Journal of Musculoskeletal Surgery and Research

Journal Information
ISSN / EISSN : 2589-1219 / 2589-1219
Published by: Scientific Scholar (10.25259)
Total articles ≅ 261
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, Mohamed Elkhalifa
Journal of Musculoskeletal Surgery and Research pp 1-6; https://doi.org/10.25259/jmsr_42_2022

Abstract:
Objectives: Minimal invasive spinal surgery (MISS) is a relatively new surgical approach that minimizes tissue damage, reduces blood loss, and promises faster post-operative recovery compared to the traditional open approach. The current retrospective study aimed to assess and compare the surgical time, blood loss during the procedures, post-operative mobility, hospital stay, post-operative pain, and post-surgery patient satisfaction between the two groups. Methods: Forty patients who underwent decompression procedures at our institute were included in this retrospective study. The patients were interviewed by a phone call by a single coinvestigator 1 year after surgery to survey their satisfaction. Results: Thirteen patients (32.5%) underwent MISS and 27 (67.5%) underwent traditional surgery. The mean operative time and blood loss volume for MISS and traditional surgery were found to be 166.08 ± 44.75 min and 193.14 ± 58.67 min, and 69.23 ± 25.31 mL and 367 ± 451.5, respectively. The hospital stay was 3.62 ± 1.38 days for the MISS and 6.48 ± 4.57 days for the traditional surgery. Post-operative mobilization was found to be the 1st day for MISS and the 1.78th day for the traditional surgery group. Statistical significance difference (P < 0.05) was observed in blood loss volume, hospitalization time, post-operative mobilization, and pain level after surgery in favor of MISS. Conclusion: MISS in obese patients was found superior to traditional (open) surgery in blood loss, operative time, post-operative mobilization, and post-operative pain.
, Wafa Al Baluki, Vasudev Aithal
Journal of Musculoskeletal Surgery and Research pp 1-4; https://doi.org/10.25259/jmsr_28_2022

Abstract:
Nemaline myopathy is a rare genetic disorder caused by a mutation in genes encoding skeletal muscle proteins resulting in generalized hypotonia. It can be associated with neonatal multiple long bone fractures. We present a female neonate who had bilateral humerus and left femur fractures. Due to fetal distress, her delivery was at 37 weeks gestation by emergency cesarean section. The child was splinted and followed up for 8 weeks. She had a good union of fractured bones, callus formation, and no deformity. Muscle biopsy showed nemaline myopathy. Other biochemical and genetic tests were normal. The aim of this case report was to describe the presentation of multiple long bone fractures in neonates as an obstetric complication. Therefore, identifying the potential risk factors and planning the mode of delivery in future pregnancies, is critical in their management.
Lorena Baldini-Garcia,
Journal of Musculoskeletal Surgery and Research pp 1-6; https://doi.org/10.25259/jmsr_32_2022

Abstract:
Unstable pelvic ring injuries continue to be challenging to manage. Obese patients have a higher risk of complications and such management entails additional difficulties for emergency services and the medical-surgical team. A 41-year-old male with a body mass index of 44 fell from a water slide and suffered an anteroposterior pelvic compression impact injury. He presented with a Tile C1.3 pelvic fracture, Denis III sacral fracture, and Roy-Camille Type 4 spinopelvic dissociation. We performed a posterior triangular fixation and anterior double plating, and the patient gained full recovery and was able to return to work. This case report focuses on some key tools and techniques to consider when managing complex pelvic fractures in obese patients, requiring specialized equipment or adjustments to conventional treatments to obtain a good outcome. We used accessory portals through the fat pad to adequately place the plate screws. In addition, we used polypropylene mesh for post-operative incisional hernia prophylaxis, longer instruments for iliosacral screw placement, and a multidisciplinary approach with rehabilitation and nutrition control.
, Elsayed H. Youssef
Journal of Musculoskeletal Surgery and Research pp 1-4; https://doi.org/10.25259/jmsr_22_2022

