Abstract：
PURPOSE:The aim of this study was to assess applicability of arthroscopic technique in intramedullary nail fixation of humerus shaft fractures and to compare with conventional nailing in terms of its effects on perioperative and postoperative intra-articular complication rates as well as on clinical and functional outcomes. METHODS:This prospective randomized controlled clinical trial included 40 patients (12 females and 28 males) indicated for surgery between either undergo arthroscopy-assisted (Arthroscopy-assisted intramedullary nailing [AIMN]; n = 20) or conventional (Intramedullary nailing [IMN]; n = 20) anterograde intramedullary nailing. Two groups were compared in terms of mean number of fluoroscopic shootings until the guide wire was inserted, time for union, length of hospital stay, and complication rates. Shoulder functions were assessed by Constant and American Shoulder and Elbow Surgeons (ASES) score. RESULTS:Groups did not significantly differ in terms of age, gender, and mechanism of injury, length of hospital stay, union rate, and mean union time ( p > 0.05). Mean ASES and Constant scores were found to be statistically significantly higher in AIMN group than that in IMN group ( p = 0.000 and p = 0.002, respectively). Mean number of fluoroscopic shootings until the guide wire was inserted was 2.15 in AIMN group, which was significantly lower compared to 4.2 of IMN group ( p = 0.000). CONCLUSIONS:Arthroscopy-assisted technique may be an applicable and safe method owing to its cosmetic advantages and more satisfactory postoperative shoulder functions subsequent to less injury to deltoid, rotator cuff, and other soft tissue, as compared to conventional anterograde approach.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Dedeoğlu SS,İmren Y,Çabuk H,Tekin AÇ,Kır MÇ,Gürbüz Hdoi
10.1177/2309499017727949subject
Has Abstractpub_date
2017-09-01 00:00:00pages
2309499017727949issue
3eissn
1022-5536issn
2309-4990journal_volume
25pub_type
杂志文章,随机对照试验abstract：PURPOSE:Fingertip replantation is a challenging and technically demanding procedure. A variety of venous drainage techniques have been attempted for successful fingertip replantation. We present a new venous drainage technique, known as serial multifocal incision for fingertip replantation. METHODS:Between 2006 and 20...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019831480
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:In this study, we asked the question of whether non-invasive (NI) extendible bone tumour implants are as reliable and reduce infection when compared with patients who received a minimally invasive (MI) extendible implant. METHODS:Forty-two NI extendible bone tumour implants were investigated at a mean follow-u...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019833403
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:We have analyzed the surgical outcomes of primary total knee arthroplasty (TKA) using computer-assisted (CA) navigation in terms of postoperative coronal alignment depending on preoperative lateral femoral bowing. METHODS:We conducted a retrospective study of patients who have undergone navigated primary TKA f...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499020965679
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Trigger finger release utilizing wide-awake local anesthesia no tourniquet (WALANT) usage in extremity surgery is not widely used in our setting due to the possibility of necrosis. Usage of a tourniquet is generally acceptable for providing surgical field hemostasis. We evaluate hemostasis score, surgical fi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,随机对照试验
doi：10.1177/2309499019833002
更新日期：2019-01-01 00:00:00
abstract：:A 15-month-old boy presented with a 2-day history of a wry neck (bent to the left side) with no definite trauma. He had bilateral upper limb weakness and was afebrile, conscious, and stable. There was no spontaneous movement in both upper limbs. Magnetic resonance imaging of the cervical and thoracic spine demonstrate...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500327
更新日期：2007-12-01 00:00:00
abstract：:Paediatric musculoskeletal infection remains an important cause of morbidity. Methicillin sensitive Staphylococcus aureus is still the most common organism although the incidence of methicillin resistant S. aureus in the community is rising. Osteomyelitis and septic arthritis due to Haemophilus influenzae is decreasin...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900100900116
更新日期：2001-06-01 00:00:00
abstract：PURPOSE:To determine risk factors of venous thromboembolism (VTE) in Indian patients undergoing surgery for pelvic-acetabular fractures. METHODS:48 men and 8 women aged 17 to 61 (mean, 36) years who underwent open reduction and internal fixation for pelvic-acetabular fractures were evaluated for VTE in the postoperati...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900105
