Anterior cervical locking plate-related complications; prevention and treatment recommendations.

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 and screws or malpositions that threatened tracheoesophageal or neurovascular structures were defined as the complications. There were 239 cases (10.7%) with different kinds of complications. The complications included oblique plating in 56 cases in which the screw could irritate the nerve root. Screws were driven into the disc space in four cases, which ultimately led to plate loosening. Screws penetrated the endplate or passed excessively close to it producing a triangle fracture in 19 cases. Loosening or breaking of the plate and the screw was found in 115 cases. These phenomena were always associated with non-union. Three oesophageal perforations occurred and conservative treatments proved effective. Finally, overlong plates impinged on the adjacent level in 14 cases and promoted disc degeneration ultimately leading to revision surgery. Good training and careful operation may help to decrease the complication rate. Most hardware complications are not symptomatic and can be treated conservatively. Only a few of them need immediate reoperation.

journal_name

Int Orthop

authors

Ning X,Wen Y,Xiao-Jian Y,Bin N,De-Yu C,Jian-Ru X,Lian-Shun J

doi

10.1007/s00264-007-0369-y

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

649-55

issue

5

eissn

0341-2695

issn

1432-5195

journal_volume

32

pub_type

杂志文章
  • Knee motion symmetry was not restored in patients with unilateral bi-cruciate retaining total knee arthroplasty-in vivo three-dimensional kinematic analysis.

    abstract:PURPOSE:Although unilateral total knee arthroplasty (TKA) is successful in restoring function, there are concerns in relation to asymmetric gait patterns. Bi-cruciate retaining (BCR) TKA design preserves both anterior and posterior cruciate ligaments with the potential to restore normal joint kinematics. The purpose of...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3986-8

    authors: Arauz P,Peng Y,Kwon YM

    更新日期:2018-12-01 00:00:00

  • Habitual dislocation of the patella.

    abstract::A case of bilateral habitual dislocation of the patella associated with cleft lip and palate, and short metatarsals, metacarpals and phalanges is reported. The possible cause of habitual dislocation is discussed in the light of 20 cases which have been seen by the author. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183358

    authors: Sharma SV

    更新日期:1990-01-01 00:00:00

  • Treatment of fracture sequelae of the proximal humerus: anatomical vs reverse shoulder prosthesis.

    abstract::The treatment of complex humeral fractures or fracture-dislocations presents several challenges. Late complications such as malunion, avascular necrosis, or nonunion are frequent and often lead to articular incongruence. Patients can be severely handicapped, presenting with considerable pain, stiffness, and important ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-014-2651-0

    authors: Mansat P,Bonnevialle N

    更新日期:2015-02-01 00:00:00

  • Analysis of failure and clinical outcome after unsuccessful medial patellofemoral ligament reconstruction in young patients.

    abstract:PURPOSE:Reconstruction of the medial patellofemoral ligament (MPFL) has become a popular procedure for patients with patellofemoral instability. Nevertheless, complication rates of up to 26 % have been reported. This study presents the analysis of failure and clinical outcome of subsequent revision surgery in young pat...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2437-4

    authors: Nelitz M,Williams RS,Lippacher S,Reichel H,Dornacher D

    更新日期:2014-11-01 00:00:00

  • A vast majority of preliminary reports published in the shoulder literature are not followed by long-time follow-up studies - a literature review.

    abstract:INTRODUCTION:The aim of paper is to check how many preliminary reports (PR) reach a long-term publication (LT), and analyse differences in outcomes and complications between them. METHODS:A literature search was performed to identify shoulder preliminary or early reports. Fifty one papers fulfilled criteria and were c...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-016-3228-x

    authors: Miquel J,Santana F,Torrens C

    更新日期:2017-05-01 00:00:00

  • Paediatric lateral humeral condylar fracture outcomes at twelve years follow-up as compared with age and sex matched paired controls.

    abstract:INTRODUCTION:Lateral humeral condylar fractures are the second most common elbow fractures in children. We present the long-term clinical and radiographic results. MATERIAL AND METHODS:All children (<16 years) in the geographic catchment area with lateral condylar fracture were asked to participate and 32 (76.2%) pati...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3451-0

    authors: Sinikumpu JJ,Pokka T,Victorzon S,Lindholm EL,Serlo W

    更新日期:2017-07-01 00:00:00

  • Setting standards for medical writing in orthopaedics.

