Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
What does the “Cochrane Database of Systematic Reviews” Say with Regard to the Surgical Management of Knee Osteoarthritis?
247
248
EN
E. Carlos
RODRIGUEZ-MERCHAN
0000-0002-6360-0113
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
ecrmerchan@hotmail.com
10.22038/abjs.2020.36803.1975
Introduction: The Cochrane Library makes the outcomes of well-conducted controlled trials quickly accessible and is an essential resource for evidence-based medicine.<br /> Purpose: The purpose of this article is to review the data on the surgical treatment of knee osteoarthritis currently provided by the Cochrane database of systematic reviews (CDBSR).<br /> Results: The main results included the following: Joint lavage and arthroscopic debridement have no benefit for osteoarthritis; valgus high tibial osteotomy (HTO) reduces pain and improves knee function in patients with medial compartmental osteoarthritis of the knee; in primary total knee arthroplasty (TKA) cemented fixation of the tibial components demonstrated less displacement compared with cementless fixation (with and without hydroxyapatite) after a follow‐up of two years; however, the cemented fixation presented a greater risk of future aseptic loosening than cementless fixation; clinically irrelevant differences have been found between retention and sacrifice of the posterior cruciate ligament (PCL) in primary TKA; moderate‐ to low‐quality evidence suggests that mobile-bearing prostheses can have similar effects on various parameters compared with fixed-bearing prostheses in PCL-retaining TKA.<br /> Conclusion: The CDBSR discourages joint lavage and arthroscopic debridement, demonstrates the utility of the valgus HTO in patients with medial compartmental osteoarthritis of the knee, and suggests that the various design types in primary TKA offer similar results.
knee,Osteoarthritis,surgical treatment,Cochrane,Systematic reviews
https://abjs.mums.ac.ir/article_16307.html
https://abjs.mums.ac.ir/article_16307_11ab3db4407de473c6eeefe5792d3a0d.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Late Acute Hematogenous Infections after Total Knee Arthroplasty: Results of Debridement, Antibiotics, and Implant Retention
249
254
EN
E. Carlos
RODRIGUEZ-MERCHAN
0000-0002-6360-0113
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
ecrmerchan@hotmail.com
10.22038/abjs.2020.46942.2293
The frequency of late acute hematogenous infection (LAHI) following total knee arthroplasty (TKA) is between 0.2%<br />and 0.5%. There is controversy over the results of patients treated for LAHIs by surgical debridement, antibiotics, and<br />implant retention (DAIR). This narrative review of the literature aims to establish the role of DAIR in LAHIs after TKA.<br />The published success rate (retention of the prosthesis) after DAIR is between 50% and 100%. The success rate is<br />associated with a shorter duration of symptoms (5–14 days from the onset of symptoms). Factors associated with<br />failure are an accompanying infection and the diagnosis of rheumatoid arthritis before the TKA is performed. It is not<br />recommended to indicate a DAIR in patients with atrial fibrillation, chronic obstructive pulmonary disease, the presence<br />of >15 cells per high-powered field, preoperative C-reactive protein >500 mg/L or methicillin-resistant S. aureus. In<br />such patients, a two-stage revision arthroplasty should be recommended. Arthroscopic DAIR has a limited effect. It is<br />most efficacious in the very early stage of acute presentations of infected TKA. It can be useful in patients with extreme<br />frailty as an adjunct to suppressive antibiotic therapy. If carried out, high volumes of fluid should be utilized. The<br />indications for an open DAIR are the following: duration of clinical signs and symptoms is less than 3 weeks; patients<br />with a well-fixed implant; no abscess or sinus tract; low-virulence bacteria; elderly patients with multiple comorbidities;<br />and nonimmunocompromised patients. Open DAIR should not be advised in cases with chronic infection (>4 weeks<br />postoperatively, insidious beginning of symptoms).<br />Level of evidence: III
acute hematogenous infection,Antibiotics and implant retention,Debridement,Total knee arthroplasty
https://abjs.mums.ac.ir/article_16548.html
https://abjs.mums.ac.ir/article_16548_e91aaa636ba440f87a1c4caa20f7754f.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Medial Collateral Ligament Injury of the Knee: A Review on Current Concept and Management
255
262
EN
Farzad
Vosoughi
0000-0001-6280-2939
Joint Reconstruction Research Center, Imam Khomeini
Hospital, Tehran University of Medical Sciences, Tehran,
Iran
farzadvosooghi@gmail.com
Reza
Rezaei Dogahe
Joint Reconstruction Research Center, Imam Khomeini
Hospital, Tehran University of Medical Sciences, Tehran,
Iran
rezarezaei62@yahoo.com
Abbas
Noori
Joint Reconstruction Research Center, Imam Khomeini
Hospital, Tehran University of Medical Sciences, Tehran,
Iran
abbasnooribo@gmail.com
mohammad
ayati firoozabadi
0000-0002-2883-8118
Joint Reconstruction Research Center
Imam Khomeini Hospital
Tehran University of Medical Sciences
dr.mohammad.ayati@gmail.com
S.M. Javad
Mortazavi
0000-0003-4189-7777
Joint Reconstruction Research Center, Imam Khomeini
Hospital, Tehran University of Medical Sciences, Tehran,
Iran- Joint Reconstruction Research Center, Orthopedic
Surgery Department, Imam Khomeini Hospital, Tehran,
Iran
smjmort@yahoo.com
10.22038/abjs.2021.48458.2401
The medial collateral ligament (MCL) is a major stabilizer of the knee joint, providing support against rotatory and<br />valgus forces; moreover, it is the most common ligament injured during knee trauma. The MCL injury results in valgus<br />instability of the knee and makes the patient susceptible to degenerative knee osteoarthritis. Although it has been<br />nearly a dogma to manage MCL injury nonoperatively, recent literature has suggested operative MCL management<br />as a suitable option for specific patient populations. The present review aimed to assess the current literature on the<br />management of MCL injuries of the knee. In this regard, we go over the anatomy, physical examination, and MCL<br />imaging.<br />Level of evidence: IV
MCL,MCL reconstruction,MCL repair,POL,PMC
https://abjs.mums.ac.ir/article_17782.html
https://abjs.mums.ac.ir/article_17782_27c1e4ecb014d19445b06864d8bcbe9e.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Factors Associated with Development of Traumatic Acute Compartment Syndrome: A Systematic Review and Meta-analysis
263
271
EN
Sharri J.
