Duplex ultrasonography after total hip or knee arthroplasty.


: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.


Int Orthop


Ko PS,Chan WF,Siu TH,Cheng A,Lee OB,Lam JJ





Has Abstract


2003-01-01 00:00:00












  • Results after anterior-posterior lumbar spinal fusion: 2-5 years follow-up.

    abstract::Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Niemeyer T,Bövingloh AS,Halm H,Liljenqvist U

    更新日期:2004-10-01 00:00:00

  • In vitro release of vancomycin from vancomycin-loaded blood coated demineralised bone.

    abstract::In vitro and in vivo studies have demonstrated the possibility that cancellous bone could be used as a carrier of antibiotics for local delivery. However, the release of antibiotics from the loaded cancellous bone is too rapid and uncertain. We hypothesised that demineralisation of cancellous bone would increase the a...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Rhyu KH,Jung MH,Yoo JJ,Lee MC,Seong SC,Kim HJ

    更新日期:2003-01-01 00:00:00

  • Fixation of fractures by twisted plates. A new concept of osteosynthesis.

    abstract::A new twisted plate has been designed for biplane fixation of diaphyseal fractures of long bones. Comparative mechanical testing of the new twisted plate and conventional flat plates showed that the twisted plate was 40% stronger when a bending moment was applied and 132% stronger to a twisting moment. The overall imp...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章


    authors: Kumar K

    更新日期:1992-01-01 00:00:00

  • Stress radiography in the diagnosis of anterior cruciate ligament deficiency.

    abstract::A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Garcés GL,Perdomo E,Guerra A,Cabrera-Bonilla R

    更新日期:1995-01-01 00:00:00

  • The anti-rheumatic effect of multiple synovectomy in patients with refractory rheumatoid arthritis.

    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


    authors: Nakamura H,Nagashima M,Ishigami S,Wauke K,Yoshino S

    更新日期:2000-01-01 00:00:00

  • Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery.

    abstract:PURPOSE:The rapidly growing and emerging nature of biologics have made indications for regenerative and reparative hip therapies ever changing, with at times only early-stage evidence for their use. The purpose of this study was to review and summarize the currently available data on the management of hip cartilage inj...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Hevesi M,Jacob G,Shimomura K,Ando W,Nakamura N,Krych AJ

    更新日期:2021-02-01 00:00:00

  • Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail.

    abstract:BACKGROUND:Intramedullary calcaneal nailing is used to treat displaced intra-articular calcaneal fractures. The main goal of the study was to assess the reduction of tomography and secondary goals were patient functional scores and complication rates. METHODS:The functional outcome and restoration of the radiographic ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Fourgeaux A,Estens J,Fabre T,Laffenetre O,Lucas Y Hernandez J

    更新日期:2019-12-01 00:00:00

  • Occult injuries of the contralateral sacroiliac joint in operatively treated pelvis fractures: incidence, root cause analysis, and proposal of treatment algorithm.

    abstract:PURPOSE:To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures. METHODS:The medical records of 73 patients presenting to our level I trauma center (52 male and 21 fema...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Maertens AS,Martin MP 3rd,Dean CS,Rojas D,Parry JA,Maher M,Mauffrey CP

    更新日期:2019-10-01 00:00:00

  • Clinical importance of impingement deformities for hip osteoarthritis progression in a Japanese population.

    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


    authors: Hashimoto S,Fujishiro T,Hayashi S,Kanzaki N,Nishiyama T,Kurosaka M

    更新日期:2014-08-01 00:00:00

  • Metastatic bone disease: the requirement for improvement in a multidisciplinary approach.

    abstract::The purpose of this study was to assess the referral system, clinical notes and radiographs of patients presenting with metastatic disease of long bones. The study demonstrated that 93% of oncologists did not use a reliable scoring system to assess risk of pathological fracture, and 60% felt an improvement in communic...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Cumming D,Cumming J,Vince A,Benson R

    更新日期:2009-04-01 00:00:00

  • Bone morphogenetic protein and orthopaedic surgery: can we legitimate its off-label use?

    abstract:PURPOSE:Bone morphogenetic proteins (BMP) are recombinant osteoinductive proteins with their primary role being to promote bone formation. The off-label use of BMP in orthopaedic surgery has dramatically increased. However, reports of complications with BMP have emerged, and the safety of these proteins in orthopaedics...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Courvoisier A,Sailhan F,Laffenêtre O,Obert L,French Study Group of BMP in Orthopedic Surgery.

