Abstract：
PURPOSE:Expandable endoprosthesis allows limb salvage in children with an option to leading a better life. However, the revision rate and implant-related complications impose as a limitation in the skeletal immature. This study investigates the functional outcomes and complications related to expandable endoprosthesis in our centre. MATERIALS AND METHODS:Twenty surviving patients with expandable endoprosthesis from 2006 till 2015 were scored using Musculoskeletal Tumour Society (MSTS) outcomes instrument and reviewed retrospectively for range of motion of respected joints, limb length discrepancy, number of surgeries performed, complications and oncological outcomes. Patients with less than 2 years of follow-up were excluded from this study. RESULTS:Forty-five percentage patients reached skeletal maturity with initial growing endoprosthesis and 25% of patients were revised to adult modular prosthesis. One hundred fifty-seven surgeries were performed over the 9-year period. The average MSTS score was 90.83%. The mortality rate was 10% within 5 years due to advanced disease. Infection and implant failure rate was 15% each. The event-free survival was 50% and overall survival rate was 90%. CONCLUSION:There is no single best option for reconstruction in skeletally immature. This study demonstrates a favourable functional and survival outcome of paediatric patients with expandable endoprosthesis. The excellent MSTS functional scores reflect that patients were satisfied and adjusted well to activities of daily living following surgery despite the complications.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Ajit Singh V,Earnest Kunasingh D,Haseeb A,Yasin NFdoi
10.1177/2309499019850313subject
Has Abstractpub_date
2019-05-01 00:00:00pages
2309499019850313issue
2eissn
1022-5536issn
2309-4990journal_volume
27pub_type
杂志文章abstract：:Tears of the triangular fibrocartilage complex (TFCC) often lead to chronic wrist pain. The commonly used 2-needle outside-in and inside-out suturing techniques require an extra incision to tie the sutures subcutaneously. We use a practical and cost-effective arthroscopic technique for treatment of peripheral Palmer t...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700224
更新日期：2009-08-01 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：:We report on a 17-year-old man who underwent open reduction and internal fixation for an inferior dislocation of the right hip and displaced fractures of the right femoral head and neck, and antegrade intramedullary nailing for a displaced fracture of the left femoral shaft. In addition, 13 men and 4 women aged 5 to 5...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/230949901502300128
更新日期：2015-04-01 00:00:00
abstract：:Cervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniques. An electronic ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/2309499018758520
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION:The purpose of this retrospective study was to investigate the possible short-term benefit of a single intra-articular corticosteroid injection in those patients treated with physiotherapy when compared to a group of patients undergoing physiotherapy only (PT only). METHODS:A retrospective chart review wa...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017690463
更新日期：2017-01-01 00:00:00
abstract：:Concomitant fungal and bacterial atlanto-axial osteomyelitis in immunocompetent individuals is rare. We report one such patient who underwent transoral anterior decompression and posterior occipital cervical fusion, together with antibiotic and antifungal treatment. At 16-month follow-up, the patient had made a full r...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800221
更新日期：2010-08-01 00:00:00
abstract：:Plica syndrome is a pathological condition secondary to inflammation. Plicae around the knee are common and generally asymptomatic. They often are misdiagnosed. The morphology of knee plicae varies; mediopatellar plicae are the most common cause of the plicae syndrome. An intermittent dull pain is the most common symp...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/230949901101900319
更新日期：2011-12-01 00:00:00
abstract：:We report the clinicoradiological features of tuberculosis in the clavicle in 4 patients. The patients' ages ranged from 9 months to 29 years. All patients were managed with antitubercular drug therapy for one year and one underwent surgical debridement and curettage as well. Clinicians should be aware of the varied p...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700128
更新日期：2009-04-01 00:00:00
abstract：INTRODUCTION:The purpose of this study was to evaluate the effectiveness of arthroscopic skills training. METHODS:A routine diagnostic arthroscopic exercise using a porcine knee was performed. A checklist of 10 tasks was used in the training and the time taken to complete the checklist was evaluated, and the Arthrosco...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499016684433
更新日期：2017-01-01 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：INTRODUCTION:The aim is to analyze the functional outcomes of patients of giant cell tumor (GCT) of distal radius treated with ulnar translocation and wrist arthrodesis. METHODS:Study included 25 patients of aggressive GCT of distal radius, resected and reconstructed using ulnar translocation and wrist arthrodesis. Th...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499016684972
更新日期：2017-01-01 00:00:00
