Journal of Orthopaedics, Trauma and Rehabilitation Journal of Orthopaedics, Trauma and Rehabilitation RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Comparison of gait biomechanics in patients with and without knee osteoarthritis during different phases of gait
ConclusionThe largest mechanical changes are seen in the first phase of gait in osteoarthritic patients. Although COP is an easy to measure tool, it is not as sensitive as KAA and did not demonstrate a significant difference between healthy and medial OA patients.中 文 摘 要背景本研究旨在表徵膝關節內收角（KAA）和膝關節內收力矩（KAM），並將其與有和沒有膝關節骨性關節炎 (OA) 的志願者的腳部壓力中心（COP）進行比較。方法招收108名受試者; 84例未見病理、18例有內側膝關節骨性關節炎、6例有外側膝關節骨性關節炎。 使用線性回歸...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Management Approach of Penetrating Vertebral Artery Injury With Concomitant Cervical Nerve Root Injury in Regional Hospital: Report of Two Cases
We present two cases of penetrating vertebral artery injury with concomitant cervical nerve root injury managed in our centre. The first case was a young gentleman who suffered from neck injury by broken metal fragment. Cervical nerve root injury was suspected preoperatively. Massive bleeding from vertebral artery was encountered during wound exploration. It was managed by ligation, followed by retrograde endovascular embolisation. The second case was a young lady being assaulted with knife and fork over the neck. She was also suspected to have cervical nerve root injury preoperatively. Vascular control of vertebral artery...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Bilateral Charcot hip arthropathy due to tabes dorsalis: A case report: 因脊髓癆而導致雙邊髖關節邊夏柯氏神經骨關節病變 – 病例報告
This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.摘 要本篇文章描述了一位受梅毒感染而未經治療,繼而患有脊髓癆而導致雙邊夏柯氏神經髖關節病變。同樣的病例在現今雖然近乎絕跡,但我們更應對這種病變提高警覺,盡早診斷,以免出現嚴重的後果。 (Source: Journal of Ort...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Os intermetatarseum may not interfere with metatarsus primus varus deformity correction: A case report: 蹠骨不一定妨礙第一蹠骨內翻矯正的病例報告
Publication date: December 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 25Author(s): Daniel Y. WuAbstractIt has been believed that the correction of metatarsus primus varus (MPV) deformity of hallux valgus foot using nonosteotomy procedures would be compromised by the presence of os intermetatarseum (OI). Therefore, no soft tissue procedure has ever been reported for the correction of MPV deformity of hallux valgus foot.This is a case report of a female patient with bilateral hallux valgus deformity and also a large OI of her left foot that was corrected, satisfactorily and simultaneously, with a ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Delayed tibial-platform periprosthetic stress fracture after unicompartmental knee arthroplasty: Uncommon and devastating complication
Publication date: December 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 25Author(s): Yuk-Wah Hung, Jason Chi-Ho Fan, Carson Ka-Bon Kwok, Ellis Lok-Fai Wong, Carman Ka-Man LoAbstractPeriprosthetic fracture around total knee arthroplasty (TKA) is a well-described complication. Yet, report of medial tibial plateau stress fracture after unicompartmental knee arthroplasty (UKA) is limited. One case of delayed stress fracture of medial tibial plateau after UKA, which was salvaged by conversion to TKA was reported. To the best of our knowledge, this is the first report related to Zimmer Unicompartmental ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Changes in rehabilitation outcomes by new guidelines of Hong Kong Hospital Authority in implant choice for femoral neck fractures—Austin Moore versus cemented Exeter hemiarthroplasty
ConclusionThe new guidelines in replacing AMA with cemented Exeter hemiarthroplasty resulted in better patient outcomes.摘要背景香港醫院管理局於2013年以Exeter骨水泥半髖關節置換術代替Austin-Moore非骨水泥半髖關節置換術(AMA)作爲移位髖頸骨折之首選儀器。此論文檢討這個新指引會否改善病者的死亡率、再度使用醫院服務、和復康成果。方法我們回顧性研究於2012-2014年間在一間三級醫院内因髖頸骨折進行半髖關節置換術, 年齢介乎65-84歳的病者。AMA組包括了於2012-2013年間進行的Austin-Moore非骨水泥半髖關...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

The “Sign of Horns” deformity following the Thompson's approach to the proximal radius—A rare case report and literature review
We report to you a case of isolated paralysis of EDC following the Thompson's approach in a 14-year-old boy who recovered completely on the 5th postoperative day. Each of the approaches to the proximal radius poses a risk of damage to the posterior interosseous nerve and its branches because of traction. Damage may occur during exposure or implant insertion. Any surgery around the supinator and the radial tunnel region is dangerous because of complex anatomy, lack of intermuscular planes and varying distribution of the radial nerve. Avoiding excessive posterior or ulnar retraction of the EDC and improper dissection can avo...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