    更新日期:2014-12-01 00:00:00

  • An acrylic Judet hip prosthesis in a shoulder hemiarthroplasty for thirty-nine years--a case report.

    abstract::We describe a hemiarthroplasty of the shoulder with an acrylic Judet hip prosthesis, inserted after the excision of a giant cell tumour of the head of the humerus, which functioned well for 39 years. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zamudio L,Gil-Orbezo F,Hernandez-Mercado G

    更新日期:1997-01-01 00:00:00

  • Pathological fracture of a lumbar vertebra caused by rheumatoid arthritis--a case report.

    abstract::We describe a case of rheumatoid arthritis (RA) with collapse of the L3 lumbar vertebra for which surgery was performed. The pathogenesis of lumbar lesions affected by RA is discussed and the literature reviewed. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Nakase T,Fujiwara K,Kohno J,Owaki H,Tomita T,Yonenobu K,Ochi T

    更新日期:1998-01-01 00:00:00

  • Congenital longitudinal deficiency of the tibia.

    abstract::We performed a clinical and radiographic review of 15 patients (19 limbs) with longitudinal deficiency of the tibia treated between 1981 and 2001. Ten limbs with Kalamchi type I deficiencies were managed by through-knee amputation. Five type II deficiencies were treated by foot ablation and tibiofibular synostosis, ei...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Spiegel DA,Loder RT,Crandall RC

    更新日期:2003-01-01 00:00:00

  • Effects of aggressive early rehabilitation on the outcome of anterior cruciate ligament reconstruction with multi-strand semitendinosus tendon.

    abstract::To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Muneta T,Sekiya I,Ogiuchi T,Yagishita K,Yamamoto H,Shinomiya K

    更新日期:1998-01-01 00:00:00

  • Distraction osteogenesis with conventional external fixator for tibial bone loss.

    abstract::Between 1991 and 2002, we treated 21 patients with tibial bone loss using a conventional external fixator. Nine patients had an infected open fracture and 12 patients an infected nonunion. After corticotomy, the bone was distracted at the rate of 1 mm (1 mm/step) on alternate days or every 48 h. The mean follow-up per...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Sangkaew C

    更新日期:2004-06-01 00:00:00

  • Antibiotic-associated colitis in orthopaedic patients.

    abstract::Antibiotic-associated colitis was diagnosed in 23 orthopaedic patients: 17 had abdominal symptoms, 3 had a fever and the remaining 3 had no symptoms but increasing C-reactive protein values or white blood count. The antibiotic was clindamycin in 19, cephalosporins in 3 and a combination of vancomycin and fusidic acid ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Boehler M,Rustler T,Wolf D,Knahr K

    更新日期:1996-01-01 00:00:00

  • Early-stage osteonecrosis of the femoral head: where are we and where are we going in year 2018?

    abstract::Osteonecrosis of the femoral head (ONFH) is a devastating condition affecting relatively young patients whereby the femoral head is necrotic, resulting in significant pain, articular surface collapse, and eventual osteoarthritis. This condition has been highly associated with chronic steroid use, alcoholism, and hip t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审


    authors: Larson E,Jones LC,Goodman SB,Koo KH,Cui Q

    更新日期:2018-07-01 00:00:00

  • A study on tension signs in lumbar disc hernia.

    abstract::The laminae were removed from the lower lumbar spines of five cadavers within four hours of death. A short length of rubber tube was inserted between the nerve roots and the lumbar disc and the tension monitored using semiconductor pressure transducers. The angulatory stresses exerted on the lumbar nerve roots during ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Sugiura K,Yoshida T,Katoh S,Mimatsu M

    更新日期:1979-01-01 00:00:00

  • Cementless total hip arthroplasty in advanced tuberculosis of the hip.

    abstract:PURPOSE:The use of total hip arthroplasty (THA) to treat advanced tuberculous arthritis, particularly during the active phase, is challenging. The aim of this study was to evaluate the efficacy of cementless THA for advanced hip joint tuberculosis. METHODS:This study reviewed 32 patients (mean age at surgery, 49.4 yea...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zeng M,Hu Y,Leng Y,Xie J,Wang L,Li M,Zhu J

