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  1. Article: Rotation-traction manipulation induced intradiskal pressure changes in cervical spine-an

    Han, Changxiao / Feng, Minshan / Wen, Haibao / Yin, Xunlu / Li, Jing / Du, Wuyin / Peng, Bochen / Liu, Guangwei / Zhu, Liguo

    Frontiers in bioengineering and biotechnology

    2024  Volume 12, Page(s) 1322212

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2024-02-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2719493-0
    ISSN 2296-4185
    ISSN 2296-4185
    DOI 10.3389/fbioe.2024.1322212
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The effect of distal tibial tuberosity high tibial osteotomy on postoperative patellar height and patellofemoral joint degeneration.

    Han, Changxiao / Li, Xia / Tian, Xiangdong / Zhao, Jiping / Zhou, Liqun / Tan, Yetong / Ma, Sheng / Hu, Yuanyi / Chen, Handong / Huang, Ye

    Journal of orthopaedic surgery and research

    2020  Volume 15, Issue 1, Page(s) 466

    Abstract: Background: Distal tibial tuberosity high tibial osteotomy (DTT-HTO) can prevent distalization of the tibial tuberosity and thus patellar infera. However, no studies on the clinical and radiological effects of DTT-HTO on the patellofemoral joint have ... ...

    Abstract Background: Distal tibial tuberosity high tibial osteotomy (DTT-HTO) can prevent distalization of the tibial tuberosity and thus patellar infera. However, no studies on the clinical and radiological effects of DTT-HTO on the patellofemoral joint have been conducted. The purpose of the study was to evaluate the effect of DTT-HTO on patella height and patellofemoral joint congruity based on the severity of patellofemoral joint OA.
    Methods: Twenty-nine patients (33 knees) who underwent DTT-HTO and second-look arthroscopy when implant was removed between January 2018 and May 2020 were eligible for the study. Among them, 6 were males, and 23 were females, with ages from 51 to 78 years old. The Caton-Deschamps index (CDI), congruence angle (CA), and lateral patellar tilt (LPT) were measured to evaluate the effect of surgery on patellar height and patellofemoral joint congruity. The weight-bearing line ratio (WBLR) was measured to assess lower limb alignment. The cartilage lesion in the patellofemoral joint was assessed arthroscopically during surgery and implant removal by the International Cartilage Repair Society (ICRS) grading system at 18-24 months after surgery. The Hospital for Special Surgery (HSS) scale was used to evaluate knee joint function.
    Results: Twenty-nine patients were followed up for 18-28 months. The preoperative CDI, CA, and LPT changed from 0.92 ± 0.16 to 0.89 ± 0.14, from 5.52 ± 2.19 to 5.44 ± 2.27, and from 6.95 ± 2.88 to 6.54 ± 2.42, respectively, and the differences were not statistically significant (p > 0.05). The preoperative WBLR significantly increased from 16.72 ± 6.77 to 58.77 ± 7.69% (p < 0.001). The cartilage lesions in the patella and femoral trochlea did not progress significantly from the first- to the second-look arthroscopy, according to the ICRS grades (p > 0.05). The HSS score significantly improved from 50.64 ± 19.18 preoperatively to 67.33 ± 14.72, 81.63 ± 11.92, and 82.73 ± 8.05 at the 3-month, 12-month, and last follow-up after surgery (p < 0.001).
    Conclusion: DTT-HTO can effectively prevent patellar infera, and its effects on postoperative patellofemoral joint congruity and patellofemoral joint OA progression are inconspicuous. It can be recommended as a treatment of varus knee combined with patellar infera or patellofemoral joint OA.
    MeSH term(s) Aged ; Disease Progression ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/surgery ; Osteotomy/methods ; Patella/diagnostic imaging ; Patella/pathology ; Patella/surgery ; Patellofemoral Joint/diagnostic imaging ; Patellofemoral Joint/pathology ; Patellofemoral Joint/surgery ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Tibia/diagnostic imaging ; Tibia/surgery ; Treatment Outcome
    Language English
    Publishing date 2020-10-09
    Publishing country England
    Document type Journal Article
    ISSN 1749-799X
    ISSN (online) 1749-799X
    DOI 10.1186/s13018-020-01996-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [High tibial osteotomy combined with lateral retinacular release for the treatment of knee varus osteoarthritis with lateral patellar compression syndrome].

