Abstract：
:We describe the results of a retrospective analysis of patients with microbiologically proven infection, who underwent revision TKA between 1994 and 2008. Of the 121 patients included in the study, 61 (50%) were male and 60 (50%) were female. The mean age was 71 (range 42-88) years. The most common organisms identified were Coagulase negative Staphylococcus (CNS) (49%) and Staphylococcus aureus (SA) (13%). The prevalence of CNS appears to be increasing, while that of SA and other organisms is decreasing. Vancomycin and teicoplanin were the most effective antibiotics with overall sensitivity rates of 100% and 96%, respectively. The results of our theoretical model suggest that gentamicin combined with vancomycin is the most effective empirical regimen. Staphylococcal species are the most common organisms encountered in deep infection of the knee. Gentamicin combined with vancomycin offers the most comprehensive protection and potentially allows for infected knee arthoplasties to be treated with a one-stage procedure.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Nickinson RS,Board TN,Gambhir AK,Porter ML,Kay PRdoi
10.1007/s00264-009-0797-ysubject
Has Abstractpub_date
2010-04-01 00:00:00pages
505-10issue
4eissn
0341-2695issn
1432-5195journal_volume
34pub_type
杂志文章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：:The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/s00264-006-0088-9
更新日期：2007-02-01 00:00:00
abstract：PURPOSE:The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS:From February 2012 to ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3758-5
更新日期：2018-08-01 00:00:00
abstract：STUDY DESIGN:This was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery. OBJECTIVE:The objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinica...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3506-2
更新日期：2017-07-01 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 haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182718
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG). METHODS:A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04804-6
更新日期：2021-02-01 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：:The original publication of this paper contain an error for the first name and last name of the second author have been mixed up as "Wenliang, Z.". ...
journal_title：International orthopaedics
pub_type： 杂志文章,已发布勘误
doi：10.1007/s00264-018-3948-1
更新日期：2018-07-01 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:The purpose of this study was to compare the load-to-failure of different common suturing techniques with a new technique for the medial meniscus posterior root tear (MMPRT). METHODS:Thirty porcine medial menisci were randomly assigned to three suturing techniques used for transtibial pullout repair of the MMP...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3561-8
更新日期：2017-10-01 00:00:00
abstract：:In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0346-4
更新日期：2002-01-01 00:00:00
abstract：:Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabula...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0422-9
更新日期：2003-01-01 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：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
更新日期：2017-07-01 00:00:00
abstract：PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4111-8
更新日期：2019-08-01 00:00:00
abstract：PURPOSE:To investigate the effect of C3/4 disc degeneration on cervical spondylosis with dizziness (CSD) and to assess the curative effect of anterior cervical decompression and fusion (ACDF) in patients with CSD. METHOD:Four hundred nineteen patients who underwent ACDF for treatment of myelopathy or radiculopathy wer...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04531-y
更新日期：2020-06-01 00:00:00
abstract：PURPOSE:Aseptic loosening is a serious complication after total joint arthroplasty. Plain radiography, along with clinical signs of prosthesis loosening, is the technique of first choice to evaluate loosening of joint replacements. Nevertheless, radiographical signs of osteolysis may not be apparent until progressed st...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2471-2
更新日期：2014-12-01 00:00:00
abstract：:We have analysed the development of the cartilage canals in the tarsal navicular in 26 human foetuses and infants, aged between 12 weeks after gestation and 10 months, using a technique of transparentation and serial histological sections of the bone. The formation of cartilage canals starts in the first 12 to 13 week...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00195220
更新日期：1993-01-01 00:00:00
abstract：:A clinical and radiological follow-up investigation with at least 20 years observation time was made of 255 persons with lumbar spondylolysis with or without spondylolisthesis. The main purposes were to study the relationship between clinical and radiological features and to look for radiological and other variables o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00269912
更新日期：1984-01-01 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：BACKGROUND:Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity. RESEARCH QUESTIONS:We performed a meta-analysis of randomized controlle...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00264-017-3484-4
更新日期：2017-07-01 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：PURPOSE:To ascertain the anatomic and radiological parameters of the atlas (C1) pedicle and to explore a preferable method of C1 pedicle screw insertion. METHODS:Thirty-four conserved human cadaveric cervical spines (20 males, 14 females) underwent computed tomography (CT) scanning. Trajectories P (perpendicular to th...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2947-8
更新日期：2016-01-01 00:00:00
abstract：PURPOSE:Trochleoplasty is a relatively rare operation with few published results and it remains a technically demanding procedure which requires careful patient selection. The ideal candidate for surgery remains to be elucidated, and some authors consider it as a good revision option in cases of previous unsuccessful o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1746-8
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Insufficient levels of serum 25-hydroxyvitamin D (25-OHD) influence the knee joint cartilage and lead to development and progression of knee osteoarthritis (OA). The purpose of this study was to determine the status of serum 25-OHD levels in patients with knee OA compared with controls. METHODS:A total of 1...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1186-2
更新日期：2011-11-01 00:00:00
abstract：PURPOSE:We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties. METHODS:Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two gr...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-015-2726-6
更新日期：2015-07-01 00:00:00
abstract：PURPOSE:Restoring a neutral mechanical axis in total knee arthroplasty (TKA) (within ±3° of varus/valgus) is associated with superior functional outcome and reduced early implant failure. Using conventional alignment jigs results in malalignment in >20 % of cases. In this study, we investigated the reduction of outlier...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-014-2529-1
更新日期：2015-03-01 00:00:00
abstract：:The aim of this study was to compare the safety and efficacy of OsteoSet®2 DBM with autologous cancellous bone in free vascularised fibular grafting for the treatment of large osteonecrotic lesions of the femoral head. Twenty-four patients (30 hips) with large osteonecrotic lesions of the femoral head (stage IIC in si...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0915-x
更新日期：2011-04-01 00:00:00
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 per...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0553-2
更新日期：2004-06-01 00:00:00