abstract：PURPOSE:To report outcomes in 6 patients with the terrible triad of the elbow treated with our modified protocol. METHODS:6 men aged 26 to 54 years underwent surgery for the terrible triad of the elbow by a single surgeon. All the patients had a displaced comminuted fracture of the radius, posterior dislocation of the...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700108
更新日期：2009-04-01 00:00:00
abstract：:Restricted hip movement along with femoroacetabular impingement (FAI) has been reported to be an important risk factor in anterior cruciate ligament (ACL) injury. We performed a literature review assessing the evidence that FAI, or restricted hip movement, contributes to the likelihood of sustaining an ACL injury to p...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章,评审
doi：10.1177/2309499018799520
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. METHODS:57 men and 8 women aged 20 to 56 (mean, 39) years who had a more than 3-month history of low back pain and were unr...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901001800201
更新日期：2010-08-01 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：BACKGROUND:Sports injury prevention training programs have been reported to be effective in decreasing the incidence of injuries. The aim of this study was to evaluate the effects of a 6-month training period, using part 2 of the FIFA11+ program (the Fédération Internationale de Football), on the activation and strengt...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499019891541
更新日期：2020-01-01 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：PURPOSE:To assess mortality, disability, and health-related quality of life (HRQL) in patients surgically treated for spondylodiscitis. METHODS:A retrospective longitudinal study was conducted on all patients surgically treated for spondylodiscitis over a 6-year period at a single tertiary spine center. Indications fo...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017716068
更新日期：2017-05-01 00:00:00
abstract：INTRODUCTION:Defective mineralization of osteoid matrix prior to physeal closure causes rickets. Poor calcification of the cartilage matrix in the zone of provisional calcification causes flattened skull, rachitic rosary, bowed legs, coxa vara and brittle bones. The recent literature has seen an increase in the inciden...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499017693532
更新日期：2017-01-01 00:00:00
abstract：:Open reduction and internal fixation for unstable fractures of the lateral end of the clavicle (Neer type II) is not complication-free. Most clavicle fractures can be successfully treated by conservative methods. Neer type II fractures have a reportedly high rate of nonunion, therefore internal fixation is recommended...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900601400320
更新日期：2006-12-01 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 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 assess the prevalence of proximal high-origin anterior tibial artery and its surgical significance. METHODS:100 knees were prospectively studied using colour Doppler ultrasonography. No patient had a history of lower-limb arterial pathology or previous knee surgery. All ultrasound images were assessed by a ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900601400104
更新日期：2006-04-01 00:00:00
abstract：PURPOSE:To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS:Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic f...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901402200212
更新日期：2014-08-01 00:00:00
abstract：PURPOSE:Reconstruction of the anterior cruciate ligament (ACL) is the most frequently performed reconstructive surgery in the knee. Biomechanical studies have shown that double bundle (DB) reconstruction is better than single bundle (SB) reconstruction with regard to rotational stability. It is postulated that resectio...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018773124
更新日期：2018-05-01 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:To assess the correlation between low back pain and a high-intensity zone (HIZ) of the lumbar disc in Indian patients. METHODS:200 patients with low back and/or leg pain underwent magnetic resonance imaging of the lumbosacral spine. The location and severity of pain and disability were assessed using the pain ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900901700214
更新日期：2009-08-01 00:00:00
abstract：PURPOSE:To evaluate 12 patients with delayed or nonunion of bones treated with bone marrow injections. METHODS:6 men and 6 women aged 15 to 70 (mean, 45) years underwent bone marrow injections for delayed union (n=2) or atrophic non-union (n=10) of the ulna (n=6), femur (n=3), humerus (n=2), or metacarpal (n=1). Bone ...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949901302100116
更新日期：2013-04-01 00:00:00
abstract：PURPOSE:To compare stability and subsidence associated with 3 types of cervical spine stabilisation. METHODS:The C3 to C4 vertebrae of 28 Polish pigs were used. Pigs with intact vertebrae (group 1) underwent standard anterior cervical discectomy (group 2), followed by stabilisation using a cage alone (group 3), a cage...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/230949900801600103
更新日期：2008-04-01 00:00:00
abstract：PURPOSE:This study assessed the levels of soluble tumor necrosis factor-like weak inducer of apoptosis (TWEAK) and matrix metalloproteinase 1 (MMP-1) in the synovial fluid from osteoarthritic knees to determine their role as well as the relationship between these levels and the severity of osteoarthritis (OA). METHODS...
journal_title：Journal of orthopaedic surgery (Hong Kong)
pub_type： 杂志文章
doi：10.1177/2309499018760112
更新日期：2018-01-01 00:00:00
