Abstract:
:We prospectively studied all patients admitted for total hip (THR) or knee (TKR) arthroplasty from July 2000 to February 2001. No pharmacological anticoagulation was given. All patients received a standardized postoperative rehabilitation regimen. Forty-six patients with known risk factors for deep vein thrombosis (DVT) were excluded. Eighty patients were studied (22 THR, 58 TKR; 55 women, 25 men). Mean age was 68 (30-90) years. Duplex ultrasonography on both lower limbs was performed on days 5-7 postoperatively. Location and extent of any thrombus were documented. In patients with distal DVT, a follow-up scan was done on days 10-14. If proximal propagation was observed, patients received full anticoagulation. If no propagation was detected, the distal thrombus was considered stable and clinical observation was continued. In the THR group, 1/22 and in the TKR group 9/58 were found to have distal DVT. All were asymptomatic. On follow-up scanning, none showed proximal propagation. All patients were followed up for at least 18 months, and none showed postthrombotic symptoms. Isolated distal DVT in "low-risk" Chinese patients after THR or TKR is not uncommon. Clinically they are usually "silent." If routine perioperative pharmacologic antithrombotic prophylaxis is not practiced, monitoring with duplex ultrasonography may need to be considered.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Ko PS,Chan WF,Siu TH,Cheng A,Lee OB,Lam JJdoi
10.1007/s00264-003-0427-zkeywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
168-71issue
3eissn
0341-2695issn
1432-5195journal_volume
27pub_type
杂志文章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:PURPOSE:Bone-tendon healing following anterior cruciate ligament reconstruction is reportedly enhanced by bone morphogenetic protein (BMP)-7. To improve our understanding of the underlying biologic processes, we examined the effects of BMP-7 on region-specific gene expression in vitro. METHODS:A murine in vitro co-cul...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2688-8
更新日期:2015-04-01 00:00:00
abstract::Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the shor...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-0968-x
更新日期:2010-12-01 00:00:00
abstract::In this prospective case series we evaluated the effectiveness and safety of using an anterior approach to paediatric supracondylar humerus fractures. We gathered data on 46 children that had a displaced supracondylar fracture of the humerus. All the patients had sustained a Gartland type III extension fracture that c...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0668-y
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Synovial haemangioma is a rare type of tumour for which only around 200 cases have been reported worldwide. It usually occurs in the female population during the second decade of life and most commonly affects the knee joint. Patients can complain of pain, recurrent knee swelling and limitation of motion. Si...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2930-4
更新日期:2015-10-01 00:00:00
abstract::We aimed to discover whether there is a difference in incidence of growth disturbances of the proximal femoral epiphysis and final results in two similar groups of children with developmental dislocation of the hip (DDH) treated with (107 hips) and without (48 hips) overhead traction. The only variable between the gro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0080-4
更新日期:2006-08-01 00:00:00
abstract:PURPOSE:The myofibroblast, a contractile fibroblastic cell expressing α-smooth muscle actin (α-SMA), has been reported to play a role in ligament healing. The aim of this study was to evaluate the feasibility of transplanting culture-derived myofibroblasts in injured rabbit medial collateral ligaments (MCL) and in inta...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1519-4
更新日期:2012-08-01 00:00:00
abstract:PURPOSE:Cup positioning is important for optimum hip stability, avoiding component impingement and decreasing both bearing surface wear and revision rate. Transitioning from posterior approach in a lateral position to direct anterior approach (DAA) in a supine presents unique challenges for surgeons. The aim of this st...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04583-0
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity. RESEARCH QUESTIONS:We performed a meta-analysis of randomized controlle...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-017-3484-4
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1871-z
更新日期:2013-08-01 00:00:00
abstract::The purpose of this study was to evaluate the relationship between body mass index and early complications following total hip replacements. Five hundred and fifty patients who underwent primary total hip replacement were recruited. All these patients were subjected to a pre-operative assessment and follow-up at 6 wee...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0222-8
更新日期:2007-08-01 00:00:00
abstract::Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s002640050193
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS:From February 2012 to ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3758-5
更新日期:2018-08-01 00:00:00
abstract::In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program....
