Efficacy and complications after delayed fixation of femoral neck fractures in children.

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.

authors

Wu C,Ning B,Xu P,Song J,Wang D

doi

10.1177/2309499019889682

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

2309499019889682

issue

1

eissn

1022-5536

issn

2309-4990

journal_volume

28

pub_type

杂志文章
  • Correlation of low back pain to a high-intensity zone of the lumbar disc in Indian patients.

    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

    authors: Pande KC,Khurjekar K,Kanikdaley V

    更新日期:2009-08-01 00:00:00

  • Standardised multidisciplinary protocol for haemodynamically unstable pelvic fractures.

    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

    authors: Ip KC,Lee KB

    更新日期:2014-08-01 00:00:00

  • Biomechanical consequences of first metatarsaophalangeal joint arthrodesis on flexor digitorum longus function: A cadaveric study.

    abstract:BACKGROUND:First metatarsophalangeal joint (MTPJ) arthrodesis is a common treatment modality for hallux rigidus with successful outcomes. However, the effect of arthrodesis on flexor digitorum longus (FDL) is poorly understood. The purpose of this study was to investigate this effect in a biomechanical model. METHODS:...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019826325

    authors: Tan CY,Bin Mohd Fadil MF

    更新日期:2019-01-01 00:00:00

  • Compression and flexural strength of bone cement mixed with blood.

    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

    authors: Tan JH,Koh BT,Ramruttun AK,Wang W

    更新日期:2016-08-01 00:00:00

  • The use of fluoroscopic guided percutaneous pedicle screws in the upper thoracic spine (T1-T6): Is it safe?

    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

    authors: Kwan MK,Chiu CK,Chan CYW,Zamani R,Hansen-Algenstaedt N

    更新日期:2017-05-01 00:00:00

  • Publication bias in abstracts presented to the annual meeting of the American Academy of Orthopaedic Surgeons.

    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

    authors: Harris IA,Mourad M,Kadir A,Solomon MJ,Young JM

    更新日期:2007-04-01 00:00:00

  • Unusual arterial injury following a fracture of the forearm bones: A case report.

    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)

    pub_type: 杂志文章

    doi:10.1177/230949900000800104

    authors: Pai VS

    更新日期:2000-06-01 00:00:00

  • Is neck massage safe? A rare case of tetraplegia and spinal shock after neck manipulation.

    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)

    pub_type: 杂志文章

    doi:10.1177/2309499017690459

    authors: Ling TH,Zakaria AF,Abdullah AT

    更新日期:2017-01-01 00:00:00

  • Tibial bowing and tibial component placement in primary total knee arthroplasty in valgus knees: Are we overlooking?

    abstract:PURPOSE:Tibial bowing in valgus knees with arthritis can lead to component malplacement during total knee arthroplasty (TKA). Incidence of valgus knees with medial tibial bowing, its effect on tibial component placement during primary TKA and methods to improve accuracy of the component placement were studied. METHODS...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019867006

    authors: Palanisami D,George MJ,Hussain AM,Md C,Natesan R,Shanmuganathan R

    更新日期:2019-09-01 00:00:00

  • Biological resurfacing of grade IV articular cartilage ulcers in knee joint with Hyalofast.

    abstract:INTRODUCTION:Hyalofast grafting with microfracture is a new minimally invasive treatment method being proposed for joint cartilage defects. This study was done to measure the clinical efficacy of Hyalofast grafting after microfractures. METHODS:Forty-six patients were assessed for knee function using knee injury and o...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499020905158

    authors: Tan SI,Tho SJW,Tho KS

    更新日期:2020-01-01 00:00:00

  • Serial stab incision venous drainage technique for simple artery-only fingertip replantation.

    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

    authors: Kim DH,Yang S,Seo KB,Kwak SH,Rhee SJ,Ahn TY,Lee SH

    更新日期:2019-01-01 00:00:00

  • Three-dimensional analysis of lateral cortical hinge in medial open-wedge high tibial osteotomy: A computational simulation study of adult cadavers.

