We report on a 30-year-old haemophilic man with a pelvic pseudotumour compressing adjacent structures causing pain and swelling and destruction of surrounding soft tissues and bones. He underwent evacuation of the pseudotumour, acetabular reconstruction using the Harrington procedure, and total hip arthroplasty.
AbstrakLatar belakang: Osteoartritis (OA) adalah kelainan sendi lutut degeneratif tersering, jumlah pasien OA semakin bertambah dengan bertambahnya harapan hidup. Artroplasti distraksi adalah sebuah alternatif yang relatif lebih tidak invasif untuk tatalaksana OA dengan menghilangkan stres mekanis dan mempertahankan tekanan intermiten cairan sendi, sehingga menghentikan siklus kerusakan pada OA. Penelitian ini bertujuan mempelajari perubahan anatomi dan histopatologi setelah artroplasti distraksi pada model hewan osteoartritis.Metode: Penelitian dilakukan pada 32 lutut kambing (16 kambing) yang terlebih dahulu diinduksi secara mekanis menjadi OA dengan menisektomi lateral. Selama masa penelitian, 6 kambing mati. Artroplasti distraksi dilaksanakan menggunakan fiksasi eksterna pada 10 lutut selama 4 minggu, dan 10 lutut kontralateral dibiarkan, kemudian diperiksa secara anatomis dan histopatologis untuk diperbandingkan mengunakan staging International Cartilage Repair Society (ICRS) dan skoring Osteoarthritis Research Society International (OARSI). Perbedaan anatomis dan histopatologis diuji kemaknaannya menggunakan uji Wilcoxon.Hasil: Terdapat perburukan secara anatomi dan histopatologi pada lutut yang diberikan perlakuan. Nilai median perbandingan secara makroskopis dengan staging ICRS berbeda bermakna (1,5 vs 2,5; p < 0,002). Perbandingan secara histopatologi dengan skoring OARSI berbeda bermakna (6 vs 10; p < 0,002).Kesimpulan: Arthroplasti distraksi pada model OA kambing dalam penelitian ini, tidak memberikan perbaikan, melainkan memperburuk OA. Penelitian lebih lanjut diperlukan untuk memberikan dasar biologis yang kuat dari artroplasti distraksi sebagai terapi alternatif untuk OA. AbstractBackground: Osteoarthritis (OA) is the most common knee degenerative disease, the number of OA patients increases along with the increase of life expectancy. Distraction arthroplasty is a less invasive alternatif for OA management by releaving mechanical stress while maintaining intermitten joint fluid pressure changes, thus halting the OA destructive cycle and inducing repair. This study aims to evaluate the anatomical and histopathological changes after distraction arthroplasty on osteoarthritic animal models. Methods:The study was performed on 32 goat stiffle joint (16 goats) with mechanically induced OA by lateral meniscectomy. During the study 6 goats were decreased. Distraction arthroplasty was performed using external fixation on 10 knees for 4 weeks, and the contralateral knees left untreated. The knees were anatomically and histopathologically examined using International Cartilage Repair Society (ICRS) staging and Osteoarthritis Research Society International (OARSI) scoring. The differences of the anatomical and histopathological changes are tested for significance using the Wilcoxon test.Results: There was anatomical and histopathological worsening of the OA on treated knees. The anatomical difference assessed using ICRS stage gave median values of 1.5 and 2.5 respectively (p < 0.002). The histopathological diff...
Background: Since there are too many cases of lumbar canal stenosis in Indonesia. The aim of the study was to discover all the factors that influence the incidence of lumbar canal stenosis.Methods: This study used all cases of lumbar canal stenosis in Koja District Hospital in Jakarta from 2011 to 2021. This was a medical record-based retrospective study in which files of patients with the diagnosis of lumbar canal stenosis were reviewed. A descriptive analytic test was used to analyze results was presented in the form of a table.Results: There were 48 lumbar canal stenosis cases in male patients out of 66 total patients. Incidents of lumbar canal stenosis occurred more frequently in anatomical locations L4-5 than in other locations. There were 48 lumbar canal stenosis cases with anatomical locations L4-5 in 50 patients from 66 patients. Incidents of lumbar canal stenosis occur in people with obesity more frequently than in people without obesity. There were 48 lumbar canal stenosis cases in people with obesity patients out of 66 total patients. The incidence of lumbar canal stenosis with a moderate VAS score was greater than that with a mild or severe VAS score. There were 48 lumbar canal stenosis patients with a moderate vas score out of 66 patients. There were 59 lumbar canal stenosis patients who got surgery out of 66 patients, and 7 of them had no surgery. Lumbar canal stenosis more frequently occurred in men than women, with more frequent anatomical lesions in L4-L5, and more frequently in people with obesity than in people without obesity. Most of them had a moderate VAS score and got surgery.Conclusions: According to this study, males had more lumbar canal stenosis incidents than females.
Highlights There is controversy in the recent literature regarding the most appropriate treatment for the spondylitis TB. Mesh cage has potential advantages, for the treatment of the spondylitis TB. Combined with fusion and reconstruction technique it could serve as a viable option for the treatment of the spondylitis TB.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.