    更新日期:2015-11-01 00:00:00

  • Bone-peg grafting for osteochondritis dissecans of the elbow.

    abstract::In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose bod...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Oka Y,Ohta K,Fukuda H

    更新日期:1999-01-01 00:00:00

  • Benefits of a metallic lateralized baseplate prolonged by a long metallic post in reverse shoulder arthroplasty to address glenoid bone loss.

    abstract:BACKGROUND:Severe glenoid bone loss remains a surgical challenge. This condition is known to be associated with high rates of glenoid component failure. PURPOSE:The objective of this study was to evaluate clinical and radiological outcomes of a lateralized metal-backed 15.2-mm keeled baseplate prolonged by a thin 24.8...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Valenti P,Sekri J,Kany J,Nidtahar I,Werthel JD

    更新日期:2019-09-01 00:00:00

  • Weight bearing: its lack of effect on fracture healing.

    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


    authors: Riggins RS,Simanonok C,Lewis DW,Smith AH

    更新日期:1985-01-01 00:00:00

  • A 4-year study of the mycological aspects of Kashin-Beck disease in Tibet.

    abstract::In order to clarify the association between mycotoxin-producing fungi in food and Kashin-Beck disease (KBD), we examined the occurrence and contamination levels of fungi in samples of barley grain, from KBD-affected families and from unaffected families in endemic areas. A control area without the occurrence of KBD se...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Chasseur C,Suetens C,Michel V,Mathieu F,Begaux F,Nolard N,Haubruge E

    更新日期:2001-01-01 00:00:00

  • Fractures due to hypocalcemic convulsion.

    abstract::We report on two cases of patients in whom hypocalcemic seizures during hemodialysis led to right scapular body fracture in one and bilateral femoral neck fractures in the other. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Gür S,Yilmaz H,Tüzüner S,Aydin AT,Süleymanlar G

    更新日期:1999-01-01 00:00:00

  • The techniques of soft tissue release and true socket reconstruction in total hip arthroplasty for patients with severe developmental dysplasia of the hip.

    abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Wu X,Li SH,Lou LM,Cai ZD

    更新日期:2012-09-01 00:00:00

  • Patient-specific cutting guides for open-wedge high tibial osteotomy: safety and accuracy analysis of a hundred patients continuous cohort.

    abstract:INTRODUCTION:Several recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG resu...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Chaouche S,Jacquet C,Fabre-Aubrespy M,Sharma A,Argenson JN,Parratte S,Ollivier M

    更新日期:2019-12-01 00:00:00

  • Myeloscopy, with special reference to blood flow changes in the cauda equina during Lasègue's test.

    abstract::Myeloscopy has been undertaken in a series of 208 patients without any serious complications. Observations have been made of changes in blood flow in the vessels accompanying the cauda equina during Lasègue's test and in some pathological states. Direct observation of the nucleus pulposus has been achieved and the pos...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ooi Y,Satoh Y,Inoue K,Mikanagi K,Morisaki N

    更新日期:1981-01-01 00:00:00

  • An experimental study of nerve regeneration through chemically treated allografts.

    abstract::We carried out experiments in rabbits to determine whether treating nerve transplants with gradually increasing concentrations of ethanol, ether and ficin would inhibit the graft-host immune reaction to the allograft. After treatment with ethanol, the basal laminar scaffold of the Schwann cell remained intact and ther...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Hirasawa Y,Katsumi Y,Tamai K,Okada S,Tokioka T,Miyata T,Furuse M,Ide C

    更新日期:1990-01-01 00:00:00

  • Internal fixation of valgus-impacted humeral head fractures using the screw-wiring technique.

    abstract::Between February 1996 and July 2000 eight patients (ages 35-74 years) with nine severely impacted humeral head fractures were operated on with the aim of preserving the humeral heads. Patients were treated surgically with open reduction, autologous bone grafting, and internal fixation with a screw-wiring technique. Th...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Yu KS,Chan PT,Lau SC,Cheng SK,Faan YS,Ngai WK

    更新日期:2002-01-01 00:00:00