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Outcomes of and factors influencing the arthroscopic treatment of rotator cuff injury with the patient in the lateral-lying and beach chair positions.

Medicine (Baltimore) 2021 May;100(18):e25797

Department of Orthopedics and Traumatology, Longyan First Hospital Affiliated with Fujian Medical University, Long Yan, Fujian, China.

Abstract: To compare the postoperative effects of arthroscopy for rotator cuff injury with patients in the lateral-lying position (LLP) and beach chair position (BCP), and to identify factors influencing these effects.Data from patients with rotator cuff injuries who underwent shoulder arthroscopy in the LLP (n = 115, 53.24%) or BCP (n = 101, 46. Read More

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The Nasal Obstruction Balance Index: A Novel Approach to Improving Correlation Between Unilateral Nasal Airway Measurements and Evaluating Nasal Airway Asymmetry.

Laryngoscope 2021 May 5. Epub 2021 May 5.

Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.

Objectives/hypothesis: Demonstrate that the Nasal Obstruction Balance Index (NOBI) model fulfils the unmet need of improving unilateral correlation between subjective and objective nasal obstruction outcome measures and identifying the more obstructed side. Improve correlation between unilateral objective nasal airway measurements (nasal inspiratory peak flow [NIPF] and acoustic rhinometry [AR]) and subjective Visual Analogue Scale for nasal obstruction (VAS-NO) scores. Improve assessment of nasal airway asymmetry by evaluating unilateral measurements both before and after the application of nasal decongestant; which the patient could better understand. Read More

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Clinical outcome of intradural extramedullary spinal cord tumors: A single-center retrospective analytical study.

Surg Neurol Int 2021 8;12:145. Epub 2021 Apr 8.

Department of Orthopaedic, Spine Division, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Background: Intradural extramedullary spinal cord tumors (IESCT) account for approximately two-thirds of largely benign intraspinal neoplasms. They occasionally present with acute neurological deterioration warranting emergent surgical intervention.

Methods: Here, we reviewed a series of 31 patients with intradural extramedullary spinal tumors who underwent surgery from 2012 to 2019. Read More

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Minimally invasive neurectomy for Morton's neuroma with interdigital approach. Long term results.

Foot (Edinb) 2021 Apr 20;47:101808. Epub 2021 Apr 20.

Cirugíadelpie.net. Ciudad de Buenos Aires. Argentina.

Background: "Morton's Neuroma" is a frequent cause of chronic forefoot pain. It can affect general population, including athletes, and can lead to progressive foot pain and discomfort for daily life activities and sports.

Hypothesis/purpose: Our objective is to evaluate the long-term results in a series of 85 feet, operatively treated with minimally invasive interdigital approach for neurectomy. Read More

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Clinical Outcomes of Hip Arthroscopy for Hip Labrum Calcification in Young and Middle-Aged Patients.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, China.

Objective: To investigate the methods and outcomes of hip arthroscopy for hip labrum calcification, and to discuss the clinical, imaging, and intraoperative findings of hip labrum calcification.

Methods: This is a therapeutic case series study. From January 2015 to June 2018, 15 patients who met the inclusion and exclusion criteria were followed up for at least 2 years for an analysis on the outcomes of arthroscopy in the treatment of hip labrum calcification and the clinical, imaging, and intraoperative findings of the patients. Read More

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Efficacy of One-stage Paravertebral Approach using a Micro-Tubular Technique in Treating Thoracic Dumbbell Tumors.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, China.

Objective: The aim of the present study was to investigate the feasibility and efficacy of one-stage surgical resection of thoracic dumbbell tumors using a paravertebral approach and a micro-tubular technique.

Methods: Clinical data of thoracic dumbbell tumors resected using a paravertebral approach and a micro-tubular technique (14 mm, non-expandable type) in the Department of Neurosurgery at our hospital from July 2014 to July 2019 were retrospectively analyzed. Tumors were found between T1 and T12 vertebrae. Read More

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Unilateral Limited Laminectomy for Debridement to Treat Localized Short-Segment Lumbosacral Spinal Tuberculosis: A Retrospective Case Series.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, China.

Objective: This study aimed to investigate the clinical effects of surgically treating lumbosacral tuberculosis with a modified posterior unilateral limited laminectomy method for debridement.

