CM, Okonkwo DO, Kanter AS. Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus. 2010;28(3):7.
26
Wang MY, Mummaneni PV. Minimally invasive surgery for thoracolumbar spinal severe: initial clinical experience with clinical and radiographic outcomes. Neurosurg Focus. 2010;28(3):9.
27
Aebi M. The adult scoliosis. Eur Spine J. 2005; 14(10): 925-48.
28
Rodgers WB, Gerber E, editors. Safety of the Extreme Lateral Interbody Fusion (XLIF) Procedure: Complication Rates in a Series of 300 Surgeries. NASS 23rd Annual Meeting; Toronto, Canada: The Spine Journal; 2008.
29
Hsieh PC, Koski TR, O’Shaughnessy BA, Sugrue P, Salehi S, Ondra S, et al. Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance. J Neurosurg Spine. 2007;7(4):379-86.
30
Inoue S, Watanabe T, Hirose A, Tanaka T, Matsui N, Saegusa O, et al. Anterior discectomy and interbody fusion for lumbar disc herniation. A review of 350 cases. Clin Orthop Relat Res. 1984; 183:22-31.
31
Bozkus H, Chamberlain RH, Perez Garza LE, Crawford NR, Dickman CA. Biomechanical comparison of anterolateral plate, lateral plate, and pedicle screws-rods for enhancing anterolateral lumbar interbody cage stabilization. Spine (Phila Pa 1976). 2004;29(6):635-41.
32
Steffen T, Tsantrizos A, Fruth I, Aebi M. Cages: designs and concepts. Eur Spine J. 2000;9:S89-94.
33
Steffen T, Tsantrizos A, Aebi M. Effect of implant design and endplate preparation on the compressive strength of interbody fusion constructs. Spine. 2000; 25(9):1077-84.
34
Oxland TR, Lund T. Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J. 2000;9: S95-101.
35
Blumenthal SL, Hisey MS, Ohnmeiss DD. Can threaded fusion cages be used effectively as stand-alone devices? International Society for the Study of the Lumbar Spine; Adelaide, Australia; 2000.
36
ORIGINAL_ARTICLE
A Pitfall in Fixation of Distal Humeral Fractures with Pre-Contoured Locking Compression Plate
Anatomically precontoured locking plates are intended to facilitate the fixation of articular fractures and particularly those associated with osteoporosis. Fractures of the distal humerus are relatively uncommon injuries where operative intervention can be exceptionally challenging. The distal humeral trochlea provides a very narrow anatomical window through which to pass a fixed-angle locking screw, which must also avoid the olecranon, coronoid, and radial fossae. We describe 3 patients (ages 27, 49, and 73 years) with a bicolumnar fracture of the distal humerus where very short distal locking screws were used. Intra-articular screw placement was avoided but loss of fixation occurred in two patients and a third was treated with a prolonged period of immobilization. We postulate that fixed-angle screw trajectories may make it difficult for the surgeon to place screws of adequate length in this anatomically confined region, and may lead to insufficient distal fixation. Surgical tactics should include placement of as many screws as possible into the distal fragment, as long as possible, and that each screw pass through a plate without necessarily locking in.
https://abjs.mums.ac.ir/article_4103_bcddbe5dc9a544812a98477d15392a76.pdf
2015-04-01
130
133
10.22038/abjs.2015.4103
Distal
Failure
humerus
Locking
Plating
Prakash
Jayakumar
pjx007@googlemail.com
1
Oxford University
Massachusetts General Hospital and Harvard Medical School
AUTHOR
David
Ring
david.ring@austin.utexas.edu
2
Hand and Upper Extremity Service. Massachusetts General Hospital and Harvard Medical School.
LEAD_AUTHOR
Jupiter JB, Neff U, Holzach P, Allgower M. Intercondylar fractures of the humerus. An operative approach. J Bone Joint Surg Am. 1985; 67:226-39.
