Abstract:
:We reviewed a consecutive series of 19 patients with comminuted periprosthetic fractures, loosening of the femoral stem (Vancouver type B3) and significant loss of bone stock (Paprosky type III and IV). Sixteen porous-coated long stems and three Exeter stems, all with impaction grafting, were used. Large femoral onlay strut allografts were applied to maintain fracture reduction and improve stability. There was one early re-fracture at the tip of the femoral stem. Eighteen fractures healed without deformity and shortening. At the last follow-up at mean 3.7 (2.0-7.5) years, the mean Harris hip score was 76.4 (57.5-92.0). There was ingrowth of all strut grafts and significant augmentation of periprosthetic bone.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Barden B,von Knoch M,Fitzek JG,Löer Fdoi
10.1007/s00264-002-0423-8keywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
164-7issue
3eissn
0341-2695issn
1432-5195journal_volume
27pub_type
杂志文章abstract:PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2491-y
更新日期:2015-03-01 00:00:00
abstract::The patella clunk syndrome is not an uncommon complication, particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella clunk syndrome amongst two comparable groups of elderly patients with knee arthritis implanted w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0316-2
更新日期:2002-01-01 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:PURPOSE:Several studies have investigated effectiveness of fibrin spray or bipolar sealer to control peri-operative bleeding and reduce the need for blood transfusion, but a direct comparison between the two methods has not been previously performed. We conducted a prospective randomised trial, with standard electrocau...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1903-8
更新日期:2013-07-01 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:PURPOSE:Forty patients were enrolled in a prospective randomised study using conventional method or "Trabecular Metal Cone" (TM Cone) (Zimmer inc., Warsaw, USA) for reconstruction of bone loss of the proximal tibia during revision total knee arthroplasty (rTKA). The aim was to evaluate changes in bone mineral density (...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-012-1601-y
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:Approximately 5% of patients with spinal tuberculosis will develop a severe kyphotic deformity resulting in increased potential for pain, spinal cord compression, cardiopulmonary dysfunction, costopelvic impingement and cosmetic concerns. This manuscript reviews the evaluation and surgical management of tubercu...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-011-1292-9
更新日期:2012-02-01 00:00:00
abstract::The load transmitted through fresh fractures of the tarsometatarsus of adult chickens was varied by 40% more, or less, than the body weight to determine the effect of load-bearing on fracture healing. The healing fracture was examined for size and strength at 14 days, but no significant differences were detected in an...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268171
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-04284-9
更新日期:2019-12-01 00:00:00
abstract::In this study the authors present the results of 44 patients with 49 interfascicular nerve grafting procedures necessitated by gunshot wounds. The aim was to establish the effectiveness of microsurgical interfascicular nerve grafting for war injuries. The 49 interfascicular nerve grafting procedures were performed bet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050036
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:In reconstruction of congenital hip dislocation by total hip arthroplasty (THA), positioning of the acetabular component in the true acetabulum is sometimes accompanied by shortening of the femur. Shortening of the femur is of importance for minimising risk of damaging neurovascular structures due to excessive ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1293-8
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosenin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2135-7
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial plateau fracture, and to propose an algorithm to treat various types of plateau fractures which all involve the PLF. METHODS:This article reviews multiple surgical approaches for PLF and suggests an algorit...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-017-3563-6
更新日期:2017-09-01 00:00:00
abstract::Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2281-6
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Intercondylar humerus fractures (AO type 13C), though less common (less than 1%), are increasing over the last few years. Open reduction and internal fixation (ORIF) of these fractures are now well recognised and preferred management. These fractures are principally approached from posterior side and various...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04785-6
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:The purpose of this study was to analyze the occurrence of PE after intra-operative O-arm navigation-assisted surgery and determine whether the post-operative PE incidence could be decreased by using O-arm navigation as compared to conventional free-hand technique. METHODS:A cohort of 27 patients with spinal d...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3889-8
更新日期:2018-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3971-2
更新日期:2018-09-01 00:00:00
abstract::Olecranisation of the patella was described and first used by Grammont (1984) to maintain reduction of the knee joint after posterior cruciate repair and reconstruction. Since 1985 we used this technique in 18 acute posterior ruptures and knee dislocations which did not undergo surgery. Knee laxity is assessed under g...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181106
更新日期:1995-01-01 00:00:00
abstract::Fifty patients in Saudi Arabia with primary gonarthrosis were randomly selected in order to study the anatomical pattern of the disease. Anteroposterior and lateral radiographs were taken with the patients nonweight-bearing and weight-bearing; axial projections of the patello-femoral joint were also taken. Involvement...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268043
更新日期:1989-01-01 00:00:00
abstract:PURPOSE:Occult intra-operative periprosthetic acetabular fracture is a seldom-reported complication of primary total hip arthroplasty (THA). It may potentially be associated with cup instability and implant loosening. The present study aimed to investigate clinical consequences of this complication. METHODS:Between 20...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4084-7
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:Endothelial dysfunction is a risk factor for osteonecrosis of femoral head (ONFH) and venous thromboembolism (VTE) [defined as deep venous thrombosis (DVT) or pulmonary embolism (PE)]. However, the risk of unprovoked VTE in non-traumatic ONFH patients remains unclear. METHODS:We investigated the relationship b...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3866-2
更新日期:2018-07-01 00:00:00
abstract::One of the major failure modes of cementless acetabular components is the loosening of the acetabular cup, which is mostly attributable to insufficient initial stability. A hemispherical cup with a porous coating which is inserted with press-fit fixation and secured with several screws is one of the most widely used a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0226-4
更新日期:2007-08-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS:It is a prospective randomized study carried out in a single emergency trauma depar...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-017-3518-y
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:Management of proximal humeral tumours remains a surgical challenge. No study to date has assessed the quality of life scores following the composite reverse shoulder arthroplasty for this indication. We, therefore, evaluated function and quality of life following reconstruction with allograft for malignant tum...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3538-7
更新日期:2017-12-01 00:00:00
abstract::We measured the size and volume of the femoral broaches and stems supplied with three commercial total hip replacement (THR) systems (JRI Furlong, Biomet Stanmore, and Howmedica Exeter). Using an in vitro method, we created cement mantles that could be directly measured. The broaches supplied with the Biomet Stanmore ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0509-y
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:The aim of this study was to conduct a randomised, clinical trial comparing stemmed hemiarthroplasty and resurfacing hemiarthroplasty in the treatment of glenohumeral osteoarthritis. METHODS:A total of 40 shoulders (35 patients) were randomised to stemmed hemiarthroplasty or resurfacing hemiarthroplasty and ev...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2505-9
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:Morphologic data of the knee is very important in the design of total knee prostheses. Generally, the designs of the total knee prostheses are based on the knee anatomy of Caucasian population. Moreover, in forensic medicine, a person's age and sex might be estimated by the shape of their knees. The aim of this...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3826-x
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:There remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventiona...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1996-0
更新日期:2014-02-01 00:00:00
abstract::Forty patients with Kienböck's disease were reviewed to determine the relationship between ulnar variance and the development of Kienböck's disease in a Japanese cohort. The joint levelling procedures designed to correct ulnar variance were evaluated in 11 patients after a mean of 9.7 years following surgery. The mean...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0466-5
更新日期:2003-01-01 00:00:00
abstract:STUDY DESIGN:This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE:The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinica...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3506-2
更新日期:2017-07-01 00:00:00