Application of Piezosurgery in Anterior Cervical Corpectomy and Fusion
Anterior cervical corpectomy and fusion (ACCF) is frequently used to decompress the cervical spine; however, this procedure is risky when dealing with a hard disc or ossification of the posterior longitudinal ligament (OPLL). Piezosurgery offers a useful tool for performing this procedure. In this article, we present a 50 years old man who had cervical spondylotic myelopathy with OPLL at the C 6 level and segmental stenosis of the cervical spinal canal. When removing the posterior wall of his C 6 vertebral body and OPLL, piezosurgery was used to selectively cut hard structures piece by piece without injuring delicate sof...
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Sheng‐fa Pan, Yu Sun Tags: VIDEO OF ORTHOPAEDIC TECHNIQUE Source Type: research

Limb Salvage by Distraction Osteogenesis for Distal Tibial Osteosarcoma in a Young Child: A Case Report
Under the effective chemotherapy protocol, physeal distraction could be used as an effective limb salvage in the growing children with lower‐limb malignant metaphyseal bone tumours and could actively prevent leg length discrepancy or malalignment that profoundly affects function. In this paper, we report a 7‐year‐old boy with right distal tibial osteosarcoma but not yet invaded the epiphysis, which underwent surgical treatment after effective chemotherapy. The surgical procedure included two phases: epiphysiolysis (physeal distraction) and en‐bloc resection of tumor and distraction osteogenesis. In the first phase,...
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Xin He, Hui‐lin Zhang, Yong‐cheng Hu Tags: VIDEO OF ORTHOPAEDIC TECHNIQUE Source Type: research

Musculoskeletal Hydatid Cysts Resembling Tumors: A Report of Five Cases
Although challenges in treatment of musculoskeletal hydatid cysts (HC) lesions have been documented, data regarding the musculoskeletal HC lesions resembling tumor is scarce. This paper presented 5 patients (3 males, 2 females) with a mean age of 41.6 years with tumor‐like lesions of HC. Three of them had left ilium and acetabulum involvement, one involved left femur, and one involved left thigh muscle compartments. Pain was the main symptom and was seen in all patients. Clinical examination, radiologic evaluation, and histologic analysis were performed for diagnosis. Patients were treated through different surgical opti...
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Güray Toğral, Şefik M Arıkan, Timur Ekiz, Ahmet F Kekeç, Mehmet F Ekşioğlu Tags: CASE REPORT Source Type: research

Intervertebral Fusion with Mobile Microendoscopic Discectomy for Lumbar Degenerative Disc Disease
The aim of this article is to introduce a technique for lumbar intervertebral fusion that incorporates mobile microendoscopic discectomy (MMED) for lumbar degenerative disc disease. Minimally invasive transforaminal lumbar interbody fusion is frequently performed to treat degenerative diseases of the lumbar spine; however, the scope of such surgery and vision is limited by what the naked eye can see through the expanding channel system. To expand the visual scope and reduce trauma, we perform lumbar intervertebral fusion with the aid of a MMED system that provides a wide field through freely tilting the surgical instrument...
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Bao‐shan Xu, Yue Liu, Hai‐wei Xu, Qiang Yang, Xin‐long Ma, Yong‐cheng Hu Tags: SURGICAL TECHNIQUE Source Type: research

Inhibition of Growth and Metastasis of Tumor in Nude Mice after Intraperitoneal Injection of Bevacizumab
ConclusionsBevacizumab exhibits strong antiangiogenesis activity in experimental osteosarcoma in a nude mouse model but does not influence the incidence of lung metastasis. Our findings may have considerable potential for the treatment of osteosarcoma. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Ze‐xue Zhao, Xiang Li, Wei‐dong Liu, Xiao‐zhou Liu, Su‐jia Wu, Xiao‐hui Hu Tags: SCIENTIFIC ARTICLE Source Type: research

Closed Suction Drainage Is Not Associated with Faster Recovery after Total Knee Arthroplasty
ConclusionIn this randomized study, primary TKA without CSD was associated with faster recovery related to less local inflammation and better early knee function. Furthermore, use of a drain had no significant advantage with respect to other outcome measures and may have increased costs. Based on these data, CSD after primary TKA is not routinely indicated. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Duan Wang, Jin Xu, Wei‐nan Zeng, Kai Zhou, Tian‐hang Xie, Zhi Chen, Hao‐da Yu, Jin‐long Li, Zong‐ke Zhou, Fu‐xing Pei Tags: CLINICAL ARTICLE Source Type: research

Expression of Matrix Metalloproteinase‐9 and CD34 in Giant Cell Tumor of Bone
ConclusionExpression of CD34 and MMP‐9 accurately predicts clinical behavior detection and prognosis of GCTBs. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Xing Zhou, Xiao‐zhou Liu, Gen‐tao Fan, Su‐jia Wu, Jian‐ning Zhao, Xin Shi Tags: CLINICAL ARTICLE Source Type: research

