Acta Orthopaedica Belgica比利时骨科学报
Acta Orthopaedica Belgica(英文缩写 ACTA ORTHOP BELG),ISSN 0001-6462,eISSN 0001-6462,中文译名:比利时骨科学报 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 0.350 | Q4 |
| 2022 | 0.400 | Q4 |
| 2023 | 0.500 | Q4 |
| 2024 | 0.600 | Q4 |
| 2025 | 0.700 | Q4 |
Acta Orthopaedica Belgica 最新收录文献
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1. Rehabilitation after Total Hip & Total Knee Arthroplasty with Smartphone Applications: a Scoping Exercise using a Systematic Review of Current Applications and Patient Survey.
PMID:日期:2026-08-05This study aims to assess the quality, user friendliness of current smartphone applications ("apps") available for total hip (THR) and total knee (TKR) arthroplasty patients and identifies patient preferences regarding the content of an ideal rehabilitation app. ® ® The Google Play and Apple app stores were systematically searched. The Mobile App Rating Scale (MARS) and the Systematic Usability Scale (SUS) were used for the assessment of apps. A questionnaire was designed and used in a post op orthopaedic clinic at a large tertiary center. 102 patients (52 TKR and 50 THR) completed the questionnaire. Nine apps were included in the systematic review. On MARS assessment, the mean overall score was 3.55/5. The highest and lowest mean scores were seen in the functionality (3.86/5) and aesthetics (3.44/5) subscales respectively. The mean overall SUS score was 75.3/100 (Grade B) with a range of 51.25 - 95. Both scales suggested moderate levels of quality and user friendliness of currently available apps, but with significant variation between apps. Patient preferences are not currently ideally matched by available apps.
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2. Reduced Serum Klotho Levels in Disuse-Induced Skeletal Muscle Atrophy: An Experimental Study Related to Orthopedic Immobilization.
PMID:日期:2026-08-05Klotho is an anti-aging protein involved in phosphate homeostasis, oxidative stress regulation, and tissue regeneration. Although circulating Klotho levels decline with chronological aging, its response to acute disuse- induced skeletal muscle alterations remains unclear. In this experimental study, sixteen male Wistar rats (3 months old) were randomly assigned to a control group (n = 8) or an intermittent hindlimb unloading group (3 h/day for 15 consecutive days) (n = 8). Skeletal muscle morphology was evaluated in the extensor digitorum longus (EDL) and soleus muscles using hematoxylin-eosin staining, and muscle fiber cross-sectional area (CSA) was quantified with ImageJ software. Interstitial connective tissue changes were qualitatively assessed using Masson's trichrome staining, and serum Klotho concentrations were measured using enzyme-linked immunosorbent assay (ELISA). Intermittent unloading induced histological features consistent with early disuse-associated muscle remodeling in both EDL and soleus muscles, accompanied by a modest reduction in muscle fiber CSA compared with controls. Serum Klotho levels were significantly lower in the unloading group (7.44 ± 0.54 vs 8.21 ± 0.81, p = 0.045), and a moderate positive correlation was observed between circulating Klotho concentrations and mean muscle fiber CSA (r = 0.58, p = 0.02). Mild interstitial connective tissue expansion was qualitatively noted in the soleus muscle following unloading. These findings suggest that short-term intermittent hindlimb unloading in young adult rats is associated with reduced circulating Klotho levels and mild skeletal muscle remodeling. Serum Klotho may represent a candidate biomarker of early disuse-associated muscle alterations; however, further studies are required to confirm its clinical applicability. These results may have potential implications for orthopedic conditions characterized by immobilization, including fracture treatment, casting, and postoperative rehabilitation.
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3. Hands-On to Heal: A Scoping Review of Educational Design and Outcomes of Hands-On Workshops in Orthopaedic Surgical Training.