Mortensen
0000-0003-3393-6502
Center for Advanced Orthopaedic Studies, Beth Israel
Deaconess Medical Center, Harvard Medical School,
Boston, MA, USA
sharri.j.mortensen@gmail.com
Sebastian
Orman
Department of Orthopaedic Surgery, Warren Alpert
Medical School of Brown University, Providence, RI, USA
so242@georgetown.edu
Joseph
Serino
Department of Orthopaedic Surgery, Rush University
Medical Center, Chicago, IL, USA
js2256@georgetown.edu
Amin
Mohamadi
0000-0003-0958-0091
Center for Advanced Orthopaedic Studies, Beth Israel
Deaconess Medical Center, Harvard Medical School,
Boston, MA, USA
amin.md@gmail.com
Ara
Nazarian
Center for Advanced Orthopaedic Studies, Beth Israel
Deaconess Medical Center, Harvard Medical School,
Boston, MA, USA-Harvard Orthopaedic Trauma Initiative, Harvard
Medical School, Boston, MA, USA- Department of Orthopaedic Surgery, Yerevan State
Medical University, Yerevan, Armenia
anazaria@bidmc.harvard.edu
Arvind
von Keudell
0000-0002-3312-7556
4 Department of Orthopaedic Surgery, Brigham and
Women’s Hospital, Harvard Medical School, Boston, MA,
USA
5 Harvard Orthopaedic Trauma Initiative, Harvard
Medical School, Boston, MA, USA
avkeudell@gmail.com
10.22038/abjs.2020.46684.2284
Background: Acute compartment syndrome (ACS) is a devastating condition, further aggravated by delayed diagnosis.<br />Since ACS is a clinical diagnosis, identification of risk factors for individual patients may help with earlier detection. This<br />study aims to identify the risk factors associated with the development of ACS of the extremities.<br />Methods: We performed a systematic review and meta-analysis of studies with adult patients at risk for and with<br />traumatic ACS of the extremity. Non-traumatic, chronic exertional, vascular and abdominal compartment syndrome<br />were excluded. Technical reports, biomechanical studies, abstracts, studies of non-human subjects, non-English<br />studies, and studies with less than five subjects were excluded. Meta-analysis was performed on a subset of studies<br />including a control group. We addressed cases of substantial heterogeneity among the studies with subgroup analysis,<br />and whenever heterogeneity remained significant, we employed random effect meta-analysis for the data pooling. The<br />study protocol has been registered in PROSPERO (ID = CRD42019126603).<br />Results: There were 19 studies with 48,887 patients investigating risk factors of traumatic ACS. Of these, there<br />were 1,716 patients with the diagnosis of traumatic ACS. Fourteen studies (46,300 controls and 1,358 ACS patients)<br />qualified for meta-analysis. Male to female ratio was 5.5 with an average age of 36 years. Factors that were significantly<br />associated with the development of ACS were: age 18-64 (OR: 1.34, 95% CI: 1.07-1.68), male (OR: 2.18, 95% CI:<br />1.53-3.10), gunshot wound with fracture and vascular injury (OR: 12.5, 95% CI: 5.69-27.46), combined forefoot and<br />midfoot injury (OR: 3.3, 95% CI: 2.39-4.57), injury severity score (ISS) 0-9 (OR: 1.58, 95% CI: 1.27-1.97), OTA/AO type<br />C fractures (OR: 2.75, 95% CI: 1.04-7.28), vascular injury (OR: 9.05, 95% CI: 6.69-12.26), and high-energy trauma<br />(OR: 3.10, 95% CI: 1.60-5.82). Factors such as tibia fracture and crush injury were reported but were not included in<br />quantitative analysis, due to lack of control groups and/or only one study qualifying for meta-analysis.<br />Conclusion: This study reports on the current significant risk factors for developing traumatic ACS. The most common<br />risk factors included age, sex, gunshot wound with a vascular injury, OTA/AO fracture type C and high-energy trauma.<br />Level of evidence: II
acute disease,Adult,Compartment syndromes/diagnosis,Compartment syndromes/surgery,Humans,Risk Assessment
https://abjs.mums.ac.ir/article_16852.html
https://abjs.mums.ac.ir/article_16852_4bee361e34b9f45a8489f47661892cba.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Open Pilon Fracture Postoperative Outcomes with Definitive Surgical Management Options: A Systematic Review and Meta-analysis
272
282
EN
Natasha Faye
Daniels
0000-0003-0384-0542
Faculty of Medicine, University of Cambridge School of
Clinical Medicine, Cambridge, UK
tasha.dan@outlook.com
Jiang An
Lim
0000-0003-1610-7956
Faculty of Medicine, University of Cambridge School of
Clinical Medicine, Cambridge, UK
jal219@cantab.ac.uk
Azeem
Thahir
0000-0003-3394-9418
Department of Trauma and Orthopaedics, Cambridge
University Hospital, Addenbrookes Major Trauma Centre, Cambridge, UK
azeem.thahir@addenbrookes.nhs.uk
Matija
Krkovic
0000-0003-2172-2849
Department of Trauma and Orthopaedics, Cambridge
University Hospital, Addenbrookes Major Trauma Centre, Cambridge, UK
matija.krkovic@addenbrookes.nhs.uk
10.22038/abjs.2020.53240.2641