1
Ring D, Jupiter JB. Fractures of the distal humerus. Orthop Clin North Am. 2000;31(1):103-13.
2
Jupiter JB. Complex fractures of the distal part of the humerus and associated complications. Instr Course Lect. 1995; 44: 187-98.
3
Cornell CN, Ayalon O. Evidence for success with locking plates for fragility fractures. HSS J. 2011; 7(2):164-9.
4
Ducrot G, Bonnomet F, Adam P, Ehlinger M. Treatment of distal humerus fractures with LCP DHP™ locking plates in patients older than 65 years. Orthop Traumatol Surg Res. 2013; 99(2):145-54.
5
Haidukewych GJ, Ricci W. Locked plating in orthopaedic trauma: a clinical update. J Am Acad Orthop Surg. 2008;16(6):347–55.
6
Maratt JD, Peaks YS, Doro LC, Karunakar MA, Hughes RE. An integer programming model for distal humerus fracture fixation planning. Comput Aided Surg. 2008;13:139–47.
7
Hungerer S, Wipf F, von Oldenburg G, Augat P, Penzkofer R. Complex distal humerus fractures - Comparison of polyaxial locking and non-locking screw configurations - a preliminary biomechanical study. J Orthop Trauma. 2014; 28(3):130-6.
8
Korner J, Lill H, Müller LP, Hessmann M, Kopf K, Goldhahn J, et al., Distal humerus fractures in elderly patients: results after open reduction internal fixation. Osteoporos Int. 2005; 16:73-9.
9
O’Driscoll SW. Optimising stability in distal humeral fracture fixation. J Shoulder Elbow Surg. 2005;14:186-94.
10
ORIGINAL_ARTICLE
An Unusual Case of a Large Hematorrachis Associated with Multi-Level Osteoporotic Vertebral Compression Fractures; a Case Report
Spinal epidural haemorrhage may present as back pain associated with radicular symptoms and can be a catastrophic clinical scenario with progression to paraplegia or even sudden death. Being a rare entity, it needs a high index ofclinical suspicion to diagnose it. Fractures have been documented as a cause of hematorrachis but such hematomas only extend to one or two vertebral segments. Large epidural hematomas are usually associated with conditions like bleeding diathesis, arterio-venous malformations, plasma cell myeloma, and non-Hodgkin’s lymphoma. Surgical management with immediate evacuation of the hematoma is the usual line of management in patients with neurological deficits. Though rare, monitored and careful conservative management can lead to recovery of neurological symptoms and resolution of the hematoma. We report a case of a very large post traumatic epidural hematorrchis extending to 11 vertebral segments from D3 to L1 vertebral bodies, who had a gradual spontaneous recovery.
https://abjs.mums.ac.ir/article_4106_8d76cb586adaf2370eb1bcc6bd37576d.pdf
2015-04-01
134
136
10.22038/abjs.2015.4106
Compression fracture
Epidural hematoma
Hematorrachis
T.V.
Ravi Kumar
test@test.com
1
Department of Orthopaedics in MS Ramaiah Medical College, Bangalore, Karnataka
AUTHOR
Daksh
Gadi
dr_daksh@yahoo.com
2
MS Ramaiah Medical College
LEAD_AUTHOR
Rao
Raghavendra
test2@test.com
3
Consultant Spine Surgeon in Sparsh Hospital, Bangalore
AUTHOR
Joseph Vinay
Mathew
test3@test.com
4
MS Ramaiah Medical College, Bangalore
AUTHOR
Groen RJ, Ponssen H. The spontaneous spinal epidural hematoma: a study of the etiology. J Neurol Sci. 1990;98(2-3):121-38.
1
Beatty RM, Winston KR. Spontaneous cervical epidural hematoma. A consideration of etiology. J Neurosurg. 1984;61(1):143-8.
