Osteomyelitis is a major challenge in global healthcare, as it requires the simultaneous management of bone defects and bacterial infections, which poses considerable difficulties for orthopedic clinicians. In this study, we developed berberine liposome-modified bone cement specifically aimed at treating osteomyelitis induced by . We characterized the physical properties of this modified bone cement, conducted in vitro antibacterial assays to evaluate its efficacy in eradicating biofilm, established an in vivo rat model of osteomyelitis, and performed histopathological assessments alongside micro-CT analysis of bone parameters. The results indicated that the berberine liposome-modified bone cement exhibited favorable biodegradability and sustained-release characteristics, with a drug release rate of more than 90% within 14 days, while effectively eliminating bacterial biofilm with a biofilm eradication rate of up to 80% and facilitating bone repair with a bone volume fraction of 80%. This innovative treatment demonstrated both safety and efficacy in addressing tibial osteomyelitis in rats, thereby offering novel insights and methodologies for clinical interventions against osteomyelitis.
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http://dx.doi.org/10.1021/acsomega.4c11198 | DOI Listing |
Arch Orthop Trauma Surg
March 2025
Department of Orthopaedics, Zhangqiu People's Hospital, Zhangqiu, China.
This case report describes a two-stage surgical approach for managing a traumatic defect of the left trapezium bone. A 51-year-old male presented following a high-impact injury caused by a heavy iron object striking his left wrist. The patient reported severe wrist pain and restricted thumb motion.
View Article and Find Full Text PDFArch Orthop Trauma Surg
March 2025
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Introduction: This study aimed to compare the clinical outcomes of cemented versus cementless reverse total shoulder arthroplasty (rTSA) for the treatment of proximal humeral fractures (PHFs), with a focus on revision rates, tuberosity union, scapular notching, range of motion, and functional scores.
Materials And Methods: A systematic review and meta-analysis were conducted, incorporating data from studies comparing cemented and cementless rTSA for PHFs. Key outcomes analyzed included revision rates, tuberosity union rates, scapular notching, range of motion, and functional scores.
Oper Orthop Traumatol
March 2025
Klinik für Unfallchirurgie und Orthopädie, spezielle Unfallchirurgie, Johannes Wesling Klinikum Minden, Hans Nolte Str. 1, 32429, Minden, Deutschland.
Objective: Safe and bone-sparing implantation of a stem- and cement-free reversed shoulder prosthesis.
Indications: Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a surface prosthesis.
Contraindications: Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.
J Orthop Surg Res
March 2025
Alzahra Hospital, Alborz University of Medical Sciences, Karaj, Iran.
Background: Alongside the numerous advantages of arthroplasty surgery, the extensive complications associated with bone cement contact remain serious chemical hazards in the operating room. The present study aims to investigate the challenges of using bone cement in orthopedic operating rooms.
Method: This is a cross-sectional study conducted from September 2023 to June 2024 with the aim of examining the physical facilities in orthopedic operating rooms and the performance of orthopedic surgical teams in adhering to standards related to the use of bone cement.
BMC Oral Health
March 2025
Division of Prosthodontics, Faculty of Dentistry, Thammasat University, Pathumthani, 12120, Thailand.
Background: Increased bond strength between aged CAD/CAM (Computer-Aided Design and Computer-Aided Manufacturing) provisional restorative materials is essential for reparability. This study investigated the impact of three different solvents and airborne-particle abrasion on the shear bond strength (SBS) of aged CAD/CAM provisional restorative materials, which are milled PMMA and 3D-printed resin with flowable resin composite.
Methods: 3D-printed resin and milled PMMA (N = 160 per type) were fabricated into cylindrical shapes (5 mm in diameter, 5 mm in height), aged by 5,000 thermocycling cycles, and randomize divided at random into five groups (N = 32) based on surface modification protocols: control; non-surface modification, MEK; application with methyl ethyl ketone, THF; application with tetrahydrofuran, Alc; application with isopropyl alcohol, and APA; airborne-particle abrasion with 50-µm alumina oxide particle.
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