https://escipub.org/index.php/AJORR/issue/feed American Journal of Orthopedic Research and Reviews 2021-02-12T05:28:26+00:00 American Journal of Orthopedic Research and Reviews AJORR@escipub.org Open Journal Systems <p>ISSN: 2637-4730<br />DOI:10.28933/AJORR</p> https://escipub.org/index.php/AJORR/article/view/186 Desmoid tumor of the foot: a case report and literature review 2021-01-07T04:42:39+00:00 Thiago Batista Faleiro1, Rogério Gouvêa1, Clarice de Abreu Silva2, Bruno Adelmo Ferreira Mendes Franco2, Thales Felipe Lucas Sena2, Gildásio Daltro2, Alexandre Vasconcelos de Meirelles1 contact_us1@escipub.com <p>A desmoid tumor (DT) was first described by MacFarlane in 1832. DTs are rare tumors, corresponding to only 0.03% of all neoplasia and less than 3% of all soft tissue tumors. Most of the tumors occur in the abdomen and presentation in the extremities is uncommon. Here, we present a review of the literature and the 27th case of DT of the foot.</p> 2021-01-01T00:00:00+00:00 Copyright (c) 2021 https://escipub.org/index.php/AJORR/article/view/187 Relationship Between Peroneal Tendons and Anterior Talofibular Ligament 2021-01-07T04:47:54+00:00 Ahmet Oztermeli, Nazım Karahan contact_us1@escipub.com <p>Background: Anterior talofibular ligament (ATFL) injuries are the most common in ankle torsional injuries. ATFL and peroneal tendons are both important stabilizers of lateral ankle joint. We aimed to evaluate peroneal tendons and ATFL.</p> <p>Methods: Fifteen nonpaired leg of fresh frozen cadavers were assessed in this study. After harvesting, ATFL diameters were measured at three points by calipers, these are fibular side, intermediate side and talar side. The mean of these three measurements were assessed and tissue a 15 lb load was applied to the peroneal tendons for 10 minutes, and the transverse diameters were measured by folding the thickest part of the tendon in a double-strand.</p> <p>Results: 5 single bundle, 8 double-bundle and 2 three bundles of ATFL were obtained after dissection. . There was no correlation between ATFL diameter, peroneus longus, peroneus brevis and total tendon diameters of peroneus longus and peroneus brevis in women (p&gt; 0.05). A strong correlation was found between ATFL diameter, peroneus longus (r: 0.95), peroneus brevis (r: 0.81) and total tendon diameters of peroneus longus and peroneus brevis (r: 0.92) in men.</p> <p>Conclusion: Relationship between the diameter of the ATFL and peroneal tendons diameters were evaluated and a correlation was observed in males, while no correlation was observed in females.</p> 2021-01-01T00:00:00+00:00 Copyright (c) 2021 https://escipub.org/index.php/AJORR/article/view/376 CURRENT STATUS OF DIAGNOSIS AND TREATMENT OF FEMORAL NECK FRACTURES IN THE ELDERLY 2021-01-28T16:33:50+00:00 Shunhan Yao, Dinggui Lu contact_us1@escipub.com <p>Femoral neck fractures are common fractures in the elderly, especially in elderly women. There are many mature treatment methods for femoral neck fractures. However, which option is better is still controversial. In order to allow clinicians to better develop treatment plans for elderly patients with femoral neck fractures, this article summarizes the diagnosis and treatment status of elderly femoral neck fractures from the aspects of epidemiology, etiology and diagnosis, treatment methods and progress of elderly femoral neck fractures.</p> 2021-01-28T00:00:00+00:00 Copyright (c) 2021 https://escipub.org/index.php/AJORR/article/view/377 RESULTS OF OPEN REDUCTION INTERNAL FIXATION OF DISPLACED INTRAARTICULAR CALCANEUS FRACTURE WITH LOCKING PLATE 2021-01-28T17:08:26+00:00 Selvin Prabhakar1*, Lakshya Prateek Rathore2, Manoj Thakur3, D R Chandel4 contact_us1@escipub.com <p>Introduction: One of the most common foot fractures, fracture calcaneum, whenever has displacement of articular surface, is treated operatively. Various modes of treatment are used for the same. Non operative treatment in severe cases has been associated with poor result.</p> <p>Material and methods: The study included 43 prospective and retrospective cases in 38 patients of intra-articular calcaneal fractures treated operatively with open reduction and internal fixation with locking plate using the standard lateral approach. The patients were assessed radiologically and for functional outcome as per AOFAS (American Orthopedic Foot and Ankle Score) score.