Efficacy of combined undenatured type II collagen and hydrolysed collagen supplementation in knee osteoarthritis: a randomised controlled trial.

Collagen supplements have gained significant market popularity, with numerous products claiming to improve knee osteoarthritis symptoms. Previous clinical studies have primarily evaluated individual collagen formulations, with most being industry-sponsored, which raises potential bias concerns. This study aimed to evaluate the efficacy of combined undenatured type II collagen (UC-II) and hydrolysed collagen supplementation in patients with knee osteoarthritis.

The Effect of Time Lapse Between Online Lectures and Clinical Practice on Medical Students' Performance in an Orthopedics Hybrid Course.

Introduction: The integration of technology in medical education has led to the adoption of hybrid teaching methods, combining online lectures with traditional face-to-face clinical practice. While this approach offers flexibility and safety, it raises questions about the impact of potential time lapses between theoretical learning and hands-on experience. This study aimed to investigate the effect of the time interval between online lectures and on-site clinical practice on medical students' performance in orthopedic rotation.

Efficacy of Weight-Based Low-Dose Intravenous Dexamethasone for Pain Management Following Total Knee Arthroplasty: A Retrospective Case-Matched Study.

Background: Effective management of postoperative pain is essential for promoting recovery and improving overall patient outcomes after total knee arthroplasty (TKA). Intravenous corticosteroids, especially dexamethasone, have become increasingly popular due to their strong anti-inflammatory effects, which can enhance pain control while minimizing side effects. However, the optimal dosing strategy for dexamethasone remains unclear, as most studies have primarily focused on fixed high doses.

Association between cemented femoral stem design and unfavorable postoperative outcomes in hip fracture patients: A systematic review and meta-analysis.

Background: Hip arthroplasty is a common operation for fragility hip fractures in the elderly. However, the choice of implant, particularly between collared composite beam (CCB) and collarless polished taper-slip (CPTS) femoral stems, may impact postoperative outcomes. In this study, we aimed to systematically review and compare unfavorable postoperative outcomes associated with these 2 stem designs.

Physical Performance and Patient-Reported Outcomes Remain Stable at 5 Years After Total Knee Arthroplasty.

Purpose: To evaluate changes in physical performance tests (PPTs) and patient-reported outcome measures (PROMs) at baseline, 1 year after total knee arthroplasty (TKA), and a minimum of 5 years after TKA.

Methods: We enrolled patients who underwent TKA between 2013 and 2015 performed by a single arthroplasty surgeon at Siriraj Hospital, Mahidol University, Bangkok, Thailand. We evaluated PPTs and PROMs over a minimum 5-year follow-up period to assess changes over time, identified independent factors associated with PPT deterioration, and determined TKA survivorship.

The impact of femoral flexion angle and tibial slope on knee gap in total knee arthroplasty.

Background: Inadequate gap balance during total knee arthroplasty (TKA) can result in postoperative pain, restricted range of motion, and suboptimal long-term outcomes. The sagittal alignment of the femoral and tibial components plays a pivotal role in determining both the flexion and extension gaps. This study systematically investigates how variations in femoral and tibial sagittal alignment affect knee gap dynamics during TKA, utilizing intraoperative data from a robotic-assisted surgical system.

Comparing silicone-coated self-adhesive absorbent polyurethane films with transparent absorbent films for bilateral hip dressing: a prospective randomized controlled trial.

Background: Silicone-coated self-adhesive absorbent (SSA) and transparent films with absorbent (TFA) dressings are reportedly effective postoperative knee surgery dressings; however, there have been no direct comparative studies on these two innovative dressings over the hip areas. In this study, we aimed to compare user satisfaction and potential complications between TFA and SSA dressings for the hip area.

Methods: This prospective randomized controlled trial was conducted at a tertiary hospital.

Predictive factors for deep medial collateral ligament release in adjusted mechanical alignment total knee arthroplasty.

Background: Total knee arthroplasty (TKA) demands precision in achieving optimal alignment and soft tissue balance, especially in cases of medial compartment osteoarthritis where the need for medial soft tissue release is critical yet challenging to ascertain.

Objective: This study aims to systematically investigate the relationship between preoperative data, initial knee conditions and the necessity for deep collateral ligament (MCL) release in adjusted mechanical alignment total knee arthroplasty.

Methods: We conducted a retrospective study involving 61 TKA patients who underwent adjusted mechanical alignment robotic-assisted procedures.

Early Hip Fracture Surgery Within 24 hours did not Reduce the Mortality Rate but Resulted in Less Postoperative Opioid use and a Shorter Length of Stay: A Retrospective Study of 276 Patients From a Tertiary Private Hospital in Thailand.

Introduction: The comparative results of early hip fracture surgery including mortality and postoperative complications in Thailand were not reported. Therefore, we conducted this study to compare the outcomes between patients who received hip surgery within and after 24 hours.