2
Truumees E, Gaudu T, Dieterichs C, Geck M, Stokes J. Epidural Hematoma and Intraoperative Hemorrhage in a Spine Trauma Patient on Pradaxa (Dabigatran). Spine (Phila Pa 1976). 2012;37(14):863-5.
3
Wang P, Xin XT, Lan H, Chen C, Liu B. Spontaneous cervical epidural hematoma during pregnancy: case report and literature review. Eur Spine J. 2011; 20(2):176-9.
4
Cooper DW. Spontaneous spinal epidural hematoma. Case report. Neurosurg.1967;26(3):343-5.
5
Rathe S. Spontaneous spinal epidural hemorrhage. J Indian Med assoc. 1969 1;52(5):222-3.
6
Foo D, Rossier AB. Post-traumatic spinal epidural hematoma. Neurosurgery. 1982; 11(1 Pt 1):25-32.
7
McQuarrie IG. Recovery from paraplegia caused by spontaneous spinal epidural hematoma. Neurology. 1978;28(3):224-8.
8
Shin JJ, Kuh SU, Cho YE. Surgical management of spontaneous spinal epidural hematoma. Eur Spine J. 2006; 15(6):998-1004.
9
Hentschel SJ, Woolfenden AR, Fairholm DJ. Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases. Spine (Phila Pa 1976). 2001; 26(22):E525-7.
10
ORIGINAL_ARTICLE
Femoral Condyle Fracture during Revision of Anterior Cruciate Ligament Reconstruction: Case Report and a Review of Literature
Background: A rare and devastating complication following anterior cruciate ligament (ACL) revision reconstruction is femoral fracture. Case presentation: A 35-year old male soccer player with a history of ACL tear from the previous year ago, who underwent arthroscopic ACL reconstruction and functioned well until another similar injury caused ACL re-rupture. Revision of ACL reconstruction was performed and after failure of graft tension during the pumping, a fluoroscopic assessment showed a femoral condyle fracture. The patient referred to our knee clinic and was operated on in two stages: first fixation of the fracture and then ACL re-revision after fracture healing was complete. Conclusions: Not inserting multiple guide pins, keeping a safe distance from the posterior cortex and giving more attention during graft tensioning, especially in revision surgeries, are all small points that can reduce the risk of fracture during the revision of ACL reconstruction
https://abjs.mums.ac.ir/article_3940_65e7119112ade3ab8aaf5928df8bab79.pdf
2015-04-01
137
140
10.22038/abjs.2015.3940
Anterior cruciate ligament (ACL)
complication
Condylar fracture
Revision reconstruction
Sohrab
Keyhani
sohrab_keyhani4@yahoo.com
1
Orthopedic department, Akhtar Hospital, Shahid-Beheshti University of Medical Sciences
AUTHOR
Arash
Sharafat Vaziri
orthop_md@yahoo.com
2
Orthopedic surgeon, Orthopedic Department, khatam-Anbia Hospital, Tehran, Iran
AUTHOR
Hossein
Shafiei
shafiei_h@yahoo.com
3
Avicenna Hospital, Mazandaran University of Medical Sciences, Sari, Iran
LEAD_AUTHOR
Mohsen
Mardani-Kivi
dr_mohsen_mardani@yahoo.com
4
Trauma Road Research Center, Poursina Hospital, Guilan University Of Medical Sciences, Rasht, Iran
AUTHOR
Han Y, Sardar Z, McGrail S, Steffen T, Martineau PA. Peri-anterior cruciate ligament reconstruction femur fracture: a biomechanical analysis of the femoral tunnel as a stress riser. Knee Surg Sports Traumatol Arthrosc. 2011;19:77-85.
1
Hofbauer M, Muller B, Murawski CD, Baraga M, van Eck CF, Fu FH. Strategies for revision surgery after primary double-bundle anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc. 2013; 21(9):2072-80.