PMID:日期:2026-08-05Ethical, legal, and economic considerations, alongside working-hour restrictions, have reduced opportunities for surgical training in the operating theatre, prompting the adoption of hands-on workshops as an alternative approach. These workshops provide trainees with a controlled environment to develop technical skills, decision- making, and confidence using a variety of simulation modalities, including synthetic models, cadaveric specimens, and virtual reality platforms. This scoping review aimed to map the existing literature on hands-on workshops in orthopaedic surgical training and examine how their educational design and outcomes are reported. A systematic search of PubMed, Cochrane Library, Embase, and Google Scholar was conducted for English-language studies published within the past 10 years, focusing on trauma and orthopaedic training for medical students and healthcare professionals. Review articles, letters, and non-English publications were excluded. Forty-five studies met inclusion criteria, most reporting improvements in performance-based outcomes following participation in hands-on workshops. Commonly used modalities included synthetic simulators, arthroscopy trainers, and virtual reality, with fewer studies incorporating cadaveric specimens. Reported outcomes included technical performance, procedural efficiency, and trainee confidence, primarily assessed in simulated or cadaveric settings. Findings were heterogeneous, and evidence linking workshop participation to direct clinical outcomes was limited. Resource considerations, including cost and accessibility, were frequently noted as challenges. Overall, the literature suggests that hands-on workshops and simulation-based interventions are widely employed in orthopaedic training and are associated with improvements in educational outcomes. These findings highlight the potential role of hands-on workshops in surgical education while underscoring the need for further research to clarify their translati.
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4. Multifactorial retrospective analysis of pathological fracture risk and treatment strategies in unicameral bone cysts.
PMID:日期:2026-08-05Unicameral bone cysts (UBCs) are benign fluid-filled bone lesions that primarily affect children and adolescents and carry a clinically relevant risk of pathological fracture. This study explored radiological and clinical variables associated with fracture and recurrence in a histologically confirmed retrospective cohort. Seventy-two patients with histologically confirmed UBCs treated between 2010 and 2021 were retrospectively analysed. Median follow-up was 38 months (range 24-132). Primary outcomes were pathological fracture and radiological recurrence. Because only eight fractures were observed, multivariable analyses were treated as exploratory. Pathological fractures occurred in 8/72 patients (11.1%). Fracture rates were 0/46 (0%), 2/20 (10%) and 6/6 (100%) for Capanna stages 1, 2 and 3, respectively (p < 0.001). Latent cysts had a higher fracture rate than active cysts (21.4% vs 4.5%; p = 0.049). Recurrence occurred in 7/71 evaluable patients (9.9%), exclusively in the interventional group (7/23, 30.4% vs 0/48; p < 0.001). In this retrospective, histologically selected cohort, higher Capanna stage, younger age, latent activity and diaphyseal localisation were associated with fracture risk. Given the limited number of fracture events, the mixed paediatric-adult population and the selection bias inherent to histological inclusion, these findings are best interpreted as exploratory and hypothesis-generating. Overall, they may be more compatible with structured, individualised risk assessment than with a prescriptive Capanna-guided treatment algorithm.
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5. Sagittal Plate Position and Posterior Tibial Slope Changes After Medial Open-Wedge High Tibial Osteotomy.
5. 内侧开放楔形高位胫骨截骨术后矢状钢板位置和胫骨后斜度的变化PMID:日期:2026-08-05Medial open-wedge high tibial osteotomy (HTO) is a well-established joint-preserving procedure for medial compartment osteoarthritis with varus malalignment. However, unintended changes in posterior tibial slope (PTS) may occur and affect knee biomechanics and cruciate ligament loading. This retrospective cohort study included 60 patients who underwent medial open-wedge HTO between 2018 and 2024. We investigated whether sagittal plate position on postoperative lateral radiographs (anterior vs posterior) influenced postoperative PTS change and its association with coronal alignment and short-term functional outcomes. Radiographic assessments included PTS, tibiofemoral angle, hip-knee-ankle angle, and mechanical axis deviation. Clinical outcomes were evaluated using the Hospital for Special Surgery (HSS) Knee Score and the Tegner Activity Scale. Multivariable linear regression was used to determine whether plate position independently predicted ΔPTS. The posterior plate group demonstrated a significantly greater increase in PTS than the anterior group (ΔPTS 4.3° ± 1.6° vs 0.9° ± 1.2°, p < 0.001), and postoperative PTS ≥12° was more frequent in the posterior group (67% vs 10%, p < 0.001). Coronal alignment parameters and functional scores were comparable between groups (all p > 0.05). Sagittal plate position was independently associated with postoperative PTS change after medial open-wedge HTO. Posterior placement resulted in greater slope increase, whereas anterior positioning better preserved sagittal alignment without compromising coronal correction or short-term clinical outcomes.