</p> <p>Results: 43 fractures in 38 patients were included in our study between19 to 62 years of age with mean age in our study between 38.53±11.17. 79% patients were males and 21% were females. Sander’s type of fracture pattern affected the complications following surgery. There was no influence of complications following surgery over final AOFAS score.</p> <p>Conclusion: Careful patient selection, preoperative planning, appropriate timing for surgery, proper approach for raising full thickness flaps and accurate anatomic reduction gives a good functional outcome.</p> 2021-01-28T00:00:00+00:00 Copyright (c) 2021 https://escipub.org/index.php/AJORR/article/view/385 SINGLE STAGE KNEE ARTHROPLASTY REVISION SURGERY, OUR EXPERIENCE WITH ELEVEN CASES AND REVIEW OF THE LITERATURE 2021-02-12T05:28:26+00:00 Andreas X. Papadopoulos M.D. PhD1, Athanasios Karageorgos M.D. PhD1,Charalampos Matzaroglou M.D. Associate Professor2,Spyros A. Syggelos M.D. Assistant Professor3, Christos A. Papadopoulos Physiotherapist1, Ioannis D. Gelalis M.D. Professor4 contact_us1@escipub.com <p>Knee replacement is a widely performed and very successful procedure for the management of knee arthritis. Nevertheless, it is postulated that a total of 2-5% of primary and revision total knee arthroplasties (TKAs) is infected every year [1,2]. Despite the low incidence, the absolute numbers of prosthetic joint infections (PJIs) are growing, owing to an increased number of replacement surgeries, and are associated with significant morbidity and socioeconomic burden [3,4].</p> <p>Although several definitions of PJI exist, Musculoskeletal Infection’s Society (MSIS) definition is based on strict criteria and is one of the most used [5].</p> <p>Patients with certain risk factors have an increased risk to develop PJI [6,7]. Risk factors include presence of systemic or local active infection in an arthritic knee; previous operative procedures in the same knee, diabetes mellitus, malnutrition, smoking, alcohol consumption, co-morbidities, and immunosuppression; end-stage renal disease on hemodialysis, liver disease, intravenous drug abuse, and low safety operative room environment.</p> <p>PJIs are classified according to the depth of infection, to superficial and deep infections. Superficial infections are limited to the incision and superficial tissues, while deep infections, that involve deep layers, may occur up to one year postoperatively, and influence surgical management strategy. Timing of infection is also an important factor in guiding treatment. PJIs are classified to acute postoperative, within a month of the index procedure, acute haematogenous, presenting with acute symptoms in a previously well – functioning joint, and late chronic, where infection develops later than one month postoperatively [8].</p> <p>Management of PJI’s is mainly surgical, reserving conservative treatment for patients unable to undergo surgery [9]. Surgical options include debridement and retention of the prosthetic implants (DAIR), two – stage exchange revision, single – stage exchange revision, permanent resection arthroplasty, and finally amputation as the last measure [10]. DAIR is a viable option in early stages of acute infections, but established chronic infections necessitate more radical methods.</p> <p>Two – stage revision that was originally described by Install [11], secondly modified through the development of static spacers [12], and then articulating spacers [13], is considered the gold standard of TKA infection management [14]. A large volume of literature reports successful eradication of PJIs in more than 90% of patients using this approach [15,16,17]. Nevertheless, this procedure is costly, time-consuming, develops stiffness, arthrofibrosis, impairs mobility and increases inpatient stay. Single-stage revision arthroplasty for infection was first described in the 1980s [18, 19], has gained popularity for use in selected patients [20]. Infection control using this approach is achieved in 67% to 95% of patients [21, 22, 23, 24]. Furthermore, it is associated with less patient morbidity, improving functional outcome and reducing cost [25, 20].</p> <p>This paper seeks to systematically review the results of using single – stage revision arthroplasty for chronic infection of TKAs. Furthermore, we report our experience with eleven cases of chronic knee arthroplasty infection, which were treated with the aforementioned technique.</p> 2021-02-11T00:00:00+00:00 Copyright (c) 2021