Methods: This retrospective study enrolled a total of 26 patients who were administered in our institution from January 2010 to December 2016, diagnosed with lumbosacral tuberculosis at the L5/S1 level, and underwent one-stage posterior unilateral limited laminectomy as surgical treatment for debridement, allograft of cortical bone grafting, and fixation. The erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level, visual analog scale (VAS) score, Oswestry Disability Index (ODI), and lumbosacral angle (LA, Cobb's method) were statistically compared, and the American Spinal Injury Association Impairment (ASIA) Scale was compared between the preoperative and postoperative time points to evaluate the clinical outcomes. Read More

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"DIAGNOSTIC ULTRASOUND SHOWS REVERSAL OF SUPRASPINATUS MUSCLE ATROPHY FOLLOWING ARTHROSCOPIC ROTATOR CUFF REPAIR."

Arthroscopy 2021 Apr 30. Epub 2021 Apr 30.

Department of Orthopaedics and Trauma. Elche University General Hospital. Calle Almazara 11, 03203. Elche (Alicante). Spain; Miguel Hernández University (Department of Orthopaedics and Trauma, Miguel-Hernández University, Ctra Nacional 340, Km 87, 03550 San Juan de Alicante, Spain.

Purpose: Prospective study to assess ultrasonography (US) utility as an imaging tool for supraspinatus muscle atrophy diagnosis establishing if there is any relationship between repairing supraspinatus tears and its eventual muscular recovery.

Methods: Observational study.

Selection Criteria: adults with a full-thickness reparable supraspinatus' tear confirmed arthroscopically. Read More

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Postnatal Management in Congenital Lower Urinary Tract Obstruction With and Without Prenatal Vesicoamniotic Shunt.

Front Pediatr 2021 14;9:635950. Epub 2021 Apr 14.

Center for Pediatric, Adolescent and Reconstructive Urology, Medical Faculty Mannheim, University of Medical Center Mannheim, Heidelberg University, Heidelberg, Germany.

Congenital lower urinary tract obstruction (cLUTO) includes a heterogeneous group of conditions caused by a functional or mechanical outlet obstruction. Early vesicoamniotic shunting (VAS) possibly reduces the burden of renal impairment. Postpartum, pediatric urologists are confronted with neonates who have a shunt in place and a potentially impassable urethra with a narrow caliber. Read More

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Magnetic resonance imaging and clinically controlled improvement of a combined autologous conditioned plasma combined with rh collagen type I injections in lateral epicondylitis.

Orthop Rev (Pavia) 2021 Mar 31;13(1):9018. Epub 2021 Mar 31.

Clinic for Orthopaedics and Trauma Surgery, St. Josef Hospital Moers, Germany.

The purpose of the study was to investigate the effect of combined autologous conditioned plasma and recombinant human collagen type I injections on lateral epicondylitis. Outcome was measured in 5 patients before the single application of ACP+rhCollagen type I (Arthrex ACP® Tendo) and after 10.60±3. Read More

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Mid- to long-term follow-up of combined small implants.

Bone Joint J 2021 May;103-B(5):840-845

Sezione di Chirurgia Protesica ad Indirizzo Robotico - Unità di Traumatologia dello Sport, U.O. Ortopedia e Traumatologia, Fondazione Poliambulanza, Brescia, Italy.

Aims: In the last decade, interest in partial knee arthroplasties and bicruciate retaining total knee arthroplasties has increased. In addition, patient-related outcomes and functional results such as range of movement and ambulation may be more promising with less invasive procedures such as bicompartmental arthroplasty (BCA). The purpose of this study is to evaluate clinical and radiological outcomes after a third-generation patellofemoral arthroplasty (PFA) combined with a medial or lateral unicompartmental knee arthroplasty (UKA) at mid- to long-term follow-up. Read More

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Implant survival and functional results of endoprosthetic reconstruction for proximal femoral metastases with pathological fractures.

Hip Int 2021 May 2:11207000211014813. Epub 2021 May 2.

Department of Orthopaedic Surgery and Traumatology, Marmara University School of Medicine, Istanbul, Turkey.

Background: This study aimed to evaluate the patient and implant survival, clinical and functional outcomes, and the rate of complications resulting in reconstruction failure following endoprosthetic reconstruction (EPR) of extensive proximal femoral metastases associated with actual or impending pathological fractures.

Methods: A total of 111 patients with actual or impending pathological fractures due to metastatic disease of the proximal femur were treated with EPR between 2003 and 2018. Staged surgery, bilateral EPR, was performed in 3 cases. Read More

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Dexmedetomidine combined with midazolam infusion guided by bispectral index during bronchoscopy.