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6. Bilateral Sternoclavicular Joint Dislocation with Inferior Sternal Migration: Surgical Management and One-Year Outcome.
PMID:日期:2026-08-05Bilateral sternoclavicular joint (SCJ) dislocation is an exceptionally rare injury, particularly when associated with inferior migration of the sternal body and multiple rib fractures. We report the case of a 51-year-old male who sustained high-energy thoracic crush trauma resulting in bilateral SCJ dislocation, inferior sternal displacement, rib fractures, and a Grade I open humeral shaft fracture. Surgical management required a multidisciplinary approach including SCJ reduction, ligament reconstruction with a semitendinosus tendon graft in a figure-of-eight configuration, clavicular fixation, and delayed intramedullary nailing of the humeral shaft. Postoperatively, neuropathy secondary to a C8-T1 brachial plexus injury was diagnosed; it was considered traumatic in origin, as no intraoperative manipulation occurred. At one-year follow-up, full functional recovery was achieved in the right upper limb, whereas residual limitation on the left side was attributable to persistent neurological involvement rather than mechanical instability. This case represents an uncommon combination of bilateral SCJ dislocation with inferior sternal migration and associated thoracic and neurological injuries, providing relevant surgical and clinical insights.
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7. Association between Kinematic Patterns and Patient-Reported Outcome Measures in Revision Total Knee Arthroplasty.
PMID:日期:2026-08-05While knee kinematics are well-documented in primary TKA, less is understood regarding revision TKA (rTKA), where altered soft tissue conditions may influence kinematics. This study aimed to investigate the relationship between kinematic parameters, specifically anteroposterior (AP) translation and post-cam engagement, and patient-reported outcome measures (PROMs) in rTKA patients. Thirty patients who underwent rTKA between 2022 and 2024 were assessed at a minimum six-month follow-up. Tibiofemoral kinematics, measured as femoral AP translation relative to the tibia, were evaluated during open-chain flexion-extension (FE) and closed-chain exercises (sit-to-stand (STS) and a lunge) using fluoroscopy. Two clusters, categorized by higher and lower PROMs, were compared for AP translation and post-cam engagement. In the medial compartment, the low-PROMs group exhibited a more anterior femoral position compared to the high-PROMs group, with statistical significance observed during mid-flexion of the STS (50.87% (SD, 4.04) vs. 47.57% (SD, 2.75); p = 0.043) and FE exercise (51.97% (SD, 3.83) vs. 48.55% (SD, 3.62); p = 0.037). No significant differences were found in the lateral compartment. Post-cam engagement did not differ between the groups in either open- or closed-chain exercises. Poorer PROM scores were associated with a more anterior femoral position in the medial compartment during mid-flexion of STS and FE exercises. Further research is needed to explore the relationship between kinematic variations and PROMs in rTKA patients.
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8. Prevalence of low-grade infection in uncomplicated fracture osteosynthesis.
8. 无并发症骨折内固定中低度感染的患病率PMID:日期:2026-08-05Subclinical bacterial colonization of osteosynthesis implants has been suggested as a potential contributor to subsequent periprosthetic joint infection, yet its frequency in clinically uneventful fracture healing remains unclear. This prospective cohort study aimed to determine the prevalence of unexpected positive intraoperative cultures (UPIC) during elective hardware removal after uncomplicated fracture union. Adult patients undergoing elective implant removal after radiographic union were prospectively enrolled. Inclusion required absence of signs of clinical infection and no antibiotic therapy within 48 hours before surgery. Three deep tissue samples were collected from the implant-bone interface prior to irrigation. Samples were homogenized and inoculated into aerobic and anaerobic blood culture bottles. UPIC were defined as culture growth without clinical suspicion. Microbiological confirmation required at least two concordant isolates according to the FRI consensus definition. Sixty-nine patients were included. Any bacterial growth occurred in 32 patients (46.4%). Seventeen patients (24.6%) had two or more concordant isolates fulfilling microbiological criteria, whereas 15 (21.7%) had a single low-virulence isolate interpreted as contamination. UPIC were most frequent in the shoulder, predominantly Cutibacterium acnes, followed by the elbow with mainly coagulase-negative staphylococci. No postoperative infections, wound complications, or reoperations occurred. Nearly one quarter of clinically unremarkable hardware removals yielded multiple concordant isolates, indicating a substantial rate of low-grade infection. Although no short-term clinical consequences were observed, the potential relevance of UPIC for future arthroplasty remains uncertain.
