Abstract：
:The hip is the joint most exposed to orthopaedic complications in cerebral palsy (CP), which is the main cause of spasticity in paediatric patients. The initial immaturity of the hip allows the forces applied by the spastic and retracted muscles to displace the femoral head, eventually causing it to dislocate. The risk of hip dislocation increases with the severity and extent of CP, exceeding 70% in the most severe cases. Hip dislocation causes pain in up to 30% of cases, carries a risk of orthopaedic and cutaneous complications and hinders patient installation and nursing care. These adverse outcomes warrant routine screening, which has been proven effective in lessening the frequency and severity of hip displacement. Preventive techniques including physical therapy, orthoses and treatments to alleviate spasticity are strongly recommended in every case. The beneficial effects of treating spasticity, if needed via neurosurgical procedures, have been convincingly established. Orthopaedic surgery is required when prevention fails. Soft-tissue release is designed to correct the asymmetry in the forces applied by the muscles. Femoral osteotomy creates the possibility for spontaneous correction of secondary acetabular dysplasia. Progress has been made in standardising the use of multilevel surgery involving the soft tissues, femur and pelvis, which is often effective in correcting the morphological abnormalities and stabilising the joint. When hip pain or alterations are severe, hip resection or total hip arthroplasty are highly effective in alleviating the pain and improving patient comfort. The spastic hip is a complex condition in which currently available screening protocols and treatment strategies have been proven effective in benefitting patient outcomes.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Dohin Bdoi
10.1016/j.otsr.2018.03.018subject
Has Abstractpub_date
2019-02-01 00:00:00pages
S133-S141issue
1Sissn
1877-0568pii
S1877-0568(18)30197-Xjournal_volume
105pub_type
杂志文章,评审abstract：INTRODUCTION:Assessment of soft-tissue balance by the gap technique in Total Knee Arthroplasty (TKA) impacts femoral component rotation positioning. Proper femoral component rotation is a critical factor in TKA, both for adequate patellar tracking and in achieving a symmetrical flexion gap. Soft tissue balance assessme...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.01.004
更新日期：2011-05-01 00:00:00
abstract：:A 56-year-old patient presented with neurological disorders resulting from an extrinsic medullary compression extending from T3 to T5 associated with a T4 corporeal invasion by a high-grade non-Hodgkin's malignant lymphoma. Treatment consisted in a laminectomy without spinal stabilization followed immediately by chemo...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.03.007
更新日期：2009-06-01 00:00:00
abstract：INTRODUCTION:Chronic scapholunate instability can lead to functional deficits and radiocarpal osteoarthritis. A number of procedures, namely scapho-trapezio-trapezoid (STT) fusion, scaphocapitate (SC) fusion or soft tissue reconstruction procedures, aim to improve function while protecting the wrist from osteoarthritis...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2010.11.006
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:The WOSI (Western Ontario Shoulder Instability Index) is a self-administered quality of life questionnaire designed to be used as a primary outcome measure in clinical trials on shoulder instability, as well as to measure the effect of an intervention on any particular patient. It is validated and is reliabl...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2013.09.007
更新日期：2014-02-01 00:00:00
abstract：INTRODUCTION:In case of failure of non-operative treatment of isolated supraspinatus tear, tendon surgery can improve shoulder function and alleviate pain. The present study hypothesis was that isolated supraspinatus repair shows good healing, with improved clinical results. MATERIALS AND METHODS:A prospective multice...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.08.007
更新日期：2020-12-01 00:00:00
abstract：INTRODUCTION:Total disc replacement (TDR) has existed since 1984 but is not covered by the French national healthcare system (Sécurité Sociale). The present study assessed clinical outcomes, and also pre-, peri- and postoperative treatment costs. HYPOTHESIS:Surgical management of low back pain (LBP) provides medical a...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.04.004
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to compare different screw lengths combined with different fluoroscopic views to detect intraoperative dorsal screw penetration in distal radius fractures treated with volar locked plating. MATERIAL AND METHODS:From April 2014 to October 2018, one hundred and eighty patients w...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.11.011
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Although constrained condylar knee (CCK) inserts are widely used for total knee arthroplasty (TKA), their long-term outcomes remain unclear. We sought to evaluate patients with at least 10 years' follow-up after CCK TKA to identify potential adverse events (osteolysis, loosening, constraint-mechanism failure...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.01.020
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:There are several clinical outcome scores relating to meniscal injuries reported in the literature. However, the result of one scoring system is often different from that of the others even when assessing the same group of patients. This makes the comparison of results of studies who have used different outc...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2021.102803
更新日期：2021-01-09 00:00:00
abstract：:In anterior cruciate ligament (ACL) reconstruction, success depends on several factors: patient selection; surgical technique, taking account of associated meniscal and ligamentous lesions; and postoperative rehabilitation. Improved hamstring-tendon graft preparation and fixation techniques now provide results in term...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2018.05.014
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:An infected non-union is a major complication following bone fracture. While bone union can be obtained in 70% to 100% of cases, treatment of osteomyelitis is less predictable, with reported healing rates ranging from 40% to 100%. The primary aim of this study was to assess the success rate of treating inf...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.10.014
更新日期：2018-02-01 00:00:00
abstract：INTRODUCTION:Resection of the distal aspect of clavicle has a well-documented treatment modality in case of acromioclavicular joint osteoarthritis resistant to conservative treatment. HYPOTHESIS:Limited (mean ∼0.5cm distal end of clavicle resection) distal clavicle excision of A-C joint arthritis in cases resistant to...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.01.008
更新日期：2016-05-01 00:00:00
abstract：:In patients for whom function is a priority, anatomic reduction and stable fixation are prerequisites for good outcomes. Several therapeutic options exist, including orthopedic treatment and internal fixation with pins (intra- and extrafocal), external fixation which may or may not bridge the wrist, and different inte...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2012.03.023