Clin Respir J 2021 May 2. Epub 2021 May 2.

Department of Respiratory Medicine, The Third Affiliated Hospital of Soochow University (Changzhou First People's Hospital), 213003, Changzhou, China.

Background: Conscious sedation guided by bispectral index (BIS) during bronchoscopy has been proved to be a feasible approach. This study aimed to investigate the safety and efficacy of dexmedetomidine combined with midazolam for undergoing conscious sedation during bronchoscopy.

Methods: The trial was registered prior to patient enrollment at the Chinese Clinical Trial Registry. Read More

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Intraoperative Findings and Clinical Outcomes Associated with Arthroscopic Management of Subspine Impingement: A Propensity-Matched Controlled Study.

Arthroscopy 2021 Apr 29. Epub 2021 Apr 29.

American Hip Institute Research Foundation, Chicago, IL 60018; AMITA Health St. Alexius Medical Center, Hoffman Estates, IL 60169; American Hip Institute, Chicago, IL 60018. Electronic address:

Purpose: (1) To investigate intra-articular damage in the hip joint associated with subspine impingement (SSI), (2) to evaluate clinical outcomes of arthroscopic treatment of hips with SSI, and (3) to compare the findings and outcomes to a control group without SSI.

Methods: Eligible patients had arthroscopic treatment for femoroacetabular impingement (FAI) concurrent with SSI between January 2015 and December 2017. Inclusion criteria consisted of preoperative and minimum 2-year patient reported outcomes (PROs) and preoperative measurements for Tönnis, lateral center edge angle (LCEA), and alpha angle (AA). Read More

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Allergy Testing Has No Correlation with Intraoperative Histopathology from Revision Total Knee Arthroplasty for Implant-Related Metal Allergy.

J Knee Surg 2021 May 1. Epub 2021 May 1.

Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York.

Lymphocyte transformation testing (LTT) is often used in the workup for possible metal allergy after total knee arthroplasty (TKA) but the correlation of this test with other diagnostic metal-allergy findings in patients undergoing revision TKA for suspected metal allergy has not been established. A single-center, single-surgeon cohort of 19 TKAs in which both components were revised for presumed implant-related metal allergy based on history, physical, and LTT testing, to nonnickel-containing implants were retrospectively identified. Histopathologic samples obtained intraoperatively were semiquantitatively analyzed using both the Hospital for Special Surgery (HSS) synovial pathology score and the Campbell aseptic lymphocyte-dominant vasculitis-associated lesion (ALVAL) score. Read More

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[Analysis on application value of Fu's subcutaneous needling for intercostal pain after surgery of osteoporotic thoracic vertebral compression fracture].

Zhen Ci Yan Jiu 2021 Apr;46(4):326-9

Department of Acupuncture and Moxibustion, Chinese Medicine Hospital of Gansu Province, Lanzhou 730000.

Objective: To observe the effect of Fu's subcutaneous needling therapy on pain degree, quality of life, serum 5-hydroxytryptamine (5-HT) and neuropeptide Y (NPY) in patients with intercostal pain after surgery for osteoporotic thoracic vertebral compression fracture (OVCF) and explore the application value of Fu's subcutaneous needling in treatment of post-operative intercostal pain.

Methods: A total of 60 patients with intercostal pain after OVCF surgery were divided into a medication group and a Fu's subcutaneous needling therapy group, with 30 cases in each group. In the medication group, zoledronic acid injection, salmon calcitonin injection, calcitonin D tablets and mecobalamin tablets were prescribed. Read More

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Platelet-Rich Plasma (PRP) Injection in Sports Injuries.

Indian J Orthop 2021 Apr 21;55(2):484-491. Epub 2021 Jan 21.

Centre for Sports Science, Department of Arthroscopy and Sports Medicine, Sri Ramachandra Institute of Higher Education and Research, No.1, Ramachandra Nagar, Porur, Chennai, 600116 Tamilnadu India.

Background: Sports injuries are very common, and the management demands high degrees of skills and best techniques for an early return to play. The use of Platelet Rich Plasma (PRP) injections in the treatment of tendon, muscle and ligament injuries has become popular. This study observes the outcomes of PRP injections in sports injuries. Read More

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Use of Osteochondral and Meniscal Allografts from Bone Cuts of Total Knee Arthroplasty for the Treatment of Tibial Plateau Malunions: A Case Series of Four Patients Showing Early Results.

Indian J Orthop 2021 Apr 28;55(2):375-383. Epub 2021 Jan 28.

Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.