    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

    authors: Jung GH,Lee KH,Wang L

    更新日期:2020-09-01 00:00:00

  • Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck's disease: Short-term results of a novel technique.

    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)

    pub_type: 杂志文章

    doi:10.1177/2309499018802514

    authors: Aslantürk O,Ertem K,Ergen E,Köroğlu M

    更新日期:2018-05-01 00:00:00

  • Synovial fluid levels of TWEAK and matrix metalloproteinase 1 in patients with osteoarthritis, and associations with disease severity.

    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

    authors: Hwang IY,Youm YS,Cho SD,Choi SW,Bae MH,Park SJ,Kim HW

    更新日期:2018-01-01 00:00:00

  • Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific.

    abstract:PURPOSE:The purpose of this article is to explore the real-life practice of clinical management of humeral shaft fracture associated with traumatic radial nerve palsy among orthopedic trauma surgeons. METHODS:Two hundred seventy-nine orthopedic surgeons worldwide reviewed 10 real cases of a humeral shaft fracture asso...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2309499017727914

    authors: Giordano V,Belangero W,Pires RE,Labronici PJ,Clinical Decision Rules Group.

    更新日期:2017-09-01 00:00:00

  • Use of a magnetic bone nail for lengthening of the femur and tibia.

    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)

    pub_type: 杂志文章

    doi:10.1177/1602400321

    authors: Karakoyun O,Sokucu S,Erol MF,Kucukkaya M,Kabukçuoğlu YS

    更新日期:2016-12-01 00:00:00

  • Reconstruction of intercalary bone defect after resection of malignant bone tumor.

    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

    authors: Zekry KM,Yamamoto N,Hayashi K,Takeuchi A,Alkhooly AZA,Abd-Elfattah AS,Elsaid ANS,Ahmed AR,Tsuchiya H

    更新日期:2019-01-01 00:00:00

  • Use of bisphosphonate to manage avulsion fracture of tibial tuberosity with underlying angiomatosis: a case report.

    abstract::An unusual case of avulsion fracture of the tibial tuberosity with underlying angiomatosis in a middle-aged man is described, with particular emphasis on the successful use of bisphosphonate in its treatment and the value of serial dual energy X-ray absorptiometry in its subsequent disease monitoring. This case illust...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900301100119

    authors: Wong JW,Yip DK,Kong JK,Chien EP,Shek TW

    更新日期:2003-06-01 00:00:00

  • Preoperative ropivacaine with or without tramadol for femoral nerve block in total knee arthroplasty.

    abstract:PURPOSE:To compare the analgesic effect of preoperative ropivacaine with or without tramadol for femoral nerve block in total knee arthroplasty (TKA). METHODS:14 men and 46 women aged 59 to 80 years who were American Society of Anesthesiologists (ASA) grade I or II and were scheduled for TKA were randomised to receive...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1602400213

    authors: Tang Q,Li X,Yu L,Hao Y,Lu G

    更新日期:2016-08-01 00:00:00

  • Arthroscopic-assisted percutaneous fixation of intra-articular calcaneal fractures using an intraoperative distraction device.

    abstract:PURPOSE:To evaluate the quality of reduction and clinical outcomes by using Percutaneous Distractor and Subtalar Arthroscopy Closed Reduction followed by Internal Fixation (PDSA-CRIF) in the intra-articular calcaneal fracture. METHODS:A consecutive case series of 453 patients with 507 displaced intra-articular calcane...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499020979095

    authors: Gao D,Wong TM,Fang C,Leung FK,Li X,Jia B,Wang Y,Yu B

    更新日期:2021-01-01 00:00:00

  • Lumbar spondylolysis: A report of four cases from two generations of a family.

    abstract::Spondylolysis is a major cause of back pain in children and adolescents. The prevalence of spondylolysis depends on the sex, race, and congenital abnormality. These biases suggest hereditary predisposition as an etiology of spondylolysis. However, no conclusive evidence still exists regarding the inheritance for spond...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499017713917

    authors: Yurube T,Kakutani K,Okamoto K,Manabe M,Maeno K,Yoshikawa M,Sha N,Kuroda R,Nishida K

    更新日期:2017-05-01 00:00:00

  • Risk factors of venous thromboembolism in Indian patients with pelvic-acetabular trauma.

