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Artikel ; Online: The obesity challenge in joint replacement: a multifaceted analysis of self-reported health status and exercise capacity using NHANES data - a population-based study.

Zhang, Xianzuo / Xianyue, Shen / Jiaxiang, Bai / Wanli, Zang / Mo, Chen / Maimaitiabula, Abasi / Chen, Zhu

International journal of surgery (London, England)

2024

Abstract: Background: Joint replacement is successful for end-stage osteopathy, with obesity linked to evaluated risk. But the impact of obesity on self-reported health and exercise capacity among joint replacement patients remains complex and requires ... ...

Abstract	Background: Joint replacement is successful for end-stage osteopathy, with obesity linked to evaluated risk. But the impact of obesity on self-reported health and exercise capacity among joint replacement patients remains complex and requires investigation. Methods: This study utilizes data from the National Health and Nutrition Examination Survey (NHANES) to examine the relationship between obesity severity, demographic factors, medical comorbidities, and self-reported health status. The relationship between general health status and BMI was analyzed using multivariable regression, and further illustrated using a restricted cubic spline. Additionally, a bibliometric analysis and systemic review was done to frame the research within the broader context of existing knowledge and demographic specifics. Results: Analysis of NHANES data involving 327 joint replacement patients yielded intriguing insights. The difference in self-reported health between BMI groups did not achieve conventional statistical significance (P=0.06), and multivariable analysis showed that even severely obese patients did not exhibit significantly elevated risk of poor/fair self-reported health compared to normal weight subjects. Among severely obese individuals (BMI>40), 40.63% still rated their health positively. However, stratified analyses indicated that obesity correlated with negative health reports across gender, age, and education strata. Notably, physical functioning emerged as a robust predictor of self-reported health, with those reporting no walking difficulties having significantly lower odds of poor/fair health (Odds Ratio=0.37, P=0.01). Conclusion: The study highlights the need for healthcare providers to consider individual physical abilities and comorbidities alongside obesity severity when discussing treatment options with joint replacement patients. It supports tailored interventions and informed shared decision-making. Future research could explore effective weight management strategies for obese individuals undergoing joint replacement.
Sprache	Englisch
Erscheinungsdatum	2024-03-18
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1097/JS9.0000000000001287
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Quantifying the dose-response relationship between exercise and health-related quality of life in patients undergoing haemodialysis: A meta-analysis.

Zang, Wanli / Fang, Mingqing / Xiao, Ningkun / Zhang, Xianzuo / Lin, Changchun / Wang, Su

Preventive medicine reports

2024 Band 42, Seite(n) 102737

Abstract: Objective: This meta-analysis aims to explore the dose-response relationship of aerobic exercise or aerobic combined resistance exercise on cardiopulmonary function in maintenance hemodialysis（MHD）, with the goal of aiding in the formulation of precise ... ...

Abstract	Objective: This meta-analysis aims to explore the dose-response relationship of aerobic exercise or aerobic combined resistance exercise on cardiopulmonary function in maintenance hemodialysis（MHD）, with the goal of aiding in the formulation of precise exercise prescriptions. Methods: A literature search up to August 18, 2023, was conducted in databases including Web of Science, among others, focusing on the effects of exercise interventions on cardiopulmonary function in hemodialysis patients.Two researchers independently conducted literature screening, data extraction, and an assessment of study methodology quality. A dose-response Results: A nonlinear dose-response relationship was observed between exercise and 6-minute walk test (6WMT) as well as peak oxygen uptake (VO Conclusion: There is a significant association between the dose of exercise and its effects. With appropriate adjustment of variables, even low-dose exercise can lead to clinically significant improvements in cardiopulmonary function.
Sprache	Englisch
Erscheinungsdatum	2024-04-20
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Review
ZDB-ID	2785569-7
ISSN	2211-3355
ISSN	2211-3355
DOI	10.1016/j.pmedr.2024.102737
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Outcomes of a Double-Cup Construct to Treat Paprosky 3A and 3B Acetabular Defects at a Mean of 39 Months.

