225 results match your criteria: "Orthopedics Research Institute of Zhejiang University[Affiliation]"

Background: Pelvic reconstruction after type I + II (or type I + II + III) internal hemipelvectomy with extensive ilium removal is a great challenge. In an attempt to anatomically reconstruct the hip rotation center (HRC) and achieve a low mechanical failure rate, a custom-made, 3D-printed prosthesis with a porous articular interface was developed. The aim of this study was to investigate the clinical outcomes of patients treated with this prosthesis.

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Synthetic nanoparticles functionalized with cell membrane-mimicking, bone-targeting, and ROS-controlled release agents for osteoporosis treatment.

J Control Release

December 2024

Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, PR China; Orthopedics Research Institute of Zhejiang University, Hangzhou City, Zhejiang Province, PR China; Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou City, Zhejiang Province, PR China; Clinical Research Center of Motor System Disease of Zhejiang Province, PR China. Electronic address:

Postmenopausal osteoporosis is a common degenerative disease, with suboptimal clinical outcomes. The targets of current therapeutic agents are both nonspecific and diverse. We synthesized a novel nanoparticle (NP), ALN@BMSCM@PLGA-TK-PEG-SS31.

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Rationale: We first report a unique case of proximal femoral Giant cell tumor of bone, a subtrochanteric lesion associated with femoral neck and intertrochanteric involvement. We chose a completely new surgical approach to treat the primary tumor and preserve the hip joint. No cases of this type have ever been reported.

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Optimal suturing techniques in patch-bridging reconstruction for massive rotator cuff tears: A finite element analysis.

Asia Pac J Sports Med Arthrosc Rehabil Technol

January 2025

Sports Medicine Institute of Fudan University, Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, PR China.

Purpose: To use a finite element method to construct a patch-bridge repair model for massive rotator cuff tears (MRCTs) and investigate the effects of different suture methods and knot numbers on postoperative biomechanics.

Methods: A finite element model based on intact glenohumeral joint data was used for a biomechanical study. A full-thickness defect and retraction model of the supraspinatus tendon simulated MRCTs.

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Hsa_circ_0078767 Enhances Osteosarcoma Chemoresistance to Doxorubicin Through the Regulation of the miR-188-3p/GPX4 Axis.

Pharmgenomics Pers Med

November 2024

Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.

Background: Osteosarcoma (OS) is a primary malignancy of bone. The emergence of chemoresistance represents a persistent barrier to effective cancer patient care. This analysis sought to examine hsa_circ_0078767 as a mediator of doxorubicin (DOX) resistance in OS.

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Preparation and characterization of neural stem cell-loaded conductive hydrogel cochlear implant electrode coatings.

Biomater Adv

February 2025

Second Affiliated Hospital Zhejiang University School of Medicine, Orthopedics Research Institute of Zhejiang University, Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang, Hangzhou 310003, Zhejiang Province, China. Electronic address:

Article Synopsis
  • * A new conductive hydrogel electrode made from graphene oxide-polyaniline/GelMA has been developed to reduce cochlear damage and support the delivery of neural stem cells (NSCs), which can differentiate into neurons when stimulated electrically.
  • * The study suggests that the differentiation of these NSCs is influenced by calcium signaling pathways and GABAergic synapses, providing insight for future treatments of sensorineural deafness using this innovative hydrogel technology.
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Objective: This study aimed to characterize the differences in neural function among patients with different functional abilities 2 years after anterior cruciate ligament reconstruction (ACLR).

Design: Resting-state functional magnetic resonance imaging was performed to obtain blood-oxygen-level-dependent values for ACLR returned to sports coper participants (CP), non-coper participants (NP), and healthy controls (HC). The amplitude of low-frequency fluctuations (ALFF) and regional homogeneity (ReHo) calculated changes in the standard frequency band (SFB) (0.

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Aims: For rare cases when a tumour infiltrates into the hip joint, extra-articular resection is required to obtain a safe margin. Endoprosthetic reconstruction following tumour resection can effectively ensure local control and improve postoperative function. However, maximizing bone preservation without compromising surgical margin remains a challenge for surgeons due to the complexity of the procedure.

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BACKGROUND The objective of this study was to compare and evaluate the oncological and functional outcomes of 2 surgical treatments: extended curettage with plate fixation (EC-PF) and extended curettage with intramedullary nail fixation (EC-INF) for primary giant cell tumor (GCT) of the proximal femur. MATERIAL AND METHODS In a retrospective study, we reviewed 19 patients with Campanacci grade II and International Society of Limb Salvage zone H2 GCT of the proximal femur. All patients underwent either EC-PF (n=11) or EC-INF (n=8) surgery.