    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

    authors: Sen RK,Kumar A,Tripathy S,Aggarwal S,Khandelwal N

    更新日期:2011-04-01 00:00:00

  • Is there a short-term benefit from an intra-articular steroid injection in female patients with adhesive capsulitis of the shoulder treated with physiotherapy?

    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

    authors: Kumar K,Thomas A,Tetsworth K,Hohmann E

    更新日期:2017-01-01 00:00:00

  • Combined lateral condyle mass and olecranon fractures: A proposed treatment algorithm and surgical technique.

    abstract::Combined lateral condyle mass and olecranon fractures are infrequently seen. These cases are easily missed, and only 12 previous cases are detailed in the English medical literature. The decision for surgical fixation usually depends on the amount of displacement of the individual fractures. However, the optimal surgi...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019837146

    authors: Lam KY,Mahadev A

    更新日期:2019-05-01 00:00:00

  • Multiple recurrences and late metastasis of adamantinoma in the tibia: a case report.

    abstract::Adamantinoma is a rare, low-grade, malignant bone tumour. We report on a 46-year-old woman who had early multiple recurrences of adamantinoma of the right tibia and late metastasis to the lung and ribs 13 years after the first surgical treatment. She underwent multiple complete tumour excisions and eventually below-kn...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901402200330

    authors: Giannoulis DK,Gantsos A,Giotis D,Paschos NK,Vagionas A,Arnaoutoglou CM,Pentheroudakis G,Xenakis TA

    更新日期:2014-12-01 00:00:00

  • Local recurrence of parosteal osteosarcoma adjacent to a prosthesis after 20 years: a case report.

    abstract::We describe the treatment of an uncommonly late presentation of a recurrent parosteal osteosarcoma of the distal femur. The osteosarcoma had originally been detected 20 years earlier, and had been treated with wide excision and mega-prosthesis to reconstruct the femur. The tumour recurred in close proximity to the fem...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900401200225

    authors: Lau TW,Wong JW,Yip DK,Chien EP,Shek TW,Wong LL

    更新日期:2004-12-01 00:00:00

  • Clinical outcomes and survival rate of cementless modular distal fixation femoral stem for revision hip arthroplasty: A minimum 6-year follow-up.

    abstract:PURPOSE:Revision hip arthroplasty is a very challenging procedure. Use of a modular distal fixation stem is one of the available options for revision arthroplasty in patients with proximal femoral bone deficiency. The purpose of this study was to evaluate mid- to long-term outcomes of cementless modular distal fixation...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499018812241

    authors: Kang JS,Na Y,Ko BS,Jeon YS

    更新日期:2018-05-01 00:00:00

  • Segmental excision versus intralesional curettage with adjuvant therapy for giant cell tumour of bone.

    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

    authors: Yacob O,Umer M,Gul M,Qadir I

    更新日期:2016-04-01 00:00:00

  • Has the modern design of Attune total knee replacement improved outcome in patients with isolated patellofemoral arthritis?

    abstract:INTRODUCTION AND AIM:Modern knee replacements aim to improve patient function in arthritis affecting different compartments of the knee. This study evaluates the Patient Reported Outcome Measure (PROM) and functional outcome of a modern total knee replacement (Attune, DePuy) in patients with isolated patellofemoral art...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499020975553

    authors: Ashraf Y,Iqbal HJ,Senevirathana S,Ashraf T

    更新日期:2020-09-01 00:00:00

  • Minimally invasive plate osteosynthesis for tibial plateau fractures.

    abstract:PURPOSE:To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis (MIPO) for tibial plateau fractures. METHODS:35 men and 6 women aged 19 to 75 (mean, 40; standard deviation [SD], 14) years underwent MIPO for displaced tibial plateau fractures. According to the Schatzker system, the tibi...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901202000109

    authors: Raza H,Hashmi P,Abbas K,Hafeez K

    更新日期:2012-04-01 00:00:00