    Chen, Han-Dong / Tian, Xiang-Dong / Tan, Ye-Tong / Wang, Jian / Zhu, Guang-Yu / Ma, Sheng / Hu, Yuan-Yi / Han, Chang-Xiao / Huang, Ye

    Zhongguo gu shang = China journal of orthopaedics and traumatology

    2021  Volume 34, Issue 1, Page(s) 57–62

    Abstract: Objective: To investigate the clinical effect of high tibial osteotomy combined with arthroscopic lateral retinacular release in the treatment of knee varus osteoarthritis.: Methods: From October 2017 to April 2019, a retrospective analysis was ... ...

    Abstract Objective: To investigate the clinical effect of high tibial osteotomy combined with arthroscopic lateral retinacular release in the treatment of knee varus osteoarthritis.
    Methods: From October 2017 to April 2019, a retrospective analysis was performed on 43 patients with knee varus osteoarthritis and lateral patellar compression syndrome treated by high tibial osteotomy combined with arthroscopic lateral retinacular release. There were 15 males and 28 females, aged 53 to 72(62.05±5.17) years. The visual analogue scale(VAS), Lysholm, and the knee range of motion were used to evaluate knee pain and functional recovery before operation, 2 weeks, 3 months and 12 months after operation. And the congruence angle (CA), patellar tilt angle (PTA), and femala-tibial angle (FTA) were measured respectively before and 12 months after operation to evaluate the congruence of patellar joint, and the improvement of line of gravity of lower limb.
    Results: All 43 patients were followed up for more than 12 months, with a follow-up time of 14 to 28 (19.60±4.50) months. The VAS scores decreased from 6.65±0.65 before operation to 2.16±0.95, 0.51±0.77 and 0.33±0.64 at 2 weeks, 3 months and 12 months after operation, and the difference was statistically significant (
    Conclusion: High tibial osteotomy combined with arthroscopic lateral retinacular release can relieve weight-bearing pain in frontal axis and improve the function of knee in sagittal axis.
    MeSH term(s) Aged ; Female ; Humans ; Knee Joint/surgery ; Male ; Middle Aged ; Osteoarthritis, Knee/surgery ; Osteotomy ; Patella ; Retrospective Studies ; Tibia/surgery ; Treatment Outcome
    Language Chinese
    Publishing date 2021-03-04
    Publishing country China
    Document type Journal Article
    ISSN 1003-0034
    ISSN 1003-0034
    DOI 10.12200/j.issn.1003-0034.2021.01.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Medical imaging and diagnosis of subpatellar vertebrae based on improved Laplacian image enhancement algorithm.

    Tian, Xiangdong / Wang, Jian / Du, Dongfeng / Li, Shuwen / Han, Changxiao / Zhu, Guangyu / Tan, Yetong / Ma, Sheng / Chen, Handong / Lei, Ming

    Computer methods and programs in biomedicine

    2019  Volume 187, Page(s) 105082

    Abstract: Objective: Nowadays, arthroscopy is widely applied to the treatment of joint diseases. The experimental trials were designed to determine whether the infrapatellar plica was symptomatic or not, and to appraise the medical effects of these patients who ... ...

    Abstract Objective: Nowadays, arthroscopy is widely applied to the treatment of joint diseases. The experimental trials were designed to determine whether the infrapatellar plica was symptomatic or not, and to appraise the medical effects of these patients who underwent arthroscopic treatment. An improved Laplacian image enhancement algorithm is added to the experiment. The medical image of the Subpatellar vertebral body under arthroscope is processed by the algorithm. The processed image is compared with the original image, and the advantages and disadvantages of the improved Laplacian image enhancement algorithm are analyzed.
    Methods: Retrospective Medical trial design was executed in our study. In addition, X-ray film and magnetic resonance imaging (MRI) were included in the study. Visual Analogue Scale (VAS) and Lysholm Score were carried out. Arthroscopy results, MRI findings, and Medical features were researched and analyzed carefully. Then we use the improved Laplacian image enhancement algorithm to process the image, which makes the image more convenient for analysis and improves the diagnostic accuracy.
    Results: Some of the experimental protomedical images are not clear enough, and the details and textures are difficult to judge, which hinders the diagnosis. After the improved Laplacian algorithm processing, the image effect has been significantly improved. From the image we get the result, although the wound healed after surgery, some patients have existence of transient swelling in recovery process but no effusion. The pain of all patients knee was sharply relieved and the function was improved. All patients' conditions were most satisfactory.
    Conclusion: The findings in this study demonstrate a significant reduction in knee pain and improvement in function by releasing and removal of the symptomatic infrapatellar plica under arthroscopic surgery. The image processed by the improved Laplacian image enhancement algorithm can effectively retain the image details, which is conducive to diagnosis and improve the diagnostic accuracy.
    MeSH term(s) Adult ; Aged ; Algorithms ; Arthroscopy ; Female ; Humans ; Image Enhancement ; Image Processing, Computer-Assisted ; Joint Capsule/diagnostic imaging ; Knee/diagnostic imaging ; Knee Joint/pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Visual Analog Scale
    Language English
    Publishing date 2019-09-16
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632564-6
    ISSN 1872-7565 ; 0169-2607
    ISSN (online) 1872-7565
    ISSN 0169-2607
    DOI 10.1016/j.cmpb.2019.105082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: [High tibial osteotomy combined with arthroscopy for elderly patients with knee osteoarthritis of medial compartment].

