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 Conventional techniques incur risk of muscle lesion and severe bleeding, and have been replaced by minimally invasive approaches, often with video assistance after rapid closure of laparoscopic approaches with gas insufflation. There has, in parallel, been great progress in anterior spinal instrumentation systems. Non-existent when these techniques were first developed, they have become increasingly sophisticated, and now employ a variety of stand-alone or not cages and anterior screwed plate that can be associated together or to posterior fixation. Each approach and type of fixation has its specific technical requirements that need to be fully mastered so as to minimize risk, especially regarding vessels, and to enable the patient to enjoy the benefit of their very low morbidity. We shall therefore detail here each step of the pure anterior approach, which is most often used for L5S1, the oblique and lateral approaches, mainly used for L2L5, and also the preparation of the lumbar spine for anterior interbody fusion, with the respective instrumentations. We shall then consider the pros, cons and risks, and also spinal or general contraindications that may sometimes preclude this option. From this, we shall derive the specific optimal and wrong indications for anterior lumbar surgery, to help decision-making when fusion is indicated.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Allain J,Dufour Tdoi
10.1016/j.otsr.2019.05.024subject
Has Abstractpub_date
2020-02-01 00:00:00pages
S149-S157issue
1Sissn
1877-0568pii
S1877-0568(19)30329-9journal_volume
106pub_type
杂志文章,评审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：INTRODUCTION:Total hip arthroplasty (THA) seeks to restore a stable, mobile and pain-free joint. This requires good implant positioning and peroperative restoration of limb-length and femoral offset. HYPOTHESIS:A mechanical measurement device (length and offset optimization device [LOOD]) fixed to the pelvis can optim...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.02.004
更新日期：2012-06-01 00:00:00
abstract：INTRODUCTION:Patient information is the requisite first step in securing informed consent ahead of surgery, and is legally mandatory. The study hypothesis was that this information is deficient in a significant proportion of cases. This was tested on a clinical audit. The principal objective was to quantify the rate of...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.03.007
更新日期：2012-09-01 00:00:00
abstract：INTRODUCTION:The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is increasing, and treatment is becoming more necessary. In periprosthetic tibial fractures, the stem of the tibial component largely occupies the medullary canal of the proximal tibia, which limits the selection of implants. The...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.10.007
更新日期：2017-04-01 00:00:00
abstract：INTRODUCTION:Instability is a major complication after revision total hip arthroplasty. Studies in the literature have shown that the dislocation rate after primary arthroplasties by anterior approach on a fracture table is satisfactory, but the rate of instability following revision surgery is not known. HYPOTHESIS A...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.04.005
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION:Short stems are not all the same and do not meet the same objectives in terms of shape, fixation and biomechanics. The Taperloc Microplasty™ is a shortened stem. In France, no articles have been published on this subject and very few articles are available in the international literature. We therefore deci...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.06.019
更新日期：2020-12-01 00:00:00
abstract：:We report the case of a 37-year-old patient presenting with knee pain and recurrent effusion without instability due to an intra-articular hemangioma in the posterior compartment of the knee. MRI showed features suggesting a diagnosis of hemangioma. Arthroscopic excision of the tumor was performed and the diagnosis wa...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2013.12.018
更新日期：2014-05-01 00:00:00
abstract：INTRODUCTION:Distal radius fractures are common injuries treated in a multitude of ways. One treatment paradigm not extensively studied is initial treatment by external fixation (EF) followed by conversion to open reduction internal fixation (ORIF). Such a paradigm may be beneficial in damage control situations, when t...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.01.013
更新日期：2016-05-01 00:00:00
abstract：:Proximal femoral fracture in elderly subjects is a major event that is life-threatening in the medium-to-long term. Advanced age, male gender and number of comorbidities largely account for high mortality and require geriatric expertise. Protein-energy malnutrition and bone demineralization increase mortality. Mortali...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2017.04.020
更新日期：2018-02-01 00:00:00
abstract：INTRODUCTION:Fixed-bearing total knee arthroplasty (TKA) implants have excellent long-term survival. Mobile-bearing implants were developed to reduce bone-implant interface stresses and polyethylene insert wear. The primary objective of this study was to analyze the survival rate of a highly congruent mobile-bearing TK...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.01.016
更新日期：2015-06-01 00:00:00
abstract：PURPOSE:Systematic review was conducted to compare effectiveness and safety of anterior and posterior surgical approach in 3D correction of adolescent idiopathic thoracic scoliosis. METHODS:Data sources were MEDLINE and SCOPUS databases. We included studies on the use of either anterior or posterior instrumentation, o...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.otsr.2012.06.014
更新日期：2012-11-01 00:00:00
abstract：:Prosthetic joint infection (PJI) is a rare-and dreaded-complication of arthroplasty requiring multidisciplinary care. Given the dual goal of treating the infection and maintaining satisfactory function, it is preferable to determine how and when the implanted components can be retained. Bacteria and fungi organize the...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2020.102774
更新日期：2020-12-13 00:00:00
abstract：BACKGROUND:The optimal approach for the fixation of coronoid process fractures is unknown. We present the advantages and the clinical effect of the pronator teres and the flexor carpi radialis interval approach for the treatment of ulna coronoid process fractures. METHODS:The patients, who had operative treatment of c...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.04.004