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Personal and social factors may account for much of the variation in patient reported outcome scores, yet little evidence exists on how psychological properties affect patient outcomes following reverse total shoulder arthroplasty (rTSA). The objective of this study is to determine if resilience, characteris...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.102777
更新日期：2020-12-13 00:00:00
abstract：BACKGROUND:The intrawound application of vancomycin powder in addition to intravenous administration of antibiotics has been reported to be an easy and cost-efficient technique for reducing the deep infection, which is a serious complication of spinal surgeries. The aim of the present meta-analysis was to derive a prel...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.otsr.2014.05.022
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION/HYPOTHESIS:The purpose of this study is to determine the mid/long term shoulder function in patients with complete deltoid paralysis and intact rotator cuff. 27 patients with at least 2-years FU were included. MATERIALS AND METHODS:Outcome measures included pain, range of motion (including the swallowtail...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.06.008
更新日期：2017-10-01 00:00:00
abstract：:The management of combined loss of skin coverage and bone substance in the lower third of the leg is problematic. A recommended sequential strategy associates removal of infected tissue and coverage followed by treatment of the bone defect. We report a technique without microsurgery, using Masquelet's induced membrane...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.rcot.2010.02.001
更新日期：2010-04-01 00:00:00
abstract：:Guided growth is part of the surgical armamentarium for limb-length discrepancy or axial deformity. It is an old concept, with several apparently conflicting techniques that are in fact usually complementary. Depending on whether the aim is to slow or arrest growth, to treat length discrepancy or axial deviation, tech...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2019.04.025
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION:There is concern regarding potential non-union of the fibula following distraction osteogenesis and if non-union of the fibula leads to poor outcome. HYPOTHESIS:Assess the incidence of fibula non-union in patients undergoing distraction osteogenesis of the tibia and to report the effects on patient outcom...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.09.012
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Burnout syndrome is one of the manifestations of distress in healthcare workers and is characterised by emotional exhaustion (EE), depersonalisation (DP), and a sense of low personal accomplishment (PA). The surgical residency is a period of intense training that imposes major challenges on future surgeons, ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.08.016
更新日期：2018-12-01 00:00:00
abstract：PURPOSE:The morphological and biomechanical features of the thoracic spine, together with its close proximity to the spinal cord, set it apart from other spinal segments. Management of thoracic spine injuries consists of achieving a reduction and an immediate and long-lasting stabilization of the spine while constantly...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.05.007
更新日期：2014-09-01 00:00:00
abstract：INTRODUCTION:Valgus high tibial osteotomy is considered to be an effective treatment for unicompartmental medial osteoarthritis. It is generally admitted that tibial slope increases after open-wedge high tibial osteotomy and decreases after closing-wedge high tibial osteotomy. However, the effects on posterior tibial s...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2011.08.013
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:There is no universally accepted approach to the elbow for the fixation of coronoid process fractures. This study aims to introduce a novel anterior surgical approach for the fixation of the ulnar coronoid fracture, with minimal surgical dissection damage and excellent visualization for reduction and interna...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.05.020
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Fibrin sealant is frequently used in knee surgery as an adjuvant method for reducing postoperative bleeding, however, there is no consensus regarding the efficacy of fibrin sealant. HYPOTHESIS:Fibrin sealant achieves better efficacy in terms of blood loss control, transfusion rate and units in knee surgery ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.otsr.2014.07.035
更新日期：2015-05-01 00:00:00
abstract：INTRODUCTION:In trochanteric fracture, whatever its anatomic type, internal fixation is currently the standard attitude, with arthroplasty as a relatively unusual option. HYPOTHESIS:Hip implants are an excellent alternative to osteosynthesis in unstable trochanteric fracture in patients aged over 75 years. PATIENTS A...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2011.06.009
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION:Sagittal pelvic balance is a recognized factor influencing targeted acetabular-component anteversion during total hip arthroplasty implantation. However, no studies in the literature have systematically reported pelvic parameters data in the standing, sitting and supine positions. HYPOTHESIS:Variations in...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2008.01.001
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Arthroscopic subacromial decompression (acromioplasty) is widely held to be effective, although pain may persist after the procedure. The objective of this study was to evaluate the proportion of patients with residual pain (i.e., the failure rate) after isolated subacromial decompression and to look for pre...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2014.09.006
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:The treatment of acetabular fracture involving the quadrilateral plate is a technical challenge, and the optimal management of the fracture remains controversial. We have designed a new implant (named acetabular fracture reduction internal fixator, AFRIF) for acetabular fractures involving the quadrilateral ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2019.09.026
更新日期：2020-09-01 00:00:00
abstract：:An anterior approach to the lumbar spine is increasingly used in performing fusion. Depending on the level to be treated, several approaches have been developed to deal with the anatomic obstacles encountered: pure anterior, oblique anterior or lateral, and trans- or pre-psoas. Conventional techniques incur risk of mu...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2019.05.024
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:In spinal deformity surgery, iatrogenic spinal cord injury is the most feared complication. Intraoperative monitoring (IOM) of the spinal cord assesses its functional integrity and allows significant reduction of the rate of spinal cord injury. HYPOTHESIS:In case of severe IOM alert, lesional level diagnosi...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.09.021
更新日期：2017-02-01 00:00:00