Abstract:
A 36-year-old male presented with a traumatic partial tear of the gluteus maximus tendon following a fall with twisting mechanism of injury. He presented with pain that did not improve despite 6 months of conservative treatment and eventually required surgical repair. He recovered fully after repair and returned to a normal lifestyle at 3-month follow-up. Gluteus maximus tendon tear is a rare injury with little published literature regarding the clinical presentation, data related to epidemiology, and treatment management options. We present our case report to shed some light on this rare pathology.
Frederico A. C. Farias, Vincenzo F. Falavigna, Maria Eduarda L. Viapiana,
Journal of Musculoskeletal Surgery and Research, Volume 6, pp 160-166; https://doi.org/10.25259/jmsr_37_2022

Abstract:
Objectives: Remote monitoring or telemonitoring is an innovative strategy to improve patient care. This study aimed to present the authors’ experience of a remote monitoring platform for post-operative care of patients who have undergone spine surgery. Methods: A telemonitoring system for patients undergoing spine surgery, centered on a smartphone application named Wippe Track, (Brazilian Telemedicine Company BR HomMed, São Paulo, Brazil) compatible with both Android and iOS smartphones. All patients had two Bluetooth devices connected to the smartphone application: Digital scale and wristband activity tracker. The outcomes evaluated were based on patient-related outcome measures (PROMs) using specific disease-oriented questionnaires. Results: A preliminary study to refine the system based on patient/provider input was performed with 30 patients. The adherence and interaction with the platform were 94%. Patients have provided all the PROMs data inputs and have consistently interacted with monitoring center professionals and the surgeon through the platform. Weight loss was observed in 76% of overweight patients using remote nutritionist support and specific exercises. Conclusion: The patients were satisfied and felt secure. The remote monitoring could detect and help manage events and warnings related to post-operative issues and reduce the need to travel for non-scheduled care.
Journal of Musculoskeletal Surgery and Research, Volume 6, pp 144-147; https://doi.org/10.25259/jmsr_40_2022

Abstract:
Objectives: The objectives of the study were to show the Paraguay experience in the diagnosis and handling of pulled elbows in recent years. Methods: A retrospective study of patients who presented to the emergency service was carried out from July 2019 to December 2021. Patients under 6 years with typical symptoms and signs of pulled elbow were included in the study. The data collected were demographics, affected side, mechanism of injury, and number of times pulled elbow occurred. The maneuver performed for the treatment and its success was also recorded. Results: There were 30 pulled elbow cases in 26 patients. Age ranged from 1 to 5 years, with a median of 3 years. The left side was more frequently affected (53%). There were more females affected (77%). The main mechanism of injury was upper limb traction, which occurred in 26 elbows (86.6%), followed by falling from a standing height in four cases. We found that imaging studies are requested when the reason for consultation is referred to as a possible fall from one’s own height. The hyperpronation method of reduction was effective in all cases. The treating physician felt the “click” in 93.3% of the times. Conclusion: The pulled elbow is a frequent injury in pediatric emergencies. It requires a high index of suspicion to make the diagnosis and a training to perform the hyperpronation reduction maneuver. Physicians subjected to the diagnosis and reduction maneuver training, can treat these injuries successfully without consultation of pediatric orthopedics.
, Abdullah H. Alshebromi, Amro F. Albaz, Mahdi M. Bassi
Journal of Musculoskeletal Surgery and Research, Volume 6, pp 179-183; https://doi.org/10.25259/jmsr_14_2022

Abstract:
A primary aneurysmal bone cyst (ABC) of the spine is a benign lesion with an aggressive nature that can lead to bone destruction and the potential of recurrence after surgical resection. This report focuses on a rare case of the primary ABC in the proximal thoracic spine that is associated with paraplegia in a 7-year-old patient. Nonetheless, the previous research has confirmed that the best therapy for thoracic lesions is challenging and the paucity of evidence-based practice remains an impediment to addressing the issue. The main attribute that leads to these difficulties is the position of the lesions that occur close to the spine and the documented relationship to deformity. Surgical resection decompression can be used alone or in combination with fixation, curettage, selective arterial embolization, and radiotherapy. This report aimed to discuss the clinical, radiological, and therapeutic features of the primary spinal ABC and stress the need for complete surgical excision and decompression if complete spinal cord injury is present. We report this rare case, which was treated surgically with excellent neurological recovery and no recurrence of the ABC at 7 months of follow-up.
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