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 period was 18.7 (6-108) months after fixator removal. The mean new bone gained was 7.4 (2-17) cm. The mean healing index was 44.7 (17-86) days/cm. Total wound infection was resolved in 19 limbs (90.5%), and 11/12 (91.6%) nonunions united. Union with acceptable alignment (< 7 degree of angulation) and limb-length difference (<2.5 cm) was achieved in 18 limbs (85.7%). The bone result was excellent in 17 tibiae, good in three, and poor in one. Eighteen limbs had an excellent and three a good functional result. This modified technique of distraction osteogenesis using AO/ASIF conventional external fixator is safe, cost effective, and a versatile tool in the management of tibial bone loss associated with infected nonunion and open fractures.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sangkaew Cdoi
10.1007/s00264-004-0553-2keywords:
subject
Has Abstractpub_date
2004-06-01 00:00:00pages
171-5issue
3eissn
0341-2695issn
1432-5195journal_volume
28pub_type
杂志文章abstract：PURPOSE:Aged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in m...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3161-z
更新日期：2016-06-01 00:00:00
abstract：PURPOSE:Empirical broad-spectrum antibiotic treatment for orthopaedic implant infections after surgical lavage is common practice while awaiting microbiological results, but lacks evidence. METHODS:This was a single-centre cohort study from 1996 to 2010 with a follow-up of two years. RESULTS:We retrieved 342 implant ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1924-3
更新日期：2013-10-01 00:00:00
abstract：:Deep-vein thrombosis (DVT) and pulmonary embolism (PE) represent life-threatening postoperative complications frequently responsible for in-hospital mortality following total knee arthroplasty (TKA). Mechanical prophylaxis in the form of a foot pump offers an alternative to pharmacological and physical therapy. The ai...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-010-1091-8
更新日期：2011-07-01 00:00:00
abstract：:In achondroplasts limb lengthening can restore the normal proportion of the body. The Ilizarov method of limb lengthening has been used in 37 patients, 23 of whom have had an adequate follow-up after operation. In this technique the cortex of the bone is partially cut, leaving the medulla intact; the two bone segments...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00547160
更新日期：1988-01-01 00:00:00
abstract：:Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267752
更新日期：1986-06-01 00:00:00
abstract：:We followed prospectively 27 patients with severe acetabular bone-stock deficiencies due to developmental dysplasia of the hip. Mean preoperative patient age was 56 (34-78) years, mean Harris hip score was 31 (16-66) points and pre-operative mean acetabular angle of Sharp was 47 degrees (34 degrees - 61 degrees). Oper...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0559-9
更新日期：2004-08-01 00:00:00
abstract：:This paper is based on an invited lecture given at the SICOT 87 meeting in Munich. The topics discussed include: selective spinal arteriography in the management of tumours, which enables definition of the vascular supply of the cord and of the tumour and may facilitate preoperative embolisation; MRI, which allows vis...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/BF00266367
更新日期：1989-01-01 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：INTRODUCTION:Literature on the potential release of trace elements following implantation of Zirconia-platelet toughened alumina (ZPTA) ceramic components is scant. The present study therefore analysed the in vitro and in vivo potential release of ions from ZPTA bearings. MATERIAL AND METHODS:An in vitro and in vivo s...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3568-1
更新日期：2018-01-01 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：:A series of 49 pilon fractures in a tertiary referral centre treated definitively by open reduction and internal fixation have been assessed and the complications of such injuries examined. A retrospective analysis of case notes, radiographs and computerised tomographs over a seven-year period from 1999-2006 was perfo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1005-9
更新日期：2011-03-01 00:00:00
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
doi：10.1007/s002640100298
更新日期：2002-01-01 00:00:00
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
doi：10.1007/s00264-002-0384-y
更新日期：2003-01-01 00:00:00
abstract：PURPOSE:The management of calcaneal fractures remains challenging and often controversial. Open reduction and internal fixation with a lateral plate has been established as a standard therapy for displaced articular fractures. However, accurate subtalar joint reduction, while mandatory, is difficult to achieve, require...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1249-z
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:Patients often attribute increasing pain in an arthritic joint to changing weather patterns. Studies examining the impact of weather on pain severity have yielded equivocal and sometimes contradictory results. The relationship between subchondral pseudocysts and the role they play in this phenomenon has not bee...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1304-9
更新日期：2012-03-01 00:00:00
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：:A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267736
更新日期：1984-01-01 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：:The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266515
更新日期：1985-01-01 00:00:00
abstract：:The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0347-4
更新日期：2008-08-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine if a new titanium cup with increased porosity resulted in different periacetabular bone loss and migration compared to a porous coated cup. METHODS:Fifty-one patients with primary hip osteoarthritis were randomized to either a cup with porous titanium construct backsi...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-014-2571-z
更新日期：2015-05-01 00:00:00
abstract：:The surgical benefit of minimally invasive tendo Achilles repair (n = 25) with early weight-bearing mobilisation after rupture of the tendo Achilles was compared with operative treatment using an open technique (n = 34) with full weight-bearing after 8 weeks of surgical repair. The minimally invasive technique provide...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0564-5
更新日期：2009-02-01 00:00:00
abstract：:Five hundred and fifteen children with single segment non-physeal extremity fractures were retrospectively reviewed. The male to female ratio was 2.7:1. The average age of study group was 9.9+/-4.7 years; 273 fractures (53%) were on the left, 242 (47%) were on the right. A fall was the main cause of the injury in most...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050388
更新日期：1999-01-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty. METHODS:We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional t...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2366-2
更新日期：2014-08-01 00:00:00
abstract：:The effect of a low dose of diclofenac sodium, administered locally, on heterotopic bone formation in rats was investigated. Heterotopic bone was induced by implantation of demineralised bone matrix into the gluteal muscles. Diclofenac was released continuously for 2 weeks from micro-osmotic pumps for each demineralis...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00178357
更新日期：1995-01-01 00:00:00
abstract：AIM:Computerized navigation of unicondylar knee arthroplasties (UKA) is not a widespread technique. The lifespan of a UKA depends on the quality of its implantation. We know that overcorrection leads to a rapid extension of the osteoarthritis to the opposite side of the knee and undercorrection to a rapid loosening or ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3293-1
更新日期：2017-02-01 00:00:00
abstract：:The aim of our study was to determine the radiographic prevalence of hip and knee osteoarthritis and compare our results with prevalence data reported by other studies, as no similar study had been performed in Hungary previously. Our aim was also to investigate the usefulness of the different radiological scoring met...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1069-6
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-013-2143-7
更新日期：2014-04-01 00:00:00
abstract：:Five cases of fracture of the lateral tibial condyle of the split-depression type were treated by elevation of the depressed fragment, bone grafting and cancellous bone screws. During the operation, tantalum markers were inserted into the depressed fragment and the tibial metaphysis for radiographic stereophotogrammet...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00192467
更新日期：1994-06-01 00:00:00
abstract：PURPOSE:Acetabular component position is important for stability and wear. Fluoroscopy can improve the accuracy of acetabular component placement in the posterior approach and the direct anterior approach (DAA). The purpose of this study was to determine if the direct anterior approach in the supine position facilitate...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2803-x
更新日期：2016-01-01 00:00:00