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Classification of distinct tendinopathy subtypes for precision therapeutics.

Nat Commun

November 2024

Department of Sports Medicine & Orthopedic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, China.

Rotator cuff tendinopathy is the most common tendinopathy type with the worst prognosis. Conventional treatments often elicit heterogeneous drug responses due to the diversity of tendinopathy. Hence, this study attempted a classification of 126 diseased tendons into three distinct subtypes with opposite pathogenic mechanisms based on transcriptomic and clinical features.

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Tissue-engineered Bicipital Autologous Tendon Patch Enhances Massive Rotator Cuff Defect Repair in a Rabbit Infraspinatus Tendon Defect Model.

Clin Orthop Relat Res

December 2024

Dr. Li Dak Sum-Yip Yio Chin Center for Stem Cells and Regenerative Medicine and Department of Orthopedic Surgery of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China.

Background: Massive rotator cuff defects represent an important source of shoulder pain and functional debilitation, substantially diminishing patients' quality of life. The primary treatment of massive rotator cuff defects includes complete or partial repair and patch augmentation. However, because of the tendon's limited regenerative ability, the tendon retear risk after rotator cuff defect repair is still high.

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Article Synopsis
  • The anterior cruciate ligament connects to the femur and tibia through specialized areas called entheses, crucial for joint stability and force transfer.
  • Two distinct regions of mineralization in the femoral and tibial entheses were identified, each with different compositions and growth patterns of minerals like hydroxyapatites.
  • Proteomic and finite element analysis revealed that the femoral enthesis offers better resistance to shearing, while the tibial enthesis is more effective in tensile resistance, highlighting their unique structural and mechanical characteristics which could inform better treatment for ACL injuries.
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Sustainable release artifact in PLGA microspheres for prolonged local aesthetics in postoperative pain management.

J Biomater Appl

October 2024

Department of Anesthesiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, P.R. China.

Article Synopsis
  • Managing long-term pain after surgery is challenging, as local anesthetics like articaine, though effective, have a short duration of pain relief.
  • This study introduces poly (lactic-co-glycolic acid) microspheres to provide controlled and extended release of articaine, achieving pain relief for up to 72 hours without harming tissues.
  • The promising results in lab tests and rodent models suggest these microspheres could be a new, safer method for pain management post-surgery.
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SLAMF8 regulates osteogenesis and adipogenesis of bone marrow mesenchymal stem cells via S100A6/Wnt/β-catenin signaling pathway.

Stem Cell Res Ther

October 2024

Guangdong Provincial Key Laboratory of Orthopedics and Traumatology, Department of Spinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.

Article Synopsis
  • The study investigates the role of SLAMF8 in bone healing by analyzing its effects on inflammatory responses and osteogenesis in mouse bone marrow mesenchymal stem cells (mBMSCs).
  • Researchers utilized GEO datasets and various molecular techniques to assess how SLAMF8 influences genes related to bone formation (like RUNX2 and COL1A1) and fat formation (like PPARγ).
  • Results showed that knocking down SLAMF8 reduced bone formation and increased fat formation in mBMSCs, while its overexpression enhanced bone healing in a femoral fracture model.
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Hypoxia-induced mitochondrial fission regulates the fate of bone marrow mesenchymal stem cells by maintaining HIF1α stabilization.

Free Radic Biol Med

November 2024

Department of Orthopedic Surgery of the Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88, Jiefang Road, Hangzhou, 310009, China; Orthopedics Research Institute of Zhejiang University, No. 88, Jiefang Road, Hangzhou, 310009, China; Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou City, Zhejiang Province, China. Electronic address:

Article Synopsis
  • Controlled low oxygen levels boost the ability of bone marrow mesenchymal stem cells (BMSCs) to turn into bone-forming cells and produce calcium nodules, but the specific processes behind this are not well-understood.
  • The study investigates how hypoxia affects BMSCs and highlights the role of FUNDC1, a factor that influences mitochondrial function, particularly during low-oxygen conditions.
  • Findings reveal that FUNDC1 promotes bone formation not through mitophagy but by enhancing mitochondrial fission, which helps stabilize a protein called HIF1α, crucial for BMSC differentiation.
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Article Synopsis
  • This study evaluated the effectiveness of outside-in hip arthroscopy without traction for treating hip synovial osteochondromatosis in five patients aged 28-54 years.
  • Results showed significant improvements in pain (VAS score) and hip function (Harris hip score) after surgery, with patients experiencing relief from groin pain and better hip range of motion.
  • Minimal complications were noted, and only one patient had a recurrence of the condition without significant symptoms, indicating that this method is a safe and effective treatment option.
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Background: Aims of this study were to compare the functional and radiographic results, perioperative complication after lateral unicompartmental knee arthroplasty (LUKA) with total knee arthroplasty (TKA) and the legacy constrained condylar knee (LCCK) arthroplasty for the treatment of lateral compartmental knee osteoarthritis (LCKOA), and to provide a basis for the treatment of LCKOA.

Methods: From January 2021 to January 2024, analyzed retrospectively clinical data of 74 patients with LCKOA treated with LUKA, TKA and LCCK arthroplasty. According to the operation plan, the patients were divided into three groups: LUKA group (23 cases), TKA group (23 cases) and LCCK group (28 cases).

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Giant cell tumor of bone (GCTB) is a locally aggressive benign neoplasm that is associated with a large biological spectrum ranging from latent benign to highly recurrent and occasionally metastatic tumor. In this article, we present a case of a 37-year-old woman who presented with fracture at the distal femur due to GCTB. Bone segment resection and reconstruction were done, and histopathology showed tumor features for GCTB.

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Phenotypic and spatial heterogeneity of CD8 tumour infiltrating lymphocytes.

Mol Cancer

September 2024

Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

CD8 T cells are the workhorses executing adaptive anti-tumour response, and targets of various cancer immunotherapies. Latest advances have unearthed the sheer heterogeneity of CD8 tumour infiltrating lymphocytes, and made it increasingly clear that the bulk of the endogenous and therapeutically induced tumour-suppressive momentum hinges on a particular selection of CD8 T cells with advantageous attributes, namely the memory and stem-like exhausted subsets. A scrutiny of the contemporary perception of CD8 T cells in cancer and the subgroups of interest along with the factors arbitrating their infiltration contextures, presented herein, may serve as the groundwork for future endeavours to probe further into the regulatory networks underlying their differentiation and migration, and optimise T cell-based immunotherapies accordingly.

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In clinical settings, addressing large bone defects remains a significant challenge for orthopedic surgeons. The use of genetically modified bone marrow mesenchymal stem cells (BMSCs) has emerged as a highly promising approach for these treatments. Signal peptide-CUB-EGF domain-containing protein 3 (SCUBE3) is a multifunctional secreted glycoprotein, the role of which remains unclear in human hBMSCs.

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Objective: Lower limb discrepancy (LLD) was frequently observed in patients with idiopathic scoliosis (IS), potentially associated with etiopathogenesis. Although sole lifts had been proposed as a conservative treatment for IS, evidence supporting their efficacy was limited. This study aimed to assess the effects of sole lift intervention on pediatric patients with mild IS, specifically focusing on thoracolumbar/lumbar (TL/L) curvature.

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Efficacy of FERscore in predicting sensitivity to ferroptosis inducers in breast cancer.

NPJ Breast Cancer

August 2024

Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, 310022, China.

Recent studies have highlighted the potential of ferroptosis in treating breast cancer. However, the efficacy of ferroptosis induction in the most common subtype, estrogen receptor-positive (ER + ) breast cancer, remains inadequately explored. This study unveils that both short-term and long-term treatment with ER-targeted endocrine agents sensitizes ER+ breast cancer cells to ferroptosis inducers, particularly the GPX4 inhibitor, revealing a non-mutational sensitization mechanism.

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Objective: In this study, we examined the reason and prognosis of unplanned excision on synovial sarcoma.

Methods: We retrospectively analyzed 54 patients diagnosed with synovial sarcoma between March 2013 and February 2021, including 26 cases of unplanned excision surgery. Patients were divided into two groups based on whether they underwent unplanned excision.

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Material-based treatment strategies against intraosseous implant biofilm infection.

Biochem Biophys Rep

September 2024

Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, PR China.

Implant-associated infections present a significant clinical obstacle for orthopedic practitioners, with bacterial biofilm formation serving as a pivotal factor in the initiation, progression, and management of such infections. Conventional approaches have proven inadequate in fully eradicating biofilm-related infections. Consequently, novel material-based therapeutic strategies have been developed, encompassing the utilization of antimicrobial agents, delivery vehicles, and synergistic antibacterial systems.

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