    abstract::Once the privilege of few clinical scholars in the field of orthopaedics, medical writing has become a must for career advancement. The number of papers submitted and published yearly has increased steadily, and with the development of the Internet, manuscript and journals have become easily accessible. Medical writin...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-013-2189-6

    authors: Mauffrey C,Scarlat MM,Pećina M

    更新日期:2014-01-01 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

    doi:10.1007/s00264-018-4268-1

    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

  • The impact of different types of talus deformation after treatment of clubfeet.

    abstract:PURPOSE:Deformation of the talus in idiopathic congenital clubfeet is a known problem after treatment. However evidence on types of talus deformation and clinical relevance is rare. The aims of this study were first to define different types of talus deformation, and second, to evaluate the impact of these types on lon...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3301-5

    authors: Kolb A,Willegger M,Schuh R,Kaider A,Chiari C,Windhager R

    更新日期:2017-01-01 00:00:00

  • Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting.

    abstract:PURPOSE:We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients. METHODS:All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-011-1371-y

    authors: Neumann D,Thaler C,Dorn U

    更新日期:2012-05-01 00:00:00

  • Posterolateral clamp placement on the pelvic brim provides optimal reduction of transtectal acetabular fractures fixed through the anterior intrapelvic approach.

    abstract:PURPOSE:To determine the optimal position of reduction clamps applied to reduce transtectal transverse acetabular fractures approached through the anterior intrapelvic route. METHODS:Transtectal transverse fractures were created in sawbone hemipelvis models. Fractures were reduced and held with a large pointed reducti...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-019-04430-x

    authors: Crump EK,Hwang J,Vintimilla DR,Parry JA,Maher M,Salameh M,Mauffrey C

    更新日期:2020-02-01 00:00:00

  • The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war.

    abstract:BACKGROUND:From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed. METHODS:The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts me...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04637-3

    authors: Benazzo F,Rossi SMP,Maniscalco P,Moretti B,Vaienti E,Ruggieri P,Massè A,Medici A,Formica A,Di Maggio B,Caiaffa V,Mosconi M,Murena L,D'Angelo F,Belluati A,Mazza EL,Rivera F,Castelli A,Ghiara M,Rosolani M,Cioffi R,

    更新日期:2020-08-01 00:00:00

  • Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

    abstract:PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2626-1

    authors: Ciftdemir M,Tuncel SA,Ozcan M,Copuroglu C,Erem M

    更新日期:2015-03-01 00:00:00

  • Avascular necrosis of the femoral head: inter- and intraobserver variations of Ficat and ARCO classifications.

    abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0320-2

    authors: Schmitt-Sody M,Kirchhoff C,Mayer W,Goebel M,Jansson V

    更新日期:2008-06-01 00:00:00

  • Long-term results of acetabular reconstruction using three bulk bone graft techniques in cemented total hip arthroplasty for developmental dysplasia.

    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

    authors: Oe K,Iida H,Kawamura H,Ueda N,Nakamura T,Okamoto N,Ueda Y

    更新日期:2016-09-01 00:00:00

  • Simple neurolysis for failed anterior submuscular transposition of the ulnar nerve at the elbow.

    abstract::From 1996 to 2000, we reoperated nine patients totally dissatisfied after previous surgery for cubital tunnel syndrome. All patients had simple external neurolysis in situ of the transposed ulnar nerve. Only the anterior aspect of the ulnar nerve was dissected and released. Dense scarring around the ulnar nerve was fo...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-004-0589-3

    authors: Dagregorio G,Saint-Cast Y

    更新日期:2004-12-01 00:00:00

  • Outcome of open massive rotator cuff repairs with double-row suture knotless anchors: case series.

    abstract:PURPOSE:The aim of the present study was to evaluate functional and quality of life outcomes after transosseous equivalent (TOE) double row suture technique for massive rotator cuff (RTC) tear repair using validated subjective and objective measures. This technique has shown promising preliminary results in RTC repair;...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2720-z

    authors: Connelly TM,Shaw A,O'Grady P

    更新日期:2015-06-01 00:00:00

  • The anterior talo-fibular ligament reconstruction in surgical treatment of chronic lateral ankle instability.

    abstract::Chronic lateral ankle instability causes significant problems in physical activity and accelerates development of osteoarthritic changes. The results of treatment for chronic ankle instability are often meets controversial. A surgical reconstruction of ATFL as described in this paper was performed during the period 19...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-0995-7

    authors: Trc T,Handl M,Havlas V

    更新日期:2010-10-01 00:00:00

  • Manipulation under anaesthesia for frozen shoulder.