Background: Pilon fractures represent one of the most surgically challenging fractures in orthopaedics. Different<br />techniques exist for their management, with open reduction and internal fixation (ORIF) and External fixation (Ex-<br />Fix) the most widely used. Whilst there is a plethora of data regarding these strategies for Pilon fractures as a whole,<br />very limited data exists solely on the management of open Pilon fractures. This study aimed to elucidate how surgical<br />management options can influence postoperative complications, and if this can influence future management protocols.<br />Methods: We conducted a search in PubMed, EMBASE and CENTRAL for postoperative complications and<br />functional outcomes in open pilon fractures in those treated with Ex-Fix vs ORIF (PROSPERO-CRD42020184213).<br />The postoperative complications measured included non-union, mal-union, delayed union, bone grafting, amputation,<br />osteoarthritis, deep infection and superficial infection. Functional outcomes in the form of the AOFAS score was also<br />measured where possible. We were able to carry out a meta-analysis for both deep infections and non-unions.<br />Results: The search yielded 309 results and a total of 18 studies consisting of 484 patients were included. All fractures<br />included were open, and consisted of 64 Gustilo-Anderson Type I, 148 Type II, 103 Type IIIa, 90 Type IIIb and 9 Type<br />IIIc. 60 Type III fractures could not be further separated and 12 were ungraded. Both ORIF and Ex-Fix were found to<br />have statistically similar AOFAS scores (P=0.682). For all included studies, the Ex-Fix group had significantly higher<br />rates of superficial infections (P=0.001), non-unions (P=0.001), osteoarthritis (P=0.001) and bone grafting (P=0.001).<br />The meta-analysis found no significant difference in non-union (pooled OR=0.25, 95% CI: 0.03 to 2.24, P=0.44) or deep <br />infection rates (pooled OR=1.35, 95% CI: 0.11 to 16.69, P=0.12) between the ORIF and Ex-fix groups.<br />Conclusion: Based on our study, while Ex-Fix and ORIF have similar functional outcomes, Ex-Fix appears to have<br />a significantly higher risk of postoperative complications which must be considered by surgeons when choosing<br />surgical management options. Further research, ideally in a randomised control trial format, is required to definitively<br />demonstrate ORIF superiority in the management of open pilon fractures.<br />Level of evidence: I
External fixation,Open pilon fracture,Open reduction internal fixation
https://abjs.mums.ac.ir/article_16998.html
https://abjs.mums.ac.ir/article_16998_1b3dff857834c591548df83692fc2fc9.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Surgical Treatment for Bisphosphonate-related Atypical Femoral Fracture: A Systematic Review
283
296
EN
Adel
Ebrahimpour
0000-0002-3721-127X
Shohada Tajrish Hospital, Shahid Beheshti University of
Medical Sciences, Tehran, Iran- Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
a.ebrahimpour@sbmu.ac.ir
Mehrdad
Sadighi
0000-0002-4333-3126
Shohada Tajrish Hospital, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
mehrdad_1330@yahoo.com
Amir Human
Hoveidaei
0000-0003-4607-354X
Joint Reconstruction Research Center, Tehran University
of Medical Sciences, Tehran, Iran
- Students’ Scientific Research Center, Tehran University
of Medical Sciences, Tehran, Iran
hoveidaei.a.h@gmail.com
Mohammadreza
Chehrassan
0000-0002-3068-9764
Shohada Tajrish Hospital, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
morchehrasan@yahoo.com
Reza
Minaie
0000-0002-4385-6445
Akhtar Hospital, Shahid Beheshti University of Medical
Sciences, Tehran, Iran
reza.minaie@gmail.com
Hamed
Vahedi
Orthopaedic Sports Medicine, Houston Methodist
Hospital, Houston, TX, USA
dr_hvahedi@yahoo.com
S.M. Javad
Mortazavi
0000-0003-4189-7777
Joint
Reconstruction Research Center, Tehran University of Medical
Sciences, Tehran, Iran
smjmort@yahoo.com
10.22038/abjs.2020.52698.2608
Background: Atypical femoral fractures are the femoral fractures located anywhere between the lesser trochanter<br />and the supracondylar flare of the femur. Long-term bisphosphonates, as the most common preventive and treatment<br />medications for osteoporosis, are thought to have an important role in these fractures. Most of the fractures should be<br />treated surgically, and the complications are considerable.<br />Methods: We searched Medline, CENTRAL, Embase, and DART on February 26, 2020. One author reviewed and<br />retrieved citations from these four databases for irrelevant and duplicate studies, and two other authors independently<br />extracted data from the studies and rated their quality.<br />Patients with surgical treatment of bisphosphonate-related atypical femoral fracture, according to the American Society<br />for Bone and Mineral Research definition, were included. Animal studies, case reports, studies with high-energy trauma,<br />pathological fracture, or malignancy-related fractures were excluded.<br />Results: In total, 316 patients (348 fractures) were included in this study. Mean age of patients was 70.47 years,<br />and 97.5% of them were female. Duration of using bisphosphonates was 4.04 to 8.8 years, and Alendronate was the<br />most common type. Moreover, 65.27% and 34.72% of the reported fractures were in diaphyseal and subtrochanteric,<br />respectively. Moreover, the most common fixation type was intramedullary. Rate of complication was 17.52%, and the<br />most frequent one was non-union, followed by implant failure. The main limitation of this research was that most of the<br />studies did not have a high level of evidence.<br />Conclusion: An increase in the rate of atypical femoral fracture with its challenging management makes it an important<br />issue to be noted by orthopedic surgeons. Based on the results of this study, subtrochanteric fractures might have more<br />complications post-operatively and are suggested to be operated on by more experienced surgeons. It was also found<br />that extra-medullary fixation increases the risk of complications. Future studies on union time, outcomes of different<br />surgical methods, and teriparatide therapy may help shed more light on the surgical management of these fractures.<br />Level of evidence: III
Atypical Femoral Fractures,Bisphosphonates,Fracture fixation,Health Policy,Osteoporosis,Teriparatide
https://abjs.mums.ac.ir/article_17339.html
