Abstract:
:During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelve patients had zone I fracture, ten had zone II fracture and ten patients had comminuted fractures involving both zones. All patients underwent surgical decompression and reconstruction plate internal fixation. The average follow up period was 24.4 (range 19-47) months. Twenty-one patients (65.6%) had complete neurological recovery, eight patients (25%) had partial recovery and three patients (9.4%) had no recovery. The relationship between radiological and functional scores was evident but insignificant (P = 0.434). Significantly, the neurological recovery was less favourable in older age groups, pedestrian trauma, vertical shear injuries, comminuted fractures, fifth lumbar root involvement, very low motor power grades and in patients presenting late. Concerning complications, four patients (12.5%) had early infection and five patients (15.6%) had late urological problems and heterotopic ossification. Consequently, we conclude that patients undergoing very early surgical decompression and only reconstruction plate internal fixation can achieve safe early ambulation and better neurological, functional and radiological results.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Ayoub MAdoi
10.1007/s00264-007-0468-9subject
Has Abstractpub_date
2009-02-01 00:00:00pages
261-7issue
1eissn
0341-2695issn
1432-5195journal_volume
33pub_type
杂志文章abstract:PURPOSE:The optimum treatment for periprosthetic fractures in the region of the distal femur is undefined. Although internal fixation for prostheses which are stable is commonly utilised, this can lead to very prolonged morbidity and failure of the fracture to unite. Where the prosthesis is either loose or infected, re...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2969-2
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::We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00210533
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:Humans differ from other great ape species in their propensity to develop tears of the rotator cuff. The aim of this study was to compare the anatomical risk factors for subacromial impingement and rotator cuff tears amongst the great apes and to determine which features may be accentuated in humans and therefo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2204-y
更新日期:2014-03-01 00:00:00
abstract::This study evaluates the role of arthroscopy in the diagnosis of acute injuries to the knee. One hundred and fifty four patients with a suspected ligament injury or effusion of the knee joint underwent arthroscopy. A haemarthrosis was present in 82% and a bloodless effusion in 10%. Meniscal tears were found in 19% of ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00317825
更新日期:1988-01-01 00:00:00
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
doi:10.1007/BF00268171
更新日期:1985-01-01 00:00:00
abstract::The purpose of this study was to investigate the biomechanical efficacy of Histoacryl (cyanoacrylate, N-asetil 2 butyl sistein) in meniscal tear repair. In our study, the primary stability of three different repair techniques in delaying the formation of a gap of 2 mm was investigated. A meniscal tear was repaired wit...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0158-z
更新日期:2007-04-01 00:00:00
abstract::We reviewed the X-rays of 109 patients with 115 primary total hip replacements utilizing a lateral flare cementless stem to assess axial migration and stability. The average follow-up was 48.6 (24-104) months. The average subsidence at 2 years was 0.32 mm, remaining at a level below 1 mm for the duration of the follow...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0355-3
更新日期:2002-01-01 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::The mechanoreceptors in the collateral ligaments of the knee joint in rat hindlimbs were studied. In group II (n=10) the femoral and obturator nerves were sectioned. In both groups III and V (n=20) the sciatic nerve was sectioned. In group V (n=10) the sectioned sciatic nerve was sutured 4 weeks after sectioning. In g...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050338
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). METHODS:Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who h...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1993-3
更新日期:2013-10-01 00:00:00
abstract::Cementless acetabular components require good initial fixation to allow bony in-growth. The initial press-fit stability, important for designs that do not rely on supplemental fixation, was examined for three designs with different porous coating systems: beads, fiber mesh, and plasma spray. The ability to withstand t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0314-4
更新日期:2002-01-01 00:00:00
abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180180
更新日期:1994-02-01 00:00:00
abstract:PURPOSE:Diagnosing periprosthetic infection remains a challenge. Multiplex-PCR and biomarkers such as alpha-defensin are potentially useful and fast methods for detecting periprosthetic infection. This study compared these new methods with clinical assessment, conventional microbiological methods and histo-pathological...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3412-7
更新日期:2017-07-01 00:00:00
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::A tentative classification of Perthes' disease according to the extent of epiphyseal and metaphyseal involvement in lateral radiographs of the hip was applied to 61 hips in 55 patients. Forty-four hips were treated by containment (Tachjian's trilateral socket hip abduction orthosis) and 17 hips were treated surgically...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266603
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:Shoulder arthroplasty is one of the options for the treatment of complex proximal humeral fractures. The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. METHODS:Fifty-one consecutive pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2061-8
更新日期:2013-11-01 00:00:00
abstract::There is currently an increased interest in the use of electro surgery in arthroscopy. Since the introduction of the bipolar arthroscopic radiofrequency (RF) wand, it has started to replace the classic Bovie monopolar probe on the assumption that the new technology provides multifunctional devices, combining both tiss...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0541-z
更新日期:2009-02-01 00:00:00
abstract:INTRODUCTION:Fracture neck of femur (hip fracture) is a very common problem among old age group. Such elderly patients usually have some comorbidities for which they may use anti-platelet therapy (such as clopidogrel, aspirin, or others) for long duration (chronic use). These anti-platelet medications might make the bl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04633-7
更新日期:2020-09-01 00:00:00
abstract::We used custom mega-prostheses in 57 patients with aggressive benign and malignant tumours of the proximal humerus. The most common tumour was osteosarcoma, followed by giant cell tumour and chondrosarcoma. We achieved extra-articular and wide resection margins in all primary malignant tumours and narrow margins in be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0029-z
更新日期:2006-06-01 00:00:00
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
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:The increase in methicillin-resistant Staphylococcus aureus (MRSA) infections is currently a major health care problem. Vancomycin is still often the first-line anti-microbiological agent for treating such infections; however, a recent decline in efficacy of vancomycin in MRSA infections has raised concerns and...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2149-1
更新日期:2014-04-01 00:00:00
abstract::This report includes six patients with femoral head fractures. Five were associated with posterior hip dislocation, of which one also had an ipsilateral trochanteric fracture. All were young adults who had been injured in automobile accidents. The protocol for management, indications for surgery and guidelines for eva...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000209
更新日期:2001-01-01 00:00:00
abstract::From October 2005 to September 2006, 20 patients with an acute thoracolumbar burst fracture underwent posterior instrumentation with transpedicular intracorporeal calcium sulphate grafting. The mean age of the patients at surgery was 41.8 years; 14 were men and six were women. The mean follow-up period was 28.5 months...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0677-x
更新日期:2009-12-01 00:00:00
abstract:INTRODUCTION:Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with cal...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04534-9
更新日期:2020-05-01 00:00:00
abstract::In 53 patients with a mean age of 38 (17-73) years, 71 high tibial osteotomies were performed. Twenty-three patients had no radiological signs of osteoarthrosis (Ahlbäck grade 0), whereas 26 patients had primary and 22 patients secondary osteoarthritis. Follow-up was 10.5 (5.8-16.6) years. The patients without radiolo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100244
更新日期:2001-01-01 00:00:00
abstract::Osteosarcoma, the most common type of primary malignant tumour that develops in bone, can be classified into several different sub-types. While the majority of osteosarcomas are highly malignant, there are some low-grade variants. Since the introduction of chemotherapy into the multi-modal treatment regimen of high-gr...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-006-0192-x
更新日期:2006-12-01 00:00:00
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
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regardin...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-011-1213-y
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3439-9
更新日期:2017-09-01 00:00:00