    abstract::Following manipulation of frozen shoulders under general anaesthesia, we reviewed 74 shoulders at an average of 3 weeks and again at an average of 33 months following the manipulation. We used an adjusted Constant score by excluding the abduction strength measurement. The maximum score was therefore 75 points. The ave...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-002-0348-2

    authors: Othman A,Taylor G

    更新日期:2002-01-01 00:00:00

  • Percutaneous discectomy of the lumbar spine.

    abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00271309

    authors: Caspi I,Ezra E,Nerubay J,Lin E,Tadmor R,Horoszovski H

    更新日期:1987-01-01 00:00:00

  • The role of FDG-PET in distinguishing between septic and aseptic loosening in hip prosthesis: a review of literature.

    abstract::Infection in prosthesis surgery is very dangerous because it changes the patient's prognosis. Differential diagnosis between septic and aseptic loosening is fundamental in order to apply the correct treatment. The correct diagnostic approach is still debated in literature. The aim of this study was to perform a review...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-008-0575-2

    authors: Zoccali C,Teori G,Salducca N

    更新日期:2009-02-01 00:00:00

  • Fixation of periprosthetic or osteoporotic distal femoral fractures with locking plates: a pilot randomised controlled trial.

    abstract:INTRODUCTION:We hypothesised that the use of a polyaxial locking plate design offers the same clinical benefits as a monoaxial locking plate system following distal femoral osteoporotic/periprosthetic fracture fixation. METHOD:A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were pati...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00264-018-4061-1

    authors: Kanakaris NK,Obakponovwe O,Krkovic M,Costa ML,Shaw D,Mohanty KR,West RM,Giannoudis PV

    更新日期:2019-05-01 00:00:00

  • Reverse shoulder arthroplasty for rheumatoid arthritis since the introduction of disease-modifying drugs.

    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

    authors: Mangold DR,Wagner ER,Cofield RH,Sanchez-Sotelo J,Sperling JW

    更新日期:2019-11-01 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

    doi:10.1007/s00264-008-0556-5

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

    更新日期:2009-04-01 00:00:00

  • Surgical therapy of hip-joint empyema. Is the Girdlestone arthroplasty still up to date?

    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

    authors: Oheim R,Gille J,Schoop R,Mägerlein S,Grimme CH,Jürgens C,Gerlach UJ

    更新日期:2012-05-01 00:00:00

  • Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique.

    abstract::Results of two methods, conventional open reduction-internal plating and minimally invasive plating osteosynthesis (MIPO), in the treatment of mid-distal humeral shaft fractures were compared. Thirty-three patients were retrospectively analysed and divided into two groups. Group A (n = 17) patients were treated by MIP...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0753-x

    authors: An Z,Zeng B,He X,Chen Q,Hu S

    更新日期:2010-02-01 00:00:00

  • Hallux sesamoid bones. Anatomical observations with special reference to osteoarthritis and hallux valgus.

    abstract::The normal characteristics of the hallux sesamoid bones were studied in 200 toes (100 dissections and 100 radiographs from patients with hallux valgus), and pathological changes were recorded. Normally each sesamoid articulated with a separate groove on the plantar surface of the first metatarsal head. A bony ridge on...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00267743

    authors: Aseyo D,Nathan H

    更新日期:1984-01-01 00:00:00

  • Improvement of intertrochanteric bone quality in osteoporotic female rats after injection of polylactic acid-polyglycolic acid copolymer/collagen type I microspheres combined with bone mesenchymal stem cells.

    abstract:PURPOSE:Osteoporosis mainly involves cancellous bone, and the spine and hip, with their relatively high cancellous bone to cortical bone ratio, are severely affected. Studies of bone mesenchymal stem cells (BMSCs) from osteoporotic patients and animal models have revealed that osteoporosis is often associated with redu...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1543-4

    authors: Yu Z,Zhu T,Li C,Shi X,Liu X,Yang X,Sun H

    更新日期:2012-10-01 00:00:00

  • [Lamellar rotation osteotomy of the tibia in children].

    abstract::The authors describe the technique and results obtained by a derotation osteotomy of the tibia in children. The method is simple, reliable and does not require internal fixation. It is suitable for dealing with deformity following poliomyelitis, and may also be used to treat tibial torsion which fails to correct with ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266870

    authors: Dutoit M,Caron JC

    更新日期:1985-01-01 00:00:00

  • Can patient-reported outcomes predict re-operations after total hip replacement?

    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

    authors: Eneqvist T,Nemes S,Bülow E,Mohaddes M,Rolfson O

    更新日期:2018-02-01 00:00:00