https://abjs.mums.ac.ir/article_17339_9c492818dd4a596b72ca3ed8a68f8c21.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Diagnostic Accuracy of Ultrasonography Method of Graf in the Detection of Developmental Dysplasia of the Hip: A Meta-Analysis and Systematic Review
297
305
EN
Mohammadreza
Chavoshi
https://orcid.org/0000-0001-6598-7190
Department of Radiology, Shariati Hospital, Tehran
University of Medical Sciences, Tehran, Iran
chavoshi.smr@gmail.com
Seyed Ali
Mirshahvalad
0000-0003-2271-9764
Department of Nuclear Medicine, Shariati Hospital,
Tehran University of Medical Sciences, Tehran, Iran
sa-mirshahvalad@student.tums.ac.ir
Mehrzad
Mahdizadeh
Department of Radiology, Children’s Medical Center,
Tehran University of Medical Sciences, Tehran, Iran
mehrzadmehdizadeh@yahoo.com
Fatemeh
Zamani
0000-0001-6033-7308
Department of Radiology, Children’s Medical Center,
Tehran University of Medical Sciences, Tehran, Iran
doctorzamani@gmail.com
10.22038/abjs.2021.55292.2755
Background: The present study aimed to perform a meta-analysis on the performance of Graf’s ultrasonography<br />method in the detection of developmental dysplasia of the hip (DDH).<br />Methods: A query was conducted on electronic bibliographic databases until the end of October 2020. The inclusion<br />criteria entailed: 1. the use of Graf method in less than 12 weeks of age, 2. the use of follow-up as reference test, and 3.<br />provision of crude data. Pooled diagnostic performance measures were calculated. Quality Assessment of Diagnostic<br />Accuracy Studies-2 (QUADAS-2) checklist was utilized to assess the quality of the included studies. The hierarchical<br />summary receiver-operating characteristic (HROC) curves were also drawn.<br />Results: Six articles (including seven populations, 11,012 patients) were considered eligible. The pooled sensitivity<br />and specificity were obtained at 93% (95% CI: 0.57-0.99) and 97% (95% CI:0.86-0.99), respectively (area under curve=<br />0.99). The pooled positive and negative likelihood ratio, as well as diagnostic odds ratio, was reported as 28.4, 0.07,<br />and 396, respectively.<br />Conclusion: As evidenced by the obtained results, Graf’s method is a useful ultrasonography technique with acceptable<br />accuracy for screening DDH in neonates. However, there are uncertainties about the best population and age for<br />screening. Furthermore, more attention should be paid to the proper training of this method to reduce the number of<br />operator errors.<br />Level of evidence: I
DDH,diagnostic performance,Graf,Meta-analysis,Pediatrics,Ultrasonography
https://abjs.mums.ac.ir/article_17530.html
https://abjs.mums.ac.ir/article_17530_052421a062326b69515f20f7a00bae89.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Return to Golf Following Reverse Total Shoulder Arthroplasty
306
311
EN
Joseph
S
Tramer
0000-0002-0422-2554
Henry Ford Hospital, Department of Orthopaedic
Surgery, Detroit, USA
jtramer1@hfhs.org
Elizabeth
A
Klag
Henry Ford Hospital, Department of Orthopaedic
Surgery, Detroit, USA
eklag1@hfhs.org
Noah
A
Kuhlmann
Henry Ford Hospital, Department of Orthopaedic
Surgery, Detroit, USA
nkuhlma1@hfhs.org
Gabriel
J
Sheena
Henry Ford Hospital, Department of Orthopaedic
Surgery, Detroit, USA
gsheena1@hfhs.org
Stephanie
J
Muh
0000-0001-6617-4116
Henry Ford Hospital, Department of Orthopaedic
Surgery, Detroit, USA
smuh1@hfhs.org
10.22038/abjs.2020.40802.2109
Background: The object of this study was to examine return to golf and changes in golf performance after shoulder<br />arthroplasty. Additionally, we set out to determine if there were differences in return to play and performance between<br />total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA). We also examined pain during the golf<br />swing to determine if there is a change in pain level after surgery.<br />Methods: Patients were identified using a Current Procedural Terminology code 23472 search for TSA. A 19-question<br />online survey was sent out to each patient with questions detailing golfing performance and pain during the swing before<br />and after surgery. Comparisons were made to determine differences in pain, performance and enjoyment between TSA<br />and RTSA groups before and after surgery.<br />Results: A total of 586 patients who underwent shoulder arthroplasty were sent the online survey via email. Of those<br />patients, 33 identified themselves as golfers and who responded to the survey, resulting in an overall response rate of<br />5.6%. Twenty-three of 31 (74%) patients were able to return to golf following their procedure. Overall, the respondents<br />who reported pain associated with golfing activity had significantly decreased pain after undergoing either TSA or<br />RTSA. The RTSA group had a significant drop in driving distance following the procedure and this was significantly<br />lower than the postoperative driving distance in the TSA group, despite an insignificant preoperative difference.<br />Conclusion: Overall, TSA offers a safe and effective means for reducing pain during the golf swing in patients<br />suffering from advanced shoulder osteoarthritis. While there were no significant changes in performance following<br />TSA, individuals undergoing RTSA can be counseled that they are at risk for lower driving distances due to altered<br />mechanics. Overall, patients were satisfied with their procedure and their ability to return to the golf course.<br />Level of evidence: IV
golf,return to sport,shoulder replacement arthroplasty
https://abjs.mums.ac.ir/article_17930.html