Liu, Quan / Zhang, Rong-Wei / Ma, Rui-Xiang / Zhu, Wan-Bo / Zhang, Xian-Zuo / Zhu, Chen

The Journal of arthroplasty

2024

Abstract: Background: Modular reconstruction systems based on porous tantalum (PT) prosthetic components have been increasingly used for the treatment of complex acetabular bone defects in revision total hip arthroplasty (rTHA). We report a novel technique that ... ...

Abstract	Background: Modular reconstruction systems based on porous tantalum (PT) prosthetic components have been increasingly used for the treatment of complex acetabular bone defects in revision total hip arthroplasty (rTHA). We report a novel technique that applies a revision cup as a "super-augment" to form a "double-cup" construct for Paprosky type III defects. Method: A retrospective review was conducted on rTHA cases, comparing those treated with double-cup constructs (DC group, n = 48) to those treated with PT shells and augments (PT group, n = 48). All procedures were performed at the same institute between 2017 and 2022. Clinical outcome evaluation utilized the Harris Hip Score (HHS), Oxford Hip Score (OHS), and 36-Item Short Form Survey (SF-36). Preoperative and postoperative radiographic assessments measured hip center of rotation (COR) position and leg length discrepancy (LLD). Additionally, postoperative complications and implant survivorship were monitored during the follow-up period. Results: The clinical outcomes improved substantially in both groups, which showed no significant difference in HHS (P = 0.786), OHS (P = 0.570), and SF-36 (P = 0.691). Compared to the PT group, the reconstruction COR was significantly closer to the anatomic COR (vertical distance: 2.630 versus 7.355 mm, P = 0.0034; horizontal distance: 1.881 versus -6.413 mm, P < 0.0001) in Paprosky IIIB type defects. Additionally, postoperative LLD was less in the DC group (-8.252 versus -1.821 mm, P = 0.0008). Dislocation was the main complication in the DC group, and only one patient received re-revision due to repeated dislocation. The cumulative survival rate of the DC group (100%; 95% CI [confidence interval] 100) was better than the PT group (83.4%; 95% CI 70.5 to 98.6) when re-revisions for aseptic loosening were the endpoint (P = 0.046). Conclusions: The double-cup construct is a reliable revision technique for the reconstruction of Paprosky type III bone defects. Although dislocation remains challenging, the biomechanically superior restoration achieved by this technique lowers the risk of aseptic loosening.
Sprache	Englisch
Erscheinungsdatum	2024-05-30
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2024.05.070
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Are patients with preoperative synovitis suitable for unicompartmental knee arthroplasty? Magnetic resonance imaging evidence from a retrospective cohort study.

Wang, Zhengxi / Zhang, Xudong / Zhang, Xianzuo / Wang, Jiaxing / Zhu, Chen

BMC musculoskeletal disorders

2023 Band 24, Heft 1, Seite(n) 433

Abstract: Background: The use of unicompartmental knee arthroplasty (UKA) in patients with preoperative synovitis is controversial. This study aimed to investigate the association between synovitis detected by magnetic resonance imaging (MRI) and prognosis after ... ...

Abstract	Background: The use of unicompartmental knee arthroplasty (UKA) in patients with preoperative synovitis is controversial. This study aimed to investigate the association between synovitis detected by magnetic resonance imaging (MRI) and prognosis after UKA. Methods: Synovitis was graded using the MRI Osteoarthritis Knee Score criteria based on preoperative MRI findings of 132 UKAs performed between June 2020 and August 2021. The Knee Society Knee Score (KS-KS) and the Knee Society Function Score were collected preoperatively and 1 year postoperatively. The relationship between synovitis and the changes in the Knee Society score was analyzed using logistic regression. Results: Univariate logistic regression showed that patients with higher preoperative synovitis scores (odds ratio (OR) = 1.925, 95% confidence interval (CI): 1.482-2.500, P < 0.001) had higher KS-KS changes. After adjusting for confounding variables, synovitis was proven to be an independent factor for KS-KS improvement after UKA in multivariate logistic regression (OR = 1.814, 95% CI: 1.354-2.430, P < 0.001). Before UKA, patients with synovitis had lower pain scores (PS) than patients without synovitis (95% CI: -17.159 - -11.160, t = -9.347, P < 0.001). There was no difference in PS between the two groups after UKA (95% CI: -6.559 - 0.345, t = -1.782, P = 0.077). Conclusions: Patients with synovitis can achieve good improvement of pain symptoms, and the efficacy is not inferior to that of non-synovitis patients after UKA.
Mesh-Begriff(e)	Humans ; Arthroplasty, Replacement, Knee/adverse effects ; Arthroplasty, Replacement, Knee/methods ; Osteoarthritis, Knee/complications ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/surgery ; Retrospective Studies ; Treatment Outcome ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Knee Joint/pathology ; Magnetic Resonance Imaging ; Pain/surgery
Sprache	Englisch
Erscheinungsdatum	2023-05-30
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	2041355-5
ISSN	1471-2474 ; 1471-2474
ISSN (online)	1471-2474
ISSN	1471-2474
DOI	10.1186/s12891-023-06506-7
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Exploring the Epidemiology of Injuries in Athletes of the Olympic Winter Games: A Systematic Review and Meta-Analysis.