2
Julien TP, Ramappa AJ, Rodriguez EK. Femoral condylar fracture through a femoral tunnel eleven years after anterior cruciate ligament reconstruction: a case report. J Bone Joint Surg Am. 2010; 92:963-7.
3
Mithoefer K, Gill TJ, Vrahas MS. Supracondylar femoral fracture after arthroscopic reconstruction of the anterior cruciate ligament. A case report. J Bone Joint Surg Am. 2005; 87(7):1591-6.
4
Wilson TC, Rosenblum WJ, Johnson DL. Fracture of the femoral tunnel after an anterior cruciate ligament reconstruction. Arthroscopy. 2004; 20(5):45-7.
5
Pascual-Garrido C, Carbo L, Makino A. Revision of anterior cruciate ligament reconstruction with allografts in patients younger than 40 years old: a 2 to 4 year results. Knee Surg Sports Traumatol Arthrosc. 2014; 22(5):1106-11.
6
Coobs BR, Spiridonov SI, LaPrade RF. Intra-articular lateral femoral condyle fracture following an ACL revision reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18(9):1290-3.
7
ORIGINAL_ARTICLE
Childhood Facial Osteosracoma: a Case Report
Osteosarcoma (OS) is the eighth common cancer of childhood and its incidence is 4 cases in one million in children younger than 14. Facial OS incidence is estimated between 8 and 10% of OS cases. The main etiology of OS is unknown, but various predisposing factors are proposed such as radiation, radiotherapy, some benign bone diseases like Paget’s disease or fibrous dysplasia. There is a 5-year survival rate of 68% and it decreases with the increase of age. Positive history of radiotherapy is the main predisposing factor for childhood OS. There is some evidence about the X-ray induced mutation in genomic DNA that leads to osteosarcoma. In the present paper we present a 19-month old girl with a mass located in the inferior margin of the left cheek and orbit. Our case is unique with regard to her young age and sex. Moreover, the tumor was located in an uncommon site and her disease was progressive and resistant.
https://abjs.mums.ac.ir/article_4104_bb8d8fc44b7472cc03845fdbaa013fcf.pdf
2015-04-01
141
143
10.22038/abjs.2015.4104
Childhood
Bone tumor
Facial bone
Osteosarcoma
Hamid
Farhangih
sh79316@yahoo.com
1
Department of Pediatric Hematology-Oncology, Dr Sheikh Pediatric Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Mahdi
Farzadnia
farzadniam@mums.ac.ir
2
Department of Pathology, School of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ali
Alamdaran
alamdarana@mums.ac.ir
3
Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
References
1
Ottaviani G, Jaffe N. The epidemiology of osteosarcoma. Cancer Treat Res. 2009;152:3-13.
2
Yu XC, Xu M, Song RX, Xu SF. Marginal resection for osteosarcoma with effective preoperative chemotherapy. Orthop Surg. 2009;1(3):196-202.
3
Gao S, Zheng Y, Cai Q, Yao W, Wang J. Preliminary clinical research on epiphyseal distraction in osteosarcoma in children. World J Surg Oncol. 2014; 12:251.
4
Junior AT, de Abreu Alves F, Pinto CA, Carvalho AL, Kowalski LP, Lopes MA. Clinicopathological and immunohistochemical analysis of twenty-five head and neck osteosarcomas. Oral Oncol. 2003; 39(5):521-30.
5
Masrouha KZ, Musallam KM, Samra AB, Tawil A, Haidar R, Chakhachiro Z, et al. Correlation of non-mass-like abnormal MR signal intensity with pathological findings surrounding pediatric osteosarcoma and Ewing’s sarcoma. Skeletal Radiol. 2012; 41(11):1453-61.
6
Khandekar S, Dive A, Munde P, Fande PZ. Chondroblastic osteosarcoma of the left zygomatic bone: Rare case report and review of the literature. J Oral Maxillofac Pathol. 2014; 18(2):281-5.