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1174-6
更新日期:2011-04-01 00:00:00
abstract::We treated 20 patients with symptomatic L4-5 isthmic spondylolisthesis (ten grade I, nine grade II and one grade III) surgically. All patients complained of low back pain and nine had additional radicular pain. Bilateral posterolateral fusion using the sacrospinalis muscle as a muscle pedicle bone graft was carried ou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100269
更新日期:2001-01-01 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:The present study was designed to address whether osteoblasts play a synergistic role in promoting mesenchymal stem cell (MSC) osteogenesis in a direct cell-cell contact co-culture model. METHODS:Murine C3H10T1/2 and MC3T3-E1 cell lines were mixed and plated onto 12-well culture plates and co-cultured at vario...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1259-x
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:Femoroacetabular impingement is a new disease concept for hip disorders in young adults suggested as a major cause of primary hip osteoarthritis in Western countries. However, significant controversy exists regarding the prevalence and contribution of impingement deformities to osteoarthritis in Japan, owing to...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2393-z
更新日期:2014-08-01 00:00:00
abstract::The first metatarsophalangeal joint was replaced by a flexible silastic hinge prosthesis in 33 joints of 25 patients. Most patients were pleased with the operation but one third had some discomfort under the second and third metatarsal heads. We used a computer linked load cell matrix to analyse the forces under these...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266950
更新日期:1985-01-01 00:00:00
abstract::There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients had their urine dips...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0573-4
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Periprosthetic tissue cultures, sonication and synovial fluid cultures remain the gold standard for prosthetic joint infection (PJI) diagnosis. However, some 15-20% culture-negative PJI are still reported. Therefore, there is the need for other diagnostic criteria. One point of concern relative to the differ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3430-5
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:Our aim was to investigate whether serum and synovial-fluid (SF) concentrations of interleukin-6 (IL-6), leptin, adiponectin, resistin or visfatin are associated with joint pain in hip and knee in end-stage osteoarthritis (OA). METHODS:A cross-sectional study assessing patients with hip and knee OA undergoing ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2416-9
更新日期:2014-12-01 00:00:00
abstract::The incidence of the major complications of operation have been studied prospectively in 1,722 patients with a proximal femoral fracture treated by either insertion of a hemiarthroplasty, internal fixation with a Dynamic Hip Screw (DHS) or multiple parallel screws. Major complications occurred in 8.0%. A special surgi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192477
更新日期:1994-06-01 00:00:00
abstract:PURPOSE:Osteoarthritis (OA) is one of the most common causes of disability and a prevalent chronic disease. The use of collagen is growing due to the satisfactory results in the treatment of OA. However, the possible beneficial effects of collagen for the treatment of OA are currently controversial. The aim of the pres...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-018-4211-5
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Unreamed nails have revolutionised the treatment of tibial shaft fractures. Many authors, however, have reported increasing bone healing complications with these implants. Unfortunately, few studies have addressed the factors affecting bone healing after unreamed tibial nailing. METHODS:One-hundred and sixty t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1505-x
更新日期:2012-07-01 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::In 1975 we carried out a survey in Hong Kong to locate Chinese children with congenital dislocation of the hip. Analysis of the available records between 1960 and 1975 gave an observed incidence which was at least 10 times less than found in Caucasians. The age and sex distribution, radiographic findings and the left-...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266064
更新日期:1981-01-01 00:00:00
abstract::Trauma, infection, local injections and even acupuncture may cause fibrosis of the muscles of the first web space of the hand, leading to severe malposition and loss of function of the thumb and index finger. The authors present the anatomical basis for the deformity and the results of surgical treatment by tenotomy o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266837
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-016-3143-1
更新日期:2016-12-01 00:00:00
abstract::The concentrations of cobalt and chromium have been measured in the urine of 22 patients who had received uncemented hip prostheses made from cobalt, chromium and molybdenum alloy, and in 21 patients who had not received prostheses, using absorption spectrophotometry. The results were statistically analysed using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00454409
更新日期:1986-01-01 00:00:00