https://abjs.mums.ac.ir/article_17930_4a4335e7d188b1e220eacf5d08dd723a.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Presentation and Management Outcome of Glomus Tumors of the Hand
312
318
EN
Muhammad
Saaiq
0000-0003-1714-0491
Department of
Plastic Surgery, NIRM, Islamabad, Pakistan
muhammadsaaiq5@gmail.com
10.22038/abjs.2020.47878.2367
Background: To document the clinical presentation of glomus tumors of the hand and evaluate the outcome of<br />complete surgical excision in terms of relief of symptoms, any postoperative nail deformities and tumor recurrence over<br />a period of one year.<br />Methods: This descriptive case series spanned over a period of twelve years. All patients of either gender and all ages<br />who had histologically confirmed glomus tumors of the hands were included. All of them underwent surgical excision<br />under local anesthesia.<br />Results: Out of 17 patients, majority (n=12; 70.58%) were females. The mean age was 41.17±13.7 years. The<br />dominant hand was involved in 11 (64.70%) patients. There were 14 patients (82.35%) with subungual tumors whereas<br />3(17.64%) had volar pulp glomus tumors. The mean diagnostic delay was 18.88±9.3 months. The tumor size ranged<br />from 2 mm to 1.1cm with a mean of 4.05±4.3mm. All the patients (n=17,100%) experienced complete symptomatic<br />relief within 2-4 weeks after surgical excision. There were no postoperative nail deformities. There was no recurrence<br />over a period of one year.<br />Conclusion: Glomus tumors of the hands were more frequently found among women in their fourth and fifth decades.<br />Dominant hand, index finger and distal phalanx represented the commonest affected anatomic locales. Majority of the<br />tumors were subungual. Majority of the patients suffered over 12 months in distressful pain before being diagnosed.<br />Complete surgical excision under local anesthesia provided rapid relief of the symptoms. Creation of awareness about<br />the tumor among doctors as well as public would help to ensure early presentation to plastic surgeon, prompt diagnosis<br />and hence avoidance of the prolonged periods of agonizing misery.<br />Level of evidence: III
Glomus bodies,Glomus Tumor,Hand tumors,Subungual glomus,Volar pulp glomus
https://abjs.mums.ac.ir/article_16559.html
https://abjs.mums.ac.ir/article_16559_ebaeccb1e4257ba549c942ab8a2eff98.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Post-operative Opioid, Benzodiazepine and Sedative Usage in Medicare versus Commercial Insurance Hand Surgery Patients
319
322
EN
Kevin F.
Lutsky
0000000313932264
The Rothman Institute, Hand and Upper Extremity
Surgery, Philadelphia, PA, USA
lutskyk1@gmail.com
Bryan
Hozack
Thomas Jefferson University, Sidney Kimmel Medical
College, Philadelphia, PA, USA
bryan.hozack@rothmanortho.com
Ludovico
Lucenti
The Rothman Institute, Hand and Upper Extremity
Surgery, Philadelphia, PA, USA
lucenti.ludovico@rothmanortho.com
Moody
Kwok
The Rothman Institute, Hand and Upper Extremity
Surgery, Philadelphia, PA, USA
moody.kwok@rothmanortho.com
Pedro K.
Beredjiklian
0000-0001-7625-6270
The Rothman Institute, Hand and Upper Extremity
Surgery, Philadelphia, PA, USA
pedro.beredjiklian@rothmanortho.com
10.22038/abjs.2020.48753.2418
Background: Opioid usage has increased in recent years. The purpose of this study is to assess post-operative<br />opioid, sedative, and benzodiazepine usage in a Medicare population.<br />Methods: Consecutive patients undergoing elbow, wrist, and hand surgery by hand surgeons at one academic<br />outpatient surgical center were prospectively enrolled. Patients were excluded if they were minors or if they underwent<br />more than one surgical procedure during the study period. There were 269 patients enrolled, and this group was divided<br />by insurance type into younger commercial insurance (CI) and older Medicare (MC) groups.<br />The Pennsylvania Physician Drug Monitoring Program website was used to document all prescriptions of controlled<br />substances filled six months prior to and after the surgical procedure.<br />Results: The mean age in the CI group was 45.8 years (range: 16-88) and 69.2 years (range: 43-91) in the MC group.<br />Postoperatively, the CI patients filled significantly less opioid prescriptions than the MC group, 1.10 vs. 1.79. Patients in<br />the CI group were given an average of 0.3 benzodiazepine prescriptions before surgery and 0.2 after surgery. Patients<br />in the MC group were given 0.6 prescriptions before and 0.5 prescriptions of benzodiazepines after surgery. The CI<br />group was given an average of 0.1 sedative/hypnotic prescriptions before surgery and 0.1 after surgery. The MC group <br />was given 0.7 prescriptions before and 0.4 prescriptions of sedative/hypnotics after surgery.<br />There were 0.17 prescriptions per patient in the CI group and 0.75 per patient in the MC group (P <.05). Twenty-two<br />of 208 (10.6%) of CI and 16/61 (26.2%) of MC patients filled a prescription between 3-8 months post-operatively.<br />Conclusion: Prolonged use of opioid, benzodiazepine and sedative medications is common after upper extremity<br />surgical procedures. Older patients are also at risk, and may be even more likely than younger patients to use these<br />medications post-operatively.<br />Level of evidence: III
Benzodiazepine usage,Elderly patients,Opioid usage,sedative usage
https://abjs.mums.ac.ir/article_16566.html
https://abjs.mums.ac.ir/article_16566_62004413f2d4b0b07f7a48602d2cbc7f.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Short-Term Complications and Readmission Following Total Shoulder Arthroplasty: A National Database Study
323
329
EN
Henry M.