7
Ottaviani G, Robert RS, Huh WW, Palla S, Jaffe N. Sociooccupational and physical outcomes more than 20 years after the diagnosis of osteosarcoma in children and adolescents: limb salvage versus amputation. Cancer. 2013; 119(20):3727-36.
8
Naik LK, Shetty P, Teerthanath S, Jagadeesh HM. Telangiectatic osteosarcoma affecting the mandible. J Oral Maxillofac Pathol. 2014;18(1):143-6.
9
Lanzkowsky P. Manual of Pediatric Hematology and Oncology, 5th ed. Waltham, Massachusetts: Academic Press; 2010.
10
Gadwal SR, Gannon FH, Fanburg-Smith JC, Becoskie EM, Thompson LD. Primary osteosarcoma of the head and neck in pediatric patients: a clinicopathologic study of 22 cases with a review of the literature. Cancer. 2001; 91(3):598-605.
11
Amaral MB, Buchholz I, Freire-Maia B, Reher P, de Souza PE, Marigo Hde A, et al. Advanced osteosarcoma of the maxilla: a case report. Med Oral Patol Oral Cir Bucal. 2008; 13(8):492-5.
12
Feng T, Qiao G, Feng L, Qi W, Huang Y, Yao Y, et al. Stathmin is key in reversion of doxorubicin resistance by arsenic trioxide in osteosarcoma cells. Mol Med Rep. 2014;10(6):2985-92.
13
Etzold A, Schroder JC, Bartsch O, Zechner U, Galetzka D. Further evidence for pathogenicity of the TP53 tetramerization domain mutation p.Arg342Pro in Li-Fraumeni syndrome. Fam Cancer. 2015;14(1):161-5.
14
Mucke T, Mitchell DA, Tannapfel A, Wolff KD, Loeffelbein DJ, Kanatas A. Effect of neoadjuvant treatment in the management of osteosarcomas of the head and neck. J Cancer Res Clin Oncol. 2014; 140(1):127-31.
15
Daw NC, Mahmoud HH, Meyer WH, Jenkins JJ, Kaste SC, Poquette CA, et al. Bone sarcomas of the head and neck in children: the St Jude Children’s Research Hospital experience. Cancer. 2000;88(9):2172-80.
16
ORIGINAL_ARTICLE
Elbow Stiffness Secondary to Elbow Joint Osteoid Osteoma, a Diagnostic Dilemma
We present a 23-year-old man with distal humerus osteoid osteoma referring to our hospital with pain and progressive stiffness. The patient has been suffering from the disease for two years without a certain diagnosis. The radiographies of elbow did not reveal the pathology but further CT scan and MRI studies demonstrated the tumor. The en block resection of the tumor resolved the pain immediately but range of motion remained restricted.
https://abjs.mums.ac.ir/article_4111_3cd61195a3c18daf8d8107c0ab1324f6.pdf
2015-04-01
144
147
10.22038/abjs.2015.4111
Elbow stiffness
Osteoid Osteoma
Elbow
Ebrahimzadeh
Mohammad Hosein
ebrahimzadehmh@mums.ac.ir
1
mashad university of medical sciences
LEAD_AUTHOR
Meysam
Fathi Choghadeh
fathim902@mums.ac.ir
2
Orthopedic Surgeon, Orthopedic Research Center Mashhad University of Medical Sciences, Iran
AUTHOR
Ali
Moradi
moradial@mums.ac.ir
3
Assistant Professor of Orthopedic Surgery, Orthopedic Research Center, Mashhad University of Medical Sciences, Iran Hand Fellow, Mass General Hospital, Harvard Medical School, Boston, 02114 MA, US
AUTHOR
Hamid
Hejrati Kalati
hejratih921@mums.ac.ir
4
Orthopedic Surgeon, Orthopedic Research Center Mashhad University of Medical Sciences, Iran
AUTHOR
Amir
jafarian
jafarianah@mums.ac.ir
5
Assistant professor of pathology Ghaem Hospital, Mashhad University of Medical Sciences
AUTHOR
Jaffe HL. Osteoid-osteoma. Proc R Soc Med. 1953; 46(12):1007-12.
