Abstract:
:Fixed multiplane deformities around the hip representing a combination of rotational, angular, and leg-length discrepancies are disabling for the patient and pose a challenge for the orthopaedic surgeon. We describe a joint-preserving, one-stage procedure to address these complex problems using an intertrochanteric osteotomy with a step-cut to allow for corrective lengthening, angulation, and rotation. We present our results in nine patients. The aim of this paper is to provide the orthopaedic surgeon with a detailed approach to treating these deformities with reproducible results.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Marti RK,ten Holder EJ,Kloen Pdoi
10.1007/s002640100282keywords:
subject
Has Abstractpub_date
2001-01-01 00:00:00pages
355-9issue
6eissn
0341-2695issn
1432-5195journal_volume
25pub_type
杂志文章abstract::We have assessed the oncological and functional results of limb salvage surgery using a custom-made endoprosthetic replacement in six patients (mean age 17 years) with distal tibial osteosarcoma (stage IIB). A wide margin excision was possible in three, marginal in two and contaminated in one. Skeletal reconstruction ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000172
更新日期:2000-01-01 00:00:00
abstract::We assessed the anti-rheumatic effects of radical multiple synovectomy (RaMS) in patients with rheumatoid arthritis (RA) who did not respond to intensive medical treatment. The selection of patients into three groups, A, B or C, was randomised. Patients assigned to group A (n = 28) continued the prescribed pre-operati...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002640000168
更新日期:2000-01-01 00:00:00
abstract::Precise evaluation of bone loss and bone viability is necessary in order to select the most appropriate operation for patients with osteonecrosis of the femoral head. Bone destruction, and its exact location, can be assessed by computed axial tomography. The viability of remaining bone can be observed at operation by ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269498
更新日期:1983-01-01 00:00:00
abstract:PURPOSE:We have previously reported that a cylindrical bioabsorbable synthetic polymer scaffold made of poly (DL-lactide-co-glycolide) (PLG) can be used to repair osteochondral defects without using cultured cells in a rabbit model. This cylindrical scaffold has a solid and pre-formed design, which limits its widesprea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2253-2
更新日期:2014-11-01 00:00:00
abstract::Proliferating cell nuclear antigen (PCNA) is one of the cell cycle-related proteins directly involved in DNA synthesis. It is a marker of cellular proliferation and has been shown to correlate with ploidy and proliferative activity of cells. Its expression has been used to estimate the growth fraction of human cancer ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000147
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Surgical management of humeral fractures associated with radial nerve palsy remains controversial. Some advocate surgical treatment in emergency while others recommend nonoperative treatment. PURPOSE:The aim of the study was to assess nerve recovery in a series of patients treated with open reduction and in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2745-3
更新日期:2015-08-01 00:00:00
abstract::In a retrospective study of 39 hips with osteonecrosis of the femoral head treated with core decompression we evaluated the extent of the necrotic area, the Ficat stage and the location of the lesion. The extent of the necrotic lesion was classified into three categories: mild, less than 15%; moderate, 15-30%; and sev...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000186
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:The best treatment for intra-articular fractures of the calcaneus is still debated. The aims of this study were to determine whether intrafocal reduction of thalamic fractures is effective, to evaluate whether a locking nail is able to maintain reduction of the articular surface and to analyse the functional re...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2816-5
更新日期:2015-10-01 00:00:00
abstract::When surgically treated, pelvic-ring deformities due to post-traumatic malunions in adults usually require invasive three-stage (prone/supine/prone or supine/prone/supine) procedures. A standardised two-stage prone/supine procedure was developed by the authors. Technical points and first clinical results are presented...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0089-8
更新日期:2006-10-01 00:00:00
abstract:PURPOSE:We reviewed data to determine outcomes for 21 consecutive Vancouver type B1 or type C periprosthetic fractures that we treated between 2001 and 2008 using a nickel-titanium shape-memory sawtooth-arm embracing fixator. METHODS:The study participants were 12 men and 9 women (mean age, 70.8 years; range, 42-85 ye...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1325-4
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:Multi-level reconstruction incorporating the chest wall and ribs is technically demanding after multi-segmental total en bloc spondylectomy (TES) of thoracic spinal tumours. Few surgical techniques are reported for effective reconstruction. A novel and straightforward technical reconstruction through posterior-...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3816-z