Zang, Wanli / Fang, Mingqing / Zhang, Xianzuo / Xiao, Ningkun / Wang, Su / Mu, Liang

Journal of sports science & medicine

2023 Band 22, Heft 4, Seite(n) 748–759

Abstract: This study sought to provide a comprehensive assessment of the incidence of sports injuries among athletes participating in the Olympic Winter Games and to investigate contributing factors. We gathered injury data from athletes participating in the ... ...

Abstract	This study sought to provide a comprehensive assessment of the incidence of sports injuries among athletes participating in the Olympic Winter Games and to investigate contributing factors. We gathered injury data from athletes participating in the recent four Olympic Winter Games, incorporating details on the sports event, sex, injury location, and type. Through a meta-analysis, we calculated the injury incidence rates for each sport and examined the influence of sex and the type of sport on these incidence rates. Out of 11,197 registered athletes, we documented 1,304 sports injuries. The sports events with the highest injury rates were freestyle skiing, snowboarding, alpine skiing, bobsleigh, and ice hockey, with the most frequent injury locations being the knees, thoracic/lumbar/back regions, and the wrist/hand/fingers. Contusions, hematomas, and bruises were the most prevalent injuries, followed by strains (including muscle rupture, tearing, or tendon rupture) and sprains (covering dislocations, subluxations, and ligament ruptures). In the Olympic Winter Games, events such as freestyle skiing, snowboarding, alpine skiing, bobsleigh, and ice hockey pose a particularly high risk. Predominant injury sites include the knee, spine/back, and wrist and hand, with injuries ranging from contusions and hematomas to strains and sprains. For effective injury prevention, it is crucial to emphasize proper medical resource allocation, specialized training for medical personnel, and meticulous venue maintenance.
Mesh-Begriff(e)	Humans ; Athletic Injuries/epidemiology ; Athletic Injuries/etiology ; Snow Sports ; Athletes ; Sprains and Strains/epidemiology ; Contusions/complications ; Hematoma/complications
Sprache	Englisch
Erscheinungsdatum	2023-12-01
Erscheinungsland	Turkey
Dokumenttyp	Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2075564-8
ISSN	1303-2968 ; 1303-2968
ISSN (online)	1303-2968
ISSN	1303-2968
DOI	10.52082/jssm.2023.748
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Local delivery of gaseous signaling molecules for orthopedic disease therapy.

Sun, Jiaxuan / Wang, Wenzhi / Hu, Xianli / Zhang, Xianzuo / Zhu, Chen / Hu, Jinming / Ma, Ruixiang

Journal of nanobiotechnology

2023 Band 21, Heft 1, Seite(n) 58

Abstract: Over the past decade, a proliferation of research has used nanoparticles to deliver gaseous signaling molecules for medical purposes. The discovery and revelation of the role of gaseous signaling molecules have been accompanied by nanoparticle therapies ... ...