1
Cohen MD, Harrington TM, Ginsburg WW. Osteoid osteoma: 95 cases and a review of the literature. Semin Arthritis Rheum. 1983; 12(3):265-81.
2
Franceschi F, Marinozzi A, Papalia R, Longo UG, Gualdi G, Denaro E. Intra- and juxta-articular osteoid osteoma: a diagnostic challenge: misdiagnosis and successful treatment: a report of four cases. Arch Orthop Trauma Surg. 2006;126(10):660-7.
3
Otsuka NY, Hastings DE, Fornasier VL. Osteoid osteoma of the elbow: a report of six cases. J Hand Surg Am. 1992;17(3):458-61.
4
Glanzmann MC, Imhoff AB, Schwyzer HK. Osteoid osteoma of the shoulder and elbow: from diagnosis to minimally invasive removal. Int Orthop. 2013; 37(12):2403-8.
5
Mnif H, Kammoun MH, Zrig M, Koubaa M, Abid A. Osteoid osteoma of the coronoid process tip. J Shoulder Elbow Surg. 2009; 18(4):9-12.
6
Zupanc O, Sarabon N, Strazar K. Arthroscopic removal of juxtaarticular osteoid osteoma of the elbow. Knee Surg Sports Traumatol Arthrosc. 2007; 15(10):1240-3.
7
Heybeli N, Babacan M. Intraarticular osteoid osteoma of the distal humerus. J Shoulder Elbow Surg. 1997; 6(3):311-3.
8
van den Bekerom MP, van Hooft MA, Eygendaal D. Osteoid osteoma of the elbow mimicking hemophilic arthropathy. World J Clin Cases. 2014; 2(4):104-7.
9
Font Segura J, Barrera-Ochoa S, Gargallo-Margarit A, Correa-Vazquez E, Isart-Torruella A, Mir Bullo X. Osteoid osteoma of the distal humerus mimicking sequela of pediatric supracondylar fracture: arthroscopic resection-case report and a literature review. Case Rep Med. 2013; 2013:247328.
10
Brabants K, Geens S, van Damme B. Subperiosteal juxta-articular osteoid osteoma. J Bone Joint Surg Br. 1986; 68(2):320-4.
11
Becker PL, Heywood HB, 3rd, Crosby LA. Osteoid osteoma of the coronoid process: case report and review of the literature. J Shoulder Elbow Surg. 2000; 9(5):446-8.
12
Cronemeyer RL, Kirchmer NA, De Smet AA, Neff JR. Intra-articular osteoid-osteoma of the humerus simulating synovitis of the elbow. A case report. J Bone Joint Surg Am. 1981; 63(7):1172-4.
13
Snarr JW, Abell MR, Martel W. Lymphofollicular synovitis with osteoid osteoma. Radiology. 1973; 106(3):557-60.
14
Cantwell CP, Obyrne J, Eustace S. Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation. Eur Radiol. 2004; 14(4):607-17.
15
Nourissat G, Kakuda C, Dumontier C. Arthroscopic excision of osteoid osteoma of the elbow. Arthroscopy. 2007; 23(7):799 e1-4.
16
Soong M, Jupiter J, Rosenthal D. Radiofrequency ablation of osteoid osteoma in the upper extremity. J Hand Surg Am. 2006; 31(2):279-83.
17
Taraz-Jamshidi MH, Gharadaghi M, Mazloumi SM, Hallaj-Moghadam M, Ebrahimzadeh MH. Clinical outcome of en-block resection and reconstruction with nonvascularized fibular autograft for the treatment of giant cell tumor of distal radius. J Res Med Sci. 2014;19(2):117-21.
18