Abstract:
OBJECTIVE:This study evaluated the efficacy of surgery for femoral neck fractures in children after a 24-h delay and the factors affecting the risk of complications. METHODS:The study included 16 children who underwent surgery after the first 24 h for femoral neck fractures. According to Delbet's classification, there were 2 type I, 11 type II, and 3 (four hips) type III cases. The mean time from injury to surgery was 85 h (range 27-240 h). According to Garden's classification, there were 1 type II, 14 type III, and 1 type IV (two hips) cases. Initial surgery consisted of closed reduction and hematocele drainage with a 20-mL needle tube. If the procedure failed, open reduction was performed. Internal fixation (K-wire pinning, screw) was performed after closed (n = 9) or open (n = 8) reduction. The results were assessed using the Ratliff criteria after a mean follow-up of 23.2 months. Patient age, type of fracture, complications, treatment, and avascular necrosis (AVN) were evaluated. RESULTS:The results were good in 15 hips (88.2%) and fair in 2 hips (11.8%, one type II case with closed reduction and one type I case with open reduction). The most frequent complication was AVN (4 of 17; 23.5%; three Ratliff good and one fair), which was significantly related to poor outcomes. AVN occurred in one hip in the closed reduction group (Delbet's type II, 12.5%) and in three in the open reduction group (one Delbet's type I, 50%; two Delbet's type II, 66.7%). There were no significant differences in the time from injury to operation (27, 54, 64, and 116 h) and AVN incidence or Ratliff criteria. CONCLUSIONS:The efficacy of delayed reduction fixation of the femoral neck was better in the closed reduction group than in the open reduction group. Fracture location closer to the femoral head and older age affected the incidence of AVN.
journal_name
J Orthop Surg (Hong Kong)journal_title
Journal of orthopaedic surgery (Hong Kong)authors
Wu C,Ning B,Xu P,Song J,Wang Ddoi
10.1177/2309499019889682subject
Has Abstractpub_date
2020-01-01 00:00:00pages
2309499019889682issue
1eissn
1022-5536issn
2309-4990journal_volume
28pub_type
杂志文章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 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
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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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)
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doi:10.1177/2309499017722438
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abstract:PURPOSE:To examine possible causes of publication bias in the orthopaedic literature so as to avoid inappropriate clinical decisions based on reviews of the literature. METHODS:Two reviewers independently reviewed abstracts presented to the 1999 American Academy of Orthopaedic Surgeons annual meeting. Data pertaining ...
journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
doi:10.1177/230949900701500114
更新日期:2007-04-01 00:00:00
abstract::The author describes a case of a 10-year-old boy with fracture of both forearm bones and a concomitant partial rupture of the ulnar artery. The damage to the ulnar artery was repaired at the time of fasciotomy with a good functional outcome. ...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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abstract::Neck manipulation is associated with spinal cord injury. However, occurrence of such cases is infrequent. This article presents a 33-year-old gentleman who sustained acute tetraplegia after neck manipulation. The aim of this case report is to create awareness that vigorous neck manipulation could cause injury to the s...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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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
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abstract:PURPOSE:The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienböck's disease. METHODS:We retrospectively reviewed data of 19 patients suffering from Kienböck's treated with ECRL tendon ball ar...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章,多中心研究
doi:10.1177/2309499017727914
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:To report our experience with the PRECICE nail for limb lengthening in 23 patients. METHODS:Records of 15 female and 8 male patients aged 14 to 38 (mean, 23.6) years who underwent lengthening of the tibia (n=6) or femur (n=21) using the PRECICE nail were reviewed. The reasons for lengthening included trauma (n...
journal_title:Journal of orthopaedic surgery (Hong Kong)
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doi:10.1177/1602400321
更新日期:2016-12-01 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
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2017-05-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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更新日期:2017-01-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2014-12-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2004-12-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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更新日期:2020-09-01 00:00:00
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journal_title:Journal of orthopaedic surgery (Hong Kong)
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