Characterization of MicroRNA Expression Profiles in Patients with Giant Cell Tumor
ConclusionOverall, the clinical utility of six novel miRNA markers for GCTs was demonstrated. Of these, strength of expression of hsa‐mir‐16‐5p and hsa‐let‐7a‐5p may indicate the grade of bone resorption. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Shu Qin, Neng‐bin He, Hong‐liang Yan, Yang Dong Tags: CLINICAL ARTICLE Source Type: research

Open Surgery for Osteoid Osteoma with Three Dimensional C‐arm Scan under the Guidance of Computer Navigation
ConclusionsThe niduses of osteoid osteomas can be eradicated by open surgery with 3‐D C‐arm scan under the guidance of computer navigation with minimal damage to bone structure and a high rate of pathologically confirmed diagnoses. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Nong Lin, Zhao‐ming Ye, Hao Qu, Xiao‐bo Yan, Wei‐bo Pan, Xin Huang, Meng Liu Tags: CLINICAL ARTICLE Source Type: research

Clinical and Radiographic Results of Reconstruction with Fibular Autograft for Distal Radius Giant Cell Tumor
ConclusionsReconstruction with a non‐vascularized proximal fibular autograft is a reasonable option after en bloc resection of the distal radius for giant cell tumor of bone. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Dian‐wen Qi, Peng Wang, Zhao‐ming Ye, Xiu‐chun Yu, Yong‐cheng Hu, Guo‐chuan Zhang, Xiao‐bo Yan, Kai Zheng, Li‐ming Zhao, Hui‐lin Zhang Tags: CLINICAL ARTICLE Source Type: research

Functional Results and Emotional Acceptance after Scapulectomy for Malignant Shoulder Tumors
ConclusionsPerforming scapulectomies on patients with malignant shoulder tumors without prostheses or allograft reconstruction achieves good functional results and emotional acceptance with a low rate of complications. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Song‐feng Xu, Xiu‐chun Yu, Ming Xu, Yong‐cheng Hu, Xiao‐ping Liu Tags: CLINICAL ARTICLE Source Type: research

Transnasal Endoscopic Biopsy Approach to Atlas Tumor with X‐ray Assisted and Related Radiographic Measure
ConclusionsAn endoscopic transnasal approach enables biopsy and diagnosis of tumors in the anterior arch of the atlas. Relevant measurements were obtained by assessing CT scans of 50 volunteers to assist operators to determine the effective and safe range for transnasal atlas biopsy. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Zhen‐feng Li, Xian‐hao Shao, Li‐qiang Zhang, Zhi‐ping Yang, Xin Li, Qiang Yang, Jian‐min Li Tags: CLINICAL ARTICLE Source Type: research

En Bloc Resection of Primary Malignant Bone Tumor in the Cervical Spine Based on 3‐Dimensional Printing Technology
ConclusionThough technically challenging, it is feasible and safe to perform en bloc resection of cervical primary bone tumors. This is the most effective means of managing cervical spine tumors. Preoperative 3‐D printing modelling enables better anatomical understanding of the relationship between the tumor and cervical spine and can assist in planning the surgical procedure. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Jian‐ru Xiao, Wen‐ding Huang, Xing‐hai Yang, Wang‐jun Yan, Dian‐wen Song, Hai‐feng Wei, Tie‐long Liu, Zhi‐peng Wu, Cheng Yang Tags: CLINICAL ARTICLE Source Type: research

Surgical Treatment of Sacral Neurogenic Tumor: A 10‐year Experience with 64 Cases
ConclusionsThe clinical characteristics of sacral neurogenic tumors make them easy to diagnose. The approach to resection should be determined by the location and size of the tumor. Patients with huge tumors may lose considerable blood intraoperatively and a have higher risk rate of postoperative complications. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Wei Sun, Xiao‐jun Ma, Fan Zhang, Wei‐liang Miao, Chong‐ren Wang, Zheng‐dong Cai Tags: CLINICAL ARTICLE Source Type: research

Malignant Pelvic Tumors Involving the Sacrum: Surgical Approaches and Procedures Based on a New Classification
ConclusionsThe proposed standardized protocols should help orthopaedic surgeons to achieve adequate margins, manage risk, achieve better oncologic and functional outcomes, and minimize perioperative complications when treating massive pelvic tumors involving the sacrum. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - July 6, 2016 Category: Orthopaedics Authors: Yi‐dan Zhang, Wei Guo, Rong‐li Yang, Xiao‐dong Tang, Tai‐qiang Yan, Tao Ji Tags: CLINICAL ARTICLE Source Type: research