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94.2% X-rays the hip joint was congruent. There was 2.9% of the retroversion of acetabulum, 3.3% lateralization.
Most of the parameters were comparable to standard values the acetabular index was lower. LCEA and NSA were higher. The acetabular angle was lower. There were femoral head asphericity, joint incongruity, and lateralization of the femoral head in a small proportion of our general population.
Most of the parameters were comparable to standard values the acetabular index was lower. LCEA and NSA were higher. The acetabular angle was lower. There were femoral head asphericity, joint incongruity, and lateralization of the femoral head in a small proportion of our general population.During the past decade, there was an increasing interest in orthopedic research in Indonesia. Therefore we aimed to investigate the profile of Indonesian orthopedic trend publication from 2010 to 2019. Systematic research was conducted to identify all orthopedic articles authored by Indonesian orthopedic surgeons. Article details (number of authors, authors' affiliation, publishing journal), type of author's affiliation, affiliate collaboration, study field, type, and level of evidence (LOE) were recorded and evaluated. Publishing journal metric and author h-index were also recorded. Descriptive statistics were used to summarize the data. Two hundred and twenty articles were included in our study. Clinical studies were the most common article type, followed by case reports and basic science. Among clinical articles, therapeutic studies were found significantly more frequent. On the other hand, economic studies were not found in this study period. The most popular field was oncology, followed by knee and spine. The average number of authors per article was 5.23 with a total of 205 individuals who had contributed during this decade. University hospital was the most common affiliation found and single-center study was the most common affiliate collaboration. The most common level of evidence was level V (case reports). Eighty-seven specific publishing journals were identified. More than 42% of the articles were published in journals with SJR between 0.25 and 0.50. The average author h-index was 3.56 (0-7). Although there was an increasing trend and quantity of publications among Indonesian authors, most articles had level 5 evidence (case reports) and the quality of publishing journals was mostly Q3 with a low-moderate SJR. Improvement of the article's quality and institutional collaboration will be needed for future contribution in global orthopedic society.
Multiple plain radiographic methods; cross table radiographic method, modified Budin method, projected neck-shaft angle method, and trans lateral decubitus view method using Ogata-Goldsand formula, have been described in literature for measurement of femoral stem version (FSV) after total hip arthroplasty (THA).
To review these multiple radiographic methods and also determine validity and accuracy of modified Budin method in Indian population.
A literature search for different methods described for FSV measurement was performed and these methods were reviewed. In addition, for validation of modified Budin method in Indian population, data was collected for 36 THAs prospectively. A posteroanterior radiograph with patient sitting in 90° hip flexion and 30° abduction was taken 3 weeks and 6 weeks after surgery for calculating the FSV using modified Budin method. At 3 weeks, a CT scan was also done for version measurement. Intra and interobserver reliability, and reproducibility of radiographic FSV measurem however, the 'modified Budin' view have proved multiple times to have excellent reliability and validity for easy measurement of FSV.
Quantitative bone re-modelling theories suggest that bones adapt to mechanical loading conditions. Follow-up studies have shown that total disc replacement (TDR) modifies stress patterns in the bones, leading to heterotopic ossification (HO). Although there are a few studies on HO using finite element models (FEM), its effect on the adjacent levels and change in range of motion (ROM) have not been adequately investigated. This study interfaces the HO using bone re-modelling algorithm with a finite element solution and investigates the subsequent changes in segmental ROM.
A FEM of the human cervical spine (C3-C7) was developed for this study, with material properties obtained from literature. The motion of the segments in the sagittal, frontal and transverse planes under combined loading conditions of 1 Nm moment and 73.6N compression were validated against experimental corridors. The natural disc between the C5-C6 segment was replaced with the Bryan artificial cervical disc, and changes in sagittal ROM wethe feasibility of using SED calculations from the flexion-extension loading conditions for prediction of HO after ADR. The current findings suggest that the nature of trabecular stresses, and the subsequent rate and location of HO formation could differ based on the geometric design and nature of constraint for different artificial discs. The Bryan disc significantly reduced ROM at the implanted level in flexion. However, in extension, ROM increased at the implanted level and decreased slightly at the adjacent levels. After HO, ROM drastically reduced at the implanted level in both extension and flexion, and showed a minor increase in the adjacent levels, indicating that biomechanical behavior of high-grade HO is similar to a fused segment, thereby reducing the intended and initial motion preservation.
CRD42020198333.
To compare the surgical and conservative treatment of proximal rectus femoris avulsions regarding clinical outcomes, rate of return to sports and incidence of complications.
Systematic review and meta-analysis.
Cochrane, Medline, Scopus and SPORTDiscus.
Studies reporting on outcomes of PRFAs or return to sports were included.
Nine studies consisting of a total eighty-two patients met the inclusion criteria. The mean age was 22.2 years and 75.9% of patients were male. Mean follow-up was 28.9 months and 65% avulsions were managed surgically. The overall outcomes were similar in surgical and conservative treatment group (p=0.72) with similar incidence of complications (14%). The rate of return to sports was 95% in surgical and 92.7% in the conservative management groups (p=0.93). check details Overall, the quality of the methodology of included studies was low, with a mean CMS of 45.6.
Both conservative and operative treatment provide excellent outcomes in proximal rectus femoris avulsions, with similar rates of return to sports and incidence of complications.
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