The role of orthopaedic surgeons in the management of fractures in cancer patients
Publication date: June 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 24Author(s): Sheung-Tung Ho (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Does Conservative Rehabilitation Program Lead to Long-Term Stiffness after Arthroscopic Rotator Cuff Repair?: 關節鏡修復肩袖後，保守康復方案會導致長期僵硬嗎?
ConclusionsImmobilization for 4 weeks to 6 weeks after arthroscopic rotator cuff repair does not result in long-term stiffness and may even be beneficial to cuff tendon healing.中 文 摘 要背景關於關節鏡修復肩袖的理想康復方案缺乏證據，大多數數據和結果是矛盾而沒有達成共識。本研究目的是以香港中國人，以積極方案即時術後可動範圍運動和較保守的早期運動限制方案作比較.材料與方法我們回顧性評估了關節鏡修復肩袖37例，採用標準化的延遲康復方案，避免術後4至6周內的可動範圍被動活動。手術後3個月...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Profile of Surgically-treated Metastatic Extremity Bone Tumours at a University Hospital in Hong Kong: 在香港一所大學醫院用手術治療的轉移性肢端骨腫瘤的概況
ConclusionThe surgical management of extremity bone metastasis is a key consideration in averting potentially crippling morbidity. Options of treatment need be carefully chosen in appropriate patients for a good outcome.中 文 摘 要背景腫瘤的骨轉移增加了癌症患者的病況。骨科腫瘤學家旨在控制骨骼的病況來降低癌症病人的總病態。這項研究調查需要手術治療的轉移性肢端骨腫瘤的特點，以便建立香港的轉移性肢端骨腫瘤的本地數據庫模板。方法回顧性研究由2006年1月至2015年12月在一所香港大學醫院手術治療的轉移性肢端骨...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Bilateral Sequential Total Knee Replacement Versus Unilateral Total Knee Replacement in a High Volume Hospital: 在大手術量醫院中雙側順序全膝關節置換術與單側全膝關節置換術的比較
ConclusionBTKR is a safe surgery in selected patients performed in a high volume hospital with fast-track programme.中 文 摘 要背景/目的部分患者選擇進行雙側同時或順次全膝關節置換術，但益處和風險仍然有爭議。方法從2011年10月至2014年10月，將我們全關節置換中心的89例雙側順序全膝關節置換術（BTKR）患者與89例單側全膝關節置換術（UTKR）患者的基線參數匹配後，比較術後結果。結果例雙側順序全膝關節置換術組的每膝關節留院時間較短（4.8天對6.5天），但總引流量較高，血球蛋白下降較多，輸...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Fixation of Pelvic–Acetabular Fractures Using a Midline-Modified Stoppa Approach: Clinical and Operative Outcomes: 採用改進Stoppa入路以下中線切口進行盤骨髖臼骨折: 臨床和手術結果
ConclusionExcellent exposure for fracture reduction and fixation with low complication rate was achieved with the modified Stoppa approach. We were encouraged by the results of this preliminary series for treating pelvic–acetabular fractures in polytrauma patients.中 文 摘 要背景/目的這是以改進Stoppa入路以下中線切口進行盤骨髖臼骨折的本地首個報告。方法從2010年5月至2014年5月期間，採用改進Stoppa入路連續為17位病人治療其盤骨或髖臼骨折。隨訪至少一年，並紀錄影像結果和臨床成效。臨床評估包括改良Merle d’ Aubigne評分、哈里斯...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Total Knee Replacement with iASSIST Navigation System: iASSIST電腦導航系統在全膝關節置換術的應用
Conclusion: iASSIST navigation reduces the incidence of lower limb malalignment without adding extra time to the procedure.中文摘要簡介iASSIST是一個全新的全膝關節置換術電腦導航系統。本研究的目的是比較iASSIST 導航系統及傳統全膝關節置換術的準確性。方法回顧性分析91位病人(92膝) 的全膝關節置換術，病人、年齡、性別、術前活動範圍和下肢畸形的狀態匹配。45位病人(46膝) 接受了iASSIST電腦導航全膝關節置換術。46位病人接受了傳統全膝關節置換術。我們對两組病人的手術時間及術前術後的影像對...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Spinal Implants Can Be Retained in Patients with Deep Spine Infection: A Cohort Study: 深層脊椎感染的患者可以保留脊柱植入物 - 一項隊列研究
ConclusionImplant removal is not always necessary in cases of deep spine infection as retention of implants is not associated with higher mortality, relapse, or reoperation rates.中 文 摘 要背景/目的目前還不清楚是否需要在已有脊柱內固定植入物發生深層脊椎感染時將脊柱植入物移除。這項研究比較了有移除或沒有移除脊柱植入物的患者之間的死亡率、復發率和再手術率。方法回顧性分析20例受試者。比較植入物去除和未去除組別的基線特徵。以多變量邏輯和預測因子將兩組別每個確定的結果測量進行比較。結果...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research

Clinical, Magnetic Resonance Imaging, and Arthroscopic Correlation in Anterior Cruciate Ligament and Meniscal Injuries of the Knee: 膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡的相關性
ConclusionIn conclusion, the present study supports that clinical diagnosis is of primary necessity, as the positive predictive value is high for all the lesions. MRI is an additional diagnosing tool for ligament and meniscal injuries of the knee. Routine use of MRI to confirm the diagnosis is not indicated, as the positive predictive value is low, but can be used to exclude pathology, as the negative predictive value is high for all the lesions.中 文 摘 要背景研究的目的是比較和相關膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡檢查結果。方法從2014年9月至2016年...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 5, 2018 Category: Orthopaedics Source Type: research