• Je něco špatně v tomto záznamu ?

Microstructural changes of tensor fasciae latae and gluteus medius muscles following total hip arthroplasty: a prospective trial [Mikrostrukturální změny m. tensor fasciae latae a m. gluteus medius po totální náhradě kyčelního kloubu: prospektivní studie]

M. Pumberger, P. von Roth, B. Preininger, M. Mueller, C. Perka, T. Winkler

. 2017 ; 84 (2) : 97-100.

Jazyk angličtina Země Česko

Typ dokumentu klinické zkoušky, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc18003830

Digitální knihovna NLK
Zdroj

E-zdroje Online Plný text

NLK Free Medical Journals od 2006

Odkazy

PubMed 28809625
Knihovny.cz E-zdroje

PURPOSE OF THE STUDY Although total hip arthroplasty (THA) is one of the most successful orthopedic operations, the soft tissue trauma towards the periarticular musculature during surgical approaches remains a critical concern. However, the actual microstructural proof of muscle trauma on the level of the myofiber due to the surgical approach has never been claimed. MATERIAL AND METHODS Patients undergoing THA were prospectively enrolled and either operated by a direct lateral (DL) or a anterolateral minimally invasive approach (ALMI). Intraoperatively and at 6 months follow-up a needle biopsy was taken from the gluteus medius muscle and the tensor fasciae latae. Pre- and post-operative fiber diameter and composition, of gluteal medius muscle (GMM) and the tensor fasciae latae muscle (TFLM) were compared in both surgical approaches. RESULTS A total of 19 patients (12 F; 7 M) were included in this study. The average pre-operative fiber diameter or fiber type composition did not differ significantly in the GMM and TFLM, nor did it vary among patients with different approaches. The muscle fiber diameter significantly increased post-operatively in the TFLM, in both, the DL (p = 0.043) and the ALMI (p = 0.043) approach. There was a trend towards more pronounced muscle fiber changes in the DL (TFLM: p = 0.077; GMM: p = 0.150), compared to the ALMI. DISCUSSION AND CONCLUSIONS Our results show microstructural changes to the periarticular musculature following THA by a compensatory hypertrophy of the TFLM and GMM. These adaptions directly next to the surgical trauma were observed in DL and AMLI. Key words: total hip arthroplasty, skeletal muscle, muscle biopsy, iatrogenic trauma, muscle scar.

Mikrostrukturální změny m. tensor fasciae latae a m. gluteus medius po totální náhradě kyčelního kloubu: prospektivní studie

000      
00000naa a2200000 a 4500
001      
bmc18003830
003      
CZ-PrNML
005      
20180215090048.0
007      
ta
008      
180131s2017 xr f 000 0|eng||
009      
AR
024    7_
$2 doi $a 10.55095/achot2017/014
035    __
$a (PubMed)28809625
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xr
100    1_
$a Pumberger, M, $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg Center of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg School of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany
245    10
$a Microstructural changes of tensor fasciae latae and gluteus medius muscles following total hip arthroplasty: a prospective trial / $c M. Pumberger, P. von Roth, B. Preininger, M. Mueller, C. Perka, T. Winkler
246    31
$a Mikrostrukturální změny m. tensor fasciae latae a m. gluteus medius po totální náhradě kyčelního kloubu: prospektivní studie
520    9_
$a PURPOSE OF THE STUDY Although total hip arthroplasty (THA) is one of the most successful orthopedic operations, the soft tissue trauma towards the periarticular musculature during surgical approaches remains a critical concern. However, the actual microstructural proof of muscle trauma on the level of the myofiber due to the surgical approach has never been claimed. MATERIAL AND METHODS Patients undergoing THA were prospectively enrolled and either operated by a direct lateral (DL) or a anterolateral minimally invasive approach (ALMI). Intraoperatively and at 6 months follow-up a needle biopsy was taken from the gluteus medius muscle and the tensor fasciae latae. Pre- and post-operative fiber diameter and composition, of gluteal medius muscle (GMM) and the tensor fasciae latae muscle (TFLM) were compared in both surgical approaches. RESULTS A total of 19 patients (12 F; 7 M) were included in this study. The average pre-operative fiber diameter or fiber type composition did not differ significantly in the GMM and TFLM, nor did it vary among patients with different approaches. The muscle fiber diameter significantly increased post-operatively in the TFLM, in both, the DL (p = 0.043) and the ALMI (p = 0.043) approach. There was a trend towards more pronounced muscle fiber changes in the DL (TFLM: p = 0.077; GMM: p = 0.150), compared to the ALMI. DISCUSSION AND CONCLUSIONS Our results show microstructural changes to the periarticular musculature following THA by a compensatory hypertrophy of the TFLM and GMM. These adaptions directly next to the surgical trauma were observed in DL and AMLI. Key words: total hip arthroplasty, skeletal muscle, muscle biopsy, iatrogenic trauma, muscle scar.
650    _2
$a senioři $7 D000368
650    _2
$a náhrada kyčelního kloubu $x škodlivé účinky $x metody $7 D019644
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a miniinvazivní chirurgické výkony $x škodlivé účinky $x metody $7 D019060
650    _2
$a kosterní svaly $x zranění $x chirurgie $x ultrastruktura $7 D018482
650    _2
$a pánev $x zranění $x chirurgie $7 D010388
650    _2
$a prospektivní studie $7 D011446
650    _2
$a stehno $x zranění $x chirurgie $7 D013848
655    _2
$a klinické zkoušky $7 D016430
655    _2
$a časopisecké články $7 D016428
700    1_
$a Roth von, P. $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg Center of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg School of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany
700    1_
$a Preininger, B. $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg Center of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany
700    1_
$a Mueller, M. $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany
700    1_
$a Perka, C. $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg Center of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg School of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany
700    1_
$a Winkler, T. $u Center for Musculoskeletal Surgery and Julius Wolff Institute, Charité - Universitätsmedizin Berlin, Germany; Berlin-Brandenburg Center of Regenerative Therapies, Charité - Universitätsmedizin Berlin, Germany
773    0_
$w MED00011021 $t Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca $x 0001-5415 $g Roč. 84, č. 2 (2017), s. 97-100
910    __
$a ABA008 $b A 8 $c 507 $y 4 $z 0
990    __
$a 20180131 $b ABA008
991    __
$a 20180213101756 $b ABA008
999    __
$a ok $b bmc $g 1276019 $s 1000532
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2017 $b 84 $c 2 $d 97-100 $i 0001-5415 $m Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca $n Acta chir. orthop. traumatol. Čechoslovaca $x MED00011021
LZP    __
$b NLK118 $a Pubmed-20180131

Najít záznam

Citační ukazatele

Možnosti archivace