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:To review the functional outcome and local recurrence rate of 29 patients who underwent segmental excision or intralesional curettage with adjuvant therapy for giant cell tumour (GCT) of bone. METHODS:Records of 17 men and 12 women (mean age, 30.17 years) who underwent segmental excision (n=18) or intralesiona...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901602400120
更新日期：2016-04-01 00:00:00
abstract：PURPOSE:To compare mid-term outcomes of hemi-resurfacing arthroplasty (HRA) and total resurfacing arthroplasty (TRA). METHODS:Seven men and 5 women (16 hips) aged 33 to 72 (mean, 50) years underwent HRA, whereas 7 men and 3 women (16 hips) aged 23 to 52 (mean, 40) years underwent metal-on-metal TRA; all were for osteo...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900209
更新日期：2011-08-01 00:00:00
abstract：PURPOSE:To evaluate the condition of the tendons and neurovascular bundles after percutaneous release for trigger finger of the middle, ring, and little fingers. METHODS:30 women and 13 men aged 20 to 55 (mean, 40) years underwent percutaneous release of the A1 pulley using a 18-gauge needle for 43 trigger fingers of ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901502300227
更新日期：2015-08-01 00:00:00
abstract：:PURPOSE. To compare the rates of joint hypermobility in patients with and without anterior cruciate ligament (ACL) injury. METHODS. Records of 135 men and 75 women (mean age, 24.6 years) who underwent ACL reconstructions were reviewed and compared with 55 male and 35 female controls with no knee injury. Joint hypermob...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901302100213
更新日期：2013-08-01 00:00:00
abstract：:Due to accurate preoperative imaging techniques, early diagnosis and effective chemotherapy, many tumors arising in the metaphyseo-diaphyseal regions of long bones can be segmentally resected with joint preservation. The intercalary resection of malignant bone tumor results in a bone defect which can represent a chall...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/2309499019832970
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:To assess the compression and flexural strength of bone cement mixed with 0 ml, 1 ml, or 2 ml of blood. METHODS:High viscosity polymethyl methacrylate (PMMA) loaded with or without gentamicin was used. Blood was collected from total knee arthroplasty patients. In the same operating room, one pack of cement eac...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/1602400223
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Recently, several in vitro biomechanical studies that used dual small locking plate fixation for humeral shaft fractures have investigated. However, in vivo studies about dual plate fixation for humeral shaft fractures are limited. The purpose of our study was to report the outcomes of dual small plating for...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019839608
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:To assess the effectiveness of sympathetic skin response in evaluating peripheral sympathetic nerve activity of patients with spinal cord injury, and to report on the basic properties of sympathetic skin response. METHODS:Sympathetic skin response evoked by electrical stimulation was recorded from the palms an...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900401200108
更新日期：2004-06-01 00:00:00
abstract：:An 11-year-old girl presented with a progressive swelling of the right elbow after a contusion. Radiography and magnetic resonance imaging showed a densely calcified lesion with no periosteal reaction or fracture. The underlying bone and muscles had normal signal intensity. A bone scan revealed increased uptake over t...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901101900125
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:To evaluate the incidence of secondary hyperparathyroidism (SH) among postmenopausal women with end-stage knee osteoarthritis scheduled for total knee replacement (TKR). METHODS:283 Caucasian postmenopausal women aged 49 to 81 (mean, 70) years with end-stage idiopathic knee osteoarthritis were scheduled to und...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700313
更新日期：2009-12-01 00:00:00
abstract：:The failure rate of rotator cuff repair is high. Regenerative techniques using material scaffolds, stem cells, and growth factors help augment repair and regenerate tissue. We reviewed the literature of various regenerative techniques in terms of (1) enhancing the repair process, (2) tissue regeneration, (3) mechanica...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/230949901302100223
更新日期：2013-08-01 00:00:00