Fox
0000-0002-0877-1147
Department of Orthopaedics and Rehabilitation,
Oregon Health and Science University, Portland, OR, USA
foxhe@ohsu.edu
Matthew
J.
Best
0000-0002-4401-2834
Department of Orthopaedic Surgery, Johns Hopkins
Hospital, Baltimore, MD, USA
mbest8@jhmi.edu
Jacob
D.
Mikula
0000-0002-5042-8457
Department of Orthopaedic Surgery, Johns Hopkins
Hospital, Baltimore, MD, USA
jacobdmikula@gmail.com
Keith T.
Aziz
Department of Orthopaedic Surgery, Johns Hopkins
Hospital, Baltimore, MD, USA
kaziz4@jhmi.edu
Uma
Srikumaran
0000-0002-2314-8855
Department of Orthopaedic Surgery, Johns Hopkins
Hospital, Baltimore, MD, USA
us@jhmi.edu
10.22038/abjs.2020.48852.2426
Background: The incidence of total shoulder arthroplasty (anatomic and reverse) is increasing as indications expand.<br />The purpose of this study is to identify predictors of short-term complications and readmission following total shoulder<br />arthroplasty for patients with glenohumeral osteoarthritis.<br />Methods: The American College of Surgeons National Surgical Quality Improvement Program was used to identify<br />12,982 patients who underwent total shoulder arthroplasty (anatomic or reverse) from 2011-2016. Demographic data,<br />postoperative complications, and readmission within 30 days were analyzed. Multivariable logistic regression was used<br />to determine independent risk factors for complications and for readmission occurring within 30 days of surgery.<br />Results: The mean age of the cohort was 69.1 years, 56.1% were female. Mean American Society of<br />Anesthesiologists (ASA) classification score was 2.6. The postoperative complication rate was 5.6% and the<br />readmission rate was 2.8% within 30 days of surgery. Independent predictors for any complication included<br />preoperative dependent functional status (OR 1.8, p <0.001), ASA class 3 (OR 3.6, P=0.021) and 4 (OR 8.5,<br />p <0.001), age 70-79 (OR 1.4, P=0.019) age ≥ 80 years (OR 2.3, p <0.001, and female gender (OR 1.6, P=0.001).<br />Independent predictors for readmission included congestive heart failure (OR 3.4, P=0.002) and ASA class 4<br />(OR 14, P = 0.013). Independent functional status was associated with decreased odds of readmission (OR 0.4,<br />p <0.001).<br />Conclusion: Patients with age greater than 70 years, congestive heart failure, and ASA class 3 and 4 are at increased<br />risk for postoperative complications and readmission. Preoperative risk stratification and medical optimization are<br />important in these patients.<br />Level of evidence: III
ASA Classification,NSQIP,Postoperative complications,readmission,Total shoulder replacement
https://abjs.mums.ac.ir/article_16567.html
https://abjs.mums.ac.ir/article_16567_8eff93046a17af991ff5efe2e3af232e.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Patient and Clinician Perceptions about Remote Video Visits for Musculoskeletal Problems: A Qualitative Study
330
337
EN
Anne-Britt E.
Dekker
Dell Medical School Austin, The University of Texas at
Austin, TX, USA
anne-britt.dekker@austin.utexas.edu
Iris
Kleiss
Dell Medical School Austin, The University of Texas at
Austin, TX, USA
iris.kleiss@austin.utexas.edu
David
Ring
0000-0002-6506-4879
Dell Medical School Austin, The University of Texas at
Austin, TX, USA
david.ring@austin.utexas.edu
Kasey
Claborn
Department of Psychiatry, Dell Medical School Austin,
TX, USA
kasey.claborn@austin.utexas.edu
10.22038/abjs.2020.41752.2127
Background: An understanding of patient and clinician opinions about remote video musculoskeletal consultations<br />might help determine how to increase appeal and utilization. The purpose of this study was to evaluate perceptions of<br />remote video musculoskeletal consultations. Our research questions was what are patient and clinician facilitators and<br />barriers for the use of remote video consultations?<br />Methods: Prior to the COVID-19 pandemic 27 English speaking adult patients seeking ambulatory care for a<br />musculoskeletal problem, and 10 English-speaking musculoskeletal clinicians were interviewed using a guide.<br />Interviews were audio-recorded, transcribed, and coded using applied thematic analysis.<br />Results: Patient and clinician incentives for remote video consultations included increased convenience, lower costs,<br />less waiting time, and a better experience. Patient and clinician barriers to remote video consultations included concerns<br />about familiarity with technology, lack of personal interaction and physical examination, inability to perform procedures,<br />difficulties with reimbursement (clinicians), as well as technical, logistical, and privacy issues.<br />Conclusion: This qualitative study performed prior to the pandemic found that adoption of remote video consultation for<br />musculoskeletal problems may improve with seamless, efficient, and effective care, at an affordable price, particularly if<br />the human connection is similar to what occurs in person.<br />Level of evidence: Not applicable
remote consultations,virtual visits
https://abjs.mums.ac.ir/article_16316.html
https://abjs.mums.ac.ir/article_16316_fd272fcca8df5d8d08d08e47445f71dd.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
A Two Question Screen for Mental Health Opportunities
338
344
EN
Prakash
Jayakumar
UK Harkness Fellowship in Health Care Policy and
Practice Innovations, The Value Institute / Department of
Surgery and Peri-operative Care, The University of Texas
at Austin, Dell Medical School, Austin, TX, USA
pjx007@googlemail.com
Joost T.P.
T.P.
Kortlever
0000-0003-3825-5546
Department of Surgery and Peri-operative Care, The
University of Texas at Austin, Dell Medical School, Austin,
TX, USA
kortlever.joost@gmail.com
Laura E.
