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 orthopaedic ward for hip and knee replacements (knee 210; hip 185) from 16 October 2000 to 15 October 2001. Group 1 included 164 admissions before 16 April 2001 when MRSA swabs were not compulsory. Group 2 included 231 admissions after 16 April 2001 when axillary, nasal and groin swabs had to be negative for MRSA. Four patients in group 1 had post-operative MRSA infection compared with none in group 2. The mean length of hospital stay decreased significantly from 10.43 days +/- SD 4.2 days in group 1 to 9.47 days +/- SD 2.6 days in group 2. There was a significant reduction in the incidence of hospital-acquired infections following the introduction of pre-admission screening.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sankar B,Hopgood P,Bell KMdoi
10.1007/s00264-005-0649-3keywords:
subject
Has Abstractpub_date
2005-06-01 00:00:00pages
160-3issue
3eissn
0341-2695issn
1432-5195journal_volume
29pub_type
杂志文章abstract:INTRODUCTION:There is no evidence that anatomically correct anterior cruciate ligament reconstruction (ACLR) offers lower rate of degenerative changes development or that it would lead to a better outcome. The significance and understanding of the abnormal anterior tibial translation (ATT) in ACLR patients is yet to be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3386-x
更新日期:2017-04-01 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:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04699-3
更新日期:2020-10-01 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:PURPOSE:The aim of this study was to analyse the clinical outcome of a modified Sever-L'Episcopo technique for release of contracted muscles and tendon transfer to restore function of the shoulder joint in patients with Erb's palsy. METHODS:A case series was conducted from March 1988 to November 2009 for 19 patients. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2592-7
更新日期:2015-02-01 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:PURPOSE:The hypothesis of our study is that a routine tibial cut during cruciate retaining TKA may result in a partial or a total removal of the PCL footprint. Therefore providing a reliable landmark is essential to estimate the probability of PCL damage with a tibial cut and to enable the surgeon to decide pre-operati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2100-5
更新日期:2014-02-01 00:00:00
abstract::A 21 year old Japanese male of normal intelligence with severe athetosis, scoliosis with pelvic obliquity, and a positive Galant's reflex was seen with complaint of difficulty in maintaining a sitting posture. After release of the soft tissues around the hip and axilla, followed by physiotherapy, he underwent ipsilate...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271094
更新日期:1980-01-01 00:00:00
abstract::A Grosse-Kempf nail was used with a Scan femoral hip prosthesis to manage a patient who sustained a pathological fracture of the neck of the femur after the previous introduction of the interlocking nail for a similar fracture of the lower end of the femur. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00178764
更新日期:1990-01-01 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::Translaminar screw fixation is a good procedure for posterolateral spinal fusion of one or two motion segments. Anterior translation of the upper fused vertebra occurred in 5 of our patients following this procedure. A further fusion with pedicle screw fixation was needed in 2 of them. This complication has been previ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050213
更新日期:1998-01-01 00:00:00
abstract::Between 1991 and 2002 we treated 48 patients surgically for thoracolumbar burst fractures associated with flexion-distraction injury of the posterior elements. The degree of kyphotic deformity and the degree of vertebral wedging deformity were measured on plain lateral radiographs. The spinal canal compromise was meas...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0005-7
更新日期:2005-12-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Different target areas within the concept of combined cup and stem anteversion have been published for total hip arthroplasty (THA). We asked whether component positioning according to eight standard combined anteversion rules is associated with (1) more physiological gait patterns, (2) higher improvement of ga...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2777-8
更新日期:2015-12-01 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::A seven-year-old girl, whose right knee gave way, was found to have anterolateral instability of the joint associated with congenital aplasia of the anterior cruciate ligament. Instability was present in the final 30 degrees of extension, and has been controlled by a brace which prevented this movement. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271452
更新日期:1987-01-01 00:00:00
abstract::First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0935-6
更新日期:2010-10-01 00:00:00
abstract::Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0046-y
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS:A retrospective review of 406 SAs (70 HAs, 188 total shoulder ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3874-2
更新日期:2018-08-01 00:00:00
abstract::Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. The patients had an abnormal gait, an average age of 14.1 years and symptoms for an average of 14.5 months. Th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180203
更新日期:1992-01-01 00:00:00
abstract:PURPOSE:We aimed to identify the incidence and preventability rate of adverse events (AEs) occurring in a specialty orthopaedic unit. METHODS:Four thousand nine hundred and six consecutive in-patient admissions over six months in an orthopaedic unit were prospectively analysed. The total indoor patient capacity was se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3282-4
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:Rheumatoid arthritis has been associated with poor clinical outcomes in hemiarthroplasty and unconstrained total shoulder arthroplasty. The reverse shoulder arthroplasty can be utilized to address the shortcomings of hemiarthroplasty and unconstrained total shoulder arthroplasty in the inflammatory arthritis pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04373-3
更新日期:2019-11-01 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:A posterior-anterior vertebral vector is proposed to facilitate visualization and understanding of scoliosis. The aim of this study was to highlight the interest of using vertebral vectors, especially in the horizontal plane, in clinical practice. METHODS:We used an EOS two-/three-dimensional (2D/3D) system an...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-017-3548-5
更新日期:2017-11-01 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:The purpose of this study was the evaluation of knee laxity in the ACL-deficient knee with combined meniscal tear, meniscal suture and partial medial meniscectomy. METHODS:Kinematics of the intact knee were determined in 18 human cadaver specimens in response to a 134-N anterior tibial load (aTT) as well as a ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2581-x
更新日期:2015-04-01 00:00:00
abstract::The Register for Orthopaedic Prosthetic Implantation (RIPO) has been prospectively collecting data on hip prostheses performed in all the orthopaedic units in the region Emilia-Romagna since January 2000. The register aims to determine the characteristics of patients, evaluate the effectiveness of prostheses, and allo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0465-z
更新日期:2009-04-01 00:00:00
abstract::Proliferating cell nuclear antigen (PCNA) is one of the cell cycle-related proteins directly involved in DNA synthesis. It is a marker of cellular proliferation and has been shown to correlate with ploidy and proliferative activity of cells. Its expression has been used to estimate the growth fraction of human cancer ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000147
更新日期:2000-01-01 00:00:00
abstract::We describe a method of quantifying the lateral/medial thrust of the knee which occurs in the early phase of walking. We have used this method to evaluate the effects of wedged insoles on the lateral and medial thrust for normal knees and knees with unicompartment osteoarthritis (OA). A laterally elevated (valgus) ins...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050174
更新日期:1997-01-01 00:00:00
abstract::We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180454
更新日期:1993-12-01 00:00:00