abstract：:The incidence of anterior cruciate ligament reconstruction (ACLR) is continuously increasing. As a result so has the need for revision ACLR, which unfortunately has worse functional outcomes and rate of return to sport. Revision ACLR can be performed as a single stage or in two stages. The latter is recommended in the...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019857736
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:The purpose of this study was to clarify the indication for opening wedge high tibial osteotomy (OWHTO) in terms of lower limb alignment to achieve satisfactory clinical results. METHODS:Ninety-two patients (98 knees) with medial compartment knee osteoarthritis were investigated in this study. The average foll...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019846660
更新日期：2019-05-01 00:00:00
abstract：:Resection and reconstruction using a vascularised fibular graft is a viable alternative treatment for congenital pseudarthrosis of the tibia, although distal junctional nonunion and residual deformity are known complications that are difficult to treat. We illustrate 2 cases in which bony union was achieved following ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900601400114
更新日期：2006-04-01 00:00:00
abstract：PURPOSE:To report on 14 consecutive cases of occipitocervical fixation. METHODS:Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery usi...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900701500317
更新日期：2007-12-01 00:00:00
abstract：PURPOSE:The objective of this study was to improve the three-dimensional (3D) understanding of optimal lateral cortical hinge in medial open-wedge high tibial osteotomy (MOWHTO) via a computational cadaveric simulation of actual size. METHODS:The computed tomography data of 117 adult cadavers were imported into Mimics...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499020959172
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:The ability of fracture healing in Tibetans is significantly superior to Chinese Hans, which may attribute to factors from diet, altitude to physical conditions. Conjugated linoleic acid (CLA) is an important ingredient in Tibetan diet, playing a role in antioxidation, antiatherosclerosis, and decrease in bo...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017718910
更新日期：2017-05-01 00:00:00
abstract：PURPOSE:This study analysed the accuracy and safety of the fluoroscopic guided percutaneous screws in the upper thoracic vertebrae (T1-T6). METHODS:Computed tomography scans from 74 patients were retrospectively evaluated between January 2008 and December 2012. Pedicle perforations were classified by two types of grad...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017722438
更新日期：2017-05-01 00:00:00
abstract：:Provision of soft-tissue coverage for defects in the distal leg and foot is a challenge, especially in patients with multiple injuries and major soft-tissue defects. Major flap reconstruction requires expertise and the results are variable, with high morbidity. We report a case in which a reverse flow sural fasciocuta...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900801600322
更新日期：2008-12-01 00:00:00
abstract：PURPOSE:To evaluate the male osteoporosis risk estimation score (MORES) and the osteoporosis self-assessment screening tool (OST) score as a means of screening for osteoporosis in men. METHODS:Records of 113 Indonesian men aged 50 to 91 (mean, 71) years who underwent evaluation of bone mineral density (T-score) using ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901202000214
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:To report the clinical, functional, and magnetic resonance imaging (MRI)-based outcomes of a novel autologous-made matrix consisting of hyaline cartilage chips combined with mixed plasma poor rich in platelets clot and plasma rich in growth factors (PRGF) for the treatment of knee full-thickness cartilage or os...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019887547
更新日期：2020-01-01 00:00:00
abstract：:Acetabular wedge augmentation is a useful technique and is recommended in situations where cup revision is likely to be excessively difficult. Numerous augmentation designs that improve the stability of the hip are now available in the market. Occasionally, however, these devices are not readily available, particularl...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900501300221
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:To compare early outcome of transforaminal lumbar interbody fusion (TLIF) for lytic versus degenerative spondylolisthesis. METHODS:14 women and 8 men aged 20 to 60 (mean, 36) years underwent TLIF for lytic (n=15) or degenerative (n=7) spondylolisthesis. Of the 15 patients with lytic spondylolisthesis, 9 involv...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901202000323
更新日期：2012-12-01 00:00:00