Abstract	Over the past decade, a proliferation of research has used nanoparticles to deliver gaseous signaling molecules for medical purposes. The discovery and revelation of the role of gaseous signaling molecules have been accompanied by nanoparticle therapies for their local delivery. While most of them have been applied in oncology, recent advances have demonstrated their considerable potential in diagnosing and treating orthopedic diseases. Three of the currently recognized gaseous signaling molecules, nitric oxide (NO), carbon monoxide (CO), and hydrogen sulfide (H
Mesh-Begriff(e)	Gases ; Signal Transduction ; Hydrogen Sulfide/therapeutic use ; Carbon Monoxide ; Nitric Oxide
Chemische Substanzen	Gases ; Hydrogen Sulfide (YY9FVM7NSN) ; Carbon Monoxide (7U1EE4V452) ; Nitric Oxide (31C4KY9ESH)
Sprache	Englisch
Erscheinungsdatum	2023-02-21
Erscheinungsland	England
Dokumenttyp	Journal Article ; Review
ZDB-ID	2100022-0
ISSN	1477-3155 ; 1477-3155
ISSN (online)	1477-3155
ISSN	1477-3155
DOI	10.1186/s12951-023-01813-6
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Letter to the Editor on "Artificial Intelligence to Identify Arthroplasty Implants From Radiographs of the Hip".

Kong, Lingtong / Zhang, Xianzuo / Zhu, Chen

The Journal of arthroplasty

2021 Band 36, Heft 4, Seite(n) e26–e27

Mesh-Begriff(e)	Arthroplasty, Replacement, Hip/adverse effects ; Artificial Intelligence ; Humans ; Prostheses and Implants ; Radiography
Sprache	Englisch
Erscheinungsdatum	2021-03-11
Erscheinungsland	United States
Dokumenttyp	Letter ; Comment
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2020.12.043
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The mysteries of rapidly destructive arthrosis of the hip joint: a systemic literature review.

Hu, Lintao / Zhang, Xianzuo / Kourkoumelis, Nikolaos / Shang, Xifu

Annals of palliative medicine

2020 Band 9, Heft 3, Seite(n) 1220–1229

Abstract: Rapidly destructive arthrosis (RDA) is considered a rare and poorly diagnosed disease but is now seen more frequently in practice due to ageing populations. The most typical radiological features are flat femoral heads, absence of articular cartilage, ... ...

Abstract	Rapidly destructive arthrosis (RDA) is considered a rare and poorly diagnosed disease but is now seen more frequently in practice due to ageing populations. The most typical radiological features are flat femoral heads, absence of articular cartilage, subchondral bone destruction and signs of joint effusion. These features could be found on X-ray or magnetic resonance imaging (MRI). Surgeons should consider the presence of RDA when patients show rapid femoral head destruction. The purpose of this study is to review the distinct clinical features and successful treatments which may lead to the diagnosis and early handling of RDA. A comprehensive review of the literature was undertaken using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines with no language restrictions. Overall 23 publications with 17 detailed cases of RDA met the inclusion criteria. We found that the only prevalent factors associated with RDA were: (I) age greater than 60 years; (II) female gender; (III) presence of underlying systemic diseases such as rheumatoid arthritis, diabetes mellitus or systemic lupus erythematosus. Further studies should be conducted to clarify the histopathology and define the diagnosis as well as the treatment.
Mesh-Begriff(e)	Female ; Femur Head ; Hip Joint/diagnostic imaging ; Humans ; Joint Diseases/diagnostic imaging ; Middle Aged ; Osteoarthritis ; Radiography
Sprache	Englisch
Erscheinungsdatum	2020-03-31
Erscheinungsland	China
Dokumenttyp	Journal Article ; Review
ZDB-ID	2828544-X
ISSN	2224-5839 ; 2224-5839
ISSN (online)	2224-5839
ISSN	2224-5839
DOI	10.21037/apm.2020.03.17
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Restoration of Proximal Femoral Anatomy during Total Hip Arthroplasty for High Developmental Dysplasia of the Hip: An Original Technique.

Wu, Kerong / Zhang, Xianzuo / Chen, Min / Shang, Xifu

Orthopaedic surgery

2020 Band 12, Heft 1, Seite(n) 343–350

Abstract: Objective: To introduce a modified osteotomy method for proximal femur reconstruction (PFR) in total hip arthroplasty (THA) for high developmental dysplasia of the hip (DDH).: Method: A retrospective study was performed in a series of 24 patients (26 ...