    Han, Chang-Xiao / Tian, Xiang-Dong / Wang, Jian / Tan, Ye-Tong / Zhu, Guang-Yu / Ma, Sheng / Hu, Yuan-Yi / Li, Shu-Wen / Chen, Han-Dong / Huang, Ye

    Zhongguo gu shang = China journal of orthopaedics and traumatology

    2020  Volume 33, Issue 3, Page(s) 214–218

    Abstract: Objective: To observe early clinical effect of high tibial osteotomy combined with arthroscopy for elderly patients with knee osteoarthritis of medial compartment.: Methods: Sixty-one elderly patients with medial compartment knee osteoarthritis were ... ...

    Abstract Objective: To observe early clinical effect of high tibial osteotomy combined with arthroscopy for elderly patients with knee osteoarthritis of medial compartment.
    Methods: Sixty-one elderly patients with medial compartment knee osteoarthritis were treated with high tibial osteotomy combined with arthroscopy from August 2017 to October 2018. Among them, including 17 males and 44 females, aged from 60 to 83 years old with an average of (67.87±6.45) years old. Weight bearing line (WBL) and femora-tibial angle (FTA) were analyzed to assess lower limb alignment before and 12 months after surgery. Visual analogue scale (VAS) score and Hospital for Special Surgery (HSS) score were used to evaluate knee pain and function before and 1, 3, 12 months after surgery.
    Results: All patients were followed up from 12 to 19 months with an average of (14.27±4.69) months. WBL was improved from (14.79±5.61) % before operation to (59.33±7.82) % at 12 months after operation (t=2.294,
    Conclusion: High tibial osteotomy combined with arthroscopy could adjust lower limb alignment effectively, relieve knee pain and functional dysfunction, which indicated a significant short term efficacy on the elderly patients with knee osteoarthritis of medial compartment.
    MeSH term(s) Aged ; Aged, 80 and over ; Arthroscopy ; Female ; Humans ; Knee Joint ; Male ; Middle Aged ; Osteoarthritis, Knee/surgery ; Osteotomy ; Tibia ; Treatment Outcome
    Language Chinese
    Publishing date 2020-04-13
    Publishing country China
    Document type Journal Article
    ISSN 1003-0034
    ISSN 1003-0034
    DOI 10.12200/j.issn.1003-0034.2020.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Distal tibial tuberosity high tibial osteotomy using an image enhancement technique for orthopedic scans in the treatment of medial compartment knee osteoarthritis.

    Tian, Xiangdong / Han, Changxiao / Wang, Jian / Tan, Yetong / Zhu, Guangyu / Lei, Ming / Ma, Sheng / Hu, Yuanyi / Li, Shuwen / Chen, Handong / Huang, Ye

    Computer methods and programs in biomedicine

    2020  Volume 191, Page(s) 105349

    Abstract: Objective: To observe the efficacy of distal tibial tuberosity high tibial osteotomy in treating medial compartment osteoarthritis of the knee. In the experiment, a medical image enhancement algorithm based on shear wave domain improved Gamma correction ...