Purpose: Intra-articular malunion of tibial plateau fracture is a complex problem to treat. We are presenting outcomes of our series of patients of malunited tibial plateau fractures treated with osteo-chondro-meniscal allograft from lateral tibial plateau harvested from patients undergoing total knee arthroplasty (TKA).

Methods: The technique was used in four patients. Read More

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The diffuse-type tenosynovial giant cell tumor (dt-TGCT) patient journey: a prospective multicenter study.

Orphanet J Rare Dis 2021 Apr 29;16(1):191. Epub 2021 Apr 29.

Department of Orthopaedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Background: Tenosynovial giant cell tumor (TGCT) is a rare, locally aggressive neoplasm arising from the synovium of joints, bursae, and tendon sheaths affecting small and large joints. It represents a wide spectrum ranging from minimally symptomatic to massively debilitating. Most findings to date are mainly from small, retrospective case series, and thus the morbidity and actual impact of this rare disease remain to be elucidated. Read More

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[Analgesic effect of electroacupuncture on chronic pelvic pain in patients with sequelae of pelvic inflammatory disease].

Zhongguo Zhen Jiu 2021 Apr;41(4):395-9

Department of Obstetrics and Gynecology, Second Affiliated Hospital of Liaoning University of TCM.

Objective: To observe the effect of electroacupuncture (EA) on chronic pelvic pain in patients with sequelae of pelvic inflammatory disease.

Methods: A total of 144 patients with chronic pelvic pain were randomly divided into an observation group (72 cases, 10 cases dropped off) and a control group (72 cases, 9 cases dropped off). The patients in the control group were treated with ibuprofen sustained-release capsules 10 days before menstruation, 0. Read More

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[Research on community promotion and application of single acupoint electroacupuncture therapy for lumbar intervertebral disc herniation].

Zhongguo Zhen Jiu 2021 Apr;41(4):391-4

Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.

Objective: To observe the clinical effect of single acupoint [Yaotu (extra)] electroacupuncture (EA) therapy on lumbar intervertebral disc herniation (LIDH) and its promotion and application in community medical institutions.

Methods: This research adopted a three-level promotion model, and used multi-center collaboration topics as a platform. A total of 240 patients with LIDH were divided into a group A (top three hospital, 80 cases, 3 cases dropped off), a group B (secondary hospital, 80 cases, 8 cases dropped off), and a group C (community health center, 80 cases, 7 cases dropped off). Read More

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A cross-sectional study of the genital duct and renal anomalies in Egyptian cases of congenital absence of the vas deferens.

Hum Fertil (Camb) 2021 Apr 28:1-7. Epub 2021 Apr 28.

Andrology & STDs department, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.

The aim of the study was to detect the incidence and types of genital and renal duct anomalies associated with congenital absent vas deferens (CAVD). In 200 males with CAVD, the demographic characteristics, physical examination findings were evaluated. Scrotal ultrasonography and transrectal ultrasonography (TRUS) were used as the diagnostic methods for evaluating unilateral or bilateral CAVD with associated abnormalities or agenesis of the testes, epididymes, seminal vesicles and prostate. Read More

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Treatment results and safety assessment of the LARS system for the reconstruction of the anterior cruciate ligament.

Adv Clin Exp Med 2021 Apr;30(4):379-386

Department of Trauma and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, Poland.

Background: Anterior cruciate ligament (ACL) reconstruction is the prevailing procedure in cases of ACL rupture.

Objectives: To assess the long-term safety of implementing a synthetic ligament with the Ligament Advanced Reinforcement System (LARS) in primary reconstruction of the ACL.

Material And Methods: The retrospective analysis involved 403 patients who had undergone ACL reconstruction with the same results in clinical and functional assessments. Read More

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[Clinical application of vascularized free fibular bone flap for repairing segmental mandibular defects in 40 cases].

Shanghai Kou Qiang Yi Xue 2021 Feb;30(1):93-96

Department of Stomatology, Qinghai Red Cross Hospital. Xining 810000, Qinghai Province, China.

Purpose: To investigate the effect of vascularized free fibular flap in repairing segmental mandibular defects.

Methods: Eighty patients with segmental mandibular defects treated in our hospital from June 2015 to May 2018 were enrolled. Both groups of patients were operated by the same group of medical staff with more than 5 years of clinical experience. Read More

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February 2021

[Therapeutic effect of Actovegin on acute oral mucositis caused by radiotherapy].