更新日期：2020-05-14 00:00:00
abstract：BACKGROUND:Continuous peripheral nerve block (CPNB), in particular at the popliteal fossa, is widely used in orthopedic surgery, allowing good postoperative analgesia. Possible neuropathic complications, however, remain poorly known. OBJECTIVE:To review the characteristics of peripheral neuropathy (PN) after sciatic C...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.11.004
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:In young active patients with hip dysplasia, choosing between periacetabular osteotomy (PAO) and total hip arthroplasty (THA) is challenging. MATERIALS AND METHODS:We systematically searched Medline, Embase, and Cochrane Library for studies published until October 10, 2019, comparing PAO and THA in patients...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2020.08.012
更新日期：2020-12-01 00:00:00
abstract：INTRODUCTION:Various surgical techniques have been described to set the rotational alignment of the tibial baseplate during total knee arthroplasty. The self-positioning method ("self-adjustment") aligns the tibial implant according to the rotational alignment of the femoral component which is used as a reference after...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.05.006
更新日期：2011-11-01 00:00:00
abstract：INTRODUCTION:Glenohumeral arthrodesis is a rare salvage procedure for selected patients with different shoulder pathologies. Among a variety of surgical techniques, compression screws or plate fixation are most widely used. Minimally invasive screw fixation has become more popular, although it has been shown to be biom...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2017.05.021
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Although asymptomatic mild limb length discrepancy (LLD) in children is generally treated non-operatively, there is limited high quality follow up data to support this recommendation. HYPOTHESIS:We hypothesized that there would be no association between LLD and arthritic changes with mild limb length discre...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.11.025
更新日期：2018-09-01 00:00:00
abstract：UNLABELLED:In emerging countries, nonunion in the shaft of fractured long bones is common. PATIENTS AND METHODS:In a 3-year long prospective study, 50 patients (38 men, 12 women) with an average age of 40.9 years (range 17-60) were treated for neglected diaphyseal nonunion an average of 11 months (range 6-48) after th...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.07.005
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Subclinical neurological lesions after reverse shoulder arthroplasty are frequent, mainly those involving the axillary nerve. One of the major reported risk factors is postoperative lengthening of the arm. The purpose of this study was to evaluate the anatomical relationship between the axillary nerve and pr...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2013.09.006
更新日期：2014-02-01 00:00:00
abstract：UNLABELLED:Increasingly frequent periprosthetic fractures are affecting the elderly; this patients group often suffers from significant co-morbidities that make it particularly difficult to manage these already complex injuries. The classic pitfalls of conservative treatment are many, including infections, pseudarthros...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.09.017
更新日期：2010-05-01 00:00:00
abstract：INTRODUCTION:Retractile fibrosis of the quadriceps (RFQ) is a physical and social handicap in children, and often results from a past history of quadriceps intramuscular injection. The aim of this study was to evaluate the therapeutic results of RFQ treated by distal quadricepsplasty using a modified Thompson-Payr proc...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2013.04.014
更新日期：2013-11-01 00:00:00
abstract：UNLABELLED:Gossypiboma imaging features are not well known and are often confused with soft tissue tumours. Publications on this topic mainly consist of case reports and small cohorts. Its appearance on various imaging modalities is not well defined. This led us to carry out a review of literature to determine specific...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2016.06.010
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Despite the success of reverse shoulder arthroplasty, the rate of scapular notching phenomena is high and represents a significant risk of glenoid prosthetic component loosening over the long term. The aim of this study was to perform an arthroscopic dynamic analysis of the impingement of the humeral cup o...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2011.07.014
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:Patellar tendon ruptures make up about 5% of all extensor mechanism injuries. They mainly occur in young, athletic men who have contributing risk factors such as chronic tendinopathy. The aim of this study was to evaluate the return to sport after repair of an acute patellar tendon rupture. We hypothesized...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.01.010
更新日期：2020-05-01 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：: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：UNLABELLED:Patient-specific cutting guides (PSCG) are an extension of preoperative planning for total knee arthroplasty (TKA). We wanted to evaluate their contribution to postoperative lower limb alignment. This study involved primary TKA cases being performed with PSCG between 10/05/2010 and 05/03/2013 and then follow...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.03.006
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:To compare the outcomes of minimally invasive percutaneous short-segment pedicle instrumentation (SSPI) with that of trans-spatium intermuscular SSPI on thoracolumbar mono-segmental vertebral fracture without neurological compromise. METHODS:A total of 39 patients with thoracolumbar mono-segmental vertebral ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.12.020
更新日期：2013-06-01 00:00:00
abstract：INTRODUCTION:Despite recent treatment advances, management of distal humerus fractures in the elderly remains one of the most challenging aspects of trauma surgery. Although these fractures are relatively rare, they fall under the umbrella of osteoporotic fractures, which themselves are increasing in frequency. MATERI...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2013.08.002
更新日期：2013-11-01 00:00:00