    Abstract Objective: To observe the efficacy of distal tibial tuberosity high tibial osteotomy in treating medial compartment osteoarthritis of the knee. In the experiment, a medical image enhancement algorithm based on shear wave domain improved Gamma correction was implemented to process medical images in order to diagnose patients more effectively.
    Methods: Sixty-five patients (13 males and 52 females) were included in the study who were treated with distal tibial tuberosity high tibial osteotomy, and the mean age of the patients was 63±6 years (range 49-73). All patients received X-Ray and MRI before surgery. We carefully studied and analyzed the findings, MRI findings and medical characteristics after using the shearlet domain to improve the Gamma correction method in order to enhance diagnostic accuracy. The improved image help us to judge the damage of the medial and lateral compartment more accurately. Weight bearing line (WBL) and femora-tibial Angle (FTA) were measured to evaluate the lower limb alignment before and 12 months after surgery. Visual analogue scale (VAS) scores, Hospital for Special Surgery (HSS) scores, the Westrn Ontario and Mcmaster Universities (WOMAC) scores were recorded to evaluate knee pain and function before surgery, 3 months and 6 months after surgery.
    Results: The X-Ray and MRI scans of the patients were analyzed. After the shear wave shearlet domain is implemented, the image effect is significantly improved. 12 months after surgery, WBL was improved from 16.34±2.18% to 60.32±2.89% (p<0.05), FTA was improved from 171.17±1.87° to 179.83±2.14° (p<0.05). At 3 months and 12 months after surgery, VAS, HSS and WOMAC scores were significantly improved compared with baseline (p<0.05).
    Conclusion: Distal tibial tuberosity high tibial osteotomy is able to correct varus deformity, relieve knee pain and the functional dysfunction, indicating which had a significant short-term efficacy. The shear wave shearlet domain incorporates the Gamma correction method to effectively preserve the image details, which to achieve a more accurate diagnosis, and help us to judge the damage of the medial and lateral compartment more accurately.
    MeSH term(s) Aged ; Female ; Humans ; Image Enhancement/methods ; Knee Joint/diagnostic imaging ; Knee Joint/physiopathology ; Male ; Middle Aged ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/surgery ; Osteotomy/methods ; Tibia/surgery ; Weight-Bearing
    Language English
    Publishing date 2020-01-22
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632564-6
    ISSN 1872-7565 ; 0169-2607
    ISSN (online) 1872-7565
    ISSN 0169-2607
    DOI 10.1016/j.cmpb.2020.105349
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  7. Article: [Evaluation of cartilage regeneration by arthroscopy after high tibial osteotomy].

    Han, Chang-Xiao / Tian, Xiang-Dong / Wang, Jian / Tan, Ye-Tong / Zhu, Guang-Yu / Lei, Ming / Ma, Sheng / Hu, Yuan-Yi / Li, Shu-Wen / Chen, Han-Dong / Huang, Ye

    Zhongguo gu shang = China journal of orthopaedics and traumatology

    2020  Volume 33, Issue 5, Page(s) 465–469

    Abstract: Objective: To evaluate the cartilage regeneration in the knee joint by arthroscopy after high tibial osteotomy.: Methods: Eleven patients were included in the study who were treated with high tibial osteotomy and underwent microscopy when the ... ...

    Abstract Objective: To evaluate the cartilage regeneration in the knee joint by arthroscopy after high tibial osteotomy.
    Methods: Eleven patients were included in the study who were treated with high tibial osteotomy and underwent microscopy when the internal fixation was unloaded from September 2017 to September 2019. Among them, there were 2 males and 9 females, aged from 55 to 64 years old. The internal and external compartment pictures of the knee were taken before and after surgery of removing the internal fixation and the International Cartilage Repair Society (ICRS) grading systerm was used to evaluate the degree of cartilage damage on the medial and lateral femoralcondyles and tibial plateau. The Westrn Ontarioand Mcmaster Universities osteoarthritis index (WOMAC) and the weight bearing line (WBL) were used to evaluate the function of the knee and the alignment of the lower limb.
    Results: All 8 patients were followed up for more than 12 months, ranging from 12 to 22 months. The degenerated cartilage of the medial femoral condyle and medial tibial plateau was covered by newly regenerated cartilage. WOMAC score decreased from 102-127 to 41-52 and WBL was improved from 17%-34% to 58%-64%. All incisions healed in stageⅠ, and no complications such as internal fixation rupture and infection occurred during and after the operation.
    Conclusion: High tibial osteotomy can relieve the pain of the knee and the dysfunction by adjusting lower limb alignment, and the degenerated cartilage could be regenerated in the medial femoral condyle and medial tibial plateau.
    MeSH term(s) Arthroscopy ; Cartilage, Articular ; Female ; Humans ; Knee Joint ; Male ; Middle Aged ; Osteoarthritis, Knee ; Osteotomy ; Regeneration ; Tibia ; Treatment Outcome
    Language Chinese
    Publishing date 2020-05-25
    Publishing country China
    Document type Journal Article
    ISSN 1003-0034
    ISSN 1003-0034
    DOI 10.12200/j.issn.1003-0034.2020.05.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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