Shanghai Kou Qiang Yi Xue 2021 Feb;30(1):89-92

The Fifth People's Hospital of Qinghai Province. Xining 810000, Qinghai Province, China.

PURPOSE: To explore the clinical effect of Actovegin in the treatment of acute oral mucositis in patients with radiotherapy. METHODS: One hundred and thirteen patients with acute oral mucositis caused by radiotherapy for nasopharyngeal carcinoma admitted to the Department of Oncology, the Fifth People's Hospital of Qinghai Province from July 2015 to September 2017 were randomly divided into the experimental group (57 cases) and control group (56 cases). Patients in the experimental group were treated with Aiweizhi, while patients in the control group were treated with new rehabilitation. Read More

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February 2021

One-stage posterior laminectomy with instrumented fusion and foraminotomy for cervical ossification of posterior longitudinal ligament with radiculopathy pain.

J Orthop Surg Res 2021 Apr 26;16(1):277. Epub 2021 Apr 26.

Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, 1st Youyi Road, Chongqing, 400016, People's Republic of China.

Objective: To explore the clinical efficacy of posterior LFF for cervical OPLL with radicular pain of upper limbs METHODS: Between January 2014 and January 2018, 48 OPLL patients with radicular pain symptoms of upper limbs who underwent a one-stage posterior laminectomy and instrumented fusion with/without foraminotomy were reviewed retrospectively and divided into two groups: LF group (laminectomy with instrumented fusion without foraminotomy) and LFF group (laminectomy with instrumented fusion and foraminotomy). Clinical data were assessed and compared between the two groups. The radicular pain of upper limbs and neck was measured using the visual analog scale (VAS). Read More

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Safety and Efficacy of Balloon Kyphoplasty for Vertebral Fractures With Posterior Wall Disruption.

Int J Spine Surg 2021 Apr 1;15(2):353-358. Epub 2021 Apr 1.

Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Background: Percutaneous balloon kyphoplasty (BK) is widely accepted as both a safe and effective method for the treatment of symptomatic benign vertebral compression fractures (VCFs) of the thoracic and lumbar spines. A disruption in the posterior wall of the affected vertebra is often considered to be a relative or an absolute contraindication to BK. This study was performed to determine the safety as well as the efficacy of BK for vertebral body compression fractures associated with posterior wall disruption. Read More

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Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study.

Int J Spine Surg 2021 Feb 18;15(1):55-61. Epub 2021 Feb 18.

Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India.

Background: Long-segment posterior fixation has been used as a mainstay treatment of spine fracture-dislocations. Studies using short-segment posterior fixation in cases of thoracolumbar fracture-dislocation are limited. We describe our experience of 26 patients with thoracolumbar fracture-dislocation treated by short-segment or long-segment posterior spinal fixation and fusion. Read More

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February 2021

Effects of bruxism on temporomandibular joint internal derangement in patients with unilateral temporomandibular joint pain: The role of magnetic resonance imaging diagnostics.

Cranio 2021 Apr 25:1-9. Epub 2021 Apr 25.

Osmangazi University, Dentistry Faculty, Department of Oral and Maxillofacial Radiology, Eskişehir, Turkey.

: This study compared temporomandibular joint (TMJ) magnetic resonance imaging (MRI) findings between bruxism and control groups with unilateral TMJ pain as well as the TMJ MRI findings for the painful and non-painful sides of individuals in the two groups.: Clinical and MRI findings of patients seen at Uşak University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery for unilateral TMJ pain between 2017 and 2020 were analyzed. Bruxism was diagnosed based on clinical findings and patient history. Read More

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Comparison of clinical efficacy between arthroscopically assisted Tight-Rope technique and clavicular hook plate fixation in treating acute high-grade acromioclavicular joint separations.

Authors:
Si Nie Min Lan

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211010562

Department of Orthopedics, 159384Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, People's Republic of China.

Introduction: The purpose of this study was to compare the results of arthroscopically assisted reduction of acute acromioclavicular (AC) joint separations with the Tight-Rope technique with results of clavicular hook plate fixation.

Materials And Methods: The 28 patients with acute high-grade AC joint dislocation were treated with arthroscopic assisted fixation using the Tight-Rope system, the arthroscopic evaluation and treatment of glenohumeral lesions were performed before AC ligament reconstruction. Each Tight-Rope technique group patient was matched with three controls that underwent clavicular hook plate fixation, and preoperation and postoperative visual analogue scale (VAS) and functional recovery (Constant Score) of the shoulder joint was assessed,. Read More

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