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9. Custom 3D Implant for Hemiarthroplasty of the Third Metacarpal in a Giant Cell Tumor of bone: Functional Outcomes and Hand Stability.
PMID:日期:2026-08-05Giant cell tumor (GCT) of the hand is a rare benign but locally aggressive bone tumor with high recurrence rates. It is commonly treated by curettage with cementation or bone grafting. However, reconstruction after en bloc resection of metacarpal GCT remains challenging, particularly in young patients. Conventional options such as allografts or standard prostheses are associated with notable complications and functional limitations. Custom- made 3D-printed implants have recently emerged as a potential alternative, although current evidence is limited. We report the case of a 19-year-old woman with a recurrent GCT of the third metacarpal following initial curettage and cementation. After neoadjuvant denosumab therapy, an en bloc resection of the third metacarpal was performed. Reconstruction was achieved using a patient-specific 3D-printed titanium hemiarthroplasty featuring an intramedullary stem, screw fixation, porous surfaces for osseointegration, and dedicated structures for ligament reinsertion to ensure hand stability. Early postoperative mobilization was allowed. At mid-term follow-up, the patient demonstrated excellent functional recovery, high total active motion, minimal pain, and no complications, implant instability, or tumor recurrence. Custom-made metacarpal hemiarthroplasty appears particularly suitable for reconstruction of central rays, where transverse stability is supported by adjacent structures. This case supports patient-specific 3D-printed hemiarthroplasty as a promising reconstructive option, providing favorable early functional outcomes while preserving joint biomechanics. Further studies are needed to assess long-term durability.
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10. Study on Catalpol inhibiting PI3K/AKT/NF-кB Signaling Pathway in the Treatment of OA through Anti-senescence of Chondrocytes.
PMID:日期:2026-08-05The study aimed to explore the therapeutic effect of catalpol on articular chondrocyte senescence and osteoarthritis through cell experiments, and to explore the role of NF-κB and its upstream and downstream pathways in the therapeutic process. Rat primary chondrocytes were isolated. catalpol was added to evaluate cytotoxicity and cell viability, and the optimal catalpol concentration was determined accordingly. IL-1β was added to simulate OA inflammation, establish a cellular senescence model and detect senescence-associated β-galactosidase activity. The proportion of senescent cells, cell cycle distribution, and ROS levels in each group were measured and compared. Western blotting was used to detect the expression of Type II collagen, ADAMTS-5, MMP-13, IL-6, p16, p21, PI3K, p-PI3K, AKT, p-AKT, p65, and p-p65 proteins. After catalpol treatment, the proportion of positive chondrocytes decreased, the proportion of chondrocytes in G0-G1 phase decreased significantly, and the ROS levels of chondrocytes in the inflammatory rat model decreased significantly. IL-1β significantly elevated the expression of IL-6, p16, and p21. However, this effect of IL-1β was inhibited by catalpol. catalpol could significantly inhibit the expression of MMP-13, IL-6, ADAMTS-5, p16, and p21, significantly increased the expression of type II collagen, and significantly inhibited the activation of PI3K/AKT and NF-κB signaling pathways. Catalpol attenuated chondrocyte senescence in an IL-1β-induced in vitro OA model, suppressed PI3K/AKT/NF-κB signaling, and decreased SASP expression. These in vitro findings suggest a potential mechanistic basis for the anti-senescence effects of catalpol on chondrocytes, which requires further validation in animal models and clinical studies before any therapeutic conclusions can be drawn.