Methods: A retrospective study was conducted at a single center, a tertiary private hospital in Thailand.

Quality of Life and Depression Status of Caregivers of Patients with Femoral Neck or Intertrochanteric Femoral Fractures during the First Year after Fracture Treatment.

Objective: The burden placed on caregivers can negatively affect the functional recovery of patients with hip fractures. It is therefore essential to consider caregivers' well-being during the hip fracture care pathway. The aim of this study is to evaluate caregivers' quality of life and depression status during the first year after hip fracture treatment.

Three-year outcomes of a fracture liaison service model at a university-based tertiary care hospital in Thailand.

Unlabelled: Fragility hip fracture (FHF) is a serious complication of osteoporosis. A fracture liaison service (FLS) is crucial in preventing FHF. Our retrospective data of 489 patients with FHF and 3-year follow-ups demonstrated that the FLS improved functional outcomes.

Dual-Frequency Bioelectrical Impedance Analysis is Accurate and Reliable to Determine Lean Muscle Mass in The Elderly.

Background: Dual-frequency bioelectrical impedance analysis (DF-BIA) devices are more accessible and affordable than dual-energy X-ray absorptiometry (DXA); however, no studies have reported the accuracy of DF-BIA in body composition measurement, especially in the Thai elderly. The aims of this study were to (1) compare the accuracies of lean muscle masses measured by DF-BIA devices and DXA and (2) assess the reliability of the DF-BIA device.

Methods: This cross-sectional study was conducted on participants older than 60 years who visited the Orthopedic Clinic of Siriraj Hospital.

Surgical treatment for fragility hip fractures during the COVID-19 pandemic resulted in lower short-term postoperative functional outcome and a higher complication rate compared to the pre-pandemic period.

Unlabelled: The COVID-19 pandemic adversely affected the functional outcomes of fragility hip fracture patients. This study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among patients treated during the pandemic. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods.

Total neurological recovery after surgical decompression and treatment with denosumab of large unresectable spinal giant cell tumour expanding to mediastinum.

There is a controversy over the medical treatment of unresectable spinal giant cell tumour (GCT) regarding dosing and duration. We studied a spinal GCT case that had expanded to the thoracic spinal canal and mediastinum and was successfully treated by surgical decompression and denosumab. A woman in her 30s presented with weakness in both the lower extremities.

Comparing the effectiveness of blended learning and traditional learning in an orthopedics course.

Introduction: The ongoing COVID-19 pandemic is forcing medical schools to replace substantial parts of the traditional lecture method with online formats to maintain social distancing guidelines and reduce face-to-face contact in the classroom. To our knowledge, there have to date been few studies comparing the effectiveness of traditional teaching with blended teaching based on the students' final grades which the efficacy of online learning is still controversial, and this study aimed to compare the efficacy of blended teaching with conventional teaching in an orthopedics course.

Methods: This study was a retrospective cohort study based on data collected from fifth-year medical students between April 2019 and March 2021.

Relationship between web-based illness scripts and the performance of medical students in orthopedic surgery placements.

Objectives: We aimed to explore the relationship between web-based orthopedic illness scripts and medical students' performance as assessed through examination results.

Methods: This was a retrospective cohort study with 83 fifth-year medical students in an academic hospital. During a one-month placement, they were instructed to do web-based illness scripts.

The effects of vitamin D supplementation in carpal tunnel syndrome treatment outcomes: a systematic review.

Purpose: Vitamin D deficiency is related to carpal tunnel syndrome symptoms. Correcting vitamin D levels by supplementation was supposed to improve carpel tunnel symptoms, though there is a lack of aggregated data about treatment outcomes. This study aimed to examine whether vitamin D supplementation could improve the treatment outcomes in carpal tunnel syndrome patients.

Complications after intramedullary nail fixation of pathological versus non-pathological femoral shaft fractures: a retrospective cohort study in 233 patients.

Background: Postoperative adverse events after intramedullary nailing have been reported in patients with metastatic pathological and non-pathological femoral fractures. Other consequences to be considered are readmission and reoperation. Few studies have compared the risks of postoperative adverse events, reoperation, and readmission after intramedullary nailing of pathological and non-pathological femur fractures.

Expectations on online orthopedic course using constructivism theory: A cross-sectional study among medical students.

Background: Medical education in this era has been disturbed by coronavirus disease. Our faculty has quickly adapted the curricula to online formats. The online format seems to be more advantageous in terms of content material and virtual activities, but the results of these adjustments will require subsequent evaluation.

Surgical treatment of osteochondroma on the first rib by double clavicle osteotomy and internal fixation with a reconstruction plate: A case report and literature review.

Introduction: The accepted indication for surgical removal of osteochondroma is when a lesion becomes symptomatic. There have been no established standard surgical approaches to remove osteochondroma on the first rib and no report on management after that. This report aims to present a novel approach by double clavicle osteotomy followed with internal fixation.