Abstract	Objective: To introduce a modified osteotomy method for proximal femur reconstruction (PFR) in total hip arthroplasty (THA) for high developmental dysplasia of the hip (DDH). Method: A retrospective study was performed in a series of 24 patients (26 hips) with Crowe III/IV DDH who underwent THA and simultaneous PFR. We used an animated video to illustrate and help understand the procedure for this technique. Patients were reviewed clinically and radiographically with an average follow-up of 31 months. The Harris hip score (HHS) was recorded preoperatively and at 3 and 12 months postoperatively. Results: All patients achieved primary bone union. No revision was needed up to the latest follow-up. One patient had a dislocation due to self-fall and received manual reduction under general anesthesia. No patient had intraoperative femoral fractures, sciatic nerve injury, or infection. The mean HHS improved from 33.48 ± 9.06 preoperatively to 84.61 ± 4.78 immediately after surgery and 90.84 ± 4.96 at 12 months. Conclusion: Proximal femur reconstruction is a simple and practical technique for femoral remolding during THA in patients with high DDH.
Mesh-Begriff(e)	Adult ; Aged ; Arthroplasty, Replacement, Hip/methods ; Disability Evaluation ; Female ; Femur/surgery ; Hip Dislocation, Congenital/surgery ; Humans ; Male ; Middle Aged ; Osteotomy/methods ; Pain Measurement ; Retrospective Studies
Sprache	Englisch
Erscheinungsdatum	2020-02-20
Erscheinungsland	Australia
Dokumenttyp	Journal Article
ZDB-ID	2503162-4
ISSN	1757-7861 ; 1757-7853 ; 1757-7861
ISSN (online)	1757-7861 ; 1757-7853
ISSN	1757-7861
DOI	10.1111/os.12614
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Direct anterior approach in lateral position achieves superior cup orientation in total hip arthroplasty: a radiological comparative study of two consecutive series.

Hu, Fei / Shang, Xifu / Zhang, Xianzuo / Chen, Min

International orthopaedics

2020 Band 44, Heft 3, Seite(n) 453–459

Abstract: Introduction: Although the advantages of total hip arthroplasty (THA) using the direct anterior approach (DAA) have been well documented, DAA in the supine position is limited by the difficulty in exposing the acetabulum and femur, which may result in ... ...

Abstract	Introduction: Although the advantages of total hip arthroplasty (THA) using the direct anterior approach (DAA) have been well documented, DAA in the supine position is limited by the difficulty in exposing the acetabulum and femur, which may result in implant malpositioning and intra-operative complications. Recent studies have reported that DAA-THA in the lateral position can achieve satisfactory clinical and radiographic outcomes. The aim of this study was to investigate the difference in implant alignment between two patient cohorts that underwent primary THA by DAA and the traditional posterolateral approach (PLA) in the lateral position. Methods: A total of 208 THAs (110 using DAA and 98 using PLA) were retrospectively analyzed. Results: The cup anteversion angle was closer to the target anteversion angle, and the accuracy of cup orientation was superior in the DAA group. A total of 82 (74.5%) DAA-THA and 56 (57.1%) PLA-THA cases showed successful inclination and anteversion angles (p = 0.008) of the implant. In addition, 90 (81.8%) DAA-THA and 67 (68.4%) PLA-THA cases had successful anteversion angle (p = 0.024). There was no significant difference between the two groups in terms of successful inclination angle (98 vs. 81, p = 0.181), as well as in the stem alignment in both coronal and sagittal planes. Conclusion: THA using DAA in the lateral position can achieve superior cup orientation compared to PLA while maintaining the stem alignment.
Mesh-Begriff(e)	Acetabulum/diagnostic imaging ; Acetabulum/surgery ; Aged ; Arthroplasty, Replacement, Hip/methods ; Female ; Hip Joint/diagnostic imaging ; Hip Joint/surgery ; Hip Prosthesis ; Humans ; Joint Diseases/diagnostic imaging ; Joint Diseases/surgery ; Male ; Middle Aged ; Posture ; Prosthesis Fitting ; Retrospective Studies
Sprache	Englisch
Erscheinungsdatum	2020-01-03
Erscheinungsland	Germany
Dokumenttyp	Comparative Study ; Journal Article
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-019-04461-4
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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