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:The goal of the study was to evaluate long-term results of hip arthroplasty in patients with ceramic-on-ceramic articulation. METHODS:The follow-up involved 220 primary total hip arthroplasty procedures (188 patients, 101 women and 87 men) after implantation of the Mittelmeier cementless hip endoprosthesis. Th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1639-x
更新日期:2012-11-01 00:00:00
abstract:PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for basel...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3847-5
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Heterotopic ossification (HO) may lead to complete elbow ankylosis, resulting in severe disability. The prognostic factors that may be valuable in guiding treatment of this condition have not yet been evaluated. The goals of this study were to describe the outcomes of open release for ankylosed elbow caused ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3395-9
更新日期:2017-08-01 00:00:00
abstract::The immunogenicity of a virus-induced rat osteosarcoma was studied utilizing the lymphocyte microcytoxicity test. Lymphocytes from "progressor" animals (in which the tumour progressed and metastasized) demonstrated an ability to kill osteosarcoma cells in vitro, while serum from these animals abrogated or blocked the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268153
更新日期:1980-01-01 00:00:00
abstract::In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-005-0671-5
更新日期:2005-10-01 00:00:00
abstract::We studied human specimens and compared data on cartilage thickness measurements with magnetic resonance imaging by using an image analysing system with corresponding histological sections in the middle of each sector. The findings are based on 768 measurements in 26 knee joints. Overall, there was very good magnetic ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050367
更新日期:1999-01-01 00:00:00
abstract::Loss of joint space, formation of osteophytes and deformation are common features of osteoarthritis. Little information exists about the radiological features of arthrosis in relation to clinical findings and the radiological appearance in degenerative shoulder joint disease especially with regard to decision making a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0846-6
更新日期:2010-06-01 00:00:00
abstract::The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0698-5
更新日期:2009-12-01 00:00:00
abstract::During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0468-9
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. METHODS:A prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4057-x
更新日期:2019-02-01 00:00:00
abstract::At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000202
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Sciatic nerve palsy after periacetabular osteotomy (PAO) is a serious complication. The purpose of this study was to determine whether a multimodal sciatic monitoring technique allows for identification of surgical steps that place the sciatic nerve at risk. METHODS:Transcranial electrical motor evoked potenti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3394-x
更新日期:2017-08-01 00:00:00
abstract:PURPOSE:Stage II posterior tibial tendon dysfunction (PTTD) can be treated by flexor digitorum longus (FDL) tendon transfer and medial displacement calcaneal osteotomy (MDCO). Numerous authors have studied the clinical and radiographic results of this procedure. However, little is known about the kinematic changes. The...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2071-6
更新日期:2013-09-01 00:00:00
abstract::Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00184916
更新日期:1995-01-01 00:00:00
abstract::An appraisal of the clinical records of patients with malignant bone tumours enabled us to identify 61 whom we have treated by external fixation. There were 38 males and 23 females with ages ranging from 4 to 58 years, the mean being 14 years. The average period of follow-up was 6 years (1-12 years). For the purpose o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050223
更新日期:1998-01-01 00:00:00
abstract::A man, aged 52 years, who had a secondary Raynaud phenomenon affecting the left hand and index finger had been treated unsuccessfully with intravenous prostaglandin E1 and amputation of the finger was proposed. He was given intra-arterial prostaglandin E1 for 10 days and amputation was not necessary. He recovered almo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00187085
更新日期:1994-01-01 00:00:00
abstract::Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186868
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:Aneurysmal bone cyst (ABC) is a benign intraosseous lesion filled with blood that can determine a blowout distension of the bone. The purpose of this study is to evaluate the efficacy of sclerotherapy by percutaneous intralesional administration of ethanol 96% for the treatment of this pathology in paediat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3841-y
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:There is evidence showing that mesenchymal stromal cells (MSC) may constitute a potential therapeutic strategy to induce bone regeneration. In this work, we investigate the capacity of autologous bone marrow (BM) MSC loaded on collagen microspheres (CM) and included into autologous platelet-rich plasma (PRP) cl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3130-6
更新日期:2016-05-01 00:00:00