Brown
Center for Health Communication, The University of
Texas at Austin, Dell Medical School, Austin, TX, USA
laura.brown@austin.utexas.edu
David
Ring
0000-0002-6506-4879
Department of Surgery and Peri-operative Care, The
University of Texas at Austin, Dell Medical School, Austin,
TX, USA
david.ring@austin.utexas.edu
10.22038/abjs.2020.42043.2143
Background: Shortened versions of validated PRO measures of coping strategies e.g. PSEQ-2, may facilitate<br />screening and monitoring of psychological conditions such as depression and anxiety. The primary research<br />question in this study assesses the sensitivity and specificity of a PSEQ-2 score of less than 10 for important<br />symptoms of depression (a PHQ-2 score greater than 2), anxiety (GAD-2 score greater than 2), any impactful<br />prior episode of psychological trauma, and QuickDASH greater than 49. Secondarily we assess the associations<br />between self-efficacy and other demographic and psychological factors on the magnitude of limitations and pain<br />intensity.<br />Methods: We performed a retrospective PRO evaluation in 926 adult patients attending upper extremity clinic<br />between 1st January 2018 and 31st January 2019. Demographic factors were assessed using electronic medical<br />records and PRO data using an online platform. Patients included 556 (60%) women, 370 (40%) men (mean 51<br />years + 14 (range, 19-88), mostly (n=584, 63%) with safety net insurance.<br />Results: A PSEQ-2 scoring threshold of less than 10 was 81% sensitive for a PHQ-2 score of 3 or greater, 84%<br />sensitive for a GAD-2 score of 3 or greater, 84% sensitive for one or more important psychological traumas, and 82%<br />sensitive for a QuickDASH of 50 or greater. PSEQ-2 less than 10 was independently associated with greater upper<br />extremity limitations (β=11 [6.3 to 17, 95% Confidence interval [C.I], p <0.001) and pain intensity (β=0.92 (0.31 to 1.5,<br />95% C.I) P=0.003) amongst other psychological and demographic factors.<br />Conclusion: A PSEQ-2 score less than 10 might, along with verbal and non-verbal signs of distress, be a useful<br />way to introduce the use of more sensitive screening questionnaires about anxiety or depression, or open up <br />the option of speaking directly to mental or social health professionals. Future studies are required to test this<br />hypothesis.<br /> Level of evidence: III
Anxiety,Depression,patient outcomes,Psychological factors,Resiliency,stress,Self-efficacy
https://abjs.mums.ac.ir/article_17000.html
https://abjs.mums.ac.ir/article_17000_e2a257163d86f7bfc6c94bba5304f441.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Pregnancy-related Hand and Wrist Problems
345
349
EN
Ahmadreza
Afshar
0000-0002-3676-5932
Department of Orthopedics, Imam Khomeini Hospital,
Urmia University of Medical Sciences, Urmia, Iran
afshar_ah@yahoo.com
Ali
Tabrizi
0000-0002-4385-6445
Department of Orthopedics, Imam Khomeini Hospital,
Urmia University of Medical Sciences, Urmia, Iran
ali.tab.ms@gmail.com
10.22038/abjs.2020.50995.2531
Hand and wrist disorders are common during pregnancy. Most of these problems develop during the third trimester<br />when hormonal changes, fluid retention, and weight gain are maximum. This review study aimed to discuss<br />pregnancy-related hand and wrist problems, and provide an overview of their pathology, clinical presentations, clinical<br />examinations, and treatment options. Pregnancy-related carpal tunnel syndrome and De Quervain disease are among<br />the most encountered disorders; however, neuralgic amyotrophy, pyogenic granuloma in hand, ligamentous laxity of<br />the joints, arthralgia, and exacerbation of hand and wrist arthritis are among other reported disorders during pregnancy.<br />Pregnancy-related hand and wrist problems may remain undertreated and reduce pregnant females’ quality of life. Nonsurgical<br />treatments are usually effective for pregnancy-related hand and wrist problems. In general, pregnancy-related<br />hand and wrist problems have a good prognosis and usually resolve after childbirth.<br />Level of evidence: IV
neuralgic amyotrophy,pregnancy-related carpal tunnel syndrome,pregnancy-related De Quervain disease,pregnancy-related ligament laxity,Pyogenic Granuloma
https://abjs.mums.ac.ir/article_16573.html
https://abjs.mums.ac.ir/article_16573_1f2ce51b64ffee12728d5c7dcbd8c0c4.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Arthroscopic Reverse Remplissage in a Bilateral Seizurerelated Posterior Shoulder Dislocation: Technique Description and 3-Year Follow-up Case Report
350
354
EN
Alexandre
Carneiro
Bitar
0000-0002-5156-8144
Instituto Vita, São Paulo, SP - Brazil- Hospital Sírio Libanês, São Paulo, SP – Brazil
bitar@institutovita.com.br
Giovanna
Medina
0000-0002-2266-9640
Instituto Vita, São Paulo, SP - Brazil
giovanna.medina@institutovita.com.br
Luiz
Ribas
Instituto Vita, São Paulo, SP - Brazil
luiz.ribas@institutovita.com.br
Jerusa
Smid
2 Hospital Sírio Libanês, São Paulo, SP – Brazil
3 Faculdade de Medicina, FMUSP, São Paulo, SP – Brazil
jsmid77@hotmail.com
Tarso
Adoni
Hospital Sírio Libanês, São Paulo, SP – Brazil
tarsoadoni@usp.br
10.22038/abjs.2020.49649.2467
The treatment options for posterior instability associated with epilepsy includes grafts, osteotomies, arthrodesis and<br />arthroplasty. The technique of reverse arthroscopic remplissage was described in 2006 as a method of filling the anterior<br />humeral bone defect, associated with tenodesis of the subscapularis tendon. This case report presents the results of the<br />reverse remplissage technique in relation to a patient who suffered a bilateral posterior glenohumeral dislocation with a<br />reverse Hill-Sachs lesion.<br />Level of evidence: IV
