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：PURPOSE:Acetabular bone loss is a challenging problem in revision total hip arthroplasty (rTHA). Severe bone loss is not uncommon especially in periprosthetic joint infection. Surgical options, including revision shells, rings, and cages-with or without bone allograft-are affected by high complication rates and unsatis...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04623-9
更新日期：2020-10-01 00:00:00
abstract：:A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF00186879
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:The aims of this retrospective study were to firstly introduce three practical bulk bone graft techniques based on acetabular morphology for dysplasia and secondly evaluate the long-term durability of acetabular reconstruction using those techniques combined with cemented total hip arthroplasty (THA). METHODS:...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-3039-5
更新日期：2016-09-01 00:00:00
abstract：PURPOSE:The purpose of this study is to compare the efficacy of percutaneous Achilles tenotomy (AT) to combined open Achilles tenotomy and posterior capsulotomy (PC+AT) in the correction of residual equinus deformity in congenital talipes equinovarus after Ponseti serial casting in both idiopathic and non-idiopathic cl...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2631-4
更新日期：2015-04-01 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:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3295-z
更新日期：2017-02-01 00:00:00
abstract：:We treated 25 patients with aggressive and malignant fibular tumours between April 1989 and May 2001. There were 11 osteosarcomas, seven Ewing's sarcoma and five chondrosarcomas. The tumours predominantly involved the upper one third; 16 were of Stage IIB. Neo-adjuvant and adjuvant chemotherapy were given to all patie...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0566-x
更新日期：2004-10-01 00:00:00
abstract：PURPOSE:Reverse shoulder arthroplasty (RSA) is often indicated in elderly patients with displaced proximal humerus fractures (PHF). The rate of greater tuberosity (GT) healing varies from 37 to 90% in this population. The aim of this study was to assess greater and lesser tuberosity (LT) fixation and healing on CT scan...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04928-9
更新日期：2021-01-09 00:00:00
abstract：:The aim of this prospective study was to measure bone density changes and to assess adaptive bone remodelling after uncemented total hip arthroplasty with a taper-design femoral component using quantitative computer-tomography-assisted osteodensitometry. This method is able to differentiate cortical and cancellous bon...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0389-7
更新日期：2008-10-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1394-4
更新日期：2012-04-01 00:00:00
abstract：:Fractures around a femoral prosthesis have been treated with plating and additional cement, but this leads to further reduction of bone stock in the proximal femur. Since February 1992, we have dealt with this problem in 12 patients by revision using a long uncemented stem and distal interlocking combined with homolog...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050112
更新日期：1997-01-01 00:00:00
abstract：:As part of the international campaign of the bone and joint decade, we aimed to present epidemiological data on the prevalence of major joint complaints in a Central European region. Ten thousand subjects aged between 14 and 65, selected randomly by the Hungarian central office of statistics from three counties in sou...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0033-3
更新日期：2006-04-01 00:00:00
abstract：PURPOSE:The medial plica (MP) is a normal anatomic structure consisting of a fold in the synovial layer of the joint. Arthroscopic resection is currently used as a gold standard procedure in patients with medial plica syndrome (MPS), but there are few prospective studies that analyze the long-term functional outcomes o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3313-1
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04777-6
更新日期：2020-12-01 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:Extension lag, quadriceps weakness and subluxation of the extensor apparatus are known complications of patellectomy. In the case of total knee joint replacement with a nonconstrained system an instability may be encountered. Reconstruction of the patella allows restoration of the moment arm to improve quadrice...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1281-z
更新日期：2012-03-01 00:00:00
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
doi：10.1007/s00264-008-0556-5
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:We investigated if patient-reported outcomes (PROMs) one year after total hip replacement (THR) can predict the risk of re-operation using data from the Swedish Hip Arthroplasty Register. METHODS:A total of 75,899 patients with THR due to osteoarthritis operated in 2002-2014 were included. We used Kaplan-Meier...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3711-z
更新日期：2018-02-01 00:00:00
abstract：PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1645-z
更新日期：2012-11-01 00:00:00
abstract：:A retrospective study evaluating complications in 2,233 consecutive patients of subaxial cervical disorders treated with an anterior cervical locking plate was performed, and recommendations for prevention and treatment were made. The average length of follow-up was 1.3 years. Any loosening or breaking of the plates a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0369-y
更新日期：2008-10-01 00:00:00
abstract：PURPOSE:Hip-joint empyema is a severe local infection that can cause general illness and, in the worst-case scenario, death by septic complications. For severe hip-joint infections, the Girdlestone arthroplasty has been an established treatment option for many decades. We describe functional midterm results after treat...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1351-2
更新日期：2012-05-01 00:00:00
abstract：:The articular cartilage and synovial membrane of immature and mature chicken knee joints were studied by light, scanning and transmission microscopy. The findings differed from human articular cartilage and we conclude that the chicken knee joint is not suitable as a model for human joint degeneration. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183553
更新日期：1993-01-01 00:00:00
abstract：PURPOSE:Inadequate reconstruction of femoral offset after total hip arthroplasty (THA) is associated with unfavourable outcomes, but its importance following hemiarthroplasty for displaced femoral neck fracture is unknown. METHODS:Our study examined the correlation between reconstructed femoral offset and functional o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2828-1
更新日期：2016-07-01 00:00:00
abstract：:Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-007-0484-9
更新日期：2009-04-01 00:00:00
abstract：:The aim of this prospective study was to determine the effect of screening for methicillin-resistant Staphylococcus aureus (MRSA), in patients undergoing total hip and knee replacements, on reducing hospital-acquired infections and the length of hospital stay. We included 395 patients admitted to the elective orthopae...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0649-3
更新日期：2005-06-01 00:00:00
abstract：PURPOSE:The benefits of minimally invasive surgical techniques in total hip arthroplasty (THA) are well known, but concerns about applying those techniques in obese patients are controversial. We prospectively compared patients with increased body mass index (BMI ≥ 30) undergoing THA with normal weight patients. METHO...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-013-1833-5
更新日期：2013-06-01 00:00:00
abstract：:Total medial meniscectomy was carried out on 30 mature rabbits; subsequent regeneration of the meniscus and degenerative joint changes were observed. Out of 30 knees, 22 had regenerated menisci and 10 of these had not developed gross degenerative changes after 6 months. Collagen fibres were arranged irregularly in the...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050158
更新日期：1997-01-01 00:00:00
abstract：PURPOSE:Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the se...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1672-9
更新日期：2013-02-01 00:00:00
abstract：PURPOSE:This study reports a case series of 44 primary total knee arthroplasties (TKAs) using autogenous morcellised bone grafting for large (≥10-mm-deep) medial tibial defects, which are generally repaired using metal augmentation. The bone-grafting technique is described in detail and the radiological outcomes are pr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3339-4
更新日期：2017-05-01 00:00:00
abstract：:A combination of costo-sterno-clavicular hyperostosis and palmo-plantar pustulosis, sometimes with hyperostotic spondylosis and spondylarthritis, is called pustular osteoarthropathy. In the Western hemisphere 40 cases have been reported and in the Far East the condition occurs more commonly. Five cases are described. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00179705
更新日期：1991-01-01 00:00:00