arthroscopic reverse remplissage,Hill-sachs lesion,posterior shoulder dislocation
https://abjs.mums.ac.ir/article_16570.html
https://abjs.mums.ac.ir/article_16570_6809cc2c1d67839022b358ecd3e9b7eb.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Pigmented Villonodular Synovitis Arising from Calcaneocuboid Joint in an Army Staff: A Case Report
355
360
EN
Adel
Ebrahimpour
0000-0002-3721-127X
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran- Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
a.ebrahimpour@sbmu.ac.ir
Mehrdad
Sadighi
0000-0002-4333-3126
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
mehrdad_1330@yahoo.com
Meisam
Jafari Kafiabadi
https://orcid.org/00
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
dr.jafari8567@yahoo.com
Mohammadreza
Chehrassan
0000-0002-3068-9764
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
morchehrasan@yahoo.com
Farsad
Biglari
0000-0003-0586-6236
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
biglari.farsad@gmail.com
10.22038/abjs.2020.48137.2381
Pigmented villonodular synovitis (PVNS) is a locally destructive benign lesion usually affecting the synovial tissue of<br />weight-bearing joints. Herein we reported a 20-year-old male patient who was an army staff with a foot lesion which was<br />painful in army boots. In the beginning, the lesion was considered a ganglion cyst. Further investigations revealed cortical<br />erosion of cuboid bone on the radiograph. Pigmented villonodular synovitis was considered as a probable diagnosis<br />after observation of low signal lesion around the calcaneocuboid joint on both T1 and T2 images of Magnetic Resonance<br />Imaging. The treatment included excision of the lesion and synovectomy of the calcaneocuboid joint. The diagnosis was<br />confirmed with histological studies. At more than one year follow-up, the patient was completely asymptomatic, and there<br />was no evidence of recurrence. This study aimed to raise the awareness of clinicians about the diagnosis of this rare soft<br />tissue neoplasm which might be misdiagnosed as a ganglion or synovial cysts in the hindfoot zone.<br />Level of evidence: V
Pigmented Villonodular,Soft Tissue Neoplasms,Synovitis,Tarsal Joints
https://abjs.mums.ac.ir/article_16854.html
https://abjs.mums.ac.ir/article_16854_a8a181268124ae14cf85b0adc13d8786.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Atraumatic Posterior Thigh Compartment Syndrome Presenting as an Acute Sciatic Nerve Palsy. A Case Report
361
366
EN
Brian M.
Katt
0000-0002-6726-3580
Rothman Orthopaedic Institute, Philadelphia, PA, USA
brian.katt@rothmanortho.com
Nailah
F.
Mubin
Rowan University School of Osteopathic Medicine,
Philadelphia, PA, USA
mubinn4@rowan.edu
Pedro K.
Beredjiklian
0000-0001-7625-6270
Rowan University School of Osteopathic Medicine,
Philadelphia, PA, USA
pedro.beredjiklian@rothmanortho.com
10.22038/abjs.2020.43632.2195
Atraumatic posterior thigh compartment syndrome is a rare but serious condition. We document a case of atraumatic<br />posterior thigh compartment syndrome that presented as an acute sciatic nerve palsy and required emergent fasciotomy.<br />Based on this case, one should keep in mind the diagnosis of posterior thigh compartment syndrome when encountering<br />a patient presenting with an acute sciatic nerve palsy.<br />Level of evidence: V
atraumatic,Compartment syndrome,posterior thigh,rhabdomyolysis,Sciatic nerve
https://abjs.mums.ac.ir/article_16530.html
https://abjs.mums.ac.ir/article_16530_8f2e23146d973d23a1642208b10703cf.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
9
3
2021
05
01
Erratum to: The Effect of Ozone (O3) versus Hyaluronic Acid on Pain and Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis
367
367
EN
Maryam
Emadzadeh
0000-0002-1526-3765
Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences,Mashhad, Iran
emadzadehm@mums.ac.ir
Amir
Kachooei
0000-0001-7795-1830
Mashhad University Of Medical Sciences, Mashhad, Iran
arkachooei@gmail.com
10.22038/abjs.2020.51655.2554
Erratum to: The Effect of Ozone (O3) versus Hyaluronic Acid on Pain and Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis<br /> <br /> In the article entitled “The Effect of Ozone (O3) versus Hyaluronic Acid on Pain and Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis”(1), which was published in Volume 8, Issue 3 of the Archives of Bone and Joint Surgery, an incorrect data was reported in Table 2 mistakenly. In the last column of Table 2, the reported complication of the trial performed by Invernizzi et al in 2017 (2) was not correct. It should be noted that only two self-limiting adverse events including local pain and swelling was reported in this trial.<br /> <br /> References:<br /> 1. Javadi Hedayatabad J, Kachooei AR, Taher Chaharjouy N, Vaziri N, Mehrad-Majd H, Emadzadeh M, et al. The Effect of Ozone (O(3)) versus Hyaluronic Acid on Pain and Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis. Arch Bone Jt Surg. 2020 May;8(3):343-354. doi: 10.22038/abjs.2020.46925.2292.<br /> 2. Invernizzi M, Stango D, Carda S, Grana E, Picelli A, Smania N, et al. Safety of Intra-Articular Oxygen-Ozone Therapy Compared to Intra-Articular Sodium Hyaluronate in Knee Osteoarthritis: A Randomized Single Blind Pilot Study. Int J Phys Med Rehabil 2017, 5:1DOI: 10.4172/2329-9096.1000385
Erratum,Ozone,Hyaluronic acid,Knee Osteoarthritis,Systematic review,Meta-analysis
https://abjs.mums.ac.ir/article_16575.html
https://abjs.mums.ac.ir/article_16575_2609ea4132186e8471e41b1ec03791c0.pdf